Updates on LI-RADS Treatment Response Criteria for Hepatocellular Carcinoma: Focusing on MRI.

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Tytuł:: Updates on LI-RADS Treatment Response Criteria for Hepatocellular Carcinoma: Focusing on MRI.
Autorzy:: Patel R; Department of Radiology, Stanford, California, USA.
Aslam A; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Parikh ND; Department of Internal Medicine, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Mervak B; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Mubarak E; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Higgins L; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Lala K; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Conner JF; Department of Radiology, University of Toledo Medical Center, Toledo, Ohio, USA.
Khaykin V; Department of Radiology and Hepatology, University of Michigan Medicine, Michigan, USA.
Bashir M; Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
Do RKG; Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Burke LMB; Department of Radiology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Smith EN; Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Kim CY; Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
Shampain KL; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Owen D; Department of Radiation Oncology, Mayo Clinic Rochester, Rochester, Minnesota, USA.
Mendiratta-Lala M; Department of Radiology, University of Michigan Medicine, Ann Arbor, Michigan, USA.
Źródło:: Journal of magnetic resonance imaging : JMRI [J Magn Reson Imaging] 2023 Jun; Vol. 57 (6), pp. 1641-1654. Date of Electronic Publication: 2023 Mar 05.
Typ publikacji:: Journal Article; Review; Research Support, N.I.H., Extramural
Język:: English
Imprint Name(s):: Publication: <2005-> : Hoboken , N.J. : Wiley-Liss
Original Publication: Chicago, IL : Society for Magnetic Resonance Imaging, c1991-
MeSH Terms:: Carcinoma, Hepatocellular*/diagnostic imaging
Carcinoma, Hepatocellular*/radiotherapy
Liver Neoplasms*/diagnostic imaging
Liver Neoplasms*/radiotherapy
Humans ; Data Systems ; Magnetic Resonance Imaging/methods ; Retrospective Studies ; Contrast Media ; Sensitivity and Specificity
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Grant Information:: P30 CA008748 United States CA NCI NIH HHS
Contributed Indexing:: Keywords: Liver Imaging Data and Reporting System treatment response algorithm; hepatocellular carcinoma; locoregional therapy; treatment response assessment
Substance Nomenclature:: 0 (Contrast Media)
Entry Date(s):: Date Created: 20230306 Date Completed: 20230518 Latest Revision: 20230622
Update Code:: 20240104
DOI:: 10.1002/jmri.28659
PMID:: 36872608
: Czasopismo naukowe

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As the incidence of hepatocellular carcinoma (HCC) and subsequent treatments with liver-directed therapies rise, the complexity of assessing lesion response has also increased. The Liver Imaging Reporting and Data Systems (LI-RADS) treatment response algorithm (LI-RADS TRA) was created to standardize the assessment of response after locoregional therapy (LRT) on contrast-enhanced CT or MRI. Originally created based on expert opinion, these guidelines are currently undergoing revision based on emerging evidence. While many studies support the use of LR-TRA for evaluation of HCC response after thermal ablation and intra-arterial embolic therapy, data suggest a need for refinements to improve assessment after radiation therapy. In this manuscript, we review expected MR imaging findings after different forms of LRT, clarify how to apply the current LI-RADS TRA by type of LRT, explore emerging literature on LI-RADS TRA, and highlight future updates to the algorithm. EVIDENCE LEVEL: 3. TECHNICAL EFFICACY: Stage 2.
(© 2023 International Society for Magnetic Resonance in Medicine.)

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