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Ultrasound
Procedures
LI-RADS
CEUS LI-RADS
CEUS LI-RADS
Shuchi K. Rodgers, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        TERMINOLOGY

        • Abbreviations

          • American College of Radiology (ACR) Liver Imaging Reporting and Data System (LI-RADS)

        • Definitions

          • ACR LI-RADS was introduced in 2011 to standardize performance, interpretation, and reporting of focal liver observation in patients at risk for developing hepatocellular carcinoma (HCC)
          • CEUS LI-RADS was introduced in 2016, updated in 2017, and is imaging technique that uses intravenously administered microbubbles to evaluate enhancement characteristics of focal liver observations visible on US in patients at risk for developing HCC

        PREPROCEDURE

        • Indications

          • Contraindications

            • Preprocedure Imaging

              • Getting Started

                PROCEDURE

                • Patient Position/Location

                  • Procedure Steps

                    • Major Features

                      • Other Features

                        • CEUS LI-RADS Categories

                          • Diagnostic Algorithm

                            OUTCOMES

                            • Caution

                              • Added Value

                                • Advantages and Benefits

                                  • Limitations and Challenges

                                    • Future Directions

                                      Selected References

                                      1. Burrowes DP et al: RadioGraphics update: contrast-enhanced US approach to the diagnosis of focal liver masses. Radiographics. 40(4):E16-20, 2020
                                      2. Dietrich CF et al: LI-RADS ancillary features on contrast-enhanced ultrasonography. Ultrasonography. 39(3):221-8, 2020
                                      3. Huang JY et al: Diagnostic accuracy of CEUS LI-RADS for the characterization of liver nodules 20 mm or smaller in patients at risk for hepatocellular carcinoma. Radiology. 294(2):329-39, 2020
                                      4. Wilson SR et al: Contrast-enhanced ultrasound of focal liver masses: a success story. Ultrasound Med Biol. 46(5):1059-70, 2020
                                      5. Elsayes KM et al: LI-RADS: a conceptual and historical review from its beginning to its recent integration into AASLD clinical practice guidance. J Hepatocell Carcinoma. 6:49-69, 2019
                                      6. Dietrich CF et al: How to perform contrast-enhanced ultrasound (CEUS). Ultrasound Int Open. 4(1):E2-15, 2018
                                      7. Lyshchik A et al: Contrast-enhanced ultrasound of the liver: technical and lexicon recommendations from the ACR CEUS LI-RADS working group. Abdom Radiol (NY). 43(4):861-79, 2018
                                      8. Wilson SR et al: CEUS LI-RADS: algorithm, implementation, and key differences from CT/MRI. Abdom Radiol (NY). 43(1):127-42, 2018
                                      9. ACR Committee on CEUS LI-RADS: CEUS LI-RADS v2017. Accessed December 15, 2020. https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS/CEUS-LI-RADS-v2017
                                      10. Burrowes DP et al: Contrast-enhanced US approach to the diagnosis of focal liver masses. Radiographics. 37(5):1388-400, 2017
                                      11. Kono Y et al: Contrast enhanced ultrasound (CEUS) liver imaging reporting and data system (LI-RADS®): the official version by the American College of Radiology (ACR). Ultraschall Med. 38(1):85-6, 2017
                                      12. Piscaglia F et al: American College of Radiology contrast enhanced ultrasound liver imaging reporting and data system (CEUS LI-RADS) for the diagnosis of hepatocellular carcinoma: a pictorial essay. Ultraschall Med. 38(3):320-4, 2017
                                      Related Anatomy
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Preprocedure

                                          • Procedure

                                            TERMINOLOGY

                                            • Abbreviations

                                              • American College of Radiology (ACR) Liver Imaging Reporting and Data System (LI-RADS)

                                            • Definitions

                                              • ACR LI-RADS was introduced in 2011 to standardize performance, interpretation, and reporting of focal liver observation in patients at risk for developing hepatocellular carcinoma (HCC)
                                              • CEUS LI-RADS was introduced in 2016, updated in 2017, and is imaging technique that uses intravenously administered microbubbles to evaluate enhancement characteristics of focal liver observations visible on US in patients at risk for developing HCC

                                            PREPROCEDURE

                                            • Indications

                                              • Contraindications

                                                • Preprocedure Imaging

                                                  • Getting Started

                                                    PROCEDURE

                                                    • Patient Position/Location

                                                      • Procedure Steps

                                                        • Major Features

                                                          • Other Features

                                                            • CEUS LI-RADS Categories

                                                              • Diagnostic Algorithm

                                                                OUTCOMES

                                                                • Caution

                                                                  • Added Value

                                                                    • Advantages and Benefits

                                                                      • Limitations and Challenges

                                                                        • Future Directions

                                                                          Selected References

                                                                          1. Burrowes DP et al: RadioGraphics update: contrast-enhanced US approach to the diagnosis of focal liver masses. Radiographics. 40(4):E16-20, 2020
                                                                          2. Dietrich CF et al: LI-RADS ancillary features on contrast-enhanced ultrasonography. Ultrasonography. 39(3):221-8, 2020
                                                                          3. Huang JY et al: Diagnostic accuracy of CEUS LI-RADS for the characterization of liver nodules 20 mm or smaller in patients at risk for hepatocellular carcinoma. Radiology. 294(2):329-39, 2020
                                                                          4. Wilson SR et al: Contrast-enhanced ultrasound of focal liver masses: a success story. Ultrasound Med Biol. 46(5):1059-70, 2020
                                                                          5. Elsayes KM et al: LI-RADS: a conceptual and historical review from its beginning to its recent integration into AASLD clinical practice guidance. J Hepatocell Carcinoma. 6:49-69, 2019
                                                                          6. Dietrich CF et al: How to perform contrast-enhanced ultrasound (CEUS). Ultrasound Int Open. 4(1):E2-15, 2018
                                                                          7. Lyshchik A et al: Contrast-enhanced ultrasound of the liver: technical and lexicon recommendations from the ACR CEUS LI-RADS working group. Abdom Radiol (NY). 43(4):861-79, 2018
                                                                          8. Wilson SR et al: CEUS LI-RADS: algorithm, implementation, and key differences from CT/MRI. Abdom Radiol (NY). 43(1):127-42, 2018
                                                                          9. ACR Committee on CEUS LI-RADS: CEUS LI-RADS v2017. Accessed December 15, 2020. https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS/CEUS-LI-RADS-v2017
                                                                          10. Burrowes DP et al: Contrast-enhanced US approach to the diagnosis of focal liver masses. Radiographics. 37(5):1388-400, 2017
                                                                          11. Kono Y et al: Contrast enhanced ultrasound (CEUS) liver imaging reporting and data system (LI-RADS®): the official version by the American College of Radiology (ACR). Ultraschall Med. 38(1):85-6, 2017
                                                                          12. Piscaglia F et al: American College of Radiology contrast enhanced ultrasound liver imaging reporting and data system (CEUS LI-RADS) for the diagnosis of hepatocellular carcinoma: a pictorial essay. Ultraschall Med. 38(3):320-4, 2017