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Alternative approach of hepatocellular carcinoma surveillance: abbreviated MRI

作     者:Ryan L.Brunsing Kathryn J.Fowler Takeshi Yokoo Guilherme Moura Cunha Claude B.Sirlin Robert M.Marks Ryan L.Brunsing;Kathryn J.Fowler;Takeshi Yokoo;Guilherme Moura Cunha;Claude B.Sirlin;Robert M.Marks

作者机构:Department of RadiologyStanford UniversityStanfordCA 94305USA Liver Imaging GroupDepartment of RadiologyUniversity of California San DiegoSan DiegoCA 92093USA Department of RadiologyUniversity of Texas Southwestern Medical CenterDallasTX 75390USA Department of RadiologyNaval Medical Center San DiegoSan DiegoCA 92134USA Department of RadiologyUniformed Services University of the Health SciencesBethesdaMD 20892USA. 

出 版 物:《Hepatoma Research》 (肝癌研究(英文版))

年 卷 期:2020年第6卷第9期

页      面:39-54页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基  金:supported in part by NIH(1R01CA249765-01) 

主  题:Abbreviated magnetic resonance imaging cirrhosis Hepatitis B hepatocellular carcinoma surveillance magnetic resonance imaging 

摘      要:This review focuses on emerging abbreviated magnetic resonance imaging(AMRI)surveillance of patients with chronic liver disease for hepatocellular carcinoma(HCC).This surveillance strategy has been proposed as a high-sensitivity alternative to ultrasound for identification of patients with early-stage HCC,particularly in patients with cirrhosis or obesity,in whom sonographic visualization of small tumors may be *** general AMRI approaches have been developed and studied in the literature-non-contrast AMRI,dynamic contrast-enhanced AMRI,and hepatobiliary phase contrast-enhanced AMRI-each comprising a small number of selected sequences specifically tailored for HCC *** rationale,general technique,advantages and disadvantages,and diagnostic performance of each AMRI approach is ***,current gaps in knowledge and future directions are *** on emerging evidence,we cautiously recommend the use of AMRI for HCC surveillance in situations where ultrasound is compromised.

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