Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes

Introduction: The present study aimed to evaluate the influence of biological characteristics of hepatocellular carcinoma (HCC) on the Liver Imaging Reporting and Data System (LI-RADS) v2017 category of contrast-enhanced ultrasound (CEUS) in patients with high risk and compare the outcomes among dif...

Full description

Bibliographic Details
Main Authors: Wen-jia Cai, Minghua Ying, Rong-qin Zheng, Jintang Liao, Baoming Luo, Lina Tang, Wen Cheng, Hong Yang, An Wei, Yilin Yang, Hui Wang, Yan-chun Luo, Cun Liu, Hui Zhong, Qi Yang, Jie Yu, Ping Liang
Format: Article
Language:English
Published: Karger Publishers 2023-01-01
Series:Liver Cancer
Online Access:https://www.karger.com/Article/FullText/527498
_version_ 1797896478011686912
author Wen-jia Cai
Minghua Ying
Rong-qin Zheng
Jintang Liao
Baoming Luo
Lina Tang
Wen Cheng
Hong Yang
An Wei
Yilin Yang
Hui Wang
Yan-chun Luo
Cun Liu
Hui Zhong
Qi Yang
Jie Yu
Ping Liang
author_facet Wen-jia Cai
Minghua Ying
Rong-qin Zheng
Jintang Liao
Baoming Luo
Lina Tang
Wen Cheng
Hong Yang
An Wei
Yilin Yang
Hui Wang
Yan-chun Luo
Cun Liu
Hui Zhong
Qi Yang
Jie Yu
Ping Liang
author_sort Wen-jia Cai
collection DOAJ
description Introduction: The present study aimed to evaluate the influence of biological characteristics of hepatocellular carcinoma (HCC) on the Liver Imaging Reporting and Data System (LI-RADS) v2017 category of contrast-enhanced ultrasound (CEUS) in patients with high risk and compare the outcomes among different categories after radical resection. Methods: Between June 2017 and December 2020, standardized CEUS data of liver nodules were prospectively collected from multiple centers across China. We conducted a retrospective analysis of the prospectively collected data on HCCs measuring no more than 5 cm as diagnosed by pathology. LI-RADS categories were assigned after thorough evaluation of CEUS features. Then, CEUS LI-RADS categories and major features were compared in different differentiation, Ki-67 and microvascular invasion (MVI) statuses. Differences in recurrence-free survival (RFS) among different LI- RADS categories were further analyzed. Results: A total of 293 HCC nodules in 293 patients were included. This study revealed significant differences in the CEUS LI-RADS category of HCCs among differentiation (p 0.05). With a median follow-up of 23 months, HCCs assigned to different CEUS LI-RADS classes showed no significant differences in RFS after resection. Conclusions: Biological characteristics of HCC, including differentiation and level of Ki-67 expression could influence major features of CEUS and impact the CEUS LI-RADS category. HCCs in different CEUS LI-RADS categories showed no significant differences in RFS after resection.
first_indexed 2024-04-10T07:42:29Z
format Article
id doaj.art-97aab616c0b94893b0c0e680deb813d2
institution Directory Open Access Journal
issn 2235-1795
1664-5553
language English
last_indexed 2024-04-10T07:42:29Z
publishDate 2023-01-01
publisher Karger Publishers
record_format Article
series Liver Cancer
spelling doaj.art-97aab616c0b94893b0c0e680deb813d22023-02-23T11:31:01ZengKarger PublishersLiver Cancer2235-17951664-55532023-01-01110.1159/000527498527498Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomesWen-jia CaiMinghua YingRong-qin ZhengJintang LiaoBaoming LuoLina TangWen ChengHong YangAn Weihttps://orcid.org/0000-0002-8625-4209Yilin YangHui WangYan-chun LuoCun LiuHui ZhongQi YangJie YuPing Lianghttps://orcid.org/0000-0001-8933-6392Introduction: The present study aimed to evaluate the influence of biological characteristics of hepatocellular carcinoma (HCC) on the Liver Imaging Reporting and Data System (LI-RADS) v2017 category of contrast-enhanced ultrasound (CEUS) in patients with high risk and compare the outcomes among different categories after radical resection. Methods: Between June 2017 and December 2020, standardized CEUS data of liver nodules were prospectively collected from multiple centers across China. We conducted a retrospective analysis of the prospectively collected data on HCCs measuring no more than 5 cm as diagnosed by pathology. LI-RADS categories were assigned after thorough evaluation of CEUS features. Then, CEUS LI-RADS categories and major features were compared in different differentiation, Ki-67 and microvascular invasion (MVI) statuses. Differences in recurrence-free survival (RFS) among different LI- RADS categories were further analyzed. Results: A total of 293 HCC nodules in 293 patients were included. This study revealed significant differences in the CEUS LI-RADS category of HCCs among differentiation (p 0.05). With a median follow-up of 23 months, HCCs assigned to different CEUS LI-RADS classes showed no significant differences in RFS after resection. Conclusions: Biological characteristics of HCC, including differentiation and level of Ki-67 expression could influence major features of CEUS and impact the CEUS LI-RADS category. HCCs in different CEUS LI-RADS categories showed no significant differences in RFS after resection.https://www.karger.com/Article/FullText/527498
spellingShingle Wen-jia Cai
Minghua Ying
Rong-qin Zheng
Jintang Liao
Baoming Luo
Lina Tang
Wen Cheng
Hong Yang
An Wei
Yilin Yang
Hui Wang
Yan-chun Luo
Cun Liu
Hui Zhong
Qi Yang
Jie Yu
Ping Liang
Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
Liver Cancer
title Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
title_full Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
title_fullStr Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
title_full_unstemmed Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
title_short Contrast-enhanced ultrasound Liver Imaging Reporting and Data System (LI-RADS) in hepatocellular carcinoma ≤ 5cm: biological characteristics and patient outcomes
title_sort contrast enhanced ultrasound liver imaging reporting and data system li rads in hepatocellular carcinoma ≤ 5cm biological characteristics and patient outcomes
url https://www.karger.com/Article/FullText/527498
work_keys_str_mv AT wenjiacai contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT minghuaying contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT rongqinzheng contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT jintangliao contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT baomingluo contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT linatang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT wencheng contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT hongyang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT anwei contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT yilinyang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT huiwang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT yanchunluo contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT cunliu contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT huizhong contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT qiyang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT jieyu contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes
AT pingliang contrastenhancedultrasoundliverimagingreportinganddatasystemliradsinhepatocellularcarcinoma5cmbiologicalcharacteristicsandpatientoutcomes