LI-RADS and transplantation for hepatocellular carcinoma.
Patients with hepatocellular carcinoma (HCC) may be eligible for liver transplantation. Liver transplant candidates with HCC compete for the same deceased donor organs as those without HCC. These scarce organs must be allocated fairly and justly to those who will benefit most. Unlike most other canc...
| Publicado en: | Abdominal Radiology Vol. 43; no. 1; pp. 193 - 203 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Jan2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127331667&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127331667 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2366004X JT14 jtl: Abdominal Radiology issn: 2366004X maglogo: N pubinfo: dt: Jan2018 vid: 43 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 127331667 144130767 10.1007/s00261-017-1210-8 127331667 ppf: 193 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: LI-RADS and transplantation for hepatocellular carcinoma. aug: au: Tang, An Fowler, Kathryn J. Chernyak, Victoria Chapman, William C. Sirlin, Claude B. affil: Department of Radiology, Radio-oncology and Nuclear Medicine, University of Montreal and CRCHUM, 1058 rue Saint-Denis, H2X 3J4, Montréal, QC, Canada sug: ab: Patients with hepatocellular carcinoma (HCC) may be eligible for liver transplantation. Liver transplant candidates with HCC compete for the same deceased donor organs as those without HCC. These scarce organs must be allocated fairly and justly to those who will benefit most. Unlike most other cancers, HCC is often diagnosed noninvasively by imaging without biopsy confirmation. Therefore, radiologists play an important role in diagnosing definite HCC (i.e., LR-5 category) that counts toward staging and determination of liver transplant eligibility. This review explains the conversion of LI-RADS observation categories to organ procurement and transplantation network classes, illustrates the radiologic T-staging systems, reviews selection criteria for liver transplant eligibility, and discusses prioritization of liver transplant candidates with HCC. In addition, this review summarizes imaging requirements, including contrast agents accepted, minimum specifications for dynamic CT or MRI of the liver, and modalities accepted for assessment of extrahepatic spread or metastatic disease in liver transplant candidates with HCC. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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