LI-RADS分级系统的临床应用现状分析

摘要]?美国放射协会（American College of Radiology, ACR）2011年首次发布了肝脏影像报告和数据系统（liver imaging reporting and data system, LI-RADS），目的是将高危肝细胞癌（hepatocellular carcinoma, HCC）患者检查图像的采集、分析、报告和数据收集标准化。LI-RADS最早是根据CT/MRI的影像学表现分类，随着超声造影（contrast-enhanced ultrasound, CEUS）在临床上的广泛应用，ACR 2016年发布了CEUS LI-RADS。尽管CEUS和CT/MRI对高危HCC患者的肝局灶性病变进行LI-RADS分类的概念和原则相似，但2者之间还是有显著区别。本综述旨在通过与CT/MRI LI-RADS进行比较，探讨CEUS LI-RADS的临床应用价值。

Analysis of clinical application status of LI-RADS grading system

Abstract]?In 2011, the American College of Radiology (ACR) proposed the liver imaging reporting and data system (LI-RADS) for the first time, aiming to standardize the acquisition, analysis, reporting, and data collection of examination images in patients with high-risk hepatocellular carcinoma (HCC). LI-RADS was first classified based on CT/MRI imaging findings, along with the widely used of contrast-enhanced ultrasound (CEUS) in clinical, CEUS LI-RADS was proposed by ACR in 2016. Although the concepts and principles of LI-RADS classification between CEUS and CT/MRI are similar, there are significant differences between them with focal liver lesions in high-risk HCC patients. This review aims to explore the clinical application value of CEUS LI-RADS by comparing with CT/MRI LI-RADS.