The Liver Meeting 2019-Non-invasive Assessment of Small Liver Lesions

Non-invasive Assessment of Small Liver Lesions

Video Transcription

Video Summary

The speaker discusses a case of a 61-year-old man with liver cirrhosis and a suspicious liver mass found on MRI. They emphasize the importance of using precise imaging terminology, such as LIRADS, for diagnosis. The focus is on the challenging category of LRMs, which are malignancies not specific to hepatocellular carcinoma (HCC). Targetoid features on imaging, like RIM AFI, peripheral washout, and central enhancement, help differentiate LRMs from HCCs. LRMs often represent cholangiocarcinomas, combined tumors, or atypical HCCs and require further evaluation, possibly by biopsy. The prognosis of LRMs may be indicative of specific subtypes of liver cancers, influencing treatment decisions. Thus, standardized imaging protocols and terminology play a crucial role in accurate diagnosis and management of liver lesions.

Asset Caption

Presenter: Kathryn Fowler

Keywords

liver cirrhosis

MRI

LIRADS

LRMs

cholangiocarcinomas