Current gold standard for diagnosing primary liver cancer is through multi-phasic imaging with CT scans or MRI scans.
In high-risk patients, regular screening is carried out using abdominal ultrasound and a blood test for serum alpha-feto protein (AFP), which is a cancer marker. If either the ultrasound or serum AFP is abnormal, then a CT scan or MRI scan would be done to confirm the diagnosis.
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