Evidence map›Paper›PMID 31038409›Full record

ArticleRadiology2019

LI-RADS Treatment Response Algorithm: Performance and Diagnostic Accuracy.

Erin L Shropshire, Mohammad Chaudhry, Chad M Miller, Brian C Allen, Erol Bozdogan, Diana M Cardona, Lindsay Y King, Gemini L Janas, Richard K Do, Charles Y Kim and 2 more

Abstract read
In one paragraph

Article in Radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  15. LI-RADS CT/MRI Treatment Response Assessment Update in 2024.Journal of the Korean Society of Radiology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Erin L ShropshireFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0003-3105-8910
Mohammad ChaudhryFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0003-0640-6282
Chad M MillerFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0002-9896-470X
Brian C AllenFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0003-2273-0162
Erol BozdoganFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0003-1576-2588
Diana M CardonaFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0002-6877-2280
Lindsay Y KingFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0001-9426-2682
Gemini L JanasFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).
Richard K DoFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0002-6554-0310
Charles Y KimFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0002-8687-1522
James RonaldFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0002-2959-4354
Mustafa R BashirFrom the Department of Radiology (E.L.S., M.C., C.M.M., B.C.A., E.B., G.L.J., C.Y.K., J.R., M.R.B.), Department of Pathology (D.M.C.), Division of Gastroenterology, Department of Medicine (L.Y.K., M.R.B.), and Center for Advanced Magnetic Resonance Development (G.L.J., M.R.B.), Duke University Medical Center, Box 3808, Durham, NC; and Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (R.K.D.).ORCID 0000-0001-8800-5057

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background In 2017, the Liver Imaging Reporting and Data System (LI-RADS) included an algorithm for the assessment of hepatocellular carcinoma (HCC) treated with local-regional therapy. The aim of the algorithm was to enable standardized evaluation of treatment response to guide subsequent therapy. However, the performance of the algorithm has not yet been validated in the literature. Purpose To evaluate the performance of the LI-RADS 2017 Treatment Response algorithm for assessing the histopathologic viability of HCC treated with bland arterial embolization. Materials and Methods This retrospective study included patients who underwent bland arterial embolization for HCC between 2006 and 2016 and subsequent liver transplantation. Three radiologists independently assessed all treated lesions by using the CT/MRI LI-RADS 2017 Treatment Response algorithm. Radiology and posttransplant histopathology reports were then compared. Lesions were categorized on the basis of explant pathologic findings as either completely (100%) or incompletely (<100%) necrotic, and performance characteristics and predictive values for the LI-RADS Treatment Response (LR-TR) Viable and Nonviable categories were calculated for each reader. Interreader association was calculated by using the Fleiss κ. Results A total of 45 adults (mean age, 57.1 years ± 8.2; 13 women) with 63 total lesions were included. For predicting incomplete histopathologic tumor necrosis, the accuracy of the LR-TR Viable category for the three readers was 60%-65%, and the positive predictive value was 86%-96%. For predicting complete histopathologic tumor necrosis, the accuracy of the LR-TR Nonviable category was 67%-71%, and the negative predictive value was 81%-87%. By consensus, 17 (27%) of 63 lesions were categorized as LR-TR Equivocal, and 12 of these lesions were incompletely necrotic. Interreader association for the LR-TR category was moderate (κ = 0.55; 95% confidence interval: 0.47, 0.67). Conclusion The Liver Imaging Reporting and Data System 2017 Treatment Response algorithm had high predictive value and moderate interreader association for the histopathologic viability of hepatocellular carcinoma treated with bland arterial embolization when lesions were assessed as Viable or Nonviable. © RSNA, 2019

Indexed as

AlgorithmsRadiology Information SystemsAdultAgedCarcinoma, HepatocellularEmbolization, TherapeuticFemaleHumansLiverLiver NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingReproducibility of ResultsRetrospective Studies

Identifiers

PMID31038409
PMCPMC6614909

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.