Multicenter evaluation of abbreviated MRI and ultrasound for detecting early-stage hepatocellular carcinoma
Abbreviated MRI (AMRI) is increasingly recognized as an alternative to ultrasound for hepatocellular carcinoma (HCC) surveillance. However, existing data are limited by single-center samples, spectrum bias, and lack of comparative data for AMRI <i>vs.</i> ultrasound. We found that AMRI had significantly higher per-patient sensitivity and specificity compared with ultrasound for the detection of early-stage HCC, although its relative benefit might be smaller in patients with Child-Pugh A cirrhosis, and both modalities underperformed in patients with Child-Pugh C cirrhosis. If sufficiently validated, AMRI could be adopted into practice guidelines for HCC surveillance and serve as a preferred alternative in select subgroups of patients.
Authors
- Amit G. Singal (ORCID: https://orcid.org/0000-0002-1172-3971)
- Neehar D. Parikh (ORCID: https://orcid.org/0000-0002-5874-9933)
- Edward Yang
- Darine Daher (ORCID: https://orcid.org/0000-0002-9977-1176)
- David T. Fetzer (ORCID: https://orcid.org/0000-0002-2420-082X)
- Takeshi Yokoo (ORCID: https://orcid.org/0000-0001-7138-1785)
- Matthew S. Davenport (ORCID: https://orcid.org/0000-0001-7943-7851)
- Mishal Mendiratta‐Lala (ORCID: https://orcid.org/0000-0003-4055-916X)
- Karim Seif El Dahan (ORCID: https://orcid.org/0000-0003-4268-4079)
- Nicole E. Rich (ORCID: https://orcid.org/0000-0003-2740-8818)
Institutions
- University of Michigan (US)
- Southwestern Medical Center (US)
- Kaiser Permanente Riverside Medical Center (US)
- Southwestern Medical Center (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- JHEP Reports
- Published
- 2025-02-13
- DOI
- https://doi.org/10.1016/j.jhepr.2025.101357
- Citations
- 2
- Primary Topic
- Liver Disease Diagnosis and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 2.71
Funders
- Cancer Prevention and Research Institute of Texas
- National Institutes of Health
- National Cancer Institute