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: Hyo Jung Park, Dong Wook Kim, Won-Mook Choi, So Yeon Kim
Format: Article
Language:English
Published: The Korean Society of Radiology 2025-05-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0153
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author Hyo Jung Park
Dong Wook Kim
Won-Mook Choi
So Yeon Kim
author_facet Hyo Jung Park
Dong Wook Kim
Won-Mook Choi
So Yeon Kim
author_sort Hyo Jung Park
collection DOAJ
description 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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spelling doaj-art-cdbdbaed34844539a45ffe7d6cb439462025-08-20T03:22:35ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-05-01863335351https://doi.org/10.3348/jksr.2024.0153Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma DetectionHyo Jung ParkDong Wook KimWon-Mook ChoiSo Yeon KimAlthough 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.https://doi.org/10.3348/jksr.2024.0153hepatocellular carcinomasurveillanceabbreviated magnetic resonance imaging
spellingShingle Hyo Jung Park
Dong Wook Kim
Won-Mook Choi
So Yeon Kim
Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
Journal of the Korean Society of Radiology
hepatocellular carcinoma
surveillance
abbreviated magnetic resonance imaging
title Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
title_full Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
title_fullStr Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
title_full_unstemmed Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
title_short Abbreviated MRI-Based Surveillance Strategies for Early Hepatocellular Carcinoma Detection
title_sort abbreviated mri based surveillance strategies for early hepatocellular carcinoma detection
topic hepatocellular carcinoma
surveillance
abbreviated magnetic resonance imaging
url https://doi.org/10.3348/jksr.2024.0153
work_keys_str_mv AT hyojungpark abbreviatedmribasedsurveillancestrategiesforearlyhepatocellularcarcinomadetection
AT dongwookkim abbreviatedmribasedsurveillancestrategiesforearlyhepatocellularcarcinomadetection
AT wonmookchoi abbreviatedmribasedsurveillancestrategiesforearlyhepatocellularcarcinomadetection
AT soyeonkim abbreviatedmribasedsurveillancestrategiesforearlyhepatocellularcarcinomadetection