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Optimizing US for HCC surveillance.

Shuchi K Rodgers1, David T Fetzer2, James H Seow3

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|November 25, 2024
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Standardizing ultrasound (US) for liver cancer surveillance using LI-RADS improves early detection. Optimizing US techniques and increasing LI-RADS US Surveillance utilization benefits patient outcomes.

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Area of Science:

  • Radiology
  • Hepatology
  • Medical Imaging

Background:

  • Ultrasound (US) is crucial for surveillance in patients at risk for hepatocellular carcinoma (HCC).
  • The American College of Radiology Liver Imaging Reporting and Data Systems (ACR LI-RADS) established US LI-RADS in 2017 to standardize US for HCC surveillance.
  • The LI-RADS US Surveillance algorithm was recently updated to v2024.

Purpose of the Study:

  • To highlight the importance of standardized ultrasound techniques for hepatocellular carcinoma (HCC) surveillance.
  • To emphasize the role of LI-RADS US Surveillance in optimizing early HCC detection.
  • To advocate for increased global adoption of LI-RADS US Surveillance protocols.

Main Methods:

  • Review of the ACR LI-RADS US Surveillance v2024 algorithm.
  • Discussion of the American Association for the Study of Liver Diseases (AASLD) recommendations for reporting US Category and US Visualization Score.
  • Emphasis on optimizing US techniques for improved sensitivity.

Main Results:

  • The US LI-RADS Category provides overall findings and guides follow-up recommendations.
  • The US Visualization Score assesses test sensitivity and stratifies patients into surveillance pathways.
  • Standardized reporting enhances the reliability of US for HCC surveillance.

Conclusions:

  • Optimizing ultrasound technique is critical for the early detection of HCC.
  • Increased utilization of LI-RADS US Surveillance, including technical recommendations, will benefit patients.
  • Education and outreach are key to promoting worldwide adoption of LI-RADS US Surveillance.