J Korean Soc Radiol.  2021 Mar;82(2):280-297. 10.3348/jksr.2021.0025.

Recent Updates of Abbreviated MRI for Hepatocellular Carcinoma Screening

Affiliations
  • 1Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea

Abstract

International guidelines recommended screening with ultrasonography (US) every 6 months for patients at risk for hepatocellular carcinoma (HCC). However, US demonstrates low sensitivity for the early detection of HCC. Magnetic resonance imaging (MRI) plays an important role in the noninvasive diagnosis of HCC, but it is not suitable for surveillance due to its lengthy examination and high cost. Therefore, several studies have been using various abbreviated MRI strategies, including noncontrast abbreviated MRI, dynamic contrast-enhanced abbreviated MRI, and abbreviated MRI using hepatobiliary phase image for HCC surveillance. In this article, we aim to review these various strategies and explore the future direction of HCC surveillance considering the cost-effectiveness aspect.

Keyword

Hepatocellular Carcinoma; Magnetic Resonance Imaging; Surveillance
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