BENIGN HEPATOCELLULAR TUMORS - MRI AFTER SUPERPARAMAGNETIC IRON-OXIDE ADMINISTRATION

被引:66
作者
GRANDIN, C
VANBEERS, BE
ROBERT, A
GIGOT, JF
GEUBEL, A
PRINGOT, J
机构
[1] CLIN UNIV ST LUC,DEPT SURG,B-1200 BRUSSELS,BELGIUM
[2] CLIN UNIV ST LUC,DEPT INTERNAL MED,GASTROENTEROL SECT,B-1200 BRUSSELS,BELGIUM
[3] UNIV CATHOLIQUE LOUVAIN,INST STAT,BRUSSELS,BELGIUM
关键词
LIVER; NEOPLASMS; IRON; MAGNETIC RESONANCE IMAGING; TISSUE CHARACTERIZATION;
D O I
10.1097/00004728-199505000-00014
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: Our goal was to describe the features of benign hepatocellular tumors on superparamagnetic iron oxide (SPIO)-enhanced MR images and to evaluate the potential role of SPIO administration in the diagnosis of these tumors. Materials and Methods: The T1- and T2-weighted SE images were performed before and after SPIO administration in 19 patients with focal nodular hyperplasia (FNH) or adenomas. The lesions were counted and qualitatively assessed. In 32 tumors with a diameter of >10 mm, the contrast-to-noise ratio (CNR) and the liver and tumor enhancement were calculated. Results: Thirty-seven tumors were detected on MR images: 29 before and 36 after SPIO administration (p < 0.05). The SPIO-enhanced T1-weighted images provided the highest detection rate and CNR. The central scar was most conspicuous on SPIO-enhanced T2-weighted images. Most FNHs and adenomas lost less signal than the liver, three tumors did not lose signal, and four FNHs showed a signal loss equal to or greater than that of the liver. Conclusion: The SPIO-enhanced T1-weighted images increased the CNR and the detection rate of benign hepatocellular tumors. On T2-weighted images, most benign hepatocellular tumors showed a signal decrease after SPIO administration. No significant difference in signal loss was observed between FNH and adenomas.
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页码:412 / 418
页数:7
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