APASL and AASLD Consensus Guidelines on Imaging Diagnosis of Hepatocellular Carcinoma A Review英文文献资料.docVIP

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APASL and AASLD Consensus Guidelines on Imaging Diagnosis of Hepatocellular Carcinoma A Review英文文献资料.doc

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APASL and AASLD Consensus Guidelines on Imaging Diagnosis of Hepatocellular Carcinoma A Review英文文献资料

SAGE-HindawiAccesstoResearch InternationalJournalofHepatology Volume2011,ArticleID519783,11pages doi:10.4061/2011/519783 ReviewArticle APASLandAASLDConsensusGuidelinesonImagingDiagnosis ofHepatocellularCarcinoma:AReview CherHengTan, Su-ChongAlbertLow, andChoonHuaThng 1 2 3 1 2 3 DepartmentofDiagnosticRadiology,TanTockSengHospital,11JalanTanTockSeng,Singapore308433 DepartmentofDiagnosticRadiology,SingaporeGeneralHospital,OutramRoad,Singapore169608 DepartmentofOncologicImaging,NationalCancerCentre,11HospitalDrive,Singapore169610 CorrespondenceshouldbeaddressedtoCherHengTan,tchers1977@ Received14January2011;Accepted15February2011 AcademicEditor:PierceChow Copyright?2011CherHengTanetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Consensusguidelinesforradiologicaldiagnosisofhepatocellularcarcinoma(HCC)havebeendraftedbyseverallargeinternational workinggroups.Thisarticlereviewsthesimilaritiesanddi?erencesbetweenthemostrecentguidelinesproposedbytheAmerican AssociationforStudyofLiverDiseasesandtheAsianPaci?cAssociationfortheStudyoftheLiver.Currentevidenceforthevarious imagingmodalitiesfordiagnosisofHCCandtheirrelevancetotheconsensusguidelinesarereviewed. 1.Introduction notdisplayclassicalimagingfeatures.Nevertheless,imaging diagnosis of HCC is important because it is noninvasive, given that the incidence of needle tract tumour seeding followingbiopsyofHCCissmallbutnotnegligible(overall 2.7%, or 0.9% per year) [5], while the risk of signi?cant haemorrhage-relatedcomplicationsfollowingimageguided liverbiopsyis0.5%(basedonaretrospectivereviewof3636 percutaneouscorebiopsiesperformedatasingleinstitution) [6].Furthermore,itallowsforproperdelineationofextent ofdisease,whichimpactsonthetypeoftreatment,including local ablative therapy, such as radiofrequency ablation, transhepatic arterial chemo-