Synopsis

The Liver Imaging Reporting And Data System (LI-RADS) was developed to standardize the interpretation, reporting and data collection for imaging examinations in patients at risk for hepatocellular carcinoma (HCC). The system has been developed by committees composed of radiologists, hepatologists, pathologists, and surgeons. In this debate, we will discuss the reasons why LI-RADS is needed and the problems that it solves. In response to current limitations of LI-RADS, we will discuss strategies to address unmet needs and to refine the system in response to new scientific evidence and user feedback.