关于LI-RADS运用于儿童的现状和展望

doi:10.7517/issn.1674-0475.191222

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (4): 681-683.DOI: 10.7517/issn.1674-0475.191222

关于LI-RADS运用于儿童的现状和展望

张鹏¹, 王志鹏², 李敬伟³, 高凤国², 陈亚静², 王鹏²

1. 唐县中医医院放射科, 河北保定 072350;
2. 保定市第一医院影像科, 河北保定 071000;
3. 唐县中医医院 CT/MRI室, 河北保定 072350

收稿日期:2019-12-30 出版日期:2020-07-15 发布日期:2020-07-15
基金资助:
保定市科技局项目（17ZF125）资助

About the Status and Prospects of LI-RADS for Children

ZHANG Peng¹, WANG Zhipeng², LI Jingwei³, GAO Fengguo², CHEN Yajing², WANG Peng²

1. Department of Radiology, Chinese Medicine Hospital of Tangxian, Baoding 072350, Hebei, P. R. China;
2. Department of Medical Imaging, Baoding No.1 Hospital, Baoding 071000, Hebei, P. R. China;
3. Department of CT/MRI, Chinese Medicine Hospital of Tangxian, Baoding 072350, Hebei, P. R. China

Received:2019-12-30 Online:2020-07-15 Published:2020-07-15

摘要/Abstract

摘要： 肝脏影像报告和数据系统（LI-RADS）为患有肝细胞肝癌的成年病人的影像诊断和术后疗效评估提供了依据，该系统运用影像学特征表现对肝肿瘤以及肿瘤术后细胞存活进行评估、分类。适用于儿童的LI-RADS包含多样化的影像诊断、影像技术、影像设备，包括超声、造影超声、CT、MRI等，主要有两方面的作用，一是为患儿提供选择最优的影像检查方法，二是提供已知或疑似肝肿瘤特定的临床、影像方案的指导。这套系统对参与儿童肝脏病变诊治的医师们具有一定指导作用，对提高患儿图像质量、减少图像分析误差、增强影像学的交流和诊疗水平具有一定帮助。

关键词: 肝脏影像报告和数据管理系统, 肝细胞肝癌, 肝脏影像

Abstract: The Liver Imaging Reporting and Data System (LI-RADS) provides a basis for imaging diagnosis and postoperative evaluation of adult patients with hepatocellular carcinoma. The system uses imaging features to evaluate and classify liver tumors and cell survival after tumor surgery. The LI-RADS for children include a variety of imaging diagnostics, imaging technology, imaging equipment, including ultrasound, contrast ultrasound, CT, MRI, etc. The system has two main functions, one is to provide the best choice of imaging methods for children,the other is to provide guidance on specific clinical and imaging protocols for known or suspected liver tumors. The system will benefit from physicians involved in the diagnosis and treatment of childhood liver disease, It is helpful to improve the image quality of children, reduce the error of image analysis, enhance imaging communication, and improve the level of diagnosis and treatment.

Key words: liver imaging report and data management system, hepatocellular carcinoma, liver imaging

张鹏, 王志鹏, 李敬伟, 高凤国, 陈亚静, 王鹏. 关于LI-RADS运用于儿童的现状和展望[J]. 影像科学与光化学, 2020, 38(4): 681-683.

ZHANG Peng, WANG Zhipeng, LI Jingwei, GAO Fengguo, CHEN Yajing, WANG Peng. About the Status and Prospects of LI-RADS for Children[J]. Imaging Science and Photochemistry, 2020, 38(4): 681-683.

参考文献

[1] Ludwig D R, Romberg E K, Fraum T J, et al. Diagnostic performance of liver imaging reporting and data system (LI-RADS) v2017 in predicting malignant liver lesions in pediatric patients:apreliminary study[J]. Pediatric Radiology, 2019,49:746-758.
[2] American College of Radiology. CT/MRI LI-RADS v2018 core[S]. Accessed 18 Jan 2019.
[3] 雷军强,杨品,王梦书,等.运用肝脏影像报告和数据管理系统评价肝细胞肝癌的临床研究[J].实用放射学杂志.2015,31(8):1278-1282.
[4] Czauderna P, Lopez-Terranda D, Hiyama E,et al. Hepatoblastoma state of the art:pathology, genetics, risk stratification,and chemotherapy[J]. Current Opinion Pediatris, 2014, 26:19-28.
[5] Shuman C, Beckwith J B, Weksberg R. Beckwith-Wiedemann syndrome[J]. Gene Reviews, 2000, 1993-2020.
[6] Trobaugh-Lotrario A D, Lopez-Terrada D, Li P,et al.Hepatoblastoma in patients with molecularly proven familial adenomatous polyposis:clinical characteristics and rationale for surveillance screening[J]. Pediatr Blood & Cancer, 2018, 65:e27103.
[7] Chung EM, Lattin G E Jr, Cube R,et al. From the archives of the AFIP:pediatric liver masses:radiologic-pathologic correlation.Part 2. Malignant tumors[J]. Radiographics, 2011, 31:483-507.
[8] Czauderna P, Mackinlay G, Perilongo G,et al. Hepatocellular carcinoma in children:results of the first prospective study of the International Society of Pediatric Oncology Group[J]. Journal of Clinial Oncology, 2002, 20:2798-2804.
[9] Kulik L, El-Serag H B. Epidemiology and management of hepatocellular carcinoma[J]. Gastroenterology, 2019, 156(2):477-491.
[10] Lau C S, Mahendraraj K, Chamberlain R S. Hepatocellular carcinoma in the pediatric population:a population based clinical outcomes study involving 257 patients from the surveillance, epidemiology, and end result (SEER) database (1973-2011)[J]. HPB Surgery, 2015, 670728.
[11] Schmid I, von Schweintz D. Pediatric hepatocellular carcinoma:challenges and solutions[J]. Journal of Hepatocell Carcinoma, 2017, 4:15-21.
[12] 史东立,马良,赵大伟,等.肝脏原发性肉瘤的影像学表现[J].实用放射学杂志, 2018, 34(10):1538-1541,1587.
[13] 张娜,许万博.原发性肝脏透明细胞癌的影像学特征[J].实用放射学杂志, 2019, 35(2):321-323.
[14] 邹显伦,海玉成,沈亚琪,等.肝脏影像报告及数据系统(LI-RADS)的更新——2018版解读[J].放射学实践, 2018, 33(11):1114-1117.

关于LI-RADS运用于儿童的现状和展望

About the Status and Prospects of LI-RADS for Children

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