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Liver Magnetic Resonance Imaging for Hepatocellular Carcinoma Surveillance

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Journal J Liver Cancer
Date 2023 Jun 29
PMID 37383054
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Abstract

Hepatocellular carcinoma (HCC) surveillance is recommended when the annual incidence of HCC exceeds 1.5%. In 2018, several international guidelines included alternative surveillance modalities, such as computed tomography and magnetic resonance imaging (MRI), as alternatives for patients with inadequate surveillance with an ultrasound. Currently, abbreviated MRI selectively includes several key sequences and is emerging as an effective tool for HCC surveillance with reduced cost and scan time and the required diagnostic performance. The incidence of HCC substantially impacts the benefits of surveillance in terms of cost-effectiveness. Therefore, we need to individualize imaging surveillance of HCC, tailor screening, and determine risk-stratified strategies. The purpose of this article was to present a brief overview of the diagnostic performance and cost-effectiveness of liver MRI as an HCC surveillance tool.

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References
1.
Zhang B, Yang B, Tang Z . Randomized controlled trial of screening for hepatocellular carcinoma. J Cancer Res Clin Oncol. 2004; 130(7):417-22. DOI: 10.1007/s00432-004-0552-0. View

2.
Marks R, Ryan A, Heba E, Tang A, Wolfson T, Gamst A . Diagnostic per-patient accuracy of an abbreviated hepatobiliary phase gadoxetic acid-enhanced MRI for hepatocellular carcinoma surveillance. AJR Am J Roentgenol. 2015; 204(3):527-35. DOI: 10.2214/AJR.14.12986. View

3.
Lee Y, Lee J, Lee J, Lee H, Park B, Kim Y . Hepatocellular carcinoma: diagnostic performance of multidetector CT and MR imaging-a systematic review and meta-analysis. Radiology. 2015; 275(1):97-109. DOI: 10.1148/radiol.14140690. View

4.
Kim H, Kim K, Choi J, Lee J, Lee C, Kang T . Comparison of biannual ultrasonography and annual non-contrast liver magnetic resonance imaging as surveillance tools for hepatocellular carcinoma in patients with liver cirrhosis (MAGNUS-HCC): a study protocol. BMC Cancer. 2017; 17(1):877. PMC: 5740703. DOI: 10.1186/s12885-017-3819-y. View

5.
Cucchetti A, Trevisani F, Cescon M, Ercolani G, Farinati F, Del Poggio P . Cost-effectiveness of semi-annual surveillance for hepatocellular carcinoma in cirrhotic patients of the Italian Liver Cancer population. J Hepatol. 2012; 56(5):1089-1096. DOI: 10.1016/j.jhep.2011.11.022. View