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CT/MR LI-RADS 2018: clinical implications and management recommendations

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Abstract

Unique among solid organ tumors, hepatocellular carcinoma (HCC), may be diagnosed by imaging alone, without the need for biopsy. The Liver Imaging Reporting and Data System (LI-RADS) was developed to provide high-specificity diagnosis of HCC based on imaging while also standardizing the assessment and reporting of the entire spectrum of lesions and pseudolesions encountered in patients at risk for this malignancy. In this pictorial review, we discuss management recommendations associated with CT/MR LI-RADS observations. We emphasize the rationale for the recommendations and the role of multidisciplinary management discussion, and we provide a framework for standardized reporting. Management of patients who undergo ultrasound (US) for screening and surveillance or those who undergo diagnostic contrast-enhanced ultrasound (CEUS) is beyond the scope of this paper.

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Authors and Affiliations

  1. Department of Radiology, Mount Sinai Health System, One Gustave L. Levy Place, Box 1234, New York, NY, 10029, USA

    Amita Kamath

  2. Department of Radiology, New York Presbyterian - Weill Cornell Hospital, New York, NY, USA

    Alexandra Roudenko

  3. Department of Radiology, Columbia University Medical Center, New York, NY, USA

    Elizabeth Hecht

  4. Department of Radiology, University of California San Diego, La Jolla, CA, USA

    Claude Sirlin & Kathryn Fowler

  5. Department of Radiology, Montefiore Medical Center, Bronx, NY, USA

    Victoria Chernyak

  6. Department of Radiology, Thomas Jefferson University, Philadelphia, PA, USA

    Donald G. Mitchell

Authors
  1. Amita Kamath
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  2. Alexandra Roudenko
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  3. Elizabeth Hecht
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  4. Claude Sirlin
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  5. Victoria Chernyak
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  6. Kathryn Fowler
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  7. Donald G. Mitchell
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Correspondence to Amita Kamath.

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Kamath, A., Roudenko, A., Hecht, E. et al. CT/MR LI-RADS 2018: clinical implications and management recommendations. Abdom Radiol 44, 1306–1322 (2019). https://doi.org/10.1007/s00261-018-1868-6

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  • DOI: https://doi.org/10.1007/s00261-018-1868-6

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