Abstract:
OBJECTIVE:The purpose of this study was to investigate the value of enhancement kinetics and ancillary imaging findings on gadoxetic acid-enhanced and diffusion-weighted (DW) MR imaging for diagnosing hepatocellular carcinomas (HCCs) without the typical enhancement pattern on contrast-enhanced multiphasic MDCT in patients with chronic liver disease. MATERIALS AND METHODS:Eighty-two surgically confirmed HCCs without the typical enhancement pattern (hypervascular in the arterial phase, followed by washout on the portal or equilibrium phases) on triple-phase MDCT were enrolled in this study. The patients were classified into four categories based on the CT density pattern of arterial and equilibrium phases (isodense-isodense, hypodense-hypodense, isodense-hypodense, and hyperdense-isodense) compared to liver parenchyma. Signal intensity of HCCs on T2-weighted images (T2WI), arterial phase, 3 min late-phase, hepatobiliary phase (HBP) and DW images with a b value of 800 s/mm2 were qualitatively evaluated, and ADC values were measured. Fisher's exact test and Chi-square test were used to compare the frequency and trend of hyperintensity on T2WI, hypointensity on HBP images, hyperintensity on DW images, and histopathologic grades between groups with different CT density patterns. Kruskal-Wallis test was used to compare the ADC value between groups. RESULTS:Thirty and 52 HCCs were categorized as hypervascular (hyperdense-isodense) and non-hypervascular HCCs (3, isodense-isodense; 37, hypodense-hypodense; 12, isodense-hypodense), respectively. Most HCCs showed hyperintensity on T2WI (77/82, 93.9%) and DW images (81/82, 98.8%) and hypointensity on HBP images (80/82, 97.6%). Thirty-eight HCCs (38/82, 46.3%) showed typical HCC enhancement pattern on dynamic MR images. There were no significant differences in the frequency and trend of signal intensity on T2WI, HBP images, DW images, and histopathologic grades with regard to the four CT density patterns (p<0.05). No significant difference in mean ADC values between groups was identified (p<0.05). CONCLUSION:Gadoxetic acid-enhanced and DW MR imaging can help diagnose HCCs with atypical enhancement patterns on multiphasic CT in patients with chronic liver disease.
journal_name
Eur J Radioljournal_title
European journal of radiologyauthors
Kim HS,Kim SH,Kang TW,Song KD,Choi D,Park CKdoi
10.1016/j.ejrad.2014.12.023subject
Has Abstractpub_date
2015-04-01 00:00:00pages
555-62issue
4eissn
0720-048Xissn
1872-7727pii
S0720-048X(15)00012-1journal_volume
84pub_type
杂志文章abstract:PURPOSE:Compare the right ventricle to left ventricle (RV/LV) diameter ratio obtained from axial pulmonary CT angiograms (CTPA) with those derived from automatically generated 4-chamber (4-CH) reformats in patients with suspected pulmonary embolism (PE). METHODS:In this institutional review board-approved study we inc...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.01.041
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:To compare lesion conspicuity and image quality between single-shot spin echo echo planar imaging (SS SE-EPI) before, immediately and 5min after intravenous (IV) injection of superparamagnetic iron oxide (SPIO) for detecting and characterizing focal liver lesions (FLLs). MATERIALS AND METHODS:Twenty-five patie...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.09.005
更新日期:2009-12-01 00:00:00
abstract::The management of trauma patients has become a very relevant issue and one of the major challenges in the western countries. In the assessment of politrauma patients, since the last 2 decades, radiological imaging methods have been increasingly used in order to provide a quick and thorough survey of craniocerebral, ce...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2006.04.021
更新日期:2006-09-01 00:00:00
abstract::The aim of this prospective study was to assess the accuracy of modern ultrasonography in diagnostic imaging of meniscal tears. One hundred and sixty menisci were evaluated in 80 patients (42 females, 38 males, mean age=36.2 years, range=16-70 years). Inclusion criteria for the study were twofold: clinical suspicion o...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.09.013
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:To evaluate the value of CT-based radiomics signature for differentiating Borrmann type IV gastric cancer (GC) from primary gastric lymphoma (PGL). MATERIALS AND METHODS:40 patients with Borrmann type IV GC and 30 patients with PGL were retrospectively recruited. 485 radiomics features were extracted and selec...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2017.04.007
更新日期:2017-06-01 00:00:00
abstract::Colorectal cancer is a major cause of cancer death in Western Europe and United States; the liver is the most common site for colorectal metastases. PET has an important role in the management of patients with colorectal liver metastases. It is an effective tool to detect hepatic metastases and to monitor the response...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/j.ejrad.2005.11.042
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:Our purpose was to evaluate whether breast cancer with high metabolic-perfusion ratio would be associated with poor histopathologic prognostic factors and whether triple negative breast cancer (TNBC) would show high metabolic-perfusion ratio compared to non-triple negative breast cancer (non-TNBC). METHODS:F...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2015.03.026
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:To investigate whether a dose reduction of Gadobutrol for renal magnetic resonance angiography (MRA) at 7 Tesla (T) is feasible while preserving diagnostic image quality. METHODS:Ten healthy volunteers were enrolled for a renal MRA on a 7T scanner. Fast low angle shot (FLASH) MRA data sets were obtained uti...
