CT/MR LI-RADS 2018: clinical implications and management recommendations

Area of Science:

• Radiology
• Oncology
• Hepatology

Background:

• Hepatocellular carcinoma (HCC) is a primary liver cancer.
• Imaging-based diagnosis of HCC is unique among solid tumors.
• The Liver Imaging Reporting and Data System (LI-RADS) standardizes HCC assessment.

Purpose of the Study:

• To discuss management recommendations for CT/MR LI-RADS observations.
• To emphasize the rationale behind these recommendations.
• To highlight the role of multidisciplinary team discussions in HCC management.

Main Methods:

• Pictorial review of CT/MR LI-RADS observations.
• Discussion of management strategies based on LI-RADS categories.
• Framework for standardized reporting of liver lesions.

Main Results:

• LI-RADS provides high-specificity diagnosis of HCC.
• Standardized reporting improves communication and patient care.
• Multidisciplinary discussion is crucial for optimal management.

Conclusions:

• CT/MR LI-RADS facilitates accurate HCC diagnosis and reporting.
• Management recommendations are essential for at-risk patients.
• Standardized reporting and multidisciplinary input enhance patient outcomes.