Abstract:
:The 2017 Core of the computed tomography (CT)/magnetic resonance imaging (MRI) Liver Imaging Reporting and Data System (LI-RADS) provides clear definitions and concise explanations of the CT/MRI diagnostic algorithm. Nevertheless, there remain some practical and controversial issues that radiologists should be aware of when using the system. This article discusses pitfalls and problems which may be encountered when the version 2017 diagnostic algorithm is used for CT and MRI. The pitfalls include challenges in applying major features and assigning the LR-M category, as well as categorisation discrepancy between CT and MRI. The problems include imprecision of category codes, application of ancillary features, and regional practice variations in hepatocellular carcinoma (HCC) diagnosis. Potential solutions are presented along with these pitfalls and problems. KEY POINTS: • Although the diagnostic algorithm provides clear and detailed explanations, major feature evaluation can be subject to pitfalls and differentiation of HCC and non-HCC malignancy remains challenging. • Ancillary features are optional and equally weighted. However, features such as hepatobiliary phase hypointensity and restricted diffusion have greater impact on HCC diagnosis than other ancillary features and may merit greater emphasis or weighting. • LI-RADS was initially developed from a Western paradigm, which may limit its applicability in the East due to regional practice variations. In Eastern Asia, high sensitivity is prioritised over near-perfect specificity for HCC diagnosis in order to detect tumours at early stages.
journal_name
Eur Radioljournal_title
European radiologyauthors
Kim YY,Choi JY,Sirlin CB,An C,Kim MJdoi
10.1007/s00330-018-5641-6subject
Has Abstractpub_date
2019-03-01 00:00:00pages
1124-1132issue
3eissn
0938-7994issn
1432-1084pii
10.1007/s00330-018-5641-6journal_volume
29pub_type
杂志文章,评审abstract:OBJECTIVES:Comparison of bolus tracking with a fixed threshold versus a manual fast start for coronary CT angiography. METHODS:We retrospectively analysed 320-row coronary CT angiography of 50 patients with suspected or known coronary artery disease. Twenty-five examinations were initiated by a bolus tracking method (...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-014-3148-3
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:Coronary artery volume indexed to left myocardial mass (CAVi), derived from coronary computed tomography angiography (CCTA), has been proposed as an indicator of diffuse atherosclerosis. We investigated the association of CAVi with quantitative flow parameters and its ability to predict ischemia as derived f...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07586-y
更新日期:2021-01-16 00:00:00
abstract::We retrospectively reviewed surgical biopsy findings of lesions diagnosed as radial scars (RS) at stereotactic core-needle biopsy (SCNB). RS was diagnosed in 52 of 1415 (3.7%) consecutive mammographically detected lesions that underwent 14-gauge automated SCNB. Subsequent surgical biopsy findings were available for 43...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-006-0196-3
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:Cerebral blood flow (CBF) estimates from arterial spin labelling (ASL) show unexplained variability in older populations. We studied the impact of variation of haematocrit (Hct) on CBF estimates in a tri-ethnic elderly population. MATERIALS AND METHODS:Approval for the study was obtained from the Fulham Res...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06096-w
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to compare the image quality of coronary computed tomography angiography (CTA) subjected to deep learning-based image restoration (DLR) method with images subjected to hybrid iterative reconstruction (IR). METHODS:We enrolled 30 patients (22 men, 8 women) who underwent coronary...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06183-y
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abstract:PURPOSE:To evaluate the epidemiology of systematic reviews (SRs) published in imaging journals. METHODS:A MEDLINE search identified SRs published in imaging journals from 1 January 2000-31 December 2016. Articles retrieved were screened against inclusion criteria. Demographic and methodological characteristics were ex...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-018-5567-z
更新日期:2019-02-01 00:00:00
abstract::The appearances of knee injuries on MR imaging are less well documented in children than adults. Some patterns of injury are shared by both groups of patients, e. g. meniscal damage. The frequency of specific injuries may differ, e. g. anterior cruciate ligament (ACL) tear. Congenital abnormality, coexistent pathology...