journal_title:European journal of radiology
pub_type: 临床试验,杂志文章
doi:10.1016/j.ejrad.2016.11.007
更新日期:2017-01-01 00:00:00
abstract::This retrospective study aimed to evaluate the feasibility and effectiveness of radiofrequency ablation (RFA) in patients with solitary kidney for the treatment of renal cell carcinoma (RCC). Within 2 years 10 patients (seven males, three females; age 65+/-8 years) were treated. All patients had a history of nephrecto...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.12.015
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:To determine the diagnostic performance of the "central echogenic area" sonographic finding in differentiating papillary carcinomas from benign nodules and to how this finding may be used to improve fine needle aspiration(FNA) technique/utilization. MATERIALS AND METHODS:We retrospectively analyzed ultrasound ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2018.01.029
更新日期:2018-04-01 00:00:00
abstract::We retrospectively evaluated magnetic resonance images (MRI) and dynamic contrast-enhanced MRI (DCE-MRI) of ameloblastomas. MRI and DCE-MRI were performed for 10 ameloblastomas. We obtained the following results from the MRI and DCE-MRI. (a) Ameloblastomas can be divided into solid and cystic portions on the basis of ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2005.01.006
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to determine transit times for excretion of Gd-EOB-DTPA into different segments of the hepatobiliary system in patients with normal liver function. METHODS:This retrospective study was IRB approved with a waiver of consent granted. 61 patients (39 female, 22 male, mean age 52.5 ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2010.03.008
更新日期:2011-08-01 00:00:00
abstract:PURPOSE:To assess right ventricular (RV) dysfunction in end-stage renal disease (ESRD) patients on maintenance haemodialysis (HD) by cardiac magnetic resonance (CMR) imaging and determined the risk factors associated with RV dysfunction. MATERIALS AND METHODS:Fifty ESRD patients on maintenance HD and 16 age- and gende...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2018.02.036
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:To seek for the minimal duration per bed position with a digital PET system without compromising image quality and lesion detection in patients requiring fast 18F-FDG PET imaging. MATERIALS AND METHODS:19 cancer patients experiencing pain or dyspnea and 9 pediatric patients were scanned on a Vereos system. Lis...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2020.109144
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:In this study the hypothesis that the thickness of the thinnest part of the thrombus, combined with bleeding into the intraluminal thrombus (ILT), is associated with a possible higher risk of abdominal aortic aneurysm (AAA) rupture was investigated, independently of aneurysm diameter, by using angio-CT. This ...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2014.12.022
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:This study assesses the diagnostic utility of olfactory nerve and bulb morphologies in addition to volumetric analysis in classification of different olfactory dysfunction etiologies. METHODS:106 patients presenting with olfactory loss and 17 control subjects were included. Based on detailed anamnesis, smell t...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2020.109290
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:To evaluate the diagnostic performance of coronary computed tomography angiography derived fractional flow reserve (CT-FFR) with invasive fractional flow reserve (FFR) in patients with coronary artery disease" before "with invasive fractional flow reserve serving as the reference standard. MATERIALS AND METHOD...
