Premium
Cirrhotic liver: What's that nodule? The LI‐RADS approach
Author(s) -
Shah Amol,
Tang An,
Santillan Cynthia,
Sirlin Claude
Publication year - 2016
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.24937
Subject(s) - benignity , medicine , malignancy , hepatocellular carcinoma , magnetic resonance imaging , radiology , nodule (geology) , pathology , paleontology , biology
The Liver Imaging Reporting and Data System (LI‐RADS) is an American College of Radiology (ACR)‐endorsed diagnostic system of standardized terminology, interpretation, and reporting for imaging examinations of the liver in patients at high risk for hepatocellular carcinoma (HCC). LI‐RADS assigns a category to observations in the liver indicating the likelihood of benignity or HCC. LI‐RADS categories include LR‐1: Definitely Benign, LR‐2: Probably Benign, LR‐3: Intermediate Probability for HCC, LR‐4: Probably HCC, LR‐5: Definite HCC, LR‐5V: Definite HCC with Tumor in Vein, LR‐Treated: Treated HCC, LR‐M Probable Malignancy, not specific for HCC. This article reviews the types of nodules seen in the cirrhotic liver, examines core LI‐RADS concepts and definitions, and utilizes the LI‐RADS v2014 algorithm to categorize representative observations depicted at magnetic resonance imaging in a case‐based approach. J. Magn. Reson. Imaging 2016;43:281–294.