Toward a standardized system for hepatocellular carcinoma diagnosis using computed tomography and MRI

An Tang Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA; Department of Radiology, University of Montreal, Hôpital Saint-Luc, 1058 Rue Saint-Denis, Montreal, QC H2X 3J4, Canada; Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA; Department of Radiology, University of Montreal, Hôpital Saint-Luc, 1058 Rue Saint-Denis, Montreal, QC H2X 3J4, Canada

Irene Cruite Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA; Department of Radiology, University of Washington Medical Center, Seattle, WA 98195-7115, USA; Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA; Department of Radiology, University of Washington Medical Center, Seattle, WA 98195-7115, USA

Claude B Sirlin Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA; Liver Imaging Group, Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103-8226, USA. [email protected]

Abstract

Contrast-enhanced computed tomography and MRI are frequently used for the noninvasive diagnosis of hepatocellular carcinoma (HCC). Despite their important role in diagnosis and management of HCC, until recently, there has been no standardized system for their interpretation, reporting and data collection. In 2008, the American College of Radiology convened a committee to develop such a standardized system. This article reviews the role of computed tomography and MRI in the diagnosis and management of HCC; the need for a standardized imaging interpretation system; current HCC imaging criteria included in management guidelines endorsed by the European Association for the Study of Liver, American Association for Study of Liver Diseases, United Network for Organ Sharing and Asian Pacific Association for the Study of the Liver; and the limitations of these criteria. The article then provides an overview of the Liver Imaging Reporting and Data System and discusses future directions.

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Toward a standardized system for hepatocellular carcinoma diagnosis using computed tomography and MRI

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Toward a standardized system for hepatocellular carcinoma diagnosis using computed tomography and MRI

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