Magnetic Resonance Imaging of Focal Liver Lesions

S. S. Bagnenko; G. E. Trufanov; I. S. Zheleznyak

doi:10.16931/1995-5464.2016364-69

Magnetic Resonance Imaging of Focal Liver Lesions

S. S. Bagnenko, G. E. Trufanov, I. S. Zheleznyak

https://doi.org/10.16931/1995-5464.2016364-69

Granov A.M., Tyutin L.A., Pozdnyakov A.V. Modern possibilities of radiological diagnosis of liver cancer. Voprosy onkologii. 2008; 54 (4): 410–416. (In Russian) Liver imaging: always MR, or still a role for CT? / ECR 2012 Postergraduate Educational course MC 724. Insights into Imaging. 2012; 3 (suppl. 1): 37. URL: http://link.springer.com/ content/pdf/10.1007%2Fs13244-012-0153-4.pdf 4. Parikh T., Drew S.J., Lee V.S., Wong S., Hecht E.M., Babb J.S., Taouli B. Focal liver lesion detection and characterization with diffusion-weighted MR imaging: comparison with standard breath-hold T2 weighted imaging. Radiology. 2008; 246 (3): 812–822. doi: 10.1148/radiol.2463070432. Magnetic resonance imaging in liver disease. Ed. by T.J. Vogl, R. Lencioni, R.M. Hammersting. Stuttgart; New York: Georg Thieme, 2003. 260 p. Siegelman E.S. Body MRI. Philadelphia (Pa): Elsevier Saunders, 2005. 527 p. MRI of the liver. Ed. by G. Schneider, L. Grazioli, S. Saini. 2nd ed. Milan; Berlin; Heidelberg; New York: Springer, 2006. 432 p. Low R.N. Abdominal MRI advances in the detection of liver tumours and characterization. Lancet oncology. 2007; 8 (6): 525–535. Golfieri R., Grazioli L., Orlando E., Dormi A., Lucidi V., Corcioni B., Dettori E., Romanini L., Renzulli M. Which is the best MRI marker of malignancy for atypical cirrhotic nodules: hypointensity in hepatobiliary phase alone or combined with other features? Classification after Gd EOB DTPA administration. J. Magn. Reson. Imaging. 2012; 36 (3): 648–657. doi: 10.1002/jmri.23685. Adams R.B., Aloia T.A., Loyer E., Pawlik T.M., Taouli B., Vauthey J.N. Selection for hepatic resection of colorectal liver metastases: expert consensus statement. HPB (Oxford). 2013; 15 (2): 91–103. doi: 10.1111/j.1477-2574.2012.00557.x. Bartolozzi C., Battaglia V., Bargellini I., Bozzi E., Campani D., Pollina L.E., Filipponi F. Contrast-enhanced magnetic resonance imaging of 102 nodules in cirrhosis: correlation with histological findings on explanted livers. Abdom. Imaging. 2013; 38 (2): 290–296. doi: 10.1007/s00261-012-9952-9. Macera A., Lario C., Petracchini M., Gallo T., Regge D., Floriani I., Ribero D., Capussotti L., Cirillo S. Staging of colorectal liver metastases after preoperative chemotherapy. Diffusion-weighted imaging in combination with Gd EOB DTPA MRI sequences increases sensitivity and diagnostic accuracy. Eur. Radiol. 2013; 23 (3): 739–747. doi: 10.1007/s00330-012-2658-0. Mannelli L., Kim S., Hajdu C.H., Babb J.S., Taouli B. Serial diffusion-weighted MRI in patients with hepatocellular carcinoma: prediction and assessment of response to transarterial chemoembolization: preliminary experience. Eur. J. Radiol. 2013; 82 (4): 577–582. doi: 10.1016/j.ejrad.2012.11.026. Nakamura S., Nouso K., Kobayashi Y., Shiraha H., Ohnishi H., Toshimori J., Kuwaki K., Hagihara H., Takayama H., Yamamoto K. The diagnosis of hypovascular hepatic lesions showing hypointensity in the hepatobiliary phase of Gd EOB DTPA enhanced MR imaging in high-risk patients for hepatocellular carcinoma. Acta Med. Okayama. 2013; 67 (4): 239–244.

