Magnetic resonance imaging appearance of well-differentiated hepatocellular carcinoma.

Abstract:

OBJECTIVE:To investigate the magnetic resonance imaging (MRI) features of well-differentiated hepatocellular carcinoma (HCC). METHODS:We reviewed the MRI of 32 patients with 33 pathologically confirmed well-differentiated HCC. The MRI protocol included T2-weighted imaging with and without fat saturation, dual-phase T1-weighted imaging, and gadolinium-enhanced dynamic study. The signal intensity of each lesion was categorized as hyperintense, isointense, and hypointense with reference to the surrounding liver parenchyma. RESULTS:Thirty-one (93.9%) of 33 well-differentiated HCC were demonstrated on the MRI. The remaining 2 were isointense in all magnetic resonance sequences and, therefore, could not be identified. Most of them were hyperintense (n = 15 [45.4%]) or isointense (n = 16 [48.5%]) on T1-weighted imaging, and hyperintense (n = 12 [36.4%]) or isointense (n = 17 [51.5%]) on T2-weighted imaging. On the dynamic study, 17 lesions (51.5%) were enhanced. CONCLUSIONS:MRI may identify most well-differentiated HCC; however, the imaging appearance is diverse. Biopsy should be performed if magnetic resonance study is inconclusive.

journal_name

J Comput Assist Tomogr

authors

Li CS,Chen RC,Lii JM,Chen WT,Shih LS,Zhang TA,Tu HY

doi

10.1097/00004728-200607000-00008

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

597-603

issue

4

eissn

0363-8715

issn

1532-3145

pii

00004728-200607000-00008

journal_volume

30

pub_type

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