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2024年的肝脏影像报告和数据系统(LI-RADS):近期更新、计划中的改进及未来方向

LI-RADS in 2024: recent updates, planned refinements, and future directions.

作者信息

Kierans Andrea Siobhan, Fowler Kathryn J, Chernyak Victoria

机构信息

Weill Cornell Medical College, New York, USA.

Scripps Health, San Diego, USA.

出版信息

Abdom Radiol (NY). 2024 Dec 13. doi: 10.1007/s00261-024-04730-w.


DOI:10.1007/s00261-024-04730-w
PMID:39671010
Abstract

Initially released in 2011, liver imaging reporting and data (LI-RADS) CT/MRI diagnostic algorithm categorizes hepatic observations on an ordinal scale based on the probability of hepatocellular carcinoma, malignancy, or benignity, and guides reproducible interpretation, clear communication, and standardized terminology for liver imaging. LI-RADS has significantly expanded in scope in the past decade, with the inclusion of algorithms that address screening and surveillance, diagnosis with contrast enhanced ultrasound (CEUS), and treatment response assessment with both CEUS and CT/MRI. LI-RADS algorithms undergo periodic refinements based on accumulating scientific evidence, user feedback, and technological advancements. This manuscript discusses recent LI-RADS algorithm refinements, planned updates, with a focus on LI-RADS CT/MRI diagnostic algorithm, and future goals.

摘要

肝脏影像报告和数据系统(LI-RADS)CT/MRI诊断算法于2011年首次发布,它根据肝细胞癌、恶性肿瘤或良性病变的可能性,将肝脏观察结果按序数尺度进行分类,并指导肝脏影像的可重复解读、清晰沟通和标准化术语。在过去十年中,LI-RADS的范围显著扩大,纳入了涉及筛查和监测、对比增强超声(CEUS)诊断以及CEUS和CT/MRI治疗反应评估的算法。LI-RADS算法会根据不断积累的科学证据、用户反馈和技术进步进行定期完善。本文讨论了LI-RADS算法的近期改进、计划更新,重点是LI-RADS CT/MRI诊断算法以及未来目标。

相似文献

[1]
LI-RADS in 2024: recent updates, planned refinements, and future directions.

Abdom Radiol (NY). 2024-12-13

[2]
International perspectives on LI-RADS.

Abdom Radiol (NY). 2024-12-19

[3]
Impact of LI-RADS CT and MRI Ancillary Features on Diagnostic Performance: An Individual Participant Data Meta-Analysis.

Radiology. 2025-7

[4]
Combining CEUS and CT/MRI LI-RADS major imaging features: diagnostic accuracy for classification of indeterminate liver observations in patients at risk for HCC.

Abdom Radiol (NY). 2025-5

[5]
The role of contrast-enhanced ultrasound in the radiological classification of liver observations identified by CT and MRI.

Radiol Med. 2025-3-24

[6]
CT/MRI technical pitfalls for diagnosis and treatment response assessment using LI-RADS and how to optimize.

Abdom Radiol (NY). 2025-5

[7]
Current State of Evidence for Use of MRI in LI-RADS.

J Magn Reson Imaging. 2025-9

[8]
LI-RADS: Past, Present, and Future, From the Special Series on Radiology Reporting and Data Systems.

AJR Am J Roentgenol. 2021-2

[9]
Evidence Supporting LI-RADS Major Features for CT- and MR Imaging-based Diagnosis of Hepatocellular Carcinoma: A Systematic Review.

Radiology. 2018-1

[10]
Contrast-enhanced US of High-Risk Indeterminate Focal Liver Observations Categorized as LR-4 or LR-M at CT/MRI.

Radiology. 2025-1

本文引用的文献

[1]
Congestive Hepatopathy: Pathophysiology, Workup, and Imaging Findings with Pathologic Correlation.

Radiographics. 2024-5

[2]
Individual Participant Data Meta-Analyses for Diagnostic Accuracy Research: Challenges and Lessons Learned from the LI-RADS IPD Group.

Radiol Imaging Cancer. 2024-5

[3]
LI-RADS CT and MRI Ancillary Feature Association with Hepatocellular Carcinoma and Malignancy: An Individual Participant Data Meta-Analysis.

Radiology. 2024-2

[4]
Individual Participant Data Meta-Analysis of LR-5 in LI-RADS Version 2018 versus Revised LI-RADS for Hepatocellular Carcinoma Diagnosis.

Radiology. 2023-12

[5]
Are We Ready to Simplify and Improve LI-RADS?

Radiology. 2023-12

[6]
Society of abdominal radiology survey of practice patterns in using LI-RADS treatment response criteria in the evaluation of hepatocellular carcinoma post-locoregional treatment.

Abdom Radiol (NY). 2023-11

[7]
The adoption of LI-RADS: a survey of non-academic radiologists.

Abdom Radiol (NY). 2023-8

[8]
CT/MRI and CEUS LI-RADS Major Features Association with Hepatocellular Carcinoma: Individual Patient Data Meta-Analysis.

Radiology. 2023-4

[9]
Percentages of Hepatocellular Carcinoma in LI-RADS Categories with CT and MRI: A Systematic Review and Meta-Analysis.

Radiology. 2023-4

[10]
Outcomes of LI-RADS US-2 Subthreshold Observations Detected on Surveillance Ultrasound.

AJR Am J Roentgenol. 2022-11

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