The risk prediction value of Gd-EOB-MRI and contrast-enhanced ultrasound liver imaging reporting and data system classification for hepatocellular carcinoma in high-risk populations
10.3969/j.issn.1002-1671.2025.09.017
- VernacularTitle:Gd-EOB-MRI与超声造影肝脏影像报告和数据系统分类对高危人群肝细胞癌的风险预测价值
- Author:
Jie SHI
1
;
Yafei WU
;
Ying LIANG
;
Zhanling DING
;
Junjie LIU
;
Danke SU
;
Shengfa ZHAO
Author Information
1. 广西医科大学附属肿瘤医院医学影像中心,广西 南宁 530021
- Publication Type:Journal Article
- Keywords:
liver imaging reporting and data system;
hepatocellular carcinoma;
magnetic resonance imaging;
contrast-enhanced ultrasound
- From:
Journal of Practical Radiology
2025;41(9):1503-1507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk prediction value of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid enhanced magnetic resonance imaging(Gd-EOB-MRI)liver imaging reporting and data system version 2018(LI-RADS v2018)with contrast-enhanced ultrasound(CEUS)LI-RADS version 2017(LI-RADS v2017)in high-risk patients with hepatocellular carcinoma(HCC).Methods The clinical and imaging data of 122 high-risk patients for HCC(with a total of 134 liver lesions)who underwent both Gd-EOB-MRI and CEUS examination at the same time and obtained pathological results within one month were retrospectively col-lected.The nodules were classified according to the CT/MRI LI-RADS v2018 and CEUS LI-RADS v2017 criteria,and the LI-RADS classification results of the two imaging methods were subjected to Cohen's Kappa test.Using pathological results as the gold stand-ard,the diagnostic efficacy of LI-RADS v2018 and LI-RADS v2017 with LR-5 as the standard for HCC was calculated separately.Results The overall consistency between the Gd-EOB-MRI LI-RADS v2018 and CEUS LI-RADS v2017 classification standards was good(Kappa=0.691,P＜0.001).Using LR-5 as the standard for diagnosing HCC,the sensitivity of Gd-EOB-MRI and CEUS was 84.7％and 81.2％,the specificity was 79.6％and 73.5％,the positive predictive value was 87.8％and 84.1％,the negative predictive value was 75.0％and 69.2％,and the accuracy was 82.8％and 78.4％,respectively.There was no statistically significant difference in the diagnostic efficacy of the diagnosis of HCC by LR-5 between the two imaging methods(P＞0.05).Conclusion The Gd-EOB-MRI LI-RADS v2018 and CEUS LI-RADS v2017 classifica-tion standards show good overall agreement.The diagnostic efficacy of Gd-EOB-MRI for HCC using LR-5 classification is better than that of CEUS.
