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Fig. 1 | Cancer Imaging

Fig. 1

From: Comparison of international guidelines for diagnosis of hepatocellular carcinoma and implications for transplant allocation in liver transplantation candidates with gadoxetic acid enhanced liver MRI versus contrast enhanced CT: a prospective study with liver explant histopathological correlation

Fig. 1

A 70-year-old male with chronic hepatitis B-related cirrhosis. Axial T1-weighted post-gadolinium fat-saturated images demonstrate a segment 6, 27 mm lesion with arterial-phase hyperenhancement (A), no washout on portal venous (B) or hepatic venous (C) phases, and hypointensity on hepatobiliary phase (D). The lesion would not count as having a washout as per LI-RADS (LI-RADS 4) and EASL (non-HCC) guidelines but would be considered to have washout as per APASL and KLCA guidelines (HCC as per both guidelines)

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