LI-RADS — when to use Primovist (gadoxetate)?

Hepatobiliary agent with specific hepatobiliary phase (20 min post-injection) helps characterize HCC, FNH and metastasis. Advantages in LR-3 and LR-4 with borderline washout features.

When MRI in pancreatitis?

Recurrent pancreatitis without clear etiology (MRCP for microlithiasis, congenital anomalies), chronic pancreatitis for duct mapping and cystic lesion characterization.

Liver fat quantification — which technique?

PDFF (proton density fat fraction) with multi-echo sequences is the non-invasive reference. > 5% indicates steatosis; correlate with biopsy in clinical studies.

Report template — MRI of sacroiliac

When to use

Hepatobiliary MRI is superior to CT for focal liver lesion characterization (especially in cirrhotic liver — LI-RADS), biliary tree assessment (MRCP), chronic pancreatitis, Crohn's disease (MR enterography) and deep endometriosis.

What to evaluate

Focal liver lesions: T1/T2 signal, diffusion, dynamic enhancement pattern, hepatobiliary phase (with Primovist).
Biliary tree: caliber, filling defects, congenital anomalies.
Pancreas: main duct, focal lesions, calcifications.
Quantification: liver fat (PDFF), liver iron (R2*) when applicable.
Bowel (MR enterography): thickening, enhancement, inflammatory signs, fistulae.

Interactive template

Fill the blanks0/1

Técnica: Sequências ponderadas em T1 e T2, em aquisições multiplanares, XXXX pré e pós-contraste. Análise: - Articulações sacroilíacas: morfologia preservada, sem evidências de erosões ou edema subcondral. Ausência de derrame articular. - Estruturas ósseas: de morfologia e sinal medular conservados. Ausência de fraturas ou de lesões ósseas focais de aspecto agressivo. - Alinhamento: peças sacrais e coccígeas com alinhamento preservado. - Forames sacrais: amplos e com livre emergência das raízes neurais. - Planos musculares: dentro da normalidade. Comparação: Em relação ao exame de não se observam alterações significativas. Conclusão: Exame dentro dos limites da normalidade.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Related classifications

LI-RADS — focal liver lesion characterization

Frequently asked

LI-RADS — when to use Primovist (gadoxetate)?: Hepatobiliary agent with specific hepatobiliary phase (20 min post-injection) helps characterize HCC, FNH and metastasis. Advantages in LR-3 and LR-4 with borderline washout features.
When MRI in pancreatitis?: Recurrent pancreatitis without clear etiology (MRCP for microlithiasis, congenital anomalies), chronic pancreatitis for duct mapping and cystic lesion characterization.
Liver fat quantification — which technique?: PDFF (proton density fat fraction) with multi-echo sequences is the non-invasive reference. > 5% indicates steatosis; correlate with biopsy in clinical studies.

References

ACR LI-RADS v2018 CT/MRI.
Reeder SB et al., JMRI 2011 (PDFF).