Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
Although US has been widely used for hepatocellular carcinoma (HCC) surveillance, it exhibits limited sensitivity for detecting early-stage HCC. Abbreviated MRI (AMRI) has attracted attention as a superior alternative, offering higher sensitivity for early-stage HCC detection than US and reduced...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2025-05-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2024.0153 |
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| Summary: | Although US has been widely used for hepatocellular carcinoma (HCC) surveillance, it exhibits
limited sensitivity for detecting early-stage HCC. Abbreviated MRI (AMRI) has attracted
attention as a superior alternative, offering higher sensitivity for early-stage HCC detection
than US and reduced imaging time and cost compared to comprehensive contrast-enhanced
MRI. AMRI focuses on essential sequences tailored for HCC detection, with three
main strategies: gadoxetate disodium-enhanced hepatobiliary phase AMRI, dynamic contrast-
enhanced AMRI, and non-contrast AMRI. In this review, we aim to highlight the technical
considerations, performance, and strengths and limitations of each AMRI strategy as
well as reporting strategies and recall practices. In addition, to maximize HCC surveillance
efficacy using AMRI, a risk-adapted strategy tailored to different patient groups would be
necessary, which we will also explore in this review. |
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| ISSN: | 2951-0805 |