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©The Author(s) 2025.
World J Radiol. Mar 28, 2025; 17(3): 103822
Published online Mar 28, 2025. doi: 10.4329/wjr.v17.i3.103822
Published online Mar 28, 2025. doi: 10.4329/wjr.v17.i3.103822
Table 3 Diagnostic performance and logistic regression analyses of major features and ancillary features favoring malignancy in Liver Imaging Reporting and Data System version 2018 for diagnosing hepatocellular carcinoma
Features | Diagnostic performance (%) | Univariable analysis | Multivariable analysis | |||
Sensitivity | Specificity | OR (95%CI) | P value | OR (95%CI) | P value | |
Major features | ||||||
Size of lesions (≤ 20 mm; > 20 mm) | 73.3 (121/165) | 40.5 (32/79) | 1.872(1.063-3.299) | 0.029a | 0.969 (0.281-3.339) | 0.960 |
Nonrim APHE | 88.5 (146/165) | 49.4 (39/79) | 7.492(3.910-14.357) | 0.000a | 18.913 (5.437-65.788) | 0.000b |
Nonperipheral “washout” | 58.8 (97/165) | 88.6 (70/79) | 11.095 (5.188-23.727) | 0.000a | 3.443 (0.920-12.887) | 0.006b |
Threshold growth | 1.2 (2/165) | 96.2 (76/79) | 0.311(0.051-1.899) | 0.395 | - | - |
Enhancing “capsule” | 49.7 (82/165) | 94.9 (75/79) | 18.524 (6.475-52.991) | 0.000a | 7.126 (1.209-42.004) | 0.030b |
Malignant ancillary features favoring HCC | ||||||
Mosaic architecture | 51.5 (85/165) | 74.7 (59/79) | 3.134 (1.734-5.665) | 0.000a | 0.687 (0.188-2.516) | 0.571 |
Nonenhancing “capsule” | 4.2 (7/165) | 96.2 (76/79) | 1.122 (0.282-4.461) | 1.000 | - | - |
Blood products in mass | 38.2 (63/165) | 91.1 (73/79) | 6.353 (2.751-14.673) | 0.000a | 1.833 (0.385-8.730) | 0.446 |
Fat in mass, more than adjacent liver | 30.3 (50/165) | 89.9 (71/79) | 3.859 (1.729-8.612) | 0.000a | 9.846 (2.042-47.467) | 0.004b |
Nodule-in-nodule | 30.3 (50/165) | 93.7 (74/79) | 6.435 (2.453-16.883) | 0.000a | 0.995 (0.200-4.949) | 0.995 |
Favoring malignancy in general | ||||||
Corona enhancement | 15.2 (25/165) | 84.8 (67/79) | 0.997 (0.472-2.105) | 0.994 | - | - |
Restricted diffusion | 86.7 (143/165) | 57.0 (45/79) | 8.603 (4.571-16.190) | 0.000a | 0.697 (0.142-3.432) | 0.658 |
Mild-moderate T2 hyperintensity | 95.2 (157/165) | 86.3 (50/79) | 33.836 (14.535-78.766) | 0.000a | 13.516 (2.568-71.131) | 0.002b |
Fat sparing in solid mass | 4.8 (8/165) | 98.7 (78/79) | 3.975 (0.488-32.344) | 0.305 | - | - |
Iron sparing in solid mass | 6.1 (10/165) | 96.2 (76/79) | 1.634 (0.437-6.113) | 0.666 | - | |
Transitional phase hypointensity | 93.9 (155/165) | 68.4 (54/79) | 33.480 (15.103-74.219) | 0.000a | 43.403 (10.479-179.770) | 0.000b |
Hepatobiliary phase hypointensity | 93.3 (154/165) | 32.9 (26/79) | 6.868 (3.177-14.848) | 0.000a | 0.999 (0.230-4.344) | 0.999 |
Subthreshold growth | 5.5 (9/165) | 94.9 (75/79) | 1.082 (0.323-3.626) | 1.000 | - | - |
- Citation: Song Y, Zhang YY, Yu Q, Ma R, Xiao Y, Shen JK, Wei CG. Modified LR-5 criteria based on gadoxetic acid can improve the sensitivity in the diagnosis of hepatocellular carcinoma. World J Radiol 2025; 17(3): 103822
- URL: https://www.wjgnet.com/1949-8470/full/v17/i3/103822.htm
- DOI: https://dx.doi.org/10.4329/wjr.v17.i3.103822