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Choosing Wisely Recommendations

Don’t perform CT or MRI routinely to monitor benign focal lesions in the liver unless there is a major change in clinical findings or symptoms.

Rationale and Comments

Patients with benign focal liver lesions (other than hepatocellular adenoma) who don’t have underlying liver disease and have demonstrated clinical and radiologic stability do not need repeated imaging.

Sponsoring Organizations

  • American Association for the Study of Liver Diseases

Sources

  • Expert consensus

Disciplines

  • Gastroenterologic

References

  • Bioulac-Sage P, et al. Hepatocellular adenoma management and phenotypic classification: the Bordeaux experience. Hepatology. 2009;50(2):481–9.