Journal of Clinical and Translational Hepatology

Journal of Clinical and Translational Hepatology

Sunday, 12 / 16 / 2018

Articles

CT-MRI LI-RADS v2017: A Comprehensive Guide for Beginners

REVIEW ARTICLE

CT-MRI LI-RADS v2017: A Comprehensive Guide for Beginners

Francesca Patella1, Filippo Pesapane*,1, Enrico Maria Fumarola1, Ilaria Emili1, Riccardo Spairani1, Salvatore Alessio Angileri2, Silvia Tresoldi2, Giuseppe Franceschelli2 and Gianpaolo Carrafiello2

1Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Milan, Italy
2Department of Health Sciences, Diagnostic and Interventional Radiology, ASST Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy

*Correspondence to: Filippo Pesapane, Postgraduation School in Radiodiagnostics, Università degli Studi di Milano, Via Festa del Perdono 7, Milan 20122, Italy. Tel: +39-13012751123; Fax: +39-2-50323393; E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Journal of Clinical and Translational Hepatology 2018;6(2):222-236 DOI: 10.14218/JCTH.2017.00062
Received: September 30, 2017 Accepted: December 5, 2017 Published online: February 22, 2018

Abstract

Hepatocellular carcinoma (HCC) is the most common primary liver malignancy and the second leading cause of cancer-related deceases worldwide. Early diagnosis is essential for correct management and improvement of prognosis. Proposed for the first time in 2011 and updated for the last time in 2017, the Liver Imaging-Reporting and Data System (LI-RADS) is a comprehensive system for standardized interpretation and reporting of computed tomography (CT) and magnetic resonance imaging (MRI) liver examinations, endorsed by the American College of Radiology to achieve congruence with HCC diagnostic criteria in at-risk populations. Understanding its algorithm is fundamental to correctly apply LI-RADS in clinical practice. In this pictorial review, we provide a guide for beginners, explaining LI-RADS indications, describing major and ancillary features and eventually elucidating the diagnostic algorithm with the use of some clinical examples.

Keywords

LI-RADS, Hepatocellular carcinoma (HCC), Cirrhotic livers, Radiology

 

 

Journal of Clinical and Translational Hepatology 2018 vol. 6, 222-236  [ Html ] [ PDF Full-text ]

© The Authors 2018. This article is published under the terms of the Creative Commons Attribution-Noncommercial License (CC BY-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license.

 

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