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LI-RADS:现状与未来方向。

LI-RADS: Current Status and Future Directions.

机构信息

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Liver Imaging Group, Department of Radiology, UC San Diego, San Diego, CA, USA.

出版信息

Korean J Radiol. 2024 Dec;25(12):1039-1046. doi: 10.3348/kjr.2024.0161.

DOI:10.3348/kjr.2024.0161
PMID:39608373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604338/
Abstract

The Liver Imaging Reporting and Data System (LI-RADS) is a comprehensive system that uses standardized terminology, technique, interpretation, and reporting of imaging studies for hepatocellular carcinoma surveillance, diagnosis, and locoregional treatment response assessment. Since its initial release in 2011, LI-RADS has evolved and expanded in scope. In this article, we discuss recent updates intended to address clinical needs and mitigate current challenges.

摘要

肝脏影像报告和数据系统(LI-RADS)是一个全面的系统,它使用标准化的术语、技术、解释和影像学研究报告,用于肝细胞癌的监测、诊断和局部区域治疗反应评估。自 2011 年首次发布以来,LI-RADS 不断发展和扩大范围。在本文中,我们讨论了旨在满足临床需求和缓解当前挑战的最新更新。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/037779a68b7c/kjr-25-1039-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/8b17a96d523c/kjr-25-1039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/292de24aa8d3/kjr-25-1039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/048e28e160ad/kjr-25-1039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/037779a68b7c/kjr-25-1039-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/8b17a96d523c/kjr-25-1039-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/292de24aa8d3/kjr-25-1039-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/048e28e160ad/kjr-25-1039-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a831/11604338/037779a68b7c/kjr-25-1039-g004.jpg

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Abdom Radiol (NY). 2025 Aug 27. doi: 10.1007/s00261-025-05110-8.
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Hepatocellular Carcinoma: Imaging Advances in 2024 with a Focus on Magnetic Resonance Imaging.

本文引用的文献

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Proliferative hepatocellular carcinomas in cirrhosis: patient outcomes of LI-RADS category 4/5 and category M.肝硬化增生性肝细胞癌:LI-RADS 类别 4/5 和类别 M 的患者结局。
Eur Radiol. 2024 May;34(5):2974-2985. doi: 10.1007/s00330-023-10305-y. Epub 2023 Oct 18.
2
AASLD Practice Guidance on prevention, diagnosis, and treatment of hepatocellular carcinoma.美国肝病研究学会肝细胞癌预防、诊断和治疗实践指南。
Hepatology. 2023 Dec 1;78(6):1922-1965. doi: 10.1097/HEP.0000000000000466. Epub 2023 May 22.
3
Imaging to Predict Prognosis in Hepatocellular Carcinoma: Current and Future Perspectives.
肝细胞癌:2024年影像学进展,重点关注磁共振成像
Curr Oncol. 2025 Jan 14;32(1):40. doi: 10.3390/curroncol32010040.
影像学预测肝细胞癌预后:现状与未来展望。
Radiology. 2023 May;307(3):e221429. doi: 10.1148/radiol.221429. Epub 2023 Apr 4.
4
LI-RADS: Looking Back, Looking Forward.LI-RADS:回顾与展望。
Radiology. 2023 Apr;307(1):e222801. doi: 10.1148/radiol.222801. Epub 2023 Feb 28.
5
Percentages of Hepatocellular Carcinoma in LI-RADS Categories with CT and MRI: A Systematic Review and Meta-Analysis.CT和MRI在肝脏影像报告和数据系统(LI-RADS)分类中的肝细胞癌百分比:一项系统评价和荟萃分析
Radiology. 2023 Apr;307(1):e220646. doi: 10.1148/radiol.220646. Epub 2023 Jan 10.
6
Universal Liver Imaging Lexicon: Imaging Atlas for Research and Clinical Practice.通用肝脏影像学词汇:研究与临床实践影像学图谱。
Radiographics. 2023 Jan;43(1):e220066. doi: 10.1148/rg.220066.
7
The Organ Procurement and Transplantation Network hepatocellular carcinoma classification: Alignment with Liver Imaging Reporting and Data System, current gaps, and future direction.器官获取与移植网络肝细胞癌分类:与肝脏影像报告和数据系统的一致性、当前差距及未来方向。
Liver Transpl. 2023 Feb 1;29(2):206-216. doi: 10.1002/lt.26570. Epub 2023 Jan 17.
8
Visualization Score of Gadoxetic Acid-Enhanced Magnetic Resonance Imaging: The Effect on the Diagnostic Accuracy for Hepatocellular Carcinoma.钆塞酸增强磁共振成像的可视化评分:对肝细胞癌诊断准确性的影响。
J Magn Reson Imaging. 2023 Mar;57(3):941-949. doi: 10.1002/jmri.28357. Epub 2022 Jul 18.
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Risk Stratification and Distribution of Hepatocellular Carcinomas in CEUS and CT/MRI LI-RADS: A Meta-Analysis.对比增强超声与CT/MRI肝脏影像报告和数据系统中肝细胞癌的风险分层与分布:一项荟萃分析
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Eur Radiol. 2022 Sep;32(9):6291-6301. doi: 10.1007/s00330-022-08769-5. Epub 2022 Apr 7.