Retrospective Study
Copyright ©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
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
FeaturesDiagnostic 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)0.029a0.969 (0.281-3.339)0.960
Nonrim APHE88.5 (146/165)49.4 (39/79)7.492(3.910-14.357)0.000a18.913 (5.437-65.788)0.000b
Nonperipheral “washout”58.8 (97/165)88.6 (70/79)11.095 (5.188-23.727)0.000a3.443 (0.920-12.887)0.006b
Threshold growth1.2 (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)0.000a7.126 (1.209-42.004)0.030b
Malignant ancillary features favoring HCC
Mosaic architecture51.5 (85/165)74.7 (59/79)3.134 (1.734-5.665)0.000a0.687 (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 mass38.2 (63/165)91.1 (73/79)6.353 (2.751-14.673)0.000a1.833 (0.385-8.730)0.446
Fat in mass, more than adjacent liver30.3 (50/165)89.9 (71/79)3.859 (1.729-8.612)0.000a9.846 (2.042-47.467)0.004b
Nodule-in-nodule30.3 (50/165)93.7 (74/79)6.435 (2.453-16.883)0.000a0.995 (0.200-4.949)0.995
Favoring malignancy in general
Corona enhancement15.2 (25/165)84.8 (67/79)0.997 (0.472-2.105)0.994--
Restricted diffusion86.7 (143/165)57.0 (45/79)8.603 (4.571-16.190)0.000a0.697 (0.142-3.432)0.658
Mild-moderate T2 hyperintensity95.2 (157/165)86.3 (50/79)33.836 (14.535-78.766)0.000a13.516 (2.568-71.131)0.002b
Fat sparing in solid mass4.8 (8/165)98.7 (78/79)3.975 (0.488-32.344)0.305--
Iron sparing in solid mass6.1 (10/165)96.2 (76/79)1.634 (0.437-6.113)0.666-
Transitional phase hypointensity93.9 (155/165)68.4 (54/79)33.480 (15.103-74.219)0.000a43.403 (10.479-179.770)0.000b
Hepatobiliary phase hypointensity93.3 (154/165)32.9 (26/79)6.868 (3.177-14.848)0.000a0.999 (0.230-4.344)0.999
Subthreshold growth5.5 (9/165)94.9 (75/79)1.082 (0.323-3.626)1.000--