Evidence map›Paper›PMID 36853182›Full record

ReviewRadiology2023

LI-RADS: Looking Back, Looking Forward.

Victoria Chernyak, Kathryn J Fowler, Richard K G Do, Aya Kamaya, Yuko Kono, An Tang, Donald G Mitchell, Jeffrey Weinreb, Cynthia S Santillan, Claude B Sirlin

Abstract readReview
In one paragraph

Review in Radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Victoria ChernyakFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-5715-1403
Kathryn J FowlerFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0001-9188-1701
Richard K G DoFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-6554-0310
Aya KamayaFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-5159-9506
Yuko KonoFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).
An TangFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0001-8967-5503
Donald G MitchellFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-2668-7862
Jeffrey WeinrebFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0003-2010-3309
Cynthia S SantillanFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-1479-0950
Claude B SirlinFrom the Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (V.C., R.K.G.D.); Liver Imaging Group, Department of Radiology, University of California, San Diego, San Diego, Calif (K.J.F., C.S.S., C.B.S.); Department of Radiology, Stanford University Medical Center, Stanford, Calif (A.K.); Department of Medicine and Radiology, University of California, San Diego, San Diego, Calif (Y.K.); Department of Radiology, Radiation Oncology and Nuclear Medicine, Université de Montréal, Montréal, Canada (A.T.); Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pa (D.G.M.); and Department of Radiology, Yale Medical School, New Haven, Conn (J.W.).ORCID 0000-0002-6639-9072

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Since its initial release in 2011, the Liver Imaging Reporting and Data System (LI-RADS) has evolved and expanded in scope. It started as a single algorithm for hepatocellular carcinoma (HCC) diagnosis with CT or MRI with extracellular contrast agents and has grown into a multialgorithm network covering all major liver imaging modalities and contexts of use. Furthermore, it has developed its own lexicon, report templates, and supplementary materials. This article highlights the major achievements of LI-RADS in the past 11 years, including adoption in clinical care and research across the globe, and complete unification of HCC diagnostic systems in the United States. Additionally, the authors discuss current gaps in knowledge, which include challenges in surveillance, diagnostic population definition, perceived complexity, limited sensitivity of LR-5 (definite HCC) category, management implications of indeterminate observations, challenges in reporting, and treatment response assessment following radiation-based therapies and systemic treatments. Finally, the authors discuss future directions, which will focus on mitigating the current challenges and incorporating advanced technologies. Tha authors envision that LI-RADS will ultimately transform into a probability-based system for diagnosis and prognostication of liver cancers that will integrate patient characteristics and quantitative imaging features, while accounting for imaging modality and contrast agent.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsContrast MediaHumansMagnetic Resonance ImagingRetrospective StudiesSensitivity and SpecificityContrast Media

Identifiers

PMID36853182
PMCPMC10068888

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.