Evidence map›Paper›PMID 42530593›Full record

ReviewAbdominal radiology (New York)2026

Unmasking infiltrative hepatocellular carcinoma: a pictorial essay.

Margrit Elis Müller, Thiago Menezes Baraviera, Vanderlei Segatelli, Thais Caldara Mussi, Ronaldo Hueb Baroni, Cassia Franco Tridente

Abstract readReview
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In one paragraph

Review in Abdominal radiology (New York), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Margrit Elis MüllerRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil. margrit.muller@einstein.br.ORCID http://orcid.org/0000-0002-9976-8161
Thiago Menezes BaravieraRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Vanderlei SegatelliRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Thais Caldara MussiRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Ronaldo Hueb BaroniRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Cassia Franco TridenteRadiology and Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-2533-7748

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infiltrative hepatocellular carcinoma (HCC) is an aggressive macroscopic growth pattern of HCC characterized by diffuse parenchymal involvement, heterogeneous neovascularity and a high risk of vascular invasion. Early radiologic detection might be challenging because tumor signal and enhancement often blend into the heterogeneous cirrhotic liver background, leading to delayed diagnosis and unfavorable prognosis. This pictorial essay reviews the pathophysiologic mechanisms underlying the imaging appearance of infiltrative HCC and highlights the central role of multiphasic CT and MRI in its evaluation. MRI is particularly valuable in ill‑defined disease due to superior tissue characterization related to higher contrast resolution achieved by diffusion‑weighted imaging (DWI), subtraction techniques, T1‑ and T2‑weighted sequences and hepatobiliary contrast-enhanced imaging. Typical imaging features include T1 hypointensity, T2 hyperintensity, variable arterial enhancement with heterogeneous washout, diffusion restriction, bulging contours, satellite nodules and tumor in vein. This essay highlights patterns of infiltrative HCC spread and key complications, such as venous tumor thrombosis and arteriovenous fistula, and reviews important differential diagnoses. Recognizing these imaging characteristics of infiltrative HCC supports accurate LI‑RADS categorization, enables earlier diagnosis, guides appropriate use of biopsy for indeterminate lesions and promotes optimized multidisciplinary management, particularly in patients awaiting liver transplantation.

Indexed as

Keywords: infiltrative hepatocellular carcinoma; LI-RADS; magnetic resonance imaging; computed tomography; liver cancer

Identifiers

What OpenQuestion holds

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Registered trials

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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.