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Abbreviated MRI for HCC surveillance: is it ready for clinical use?

Naik Vietti Violi1, Bachir Taouli2,3

  • 1Department of Radiology, Lausanne University Hospital, Lausanne, Switzerland.

European Radiology
|May 13, 2020
PubMed
Abstract

Insights

Abbreviated MRI (AMRI) protocols offer acceptable performance for hepatocellular carcinoma (HCC) surveillance. Further multicenter studies are needed to define the optimal AMRI protocol for HCC detection.

Area of Science:

  • Hepatobiliary imaging
  • Oncology imaging
  • Radiology

Background:

  • Hepatocellular carcinoma (HCC) surveillance requires effective imaging protocols.
  • Complete magnetic resonance imaging (MRI) protocols can be time-consuming.
  • Abbreviated MRI (AMRI) protocols aim to reduce scan time while maintaining diagnostic accuracy.

Discussion:

  • AMRI protocols acquire a minimal set of MRI sequences for HCC surveillance.
  • Diagnostic performance of AMRI is comparable to complete MRI protocols.
  • AMRI protocol variations include non-contrast, dynamic, or hepatobiliary phase imaging post-gadoxetate administration.

Key Insights:

  • Abbreviated MRI (AMRI) protocols demonstrate acceptable diagnostic performance for HCC surveillance.
  • Multiple AMRI protocol options exist, including non-contrast, dynamic, and hepatobiliary phase sequences.
  • The optimal AMRI protocol for HCC surveillance requires further definition.

Outlook:

  • Future large-scale, multicenter prospective studies are essential to establish the definitive best AMRI protocol.
  • Standardization of AMRI protocols could improve efficiency in HCC surveillance.
  • Refining AMRI protocols may enhance early detection rates for HCC.

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