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Ultrasound
Diagnosis
Liver
Diffuse Parenchymal Disease
Ultrasound LI-RADS
Ultrasound LI-RADS
Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      TERMINOLOGY

      • Abbreviations

        • Hepatocellular carcinoma (HCC)
        • American Association for the Study of Liver Disease (AASLD)
        • Visualization (VIS)

      • Definitions

        • Ultrasound Liver Imaging Reporting and Data System (US LI-RADS): Standardized system for imaging technique, interpretation, reporting, and data collection for screening and surveillance of US exams in patients at risk for developing hepatocellular carcinoma (HCC)
        • Screening: 1st-time application of diagnostic test to population at risk for developing disease
          • Population should have no a priori reason to suspect having disease
        • Surveillance: Repeated application of screening test at interval determined by disease

      IMAGING

      • US Screening and Surveillance Algorithm

        • Positive US Findings

          CLINICAL ISSUES

          • Presentation

            • Demographics

              • Follow-Up Recommendations

                DIAGNOSTIC CHECKLIST

                • Consider

                  Selected References

                  1. ACR: US LI-RADS v2017 Core document. Accessed April 22, 2020. https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS/Ultrasound-LI-RADS-v2017
                  2. Choi HH et al: Ultrasound Liver Imaging Reporting and Data System (US LI-RADS): an overview with technical and practical applications. Acad Radiol. ePub, 2020
                  3. Choi HH et al: Association of advanced hepatic fibrosis and sonographic visualization score: a dual-center study using ACR US LI-RADS. Abdom Radiol (NY). 44(4):1415-22, 2019
                  4. Fetzer DT et al: Ultrasound evaluation in patients at risk for hepatocellular carcinoma. Radiol Clin North Am. 57(3):563-83, 2019
                  5. Millet JD et al: ACR ultrasound liver reporting and data system: multicenter assessment of clinical performance at one year. J Am Coll Radiol. 16(12):1656-62, 2019
                  6. Rodgers SK et al: Role of US LI-RADS in the LI-RADS algorithm. Radiographics. 39(3):690-708, 2019
                  7. Chernyak V et al: Liver imaging reporting and data system (LI-RADS) version 2018: imaging of hepatocellular carcinoma in at-risk patients. Radiology. 289(3):816-30, 2018
                  8. Morgan TA et al: US LI-RADS: ultrasound liver imaging reporting and data system for screening and surveillance of hepatocellular carcinoma. Abdom Radiol (NY). 43(1):41-55, 2018
                  9. Fetzer DT et al: Screening and surveillance of hepatocellular carcinoma: an introduction to ultrasound liver imaging reporting and data system. Radiol Clin North Am. 55(6):1197-209, 2017
                  Related Anatomy
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                  Related Differential Diagnoses
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                  References
                  Tables

                  Tables

                  KEY FACTS

                  • Terminology

                    • Imaging

                      TERMINOLOGY

                      • Abbreviations

                        • Hepatocellular carcinoma (HCC)
                        • American Association for the Study of Liver Disease (AASLD)
                        • Visualization (VIS)

                      • Definitions

                        • Ultrasound Liver Imaging Reporting and Data System (US LI-RADS): Standardized system for imaging technique, interpretation, reporting, and data collection for screening and surveillance of US exams in patients at risk for developing hepatocellular carcinoma (HCC)
                        • Screening: 1st-time application of diagnostic test to population at risk for developing disease
                          • Population should have no a priori reason to suspect having disease
                        • Surveillance: Repeated application of screening test at interval determined by disease

                      IMAGING

                      • US Screening and Surveillance Algorithm

                        • Positive US Findings

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Follow-Up Recommendations

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. ACR: US LI-RADS v2017 Core document. Accessed April 22, 2020. https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS/Ultrasound-LI-RADS-v2017
                                  2. Choi HH et al: Ultrasound Liver Imaging Reporting and Data System (US LI-RADS): an overview with technical and practical applications. Acad Radiol. ePub, 2020
                                  3. Choi HH et al: Association of advanced hepatic fibrosis and sonographic visualization score: a dual-center study using ACR US LI-RADS. Abdom Radiol (NY). 44(4):1415-22, 2019
                                  4. Fetzer DT et al: Ultrasound evaluation in patients at risk for hepatocellular carcinoma. Radiol Clin North Am. 57(3):563-83, 2019
                                  5. Millet JD et al: ACR ultrasound liver reporting and data system: multicenter assessment of clinical performance at one year. J Am Coll Radiol. 16(12):1656-62, 2019
                                  6. Rodgers SK et al: Role of US LI-RADS in the LI-RADS algorithm. Radiographics. 39(3):690-708, 2019
                                  7. Chernyak V et al: Liver imaging reporting and data system (LI-RADS) version 2018: imaging of hepatocellular carcinoma in at-risk patients. Radiology. 289(3):816-30, 2018
                                  8. Morgan TA et al: US LI-RADS: ultrasound liver imaging reporting and data system for screening and surveillance of hepatocellular carcinoma. Abdom Radiol (NY). 43(1):41-55, 2018
                                  9. Fetzer DT et al: Screening and surveillance of hepatocellular carcinoma: an introduction to ultrasound liver imaging reporting and data system. Radiol Clin North Am. 55(6):1197-209, 2017