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editorial
. 2017 Feb 17;4:29–39. doi: 10.2147/JHC.S125396

Table 1.

Comparison between LI-RADS v2011 and v2014

Category LI-RADS v2011 LI-RADS v2014
LR treated No LR-treated category Any observation that has undergone locoregional treatment, regardless of the outcome
LR-1 and LR-2 No difference between LI-RADS V2011 and LI-RADS v2014 No difference between LI-RADS V2011 and LI-RADS v2014
LR-3
Intermediate probability for HCC
<20 mm arterial-phase iso- or hypoenhancing mass with ≤1 of the following: portal/delayed phase hypoenhancement, diameter increase by ≥10 mm in 1 year
<20 mm arterial hyperenhancing mass with neither portal/delayed phase hypoenhancement nor ≥10 mm diameter increase within 1 year, or <20 mm arterial hyperenhancing nonmass-like and stable
≥20 mm iso- or hypoenhancing mass with neither portal/delayed phase hypoenhancement nor ≥10 mm diameter increase within 1 year, or ≥20 mm arterial hyperenhancing nonmass-like and stable
<20 mm arterial-phase iso- or hypoenhancing with “washout” only or “capsule” only or threshold growth only or none
≥20 mm arterial-phase iso- or hypoenhancing without “washout,” “capsule,” or threshold growth
<20 mm arterial-phase hyperenhancing without “washout,” “capsule,” or threshold growth
LR-4 LR-4A No A or B distinction
Probably HCC <20 mm arterial iso- or hypoenhancing mass with both portal/delayed phase hypoenhancement and ≥10 mm diameter increase within 1 year
<20 mm arterial-phase hyperenhancing mass with either portal/delayed phase hypoenhancement or ≥10 mm diameter increase within 1 year, but not both
LR-4B
≥20 mm arterial-phase iso- or hypoenhancing mass with portal/delayed phase hypoenhancement or ≥10 mm diameter increase within 1 year or both
≥20 mm arterial-phase hyperenhancing mass with neither portal/delayed phase hypoenhancement nor ≥10 mm diameter increase within 1 year
<20 mm arterial-phase iso- or hypoenhancing with ≥2 of the following: “washout,” “capsule,” or threshold growth
<10 mm arterial-phase hyperenhancing with ≥1 of the following: “washout,” “capsule,” or threshold growth
10–19 mm arterial-phase hyperenhancing with “washout” only or “capsule” only or threshold growth only
≥20 mm arterial-phase iso- or hypoenhancing with ≥1 of the following: “washout,” “capsule,” or threshold growth
≥20 mm arterial hyperenhancing mass without “washout”, “capsule”, or threshold growth
LR-5 LR-5A No A or B distinction
Definitely HCC ≥10 and <20 mm arterial hyperenhancing mass with both portal/delayed phase hypoenhancement and ≥ 10 mm diameter increase within 1 year
LR-5B
≥20 mm arterial hyperenhancing mass with portal/delayed phase hypoenhancement or ≥10 mm diameter within 1 year or both
10–19 mm arterial-phase hyperenhancing with ≥2 of the following: “washout,” “capsule,” or threshold growth
≥20 mm arterial hyperenhancing with ≥1 of: “washout,” “capsule,” or threshold growth
LR-5V No LR-5V category Mass with definite tumor in vein
LR-M No LR-M category Features suggestive of non-HCC malignancy such as rim arterial-phase hyperenhancement or peripheral washout appearance

Notes: See Table 2 for LI-RADS classifications.

Abbreviations: LI-RADS, Liver Imaging Reporting and Data System; HCC, hepatocellular carcinoma.