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ACR Appropriateness Criteria Radiologic Management of Hepatic Malignancy.

Brian E Kouri1, Ross A Abrams2, Waddah B Al-Refaie3

  • 1Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina.

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|March 6, 2016
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Summary

This review covers loco-regional therapies for liver cancer, including hepatocellular carcinoma and metastases. It highlights evidence-based guidelines for optimal treatment selection.

Keywords:
Appropriateness criteriaLiver malignancyablationchemoembolizationembolizationradioembolization

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Area of Science:

  • Oncology
  • Interventional Radiology
  • Hepatology

Background:

  • Management of primary and secondary liver cancer is complex, requiring multidisciplinary input.
  • Treatment protocols are evolving due to diverse therapeutic options.
  • Optimal care necessitates integrating medical, surgical, and loco-regional approaches.

Purpose of the Study:

  • To review loco-regional treatment strategies for common hepatic malignancies.
  • To discuss the application of ACR Appropriateness Criteria in guiding therapy.
  • To provide an evidence-based framework for managing liver cancer.

Main Methods:

  • Review of current medical literature on hepatic malignancy treatment.
  • Analysis of ACR Appropriateness Criteria developed by a multidisciplinary expert panel.
  • Application of modified Delphi consensus methodology for rating procedures.

Main Results:

  • Focus on loco-regional therapies for hepatocellular carcinoma, neuroendocrine metastases, and colorectal metastases.
  • Identification of evidence-based guidelines for treatment selection.
  • Incorporation of expert opinion where definitive evidence is lacking.

Conclusions:

  • Loco-regional therapies are crucial in managing specific liver malignancies.
  • ACR Appropriateness Criteria provide valuable guidance for treatment algorithms.
  • Multidisciplinary collaboration and evidence-based guidelines enhance patient care.