CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?

Different LI-RADS core documents were released for CEUS and for CT/MRI. Both documents rely on major and ancillary diagnostic criteria. The present paper offers an exhaustive comparison of the two documents focusing on the similarities, but especially on the differences, complementarity, and added v...

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Main Authors: Cosmin Caraiani, Bianca Boca, Vlad Bura, Zeno Sparchez, Yi Dong, Christoph Dietrich
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Biology
Subjects:
CT
MRI
Online Access:https://www.mdpi.com/2079-7737/10/5/412
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spelling doaj-45a675aef14a4feaa43e059fc0aad60c2021-05-31T23:20:58ZengMDPI AGBiology2079-77372021-05-011041241210.3390/biology10050412CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?Cosmin Caraiani0Bianca Boca1Vlad Bura2Zeno Sparchez3Yi Dong4Christoph Dietrich5Department of Medical Imaging, “Iuliu Hațieganu” University of Medicine and Pharmacy Cluj-Napoca, 400012 Cluj-Napoca, RomaniaDepartment of Medical Imaging, “Iuliu Hațieganu” University of Medicine and Pharmacy Cluj-Napoca, 400012 Cluj-Napoca, RomaniaDepartment of Radiology, County Clinical Emergency Hospital Cluj-Napoca, 400006 Cluj-Napoca, RomaniaDepartment of Gastroenterology and Hepatology, Regional Institute of Gastroenterology and Hepatology “Prof. Dr. Octavian Fodor”, 400158 Cluj-Napoca, RomaniaUltrasound Department, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Beau Site, Salem und Permancence, 3013 Bern, SwitzerlandDifferent LI-RADS core documents were released for CEUS and for CT/MRI. Both documents rely on major and ancillary diagnostic criteria. The present paper offers an exhaustive comparison of the two documents focusing on the similarities, but especially on the differences, complementarity, and added value of imaging techniques in classifying liver nodules in cirrhotic livers. The major diagnostic criteria are defined, and the sensitivity and specificity of each major diagnostic criteria are presented according to the literature. The existing differences between techniques in assessing the major diagnostic features can be then exploited in order to ensure a better classification and a better clinical management of liver nodules in cirrhotic livers. Ancillary features depend on the imaging technique used, and their presence can upgrade or downgrade the LI-RADS score of an observation, but only as far as LI-RADS 4. MRI is the imaging technique that provides the greatest number of ancillary features, whereas CEUS has fewer ancillary features than other imaging techniques. In the final part of the manuscript, some recommendations are made by the authors in order to guidephysicians as to when adding another imaging technique can be helpful in managing liver nodules in cirrhotic livers.https://www.mdpi.com/2079-7737/10/5/412LI-RADSultrasoundCEUSCTMRI
collection DOAJ
language English
format Article
sources DOAJ
author Cosmin Caraiani
Bianca Boca
Vlad Bura
Zeno Sparchez
Yi Dong
Christoph Dietrich
spellingShingle Cosmin Caraiani
Bianca Boca
Vlad Bura
Zeno Sparchez
Yi Dong
Christoph Dietrich
CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
Biology
LI-RADS
ultrasound
CEUS
CT
MRI
author_facet Cosmin Caraiani
Bianca Boca
Vlad Bura
Zeno Sparchez
Yi Dong
Christoph Dietrich
author_sort Cosmin Caraiani
title CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
title_short CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
title_full CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
title_fullStr CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
title_full_unstemmed CT/MRI LI-RADS v2018 vs. CEUS LI-RADS v2017—Can Things Be Put Together?
title_sort ct/mri li-rads v2018 vs. ceus li-rads v2017—can things be put together?
publisher MDPI AG
series Biology
issn 2079-7737
publishDate 2021-05-01
description Different LI-RADS core documents were released for CEUS and for CT/MRI. Both documents rely on major and ancillary diagnostic criteria. The present paper offers an exhaustive comparison of the two documents focusing on the similarities, but especially on the differences, complementarity, and added value of imaging techniques in classifying liver nodules in cirrhotic livers. The major diagnostic criteria are defined, and the sensitivity and specificity of each major diagnostic criteria are presented according to the literature. The existing differences between techniques in assessing the major diagnostic features can be then exploited in order to ensure a better classification and a better clinical management of liver nodules in cirrhotic livers. Ancillary features depend on the imaging technique used, and their presence can upgrade or downgrade the LI-RADS score of an observation, but only as far as LI-RADS 4. MRI is the imaging technique that provides the greatest number of ancillary features, whereas CEUS has fewer ancillary features than other imaging techniques. In the final part of the manuscript, some recommendations are made by the authors in order to guidephysicians as to when adding another imaging technique can be helpful in managing liver nodules in cirrhotic livers.
topic LI-RADS
ultrasound
CEUS
CT
MRI
url https://www.mdpi.com/2079-7737/10/5/412
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