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A Review of the Critical Role of Imaging in Primary Liver Malignancy

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Presentation on theme: "A Review of the Critical Role of Imaging in Primary Liver Malignancy"— Presentation transcript:

1 A Review of the Critical Role of Imaging in Primary Liver Malignancy

2

3 This program may include discussion of off-label treatments and investigational agents not approved by the FDA for use in the United States.

4 Primary Liver Cancer Background

5 Major Risk Factors for HCC

6 Who Should Be Screened for HCC?

7 Screening Recommendations for HCC

8 Screening Case 1 42-Year-Old Man With HBV Infection

9 Screening Case 1 LI-RADS® Classification US-2 Subthreshold

10 Screening Case 2 39-Year-Old Man With Alcohol-Related Cirrhosis

11 Screening Case 2 Findings US-1 Negative With Severe Limitations

12 Diagnostic Imaging in HCC

13 Use of Contrast in Liver MRI

14 Diagnostic Case 1: 70-Year-Old Man With HCV-Related Cirrhosis and Positive HCC Screening

15 LI-RADS® Classification Overview

16 LI-RADS® Classification Overview

17 LI-RADS® Classification Overview

18 Diagnostic Case 2: 59-Year-Old Man With Cirrhosis Caused by HBV and HCV Infection

19 Diagnostic Case 2 LI-RADS® Classification

20 Diagnostic Case 2 LI-RADS® Classification

21 Diagnostic Case 2 LI-RADS® Classification

22 Diagnostic Case 2 LI-RADS® Classification

23 TNM Staging for HCC

24 Imaging Treatment Response in HCC

25 LI-RADS® Guidance on Assessing Treatment Response in HCC

26 Treatment Response Categories

27 Treatment Response Case 1: 65-Year-Old Woman With HCV-Related Cirrhosis With Positive US

28 Treatment Response Case 1: 65-Year-Old Woman With HCV-Related Cirrhosis With Positive US (cont)

29 Treatment Response Case 1: 65-Year-Old Woman With HCV-Related Cirrhosis With Positive US (cont)

30 Embolic Treatment Response

31 Measurement of Viable Tumor

32 LI-RADS® Technical Recommendations for MRI

33 LI-RADS® Technical Recommendations for CT

34 CEUS

35 CEUS (cont)

36 Concluding Remarks

37 Abbreviations


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