Journal
CLINICS IN LIVER DISEASE
Volume 19, Issue 2, Pages 325-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cld.2015.01.013
Keywords
Liver; Imaging; HCC; LI-RADS; MRI
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The currently accepted major diagnostic criteria for identifying hepatocellular carcinoma (HOC) on dynamic cross-sectional imaging consist of diffuse arterial phase hyperenhancement within the lesion, portal venous or delayed phase washout, and the presence and appearance of a capsule; also included in this criteria is interval threshold growth. Ancillary features such as intralesional fat, blood products, and mosaic architecture also favor a diagnosis of HOC. Tumor in a portal or hepatic vein is a definitive finding for an HCC even if a parenchymal mass is not clearly seen.
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