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Current status of image-based surveillance in hepatocellular carcinoma

Ultrasonography 2021년 40권 1호 p.45 ~ 56
김동환, 최준일,
소속 상세정보
김동환 ( Kim Dong-Hwan ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Radiology
최준일 ( Choi Joon-Il ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Radiology

Abstract


Although the overall prognosis of patients with hepatocellular carcinoma (HCC) remains poor, curative treatment may improve the survival of patients diagnosed at an early stage through surveillance. Accordingly, ultrasonography (US)-based HCC surveillance programs proposed in international society guidelines are now being implemented and regularly updated based on the latest evidence to improve their efficacy. Recently, other imaging modalities such as magnetic resonance imaging have shown potential as alternative surveillance tools based on individualized risk stratification. In this review article, we describe the current status of US-based surveillance for HCC and summarize the supporting evidence. We also discuss alternative surveillance imaging modalities that are currently being studied to validate their diagnostic performance and cost-effectiveness.

키워드

Liver; Hepatocellular carcinoma; Surveillance; Ultrasonography; Magnetic resonance imaging

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