【Abstract】ObjectiveTo investigate the diagnostic value of a fast gradient-echo (GRE) three-dimensional contrastenhanced volumetric interpolated breath-hold examination (3D-VIBE) MR sequence in evaluating focal liver lesions.
MethodsConventional spin-echo T2W, 2D GRE T1W plain scan and Gd-enhanced 3D-VIBE multi-phasic(early arterial, late arterial and portal venous phases) acquisitions were prospectively performed for 51 consecutive patients suspected of having focal liver lesions on CT or ultrasound imaging. Native T2W and 2D GRE T1W were acquired first, then 3D-VIBE fast scanning at early arterial, late arterial and portal venous phases respectively. The SNR and CNR of the liver lesions on plain scan and the enhancement patterns on contrast-enhanced 3D-VIBE images were carefully observed with correlation of the clinical and surgical pathological findings.
ResultsThere exited certain differences in SNR, CNR, and the enhancement patterns of different kinds of focal hepatic lesions in plain scan and Gd-enhanced multi-phasic 3D-VIBE acquisitions.
Conclusion3D-VIBE MR sequence is helpful in the detection and characterization of focal liver lesions.
Citation:
WU Yinghua,SONG Bin,XU Jun.. Diagnostic Value of Contrast-Enhanced Volumetric Interpolated Breath-Hold Examination MR Sequence in Focal Hepatic Lesions. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(2): 227-232. doi:
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- 2. Foley WD, Mallisee TA, Hohenwalter MD, et al. Multiphase hepatic CT with a multirow detector CT scanner [J]. AJR Am J Roentgenol, 2000; 175(3)∶679.
- 3. Kim T, Murakami T, Hori M, et al. Small hypervascular hepatocellular carcinoma revealed by double arterial phase CT performed with single breathhold scanning and automatic bolus tracking [J]. AJR Am J Roentgenol, 2002; 178(4)∶899.
- 4. Murakami T, Kim T, Takamura M, et al. Hypervascular hepatocellular carcinoma: detection with double arterial phase multidetector row helical CT [J]. Radiology, 2001; 218(3)∶763.
- 5. 许乙凯, 胡蓉, 张树军, 等主编. 磁共振造影剂及临床应用 [M]. 第5版. 北京: 人民卫生出版社, 2003∶436~445.
- 6. Kan Z, Ivancev K, Lunderquist A, et al. In vivo microscopy of hepatic tumors in animal models: a dynamic investigation of blood supply to hepatic metastases [J]. Radiology, 1993; 187(3)∶621.
- 7. Lin G, Hagerstrand I, Lunderquist A. Portal blood supply of liver metastases [J]. AJR Am J Roentgenol, 1984; 143(1)∶53.
- 8. Yamashita Y, Ogata I, Urata J, et al. Cavernous hemangioma of the liver: pathologic correlation with dynamic CT findings [J]. Radiology, 1997; 203(1)∶121.
- 9. Ito K, Blasbalg R, Hussain SM, et al. Portal vein and its tributaries: evaluation with thinsection threedimensional contrastenhanced dynamic fatsuppressed MR imaging [J]. Radiology, 2000; 215(2)∶381.