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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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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