Characteristics | 20% | 30% | 50% | k Valuea | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ki-67 < 20% | Ki-67 ≥ 20% | P | Ki-67 < 30% | Ki-67 ≥ 30% | P | Ki-67 < 50% | Ki-67 ≥ 50% | P | |||||
Diameter (≥ 5 cm) | N | 18(51.4%) | 46(53.5%) | 0.837 | N | 29(60.4%) | 35(47.9%) | 0.179 | N | 45(59.2%) | 19(42.2%) | 0.070 | |
P | 17(48.6%) | 40(46.5%) | P | 19(39.6%) | 38(52.1%) | P | 31(40.8%) | 26(57.8%) | |||||
Major features of HCC | |||||||||||||
Non-rim APHE | N | 5(14.3%) | 20(23.3%) | 0.269 | N | 7(14.6%) | 18(24.7%) | 0.181 | N | 17(22.4%) | 8(17.8%) | 0.547 | 0.948 (0.877–1.000) |
P | 30(85.7%) | 66(76.7%) | P | 41(85.4%) | 55(75.3%) | P | 59(77.6%) | 37(82.2%) | |||||
Nonperipheral washout | N | 3(8.6%) | 20(23.3%) | 0.062 | N | 6(12.5%) | 17(23.3%) | 0.139 | N | 16(21.1%) | 7(15.6%) | 0.456 | 0.868 (0.755–0.981) |
P | 32(91.4%) | 66(76.7%) | P | 42(87.5%) | 56(76.7%) | P | 60(78.9%) | 38(84.4%) | |||||
Capsule enhancement | N | 6(17.1%) | 24(27.9%) | 0.214 | N | 10(20.8%) | 20(27.4%) | 0.413 | N | 19(25.0%) | 11(24.4%) | 0.945 | 0.934 (0.861–1.000) |
P | 29(82.9%) | 62(72.1%) | P | 38(79.2%) | 53(72.6%) | P | 57(75.0%) | 34(75.6%) | |||||
Ancillary features (AF) that favor HCC over non-HCC malignancies | |||||||||||||
Non-enhanced capsule | N | 32(91.4%) | 74(86.0%) | 0.415 | N | 40(83.3%) | 66(90.4%) | 0.248 | N | 65(85.5%) | 41(91.1%) | 0.368 | 0.792 (0.616–0.968) |
P | 3(8.6%) | 12(14.0%) | P | 8(16.7%) | 7(9.6%) | P | 11(14.5%) | 4(8.9%) | |||||
Nodule in nodule | N | 17(48.6%) | 29(33.7%) | 0.127 | N | 23(47.9%) | 23(31.5%) | 0.069 | N | 39(51.3%) | 7(15.6%) | < 0.001 | 0.878 (0.790–0.966) |
P | 18(51.4%) | 57(66.3%) | P | 25(52.1%) | 50(68.5%) | P | 37(48.7%) | 38(84.4%) | |||||
Mosaic architecture | N | 18(51.4%) | 30(34.9%) | 0.092 | N | 24(50.0%) | 24(32.9%) | 0.060 | N | 43(56.6%) | 5(11.1%) | < 0.001 | 0.898 (0.818–0.977) |
P | 17(48.6%) | 56(65.1%) | P | 24(50.0%) | 49(67.1%) | P | 33(43.4%) | 40(88.9%) | |||||
Blood products in mass | N | 25(71.4%) | 61(70.9%) | 0.956 | N | 35(72.9%) | 51(69.9%) | 0.717 | N | 59(77.6%) | 27(60.0%) | 0.039 | 0.980 (0.941–1.000) |
P | 10(28.6%) | 25(29.1%) | P | 13(27.1%) | 22(30.1%) | P | 17(22.4%) | 18(40.0%) | |||||
Fat in mass, more than adjacent liver | N | 30(85.7%) | 71(82.6%) | 0.672 | N | 38(79.2%) | 63(86.3%) | 0.301 | N | 63(82.9%) | 38(84.4%) | 0.824 | 0.908 (0.806–1.000) |
P | 5(14.3%) | 15(17.4%) | P | 10(20.8%) | 10(13.7%) | P | 13(17.1%) | 7(15.6%) | |||||
AF favoring malignancies in general, not HCC in particular | |||||||||||||
