MN-DPDP ENHANCEMENT PATTERNS OF HEPATOCELLULAR LESIONS ON MR-IMAGES

被引:45
作者
VOGL, TJ
HAMM, B
SCHNELL, B
MCMAHON, C
BRANDING, G
LISSNER, J
WOLF, KJ
机构
[1] Department of Radiology, University of Munich, Munich, 8000
[2] Department of Radiology, Klinikum Steglitz, University of Berlin, Berlin
来源
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING | 1993年 / 3卷 / 01期
关键词
CONTRAST ENHANCEMENT; LIVER; FOCAL NODULAR HYPERPLASIA; LIVER NEOPLASMS; DIAGNOSIS; MR; MANGANESE;
D O I
10.1002/jmri.1880030110
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
The recently developed paramagnetic hepatobiliary contrast agent manganese dipyridoxyl diphosphate (DPDP) was evaluated in eight patients. Pathologic diagnoses included five hepatocellular carcinomas, two cirrhoses, and one focal nodular hyperplasia. T1-weighted spin-echo and gradient-echo images were obtained after intravenous injection of 5 or 10 mumol/kg Mn-DPDP; these were compared with unenhanced T1-weighted spin-echo and gradient-echo images and T2-weighted spin-echo images. In all patients with lesions of hepatocellular origin, focal areas of increased enhancement were seen in the lesions after administration of Mn-DPDP. In the cirrhotic livers, these areas corresponded to foci of hepatic regeneration. In all patients, the signal-to-noise ratio in normal liver tissue increased significantly after injection of Mn-DPDP. Signal intensity in the six primary liver tumors was further increased, so that they appeared hyperintense relative to surrounding liver tissue on all T1-weighted images. Conspicuity and demarcation of all lesions were improved on Mn-DPDP-enhanced images.
引用
收藏
页码:51 / 58
页数:8
相关论文
共 30 条
[1]  
Lauffer RB, Hepatobiliary agents for MRI: rationale and preliminary evaluation, Liver imaging: current trends and new techniques, pp. 365-373, (1990)
[2]  
Rocklage SM, Cacheris WP, Quay SC, Hahn FE, Raymond KN, Manganese (II) N, N'‐dipyridoxylethylenediamine‐N, N'‐diacetate 5,5′‐bis(phosphate): synthesis and characterization of a paramagnetic chelate for magnetic resonance imaging enhancement, Inorg Chem, 28, pp. 477-485, (1989)
[3]  
Rocklage SM, Van Wagoner M, Hepatobiliary contrast agents: an overview of the development of manganese di‐pyridoxyl diphosphate (Mn‐DPDP), Liver imaging: current trends and new techniques, pp. 374-383, (1990)
[4]  
Elizondo G, Fretz CJ, Stark DD, Et al., Preclinical evaluation of MnDPDP: new paramagnetic hepatobiliary contrast agent for MR imaging, Radiology, 178, pp. 73-78, (1991)
[5]  
Lim KO, Stark DD, Leese PT, Pfefferbaum A, Rocklage SM, Quay SC, Hepatobiliary MR imaging: first human experience with Mn DPDP, Radiology, 178, pp. 79-82, (1991)
[6]  
Hamm B, Vogl TJ, Branding G, Et al., MR imaging of focal liver lesions with Mn‐DPDP as a new hepatobiliary contrast agent: initial clinical results in 40 patients, Radiology, 182, pp. 167-174, (1992)
[7]  
Edelman RR, Hesselink JR, Clinical magnetic resonance imaging, pp. 150-166, (1990)
[8]  
Stark DD, Felder RC, Wittenberg J, Et al., Magnetic resonance imaging of cavernous hemangioma of the liver: tissue‐specific characterization, AJR, 195, pp. 213-222, (1985)
[9]  
Ohtomo K, Itai Y, Furui S, Yashiro N, Yoshikawa K, Lio M, Hepatic tumors: differentiation by transverse relaxation time (T2) of magnetic resonance imaging, Radiology, 155, pp. 421-423, (1985)
[10]  
Li KC, Glazer GM, Quint LE, Et al., Distinction of hepatic cavernous hemangioma from hepatic metastases with MR imaging, Radiology, 169, pp. 409-415, (1988)