US LI-RADS visualization score: diagnostic outcome of ultrasound-guided focal hepatic lesion biopsy in patients at risk for hepatocellular carcinoma
DC Field | Value | Language |
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dc.contributor.author | Kang, Ji Hun | - |
dc.contributor.author | Choi, Sang Hyun | - |
dc.contributor.author | Kim, So Yeon | - |
dc.contributor.author | Lee, So Jung | - |
dc.contributor.author | Shin, Yong Moon | - |
dc.contributor.author | Won, Hyung Jin | - |
dc.contributor.author | Kim, Pyo-Nyun | - |
dc.date.accessioned | 2023-09-04T07:05:18Z | - |
dc.date.available | 2023-09-04T07:05:18Z | - |
dc.date.created | 2023-08-15 | - |
dc.date.issued | 2021-01 | - |
dc.identifier.issn | 2288-5919 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/189643 | - |
dc.description.abstract | Purpose: This study investigated the diagnostic outcome of ultrasound (US)-guided focal hepatic lesion biopsy in patients at risk for hepatocellular carcinoma (HCC) and evaluated the US visualization score as a risk factor for non-diagnostic results. Methods: We retrospectively evaluated 208 focal hepatic lesions in 208 patients who underwent US- guided biopsy in 2016. Using the US Liver Imaging Reporting and Data System version 2017, each exam was assigned a US visualization score (A, B, or C). Final diagnoses were made using pathology reports, and biopsy results were categorized as diagnostic or non-diagnostic. Univariable and multivariable analyses were performed to determine risk factors for non-diagnostic results, including US visualization score and other clinical covariates. Results: Of the 208 lesions, 85.1% were diagnostic and 14.9% were non-diagnostic. The rates of non-diagnostic results were 8.9%, 25.5%, and 57.1% for scores of A, B, and C, respectively. In the univariable analysis, scores of B or C were associated with a significantly higher rate of nondiagnostic results than scores of A (58.1% vs. 24.9%, P<0.001). In the multivariable analysis, US visualization score of B or C (adjusted odds ratio [aOR], 2.7; P=0.027), high-risk needle pathway usage (aOR, 5.7; P=0.001), and lesion size <= 2.0 cm (aOR, 2.7; P=0.024) were independent risk factors for non-diagnostic results. Conclusion: US-guided biopsy had a high diagnostic yield for focal hepatic lesions in patients at risk for HCC. US visualization score of B or C, lesion size =2.0 cm, and high-risk needle pathway usage were independent risk factors for non-diagnostic results. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Korean Society of Ultrasound in Medicine | - |
dc.title | US LI-RADS visualization score: diagnostic outcome of ultrasound-guided focal hepatic lesion biopsy in patients at risk for hepatocellular carcinoma | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kang, Ji Hun | - |
dc.identifier.doi | 10.14366/usg.19066 | - |
dc.identifier.scopusid | 2-s2.0-85099320904 | - |
dc.identifier.wosid | 000602774600017 | - |
dc.identifier.bibliographicCitation | Ultrasonography, v.40, no.1, pp.167 - 175 | - |
dc.relation.isPartOf | Ultrasonography | - |
dc.citation.title | Ultrasonography | - |
dc.citation.volume | 40 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 167 | - |
dc.citation.endPage | 175 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002669463 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.subject.keywordPlus | NEEDLE-BIOPSY | - |
dc.subject.keywordPlus | LIVER | - |
dc.subject.keywordPlus | CIRRHOSIS | - |
dc.subject.keywordPlus | UTILITY | - |
dc.subject.keywordAuthor | Biopsy | - |
dc.subject.keywordAuthor | Diagnosis | - |
dc.subject.keywordAuthor | Hepatocellular carcinoma | - |
dc.subject.keywordAuthor | Liver | - |
dc.subject.keywordAuthor | Ultrasonography | - |
dc.identifier.url | https://www.e-ultrasonography.org/journal/view.php?doi=10.14366/usg.19066 | - |
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