Mild to moderate T2 hyperintensity | N | 0(0.0%) | 3(3.5%) | 0.263 | N | 0(0.0%) | 3(4.1%) | 0.155 | N | 0(0.0%) | 3(6.7%) | 0.023 | 0.853 (0.569–1.000) |
P | 35(100.0%) | 83(96.5%) | P | 48(100.0%) | 70(95.9%) | P | 76(100.0%) | 42(93.3%) | |||||
Restricted diffusion | N | 0(0.0%) | 2(2.3%) | 0.363 | N | 0(0.0%) | 2(2.7%) | 0.248 | N | 1(1.3%) | 1(2.2%) | 0.705 | 0.954 (0.890–1.000) |
P | 35(100.0%) | 84(97.7%) | P | 48(100.0%) | 71(97.3%) | P | 75(98.7%) | 44(97.8%) | |||||
Corona enhancement | N | 34(97.1%) | 77(89.5%) | 0.168 | N | 47(97.9%) | 64(87.7%) | 0.045 | N | 73(96.1%) | 38(84.4%) | 0.025 | 0.760 (0.559–0.961) |
P | 1(2.9%) | 9(10.5%) | P | 1(2.1%) | 9(12.3%) | P | 3(3.9%) | 7(15.6%) | |||||
Fat sparing in a solid mass | N | 26(74.3%) | 65(75.6%) | 0.881 | N | 36(75.0%) | 55(75.3%) | 0.966 | N | 55(72.4%) | 36(80.0%) | 0.347 | 0.890 (0.814–1.000) |
P | 9(25.7%) | 21(24.4%) | P | 12(25.0%) | 18(24.7%) | P | 21(27.6%) | 9(20.0%) | |||||
Iron sparing in a solid mass | N | 35(28.9%) | 85(98.8%) | 0.522 | N | 48(100.0%) | 72(98.6%) | 0.415 | N | 76(100.0%) | 44(97.8%) | 0.192 | 1.000 (1.000–1.000) |
P | 0(0.0%) | 1(1.2%) | P | 0(0.0%) | 1(1.4%) | P | 0(0.0%) | 1(2.2%) | |||||
Transitional phase hypointensity | N | 0(0.0%) | 5(5.8%) | 0.145 | N | 1(2.1%) | 4(5.5%) | 0.359 | N | 2(2.6%) | 3(6.7%) | 0.281 | 0.905 (0.720–1.000) |
P | 35(100.0%) | 81(94.2%) | P | 47(97.9%) | 69(94.5%) | P | 74(97.4%) | 42(93.3%) | |||||
HBP hypointensity | N | 0(0.0%) | 4(4.7%) | 0.194 | N | 1(2.1%) | 3(4.1%) | 0.542 | N | 2(2.6%) | 2(4.4%) | 0.590 | 0.853 (0.569–1.000) |
P | 35(100.0%) | 82(95.3%) | P | 47(97.9%) | 70(95.9%) | P | 74(97.4%) | 43(95.6%) | |||||
LR-M features | |||||||||||||
Rim APHE | N | 35(100.0%) | 74(86.0%) | 0.020 | N | 48(100.0%) | 61(83.6%) | 0.003 | N | 71(93.4%) | 38(84.4%) | 0.110 | 0.783 (0.578–0.987) |
P | 0(0.0%) | 12(14.0%) | P | 0(0.0%) | 12(16.4%) | P | 5(6.6%) | 7(15.6%) | |||||
Peripheral “washout” | N | 34(97.1%) | 81(94.2%) | 0.497 | N | 47(97.9%) | 68(93.2%) | 0.237 | N | 73(96.1%) | 42(93.3%) | 0.505 | 0.792 (0.512–1.000) |
P | 1(2.9%) | 5(5.8%) | P | 1(2.1%) | 5(6.8%) | P | 3(3.9%) | 3(6.7%) | |||||
Delayed central enhancement | N | 35(100.0%) | 81(94.2%) | 0.145 | N | 48(100.0%) | 68(93.2%) | 0.064 | N | 74(97.4%) | 42(93.3%) | 0.281 | 0.885 (0.661–1.000) |
P | 0(0.0%) | 5(5.8%) | P | 0(0.0%) | 5(6.8%) | P | 2(2.6%) | 3(6.7%) | |||||
Targetoid restriction | N | 35(100.0%) | 74(86.0%) | 0.020 | N | 46(95.8%) | 63(86.3%) | 0.086 | N | 69(90.8%) | 40(88.9%) | 0.735 | 0.914 (0.796–1.000) |
P | 0(0.0%) | 12(14.0%) | P | 2(4.2%) | 10(13.7%) | P | 7(9.2%) | 5(11.1%) | |||||