journal_title:European journal of radiology
pub_type: 杂志文章,meta分析,多中心研究
doi:10.1016/j.ejrad.2019.04.011
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:To calculate and compare the doses of ionizing radiation delivered to the organs by computed tomography (CT) and stereoradiography (SR) during measurements of lower limb torsion and anteversion. MATERIALS AND METHODS:A Rando anthropomorphic phantom (Alderson RANDO phantom, Alderson Research Laboratories Inc...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2013.10.026
更新日期:2014-02-01 00:00:00
abstract::This paper discusses ten patients who developed acute cholecystitis during the postoperative period following surgery which did not involve the gall bladder. All were examined with ultrasound during the first two weeks after surgery and were diagnosed as acute cholecystitis. Six (60%) had complications such as empyema...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:
更新日期:1985-02-01 00:00:00
abstract::Volumetric CT data acquisition has had a major impact on the practice of computed tomography. This article reviews the current state of knowledge of the applications of this technique to the chest disease summarising its clinical impact on the assessment of lung and airways diseases, mediastinal abnormalities (excludi...
journal_title:European journal of radiology
pub_type: 杂志文章,评审
doi:10.1016/s0720-048x(98)00007-2
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:To investigate the time-course of late gadolinium enhancement of infarcted myocardium using gadobenate dimeglumine at different dosages and administration regimens. MATERIALS AND METHODS:After institutional review board approval and informed consent, we studied 13 patients (aged 63±11 years) with chronic my...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2010.06.040
更新日期:2011-10-01 00:00:00
abstract::A simple generalization of the diffraction enhanced imaging (DEI) technique, called generalized DEI (GDEI), and its application to tomographic imaging are herein presented. In planar imaging, the GDEI algorithm combines three input images (acquired at different analyzer positions) to deliver three parametric images, p...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2008.04.026
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To compare fast T1-weighted fluid-attenuated inversion recovery (FLAIR) and T1-weighted turbo spin-echo (TSE) imaging of the degenerative disc disease of the lumbar spine. MATERIALS AND METHODS:Thirty-five consecutive patients (19 females, 16 males; mean age 41 years, range 31-67 years) with suspected degene...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2004.09.009
更新日期:2005-08-01 00:00:00
abstract:PURPOSE:To examine the clinical significance of persistent renal enhancement after iodixanol administration. METHODS:We retrospectively studied 166 consecutive patients who underwent non-enhanced abdominopelvic CT within 7 days after receiving intra-arterial (n=99) or intravenous (n=67) iodixanol. Renal attenuation wa...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.02.044
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to analyze the utility of MRA-H in adolescents by comparing the results of imaging with surgical findings and/or clinical outcome. MATERIAL AND METHODS:After obtaining appropriate IRB approval, the Radiologic Information System database was queried for all patients 13-18 years o...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2016.03.031
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:Parosteal osteosarcomas and well-differentiated liposarcomas (WDLPS) of soft tissue share several features: they are slowly progressive, locally aggressive tumors, tend to recur locally, and rarely or never metastasizes if not dedifferentiated. Their treatment is wide surgical resection. Microscopically, b...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2011.11.035
更新日期:2013-12-01 00:00:00
abstract::Impalpable breast lesions have always been a challenge for breast surgeons. Stereotactic wire placement is frequently employed for lesion localisation. To improve the accuracy of preoperative localisation in these cases we introduced a supplementary ultrasound scan to identify the exact location of the wire tip. We st...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2006.08.016
更新日期:2006-12-01 00:00:00
abstract:PURPOSE:Apparent Diffusion Coefficient (ADC) measurements are increasingly used for assessing breast cancer response to neoadjuvant chemotherapy although little data exists on ADC measurement reproducibility. The purpose of this work was to investigate and characterise the magnitude of errors in ADC measures that may b...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2015.05.032
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:To validate abdominal ultrasonography and helical computed tomography in detecting causes for sepsis in patients after abdominal surgery and to determine improved criteria for its use. MATERIALS AND METHODS:Eighty-five consecutive surgical patients primarily operated for non-infectious disease were included in...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:10.1016/j.ejrad.2004.08.004
更新日期:2005-06-01 00:00:00
abstract::A computer-assisted rotation and stationary conformation radiotherapy system with overrunning multileaf collimators has been developed. This system can produce any shape of target volume, including a number of target areas outside the axis of the rotation, regardless of the location of the axis at 360 degrees rotation...
journal_title:European journal of radiology
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00