Chernyak Victoria
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.
Surg Oncol Clin N Am. 2024 Jan;33(1):59-72. doi: 10.1016/j.soc.2023.06.006. Epub 2023 Aug 1.
This article overviews Liver Imaging Reporting and Data System (LI-RADS), a system that standardizes techniques, interpretation and reporting of imaging studies done for hepatocellular carcinoma surveillance, diagnosis, and locoregional treatment response assessment. LI-RADS includes 4 algorithms, each of which defines ordinal categories reflecting probability of the assessed outcome. The categories, in turn, guide patient management. The LI-RADS diagnostic algorithms provide diagnostic criteria for the entire spectrum of lesions found in at-risk patients. In addition, the use of LI-RADS in clinical care improves clarity of communication between radiologists and clinicians and may improve the performance of inexperienced users to the levels of expert liver imagers.
本文概述了肝脏影像报告和数据系统（LI-RADS），该系统对用于肝细胞癌监测、诊断及局部治疗反应评估的影像检查技术、解读和报告进行了标准化。LI-RADS包括4种算法，每种算法定义了反映评估结果概率的有序类别。这些类别进而指导患者的管理。LI-RADS诊断算法为高危患者中发现的所有病变提供了诊断标准。此外，在临床护理中使用LI-RADS可提高放射科医生和临床医生之间沟通的清晰度，并可能将经验不足的使用者的表现提高到肝脏影像专家的水平。
