Hepatic tumors: dynamic MR imaging

Radiology. 1987 Apr;163(1):27-31. doi: 10.1148/radiology.163.1.3029804.

Abstract

Thirty-six patients with hepatic tumors (28 hepatocellular carcinomas, seven cavernous hemangiomas, one metastatic tumor) were examined with serial magnetic resonance (MR) imaging, after a bolus intravenous injection of 0.05 mmol/kg gadolinium-diethylenetriaminepentaacetic acid. A typical MR imaging pattern for hemangiomas (present in five of seven cases [71.4%]) was a lesion of diminished signal intensity on precontrast images, peripheral contrast enhancement during the bolus dynamic phase, and complete fill-in of high signal intensity on delayed scan images. Twenty-eight hepatocellular carcinomas showed a variety of contrast enhancement patterns during the dynamic phase. In 21 patients (75%), there was no area of high signal intensity within the tumor on the delayed phase. A peripheral halo with delayed enhancement was noticed in 12 patients (42.8%) Histologic correlation in hepatocellular carcinomas showed that the degree of contrast enhancement corresponded to tumor vascularity and that the peripheral halo corresponded to fibrous capsular structure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Hepatocellular / diagnosis*
  • Gadolinium
  • Gadolinium DTPA
  • Hemangioma, Cavernous / diagnosis*
  • Humans
  • Liver / pathology
  • Liver Neoplasms / diagnosis*
  • Magnetic Resonance Spectroscopy*
  • Organometallic Compounds
  • Pentetic Acid

Substances

  • Organometallic Compounds
  • Pentetic Acid
  • Gadolinium
  • Gadolinium DTPA