Liver Imaging Reporting and Data System Category on Magnetic Resonance Imaging Predicts Recurrence of Hepatocellular Carcinoma After Liver Transplantation Within ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-03-09

AUTHORS

Sunyoung Lee, Kyoung Won Kim, Woo Kyoung Jeong, So Yeong Jeong, Jeong Ah Hwang, Jin Sub Choi, Sung-Gyu Lee, Jae-Won Joh

ABSTRACT

BackgroundThis study was designed to investigate the association between Liver Imaging Reporting and Data System (LI-RADS) category and recurrence of hepatocellular carcinoma (HCC) after primary liver transplantation (LT) within the Milan criteria.MethodsThis multicenter, retrospective study included 140 recipients who underwent living donor LT (LDLT) for treatment-naïve HCC and pretransplant contrast-enhanced magnetic resonance imaging (MRI) between 2009 and 2013. LI-RADS categories were assigned using LI-RADS version 2018. Recurrence-free survival (RFS) and associated factors were evaluated using Cox proportional hazards regression analysis, Kaplan-Meier analysis, and log-rank test. Histological grading and microvascular invasion (MVI) were analyzed on the pathologic examinations of explanted livers.ResultsThe overall 1-, 3-, 5-, and 7-year RFS rates were 95.6%, 92.6%, 90.2%, and 89.3%, respectively. In the multivariable analysis, independent predictors of recurrence included HCCs categorized as LR-M (hazard ratio [HR], 18.68; 95% confidence interval [CI], 5.79–60.23; P < 0.001) and the largest tumor size of ≥ 3 cm on MRI (HR, 4.18; 95% CI, 1.42–12.37; P = 0.010). The 5-year RFS rate was significantly lower in patients with HCCs categorized as LR-M than in those with HCCs categorized as LR-5 or 4 (LR-5/4) (36.9% vs. 95.8%, respectively; P < 0.001). HCCs categorized as LR-M exhibited significantly more MVI than HCCs categorized as LR-5/4 (57.1% vs. 17.5%, respectively; P = 0.002).ConclusionsPatients with HCCs categorized as LR-M using LI-RADS version 2018 may have a worse prognosis after primary LT within the Milan criteria than those with HCCs categorized as LR-5/4. More... »

PAGES

6782-6789

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/s10434-021-09772-8

DOI

http://dx.doi.org/10.1245/s10434-021-09772-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1136270777

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/33751296


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