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肝细胞癌的影像学诊断:肝脏影像报告和数据系统,为何及如何?

Imaging Diagnosis of Hepatocellular Carcinoma: The Liver Imaging Reporting and Data System, Why and How?

机构信息

Liver Imaging Group, Department of Radiology, University of California, 9500 Gilman Drive, San Diego, CA 92093, USA.

Liver Imaging Group, Department of Radiology, University of California, 9500 Gilman Drive, San Diego, CA 92093, USA.

出版信息

Clin Liver Dis. 2020 Nov;24(4):623-636. doi: 10.1016/j.cld.2020.07.002. Epub 2020 Sep 2.

DOI:10.1016/j.cld.2020.07.002
PMID:33012449
Abstract

The Liver Imaging Reporting and Data System (LI-RADS) provides standardized lexicon, technique, interpretation, and reporting of liver imaging in patients at risk for hepatocellular carcinoma (HCC). When applied to at-risk populations, LI-RADS achieves higher than 95% positive predictive value for the noninvasive diagnosis of HCC on computed tomography (CT), MRI and contrast-enhanced ultrasound (CEUS). This article focuses on similarities and differences between the CT/MRI diagnostic algorithm (CT/MRI LI-RADS) and the CEUS diagnostic algorithm (CEUS LI-RADS) to inform health care professionals for efficient and appropriate clinical decisions through the management of patients at risk.

摘要

肝脏影像报告和数据系统(LI-RADS)为肝癌(HCC)风险患者的肝脏影像学提供了标准化的词汇、技术、解读和报告。当应用于高危人群时,LI-RADS 在 CT、MRI 和对比增强超声(CEUS)上对 HCC 的非侵入性诊断具有超过 95%的阳性预测值。本文重点介绍了 CT/MRI 诊断算法(CT/MRI LI-RADS)和 CEUS 诊断算法(CEUS LI-RADS)之间的相似性和差异,以指导医疗保健专业人员通过对高危患者的管理做出高效和适当的临床决策。

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Imaging Diagnosis of Hepatocellular Carcinoma: The Liver Imaging Reporting and Data System, Why and How?肝细胞癌的影像学诊断:肝脏影像报告和数据系统,为何及如何?
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Eur Radiol. 2021 Oct;31(10):7614-7625. doi: 10.1007/s00330-021-07872-3. Epub 2021 Apr 15.