在肝脏影像报告和数据系统（LI-RADS）中标准化扩散加权成像以诊断肝细胞癌。 - Suppr

Standardizing diffusion-weighted imaging in LI-RADS for diagnosis of hepatocellular carcinoma.

作者信息

Scialpi Michele, Evangelisti Arianna, Shehu Klesta, Comite Paola, Antogiovanni Giuseppe Nazareno, Scalera Giovanni Battista

机构信息

Division of Radiology I, Department of Medicine and Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.

出版信息

Eur Radiol. 2025 Feb;35(2):695-697. doi: 10.1007/s00330-024-10925-y. Epub 2024 Aug 2.

DOI:10.1007/s00330-024-10925-y

PMID:39095602

Abstract

摘要

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Standardizing diffusion-weighted imaging in LI-RADS for diagnosis of hepatocellular carcinoma.在肝脏影像报告和数据系统（LI-RADS）中标准化扩散加权成像以诊断肝细胞癌。

Eur Radiol. 2025 Feb;35(2):695-697. doi: 10.1007/s00330-024-10925-y. Epub 2024 Aug 2.

Hepatocellular carcinoma: Can LI-RADS v2017 with gadoxetic-acid enhancement magnetic resonance and diffusion-weighted imaging improve diagnostic accuracy?肝细胞癌：钆塞酸增强磁共振和弥散加权成像的 LI-RADS v2017 能否提高诊断准确性？

World J Gastroenterol. 2019 Feb 7;25(5):622-631. doi: 10.3748/wjg.v25.i5.622.

Comparison of diffusion-weighted imaging and T2-weighted single shot fast spin-echo: Implications for LI-RADS characterization of hepatocellular carcinoma.扩散加权成像与T2加权单次激发快速自旋回波的比较：对肝细胞癌LI-RADS特征的影响

Magn Reson Imaging. 2016 Sep;34(7):915-21. doi: 10.1016/j.mri.2016.04.007. Epub 2016 Apr 21.

Reply to "Standardizing diffusion-weighted imaging in LI-RADS for diagnosis of hepatocellular carcinoma".对《肝脏影像报告和数据系统（LI-RADS）中用于肝细胞癌诊断的扩散加权成像标准化》的回复

Eur Radiol. 2025 Feb;35(2):698-699. doi: 10.1007/s00330-024-10927-w. Epub 2024 Aug 2.

LI-RADS version 2018 for hepatocellular carcinoma < 1.0 cm on gadoxetate disodium-enhanced magnetic resonance imaging.基于钆塞酸二钠增强磁共振成像的2018版肝脏影像报告和数据系统（LI-RADS）用于直径小于1.0厘米的肝细胞癌。

Eur Radiol. 2023 Aug;33(8):5792-5800. doi: 10.1007/s00330-023-09554-8. Epub 2023 Apr 5.

Validation of Liver Imaging Reporting and Data System 2017 (LI-RADS) Criteria for Imaging Diagnosis of Hepatocellular Carcinoma.验证 2017 版肝脏影像报告和数据系统（LI-RADS）标准在肝细胞癌影像学诊断中的应用。

J Magn Reson Imaging. 2019 Jun;49(7):e205-e215. doi: 10.1002/jmri.26329. Epub 2018 Sep 26.

Extracellular contrast-enhanced MRI with diffusion-weighted imaging for HCC diagnosis: prospective comparison with gadoxetic acid using LI-RADS.采用扩散加权成像的细胞外对比增强 MRI 对 HCC 诊断的前瞻性比较：与使用 LI-RADS 的钆塞酸对比剂的比较。

Eur Radiol. 2020 Jul;30(7):3723-3734. doi: 10.1007/s00330-020-06753-5. Epub 2020 Mar 3.

Modifying LI-RADS on Gadoxetate Disodium-Enhanced MRI: A Secondary Analysis of a Prospective Observational Study.在钆塞酸二钠增强 MRI 上修改 LI-RADS：一项前瞻性观察研究的二次分析。

J Magn Reson Imaging. 2022 Aug;56(2):399-412. doi: 10.1002/jmri.28056. Epub 2022 Jan 7.

Accuracy of the diagnostic evaluation of hepatocellular carcinoma with LI-RADS.使用肝脏影像报告和数据系统（LI-RADS）对肝细胞癌进行诊断评估的准确性。

Acta Radiol. 2018 Feb;59(2):140-146. doi: 10.1177/0284185117716700. Epub 2017 Jun 26.

