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White paper of the Society of Abdominal Radiology hepatocellular carcinoma diagnosis disease-focused panel on LI-RADS v2018 for CT and MRI

Overview of attention for article published in Abdominal Radiology, August 2018
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Title
White paper of the Society of Abdominal Radiology hepatocellular carcinoma diagnosis disease-focused panel on LI-RADS v2018 for CT and MRI
Published in
Abdominal Radiology, August 2018
DOI 10.1007/s00261-018-1744-4
Pubmed ID
Authors

Khaled M. Elsayes, Ania Z. Kielar, Mohab M. Elmohr, Victoria Chernyak, William R. Masch, Alessandro Furlan, Robert M. Marks, Irene Cruite, Kathryn J. Fowler, An Tang, Mustafa R. Bashir, Elizabeth M. Hecht, Aya Kamaya, Kedar Jambhekar, Amita Kamath, Sandeep Arora, Bijan Bijan, Ryan Ash, Zahra Kassam, Humaira Chaudhry, John P. McGahan, Joseph H. Yacoub, Matthew McInnes, Alice W. Fung, Krishna Shanbhogue, James Lee, Sandeep Deshmukh, Natally Horvat, Donald G. Mitchell, Richard K. G. Do, Venkateswar R. Surabhi, Janio Szklaruk, Claude B. Sirlin

Abstract

The Liver Imaging and Reporting Data System (LI-RADS) is a comprehensive system for standardizing the terminology, technique, interpretation, reporting, and data collection of liver imaging with the overarching goal of improving communication, clinical care, education, and research relating to patients at risk for or diagnosed with hepatocellular carcinoma (HCC). In 2018, the American Association for the Study of Liver Diseases (AASLD) integrated LI-RADS into its clinical practice guidance for the imaging-based diagnosis of HCC. The harmonization between the AASLD and LI-RADS diagnostic imaging criteria required minor modifications to the recently released LI-RADS v2017 guidelines, necessitating a LI-RADS v2018 update. This article provides an overview of the key changes included in LI-RADS v2018 as well as a look at the LI-RADS v2018 diagnostic algorithm and criteria, technical recommendations, and management suggestions. Substantive changes in LI-RADS v2018 are the removal of the requirement for visibility on antecedent surveillance ultrasound for LI-RADS 5 (LR-5) categorization of 10-19 mm observations with nonrim arterial phase hyper-enhancement and nonperipheral "washout", and adoption of the Organ Procurement and Transplantation Network definition of threshold growth (≥ 50% size increase of a mass in ≤ 6 months). Nomenclatural changes in LI-RADS v2018 are the removal of -us and -g as LR-5 qualifiers.

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Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Other 8 15%
Student > Postgraduate 7 13%
Researcher 4 8%
Student > Bachelor 4 8%
Professor > Associate Professor 2 4%
Other 7 13%
Unknown 21 40%
Readers by discipline Count As %
Medicine and Dentistry 25 47%
Business, Management and Accounting 2 4%
Economics, Econometrics and Finance 1 2%
Unknown 25 47%