Full Text:

PDF (Rus)

Generate QR code

Abstract

Aim. To determine the effectiveness of the basic techniques of magnetic resonance imaging in differential diagnosis of focal liver lesions.
Material and Methods. 256 patients with 414 focal liver lesions were examined (Siemens: Magnetom Symphony, Magnetom Sonata – 1,5 T).
Results. The effectiveness of traditional native MRI without contrast is low (efficiency of mathematical model – 58%). The basis of differential diagnosis of the most of nosological forms is dynamic contrast enhancement with model's efficiency about 67%. The greatest opportunities are provided by the study with Gd-EOB-DTPA (model's efficiency 80%). MR diffusion is effective for detection of hepatic focal lesions, but its capabilities are limited in differential diagnosis.
Conclusion. Magnetic resonance imaging is a highly informative method of detection and differential diagnosis of focal liver lesions.

Keywords

liver, MRI, dynamic contrast enhancement, hepatocellular cancer, hemangioma, cyst, metastasis, cholangiocellular cancer, hepatotropic contrast agent

About the Authors

S. S. Bagnenko

Kirov Military Medical Academy of Ministry of Defense of the Russian Federation
Russian Federation
Doct. of Med. Sci., Associate Professor at the Radiology Department

G. E. Trufanov

Kirov Military Medical Academy of Ministry of Defense of the Russian Federation
Russian Federation
Doct. of Med. Sci., Professor at the Radiology Department

I. S. Zheleznyak

Kirov Military Medical Academy of Ministry of Defense of the Russian Federation
Russian Federation
Doct. of Med. Sci., Head of the Radiology Department

References

1. Гранов А.М., Тютин Л.А., Поздняков А.В. Современные возможности лучевой диагностики рака печени. Вопросы онкологии. 2008; 54 (4): 410–416.

2. Лукьянченко А.Б., Долгушин Б.И., Шолохов В.Н. Радиологические методы диагностики опухолевых и опухолевидных поражений печени. Вместе против рака. 2005. [Электронный ресурс]. Режим доступа: http://netoncology. ru/expert/diagnostics/diagnostic_methods/1398/ Luk'yanchenko A.B., Dolgushin B.I., Sholokhov V.N. Radiologicheskie metody diagnostiki opuholevyh i opuholevidnyh porazhenij pecheni [Radiological diagnosis of tumor and tumorlike lesions of the liver]. Together against cancer. 2005 [electronic resource]. URL: http://netoncology.ru/expert/diagnostics/ diagnostic_methods/1398/. (In Russian)

3. Общая и военная рентгенология: учебник. Под ред. Г.Е. Труфанова. СПб.: ВМедА, Медкнига ЭЛБИ-СПБ, 2008. 480 с. Obshhaja i voennaja rentgenologija pod red. Trufanova G.E. [General and military radiology. In Trufanov G.E. Eds Textbook]. St. Petersburg: VMedA, Medkniga ELBI-SPB, 2008. 480 p. (In Russian)

4. Багненко С.С. Комплексное магнитно-резонансное исследование в выявлении и дифференциальной диагностике очаговых поражений печени: дис. … докт. мед. наук. СПб., 2014. 310 с. Bagnenko S.S. Kompleksnoe magnitno-resonansnoe issledovanie v vyiavlenii i differentsialnoi diagnostike ochagovykh porazheniy pecheni [Complex magnetic resonance imaging in the detection and differential diagnosis of focal liver lesions: dis. ... doct. med. sci.]. St. Petersburg, 2014. 310 p. (In Russian)

Review

For citations:

Bagnenko S.S., Trufanov G.E., Zheleznyak I.S. Magnetic Resonance Imaging of Focal Liver Lesions. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(3):64-69. (In Russ.) https://doi.org/10.16931/1995-5464.2016364-69

This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)

Username
Password
	Remember me
Not a user? Register with this site Forgot your password?

Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

Magnetic Resonance Imaging of Focal Liver Lesions

Full Text:

Abstract

Keywords

About the Authors

References

Review

For citations:

Журнал категории К1

[Распределение журналов, входящих в перечень рецензируемых научных изданий … по категориям]

В помощь авторам

User

Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

Magnetic Resonance Imaging of Focal Liver Lesions

Full Text:

Abstract

Keywords

About the Authors

References

Review

For citations:

Журнал категории К1

[Распределение журналов, входящих в перечень рецензируемых научных изданий … по категориям]

В помощь авторам

Cookies policy