Overview
To determine the role of contrast-enhanced ultrasound (CEUS) as a second-line imaging modality after gadoxetate-enhanced MRI (Gd-EOB-MRI) for identifying hepatocellular carcinoma (HCC) among at-risks observations.
Description
The purpose of our study was to evaluate the diagnostic ability of CEUS with perflubutane to identify HCC on the indeterminate observation in Gd-EOB-MRI and to establish the role of CEUS as a second-line (post-Gd-EOB-MRI) modality for HCC diagnosis.
Eligibility
Inclusion Criteria:
- at risk of HCC by Liver Imaging Reporting and Data System (LI-RADS)
- at least one treatment-nave solid hepatic observation (1 cm) while surveillance using US, CT or MRI
- signed informed consent
Exclusion Criteria:
- congestive hepatopathies
- severe cardiovascular dysfunction
- no recent cross-sectional images within 4 weeks
- suboptimal cross-sectional images quality