Targetoid TP | N | 31(88.6%) | 73(84.9%) | 0.597 | N | 40(83.3%) | 64(87.7%) | 0.502 | N | 63(82.9%) | 41(91.1%) | 0.209 | 0.869 (0.744–0.995) |
P | 4(11.4%) | 13(15.1%) | P | 8(16.7%) | 9(12.3%) | P | 13(17.1%) | 4(8.9%) | |||||
Targetoid HBP | N | 23(65.7%) | 57(66.3%) | 0.953 | N | 30(62.5%) | 50(68.5%) | 0.496 | N | 46(60.5%) | 34(75.6%) | 0.091 | 0.909 (0.832–0.987) |
P | 12(34.3%) | 29(33.7%) | P | 18(37.5%) | 23(31.5%) | P | 30(39.5%) | 11(24.4%) | |||||
Infiltrative appearance | N | 13(37.1%) | 32(37.2%) | 0.995 | N | 21(43.8%) | 24(32.9%) | 0.226 | N | 35(46.1%) | 10(22.2%) | 0.009 | 0.911 (0.835–0.987) |
P | 22(62.9%) | 54(62.8%) | P | 27(56.2%) | 49(67.1%) | P | 41(53.9%) | 35(77.8%) | |||||
Marked diffusion restriction | N | 6(17.1%) | 23(26.7%) | 0.262 | N | 10(20.8%) | 19(26.0%) | 0.513 | N | 16(21.1%) | 13(28.9%) | 0.329 | 0.796 (0.406–1.000) |
P | 29(82.9%) | 63(73.3%) | P | 38(79.2%) | 54(74.0%) | P | 60(78.9%) | 32(71.1%) | |||||
Necrosis or severe ischemia | N | 16(45.7%) | 38(44.2%) | 0.878 | N | 23(47.9%) | 31(42.5%) | 0.555 | N | 37(48.7%) | 17(37.8%) | 0.243 | 0.967 (0.921–1.000) |
P | 19(54.3%) | 48(55.8%) | P | 25(52.1%) | 42(57.5%) | P | 39(51.3%) | 28(62.2%) | |||||
Other imaging features | |||||||||||||
Intratumoral artery | N | 20(57.1%) | 58(67.4%) | 0.283 | N | 28(58.3%) | 50(68.5%) | 0.253 | N | 51(67.1%) | 27(60.0%) | 0.430 | 0.888 (0.802–0.975) |
P | 15(42.9%) | 28(32.6%) | P | 20(41.7%) | 23(31.5%) | P | 25(32.9%) | 18(40.0%) | |||||
Satellite nodules | N | 26(74.3%) | 52(60.5%) | 0.150 | N | 36(75.0%) | 42(57.5%) | 0.050 | N | 52(68.4%) | 26(57.8%) | 0.237 | 0.907 (0.828–0.987) |
P | 9(25.7%) | 34(39.5%) | P | 12(25.0%) | 31(42.5%) | P | 24(31.6%) | 19(42.2%) | |||||
Portal and hepatic vein tumor thrombus | N | 31(88.6%) | 66(76.7%) | 0.139 | N | 43(89.6%) | 54(74.0%) | 0.035 | N | 65(85.5%) | 32(71.1%) | 0.055 | 0.974 (0.922–1.000) |
P | 4(11.4%) | 20(23.3%) | P | 5(10.4%) | 19(26.0%) | P | 11(14.5%) | 13(28.9%) | |||||
Peritumoral enhancement | N | 35(100.0%) | 75(87.2%) | 0.026 | N | 47(97.9%) | 63(86.3%) | 0.030 | N | 72(94.7%) | 38(84.4%) | 0.057 | 0.948 (0.846–1.000) |
P | 0(0.0%) | 11(12.8%) | P | 1(2.1%) | 10(13.7%) | P | 4(5.3%) | 7(15.6%) | |||||
Lymph node metastasis | N | 34(97.1%) | 82(95.3%) | 0.653 | N | 47(97.9%) | 69(94.5%) | 0.359 | N | 74(97.4%) | 42(93.3%) | 0.281 | 0.885 (0.661–1.000) |
P | 1(2.9%) | 4(4.7%) | P | 1(2.1%) | 4(5.5%) | P | 2(2.6%) | 3(6.7%) | |||||
Ascites | N | 32(91.4%) | 73(84.9%) | 0.335 | N | 40(83.3%) | 65(89.0%) | 0.365 | N | 66(86.8%) | 39(86.7%) | 0.978 | 0.963 (0.891–1.000) |
P | 3(8.6%) | 13(15.1%) | P | 8(16.7%) | 8(11.0%) | P | 10(13.2%) | 6(13.3%) |