The utility of diffusion-weighted imaging in improving the sensitivity of LI-RADS classification of small hepatic observations suspected of malignancy.扩散加权成像在提高小肝癌可疑恶性病变 LI-RADS 分类敏感性中的作用。

Abdom Radiol (NY). 2019 May;44(5):1773-1784. doi: 10.1007/s00261-018-01887-z.

本文引用的文献

ESR Essentials: diagnosis of hepatocellular carcinoma-practice recommendations by ESGAR.ESR 精华：ESGAR 对肝细胞癌诊断的实践推荐。

Eur Radiol. 2024 Apr;34(4):2127-2139. doi: 10.1007/s00330-024-10606-w. Epub 2024 Feb 21.

Liver Imaging Reporting and Data System (LI-RADS) Version 2018: Imaging of Hepatocellular Carcinoma in At-Risk Patients.肝脏影像报告和数据系统（LI-RADS）2018 版：高危患者肝细胞癌的影像学表现。

Radiology. 2018 Dec;289(3):816-830. doi: 10.1148/radiol.2018181494. Epub 2018 Sep 25.

MR with Gd-EOB-DTPA in assessment of liver nodules in cirrhotic patients.钆塞酸二钠增强磁共振成像在评估肝硬化患者肝脏结节中的应用

World J Hepatol. 2018 Jul 27;10(7):462-473. doi: 10.4254/wjh.v10.i7.462.

New hallmark of hepatocellular carcinoma, early hepatocellular carcinoma and high-grade dysplastic nodules on Gd-EOB-DTPA MRI in patients with cirrhosis: a new diagnostic algorithm.肝硬化患者 Gd-EOB-DTPA MRI 上的肝细胞癌新标志、早期肝细胞癌和高级别异型增生结节：一种新的诊断算法。

Gut. 2018 Sep;67(9):1674-1682. doi: 10.1136/gutjnl-2017-315384. Epub 2018 Feb 3.

Role of Diffusion Weighted Imaging (DWI) for Hepatocellular Carcinoma (HCC) Detection and its Grading on 3T MRI: A Prospective Study.扩散加权成像（DWI）在3T磁共振成像（MRI）上对肝细胞癌（HCC）检测及其分级中的作用：一项前瞻性研究。

J Clin Exp Hepatol. 2016 Dec;6(4):303-310. doi: 10.1016/j.jceh.2016.08.012. Epub 2016 Sep 1.

Hepatocellular Carcinoma and Diffusion-Weighted MRI: Detection and Evaluation of Treatment Response.肝细胞癌与扩散加权磁共振成像：治疗反应的检测与评估

J Cancer. 2016 Jul 13;7(11):1565-70. doi: 10.7150/jca.14582. eCollection 2016.

Nonhypervascular Hypointense Nodules at Gadoxetic Acid-enhanced MR Imaging in Chronic Liver Disease: Diffusion-weighted Imaging for Characterization.慢性肝病患者钆塞酸增强磁共振成像中无强化低信号结节：弥散加权成像的特征分析。

Radiology. 2015 Jul;276(1):137-46. doi: 10.1148/radiol.15141350. Epub 2015 Feb 27.

Spinal cord stimulation attenuates temporal summation in patients with neuropathic pain.脊髓刺激可减轻神经性疼痛患者的时间总和。

Pain. 2015 Mar;156(3):381-385. doi: 10.1097/01.j.pain.0000460342.69718.a2.

CT and MR imaging diagnosis and staging of hepatocellular carcinoma: part II. Extracellular agents, hepatobiliary agents, and ancillary imaging features.肝细胞癌的CT与MR成像诊断及分期：第二部分。细胞外对比剂、肝胆对比剂及辅助成像特征。

Radiology. 2014 Oct;273(1):30-50. doi: 10.1148/radiol.14132362.

Hepatocellular carcinoma: hepatocyte-selective enhancement at gadoxetic acid-enhanced MR imaging--correlation with expression of sinusoidal and canalicular transporters and bile accumulation.肝细胞癌：钆塞酸增强磁共振成像的肝细胞选择性增强 - 与窦状隙和胆小管转运体的表达和胆汁积聚的相关性。

Radiology. 2010 Jun;255(3):824-33. doi: 10.1148/radiol.10091557.

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Standardizing diffusion-weighted imaging in LI-RADS for diagnosis of hepatocellular carcinoma.

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