Direkt zum Inhalt

Haimerl, Michael ; Wächtler, Max ; Zeman, Florian ; Verloh, Niklas ; Platzek, Ivan ; Schreyer, Andreas Georg ; Stroszczynski, Christian ; Wiggermann, Phillipp

Quantitative Evaluation of Enhancement Patterns in Focal Solid Liver Lesions with Gd-EOB-DTPA-Enhanced MRI

Haimerl, Michael, Wächtler, Max, Zeman, Florian, Verloh, Niklas, Platzek, Ivan, Schreyer, Andreas Georg , Stroszczynski, Christian und Wiggermann, Phillipp (2014) Quantitative Evaluation of Enhancement Patterns in Focal Solid Liver Lesions with Gd-EOB-DTPA-Enhanced MRI. PLoS ONE 9 (6), e100315.

Veröffentlichungsdatum dieses Volltextes: 09 Jul 2014 14:49
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.30404


Zusammenfassung

Purpose: The objective was to investigate the dynamic enhancement patterns in focal solid liver lesions after the administration of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA) by means of dynamic magnetic resonance imaging (MRI) including hepatobiliary phase (HP) images 20 min after Gd-EOB-DTPA administration. Materials and Methods: Non-enhanced T1/T2-weighted as ...

Purpose: The objective was to investigate the dynamic enhancement patterns in focal solid liver lesions after the administration of gadolinium ethoxybenzyl diethylenetriamine pentaacetic acid (Gd-EOB-DTPA) by means of dynamic magnetic resonance imaging (MRI) including hepatobiliary phase (HP) images 20 min after Gd-EOB-DTPA administration. Materials and Methods: Non-enhanced T1/T2-weighted as well as dynamic magnetic resonance (MR) images during the arterial phase (AP), the portal venous phase (PVP), the late phase (LP), and the HP (20 min) were obtained from 83 patients (54 male, 29 female, mean age 62.01 years) with focal solid liver lesions. MRI was conducted by means of a 1.5-T system for 63 patients with malignant liver lesions (HCCs: n = 34, metastases: n = 29) and for 20 patients with benign liver lesions (FNH lesions: n = 14, hemangiomas: n = 3, adenomas: n = 3). For quantitative analysis, signal-to-noise ratios (SNR), contrast enhancement ratios (CER), lesion-to-liver contrast ratios (LLC), and signal intensity (SI) ratios were measured. Results: The SNR of liver parenchyma significantly increased in each dynamic phase after Gd-EOB-DTPA administration compared to the SNR of non-enhanced images (p<0.001). The CER of HCCs and metastases significantly decreased between LP and HP images (p = 0.0011, p<0.0001). However, FNH lesions did not show any significant difference, whereas an increased CER was found in hemangiomas. The mean LLCs of FNH lesions were significantly higher than those of HCCs and metastases. The LLC values of hemangiomas remained negative during the entire time course, whereas the LLC of adenomas indicated hyperintensity from the AP to the LP. Furthermore, adenomas showed hypointensity in HP images. Conclusion: Gd-EOB-DTPA-enhanced MRI may help diagnose focal solid liver lesions by evaluating their enhancement patterns.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftPLoS ONE
Verlag:PUBLIC LIBRARY SCIENCE
Ort der Veröffentlichung:SAN FRANCISCO
Band:9
Nummer des Zeitschriftenheftes oder des Kapitels:6
Seitenbereich:e100315
Datum20 Juni 2014
InstitutionenMedizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1371/journal.pone.0100315DOI
Stichwörter / KeywordsEARLY HEPATOCELLULAR-CARCINOMA; MULTICENTER PHASE-III; GADOXETIC-ACID; NODULAR HYPERPLASIA; HISTOPATHOLOGIC FINDINGS; CONTRAST AGENT; SPIRAL CT; GADOBENATE DIMEGLUMINE; INITIAL OBSERVATIONS; HEPATIC ADENOMA;
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-304049
Dokumenten-ID30404

Bibliographische Daten exportieren

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

nach oben