journal_title:European radiology
pub_type: 杂志文章,评审
doi:10.1007/s003300050284
更新日期:1997-01-01 00:00:00
abstract:PURPOSES:To evaluate the feasibility of simultaneous quantification of liver iron concentration (LIC) and fat fraction (FF) using water-fat separation and quantitative susceptibility mapping (QSM). METHODS:Forty-five patients suspected of liver iron overload (LIO) were included. A volumetric interpolated breath-hold e...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-017-5263-4
更新日期:2018-08-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-012-2726-5
更新日期:2013-05-01 00:00:00
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journal_title:European radiology
pub_type: 已发布勘误
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更新日期:2019-12-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:2002-12-01 00:00:00
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journal_title:European radiology
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journal_title:European radiology
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doi:10.1007/s00330-018-5906-0
更新日期:2019-05-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-005-0124-y
更新日期:2006-08-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300050102
更新日期:1997-01-01 00:00:00
abstract::The lower the heart rate the better image quality in multislice computed tomography (MSCT) coronary angiography. We prospectively assessed the influence of heart rate on per-patient diagnostic accuracy and image quality of MSCT coronary angiography and compared adaptive multisegment and standard halfscan reconstructio...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-007-0685-z
更新日期:2007-11-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-016-4697-4
更新日期:2017-09-01 00:00:00
abstract::The purpose of this prospective study was to determine the potential diagnostic value of 3D breath-hold contrast-enhanced MRA (CEMRA) in the evaluation of subclavian artery pathology, and to compare CEMRA and digital subtraction angiography (DSA) findings. The study group included 50 patients with suspicion of subclav...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s003300000454
更新日期:2000-01-01 00:00:00
abstract::This technical note describes a novel CT scan protocol that includes a non-enhanced CT, dynamic CTA, and perfusion of the whole brain and CTA of the carotid arteries using a 320-row area detector CT scanner, with a unique contrast injection and acceptable radiation exposure dose in patients presenting with acute ische...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-019-06041-x
更新日期:2019-09-01 00:00:00
abstract::Preoperative MRI of the breasts has been proven to be the most sensitive imaging modality in the detection of multifocal or multicentric tumor manifestations as well as simultaneous contralateral breast cancer. The aim of the presented retrospective study was to evaluate the benefit of preoperative MRI for patients wi...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-004-2351-z
更新日期:2004-10-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-06928-0
更新日期:2020-10-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00
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journal_title:European radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s003300050150
更新日期:1997-01-01 00:00:00
abstract::The differentiation of hemangioma from other hepatic neoplasms using MRI usually relies on the evaluation of heavily T2-weighted images. The aim of this study was to assess the value of T2-relaxation times calculated from moderately T2-weighted turbo spin-echo (TSE) sequence in characterization of focal hepatic lesion...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-002-1366-6
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:Investigate the relationship between quantified terminal ileal (TI) motility and histopathological activity grading, Crohn Disease MRI Index (CDMI) and faecal calprotectin. METHODS:Retrospective review of children with Crohn disease or unclassified inflammatory bowel disease, who underwent MR enterography. ...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-020-07084-1
更新日期:2021-02-01 00:00:00
abstract::The aim was to propose a strategy for finding reasonable compromises between image noise and dose as a function of patient weight. Weighted CT dose index (CTDI(w)) was measured on a multidetector-row CT unit using CTDI test objects of 16, 24 and 32 cm in diameter at 80, 100, 120 and 140 kV. These test objects were the...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-003-2206-z
更新日期:2004-05-01 00:00:00
abstract::The purpose of our study was to investigate whether quantitative diffusion-weighted images (DWI) were useful for monitoring the therapeutic response of primary bone tumors. We encountered 18 osteogenic and Ewing sarcomas. Magnetic resonance (MR) images were performed in all patients before and after therapy. We measur...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-006-0342-y
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to apply texture analysis (TA) on paraspinal musculature in T2-weighted (T2w) magnetic resonance images (MRI) of symptomatic lumbar spinal stenosis (LSS) patients and correlate the findings with clinical outcome measures. METHODS:Ninety patients were prospectively enrolled in the m...
journal_title:European radiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1007/s00330-018-5552-6
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the quantitative parameters obtained from dynamic MR T2*-weighted images as predictors of survival taking into consideration the biasing effects of other survival-related covariates. METHODS:Thirty-nine patients (60 ± 14 years; survival 267 ± 191 days) with high-grade gliomas (8 grade III, 31 gr...
journal_title:European radiology
pub_type: 杂志文章
doi:10.1007/s00330-013-2967-y
更新日期:2013-12-01 00:00:00