James R. Frost MD, Presenter: Nothing to Disclose

Mark Dickson Little MD, Abstract Co-Author: Nothing to Disclose

Lauren Freeman Alexander MD, Abstract Co-Author: Nothing to Disclose

John V. Thomas MD, MRCP, Abstract Co-Author: Nothing to Disclose

Rupan Sanyal MD, Abstract Co-Author: Research Grant, Bracco Group

The purpose of the exhibit is: 1. To understand the basis by which chronic liver disease patients are currently selected for liver transplantation, as it relates to HCC and non-HCC patients. 2. To review OPTN/UNOS new minimum technical specifications for hepatocellular carcinoma imaging. 3. To demonstrate, with specific imaging examples, new OPTN/UNOS classification system for liver nodules seen in cirrhosis, with implications on diagnosis and reporting.

1. Introduction. Rational for new OPTN/UNOS criteria to address patients with HCC and well compensated liver failure with the purpose of generating automatic MELD exception points. 2. Review of MELD scoring and Milan Criteria and its relation to liver transplant allocation. 3. New recommended OPTN/UNOS technical and dynamic imaging specifications for CT and MRI. 4. Description of new OPTN/UNOS classifications for hepatocellular carcinoma with the purpose of optimizing lesion specificity over sensitivity, with specific case examples. 5. Review guidelines to improve and standardize HCC radiologic reporting.

Key learning objectives: 1. Understand the rational for liver transplant allocation. 2. Understand new OPTN/UNOS criteria for the standardization of dynamic HCC imaging. 3. Apply new OPTN/UNOS classification criteria to improve HCC diagnosis and reporting.

Frost, J, Little, M, Alexander, L, Thomas, J, Sanyal, R, A Lesion by Any Other Name is Not the Same: Application of New OPTN/UNOS Imaging Classification in the Diagnosis and Reporting of Hepatocellular Carcinoma.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13021241.html