Aditya Deb Sanyal, Abstract Co-Author: Nothing to Disclose

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

Jessica Garrette Zarzour MD, Abstract Co-Author: Nothing to Disclose

James R. Frost MD, Abstract Co-Author: Nothing to Disclose

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

Rupan Sanyal MD, Presenter: Research Grant, Bracco Group

1. Understand the system of liver transplant allocation in US  and the role of imaging in appropriate allocation of organs. 2. Learn concepts of MELD based allocation, MELD exception points, Milan criteria and OPTN imaging classification of hepatocellular carcinoma.

Radiologists and the reports generated by them now play an integral role in the liver allocation system in the US. This exhibit not only provides an overview of the organ allocation system but also the essentials of the new OPTN HCC classification system which need to be incorporated into radiology reports, so that the viewer can appreciate how radiology reports affect the allocation process.  Outline- 1. Background of liver transplantion/organ allocation in US 2. National Organ Transplant Act of 1987 3. Pre 2002 'First come firt serve policy' of organ allocation 4. Post 2002 MELD based organ allocation 5. Impact of HCC on MELD based allocation 6. MELD exception points 7. Milan criteria 8. Extended Milan (UCSF) criteria 9. Past ambiguity in imaging diagnosis of HCC 10. OPTN imaging classification of HCC 11. New OPTN imaging technical requirements 12. Role of bridge therapy on waitlisted patients 13. Regional downstaging protocols for HCC beyond Milan criteria    

http://abstract.rsna.org/uploads/2014/14015762/14015762_x3ob.pdf

Sanyal, A, Little, M, Zarzour, J, Frost, J, Thomas, J, Sanyal, R, MELD Allocation System for Liver Transplantation and OPTN Classification of Hepatocellular Carcinoma: What Does a Radiologist Need to Know?.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015762.html