Direkt zum Inhalt

Haimerl, Michael ; Utpatel, Kirsten ; Götz, Andrea ; Zeman, Florian ; Fellner, Claudia ; Nickel, Dominik ; Luerken, Lukas ; Brennfleck, Frank ; Stroszczynski, Christian ; Scheiter, Alexander ; Verloh, Niklas

Quantification of contrast agent uptake in the hepatobiliary phase helps to differentiate hepatocellular carcinoma grade

Haimerl, Michael, Utpatel, Kirsten, Götz, Andrea, Zeman, Florian, Fellner, Claudia, Nickel, Dominik , Luerken, Lukas, Brennfleck, Frank, Stroszczynski, Christian, Scheiter, Alexander und Verloh, Niklas (2021) Quantification of contrast agent uptake in the hepatobiliary phase helps to differentiate hepatocellular carcinoma grade. Scientific Reports 11 (1), S. 22991.

Veröffentlichungsdatum dieses Volltextes: 21 Apr 2022 15:40
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52117


Zusammenfassung

This study aimed to assess the degree of differentiation of hepatocellular carcinoma (HCC) using Gd-EOB-DTPA-assisted magnetic resonance imaging (MRI) with T1 relaxometry. Thirty-three solitary HCC lesions were included in this retrospective study. This study's inclusion criteria were preoperative Gd-EOB-DTPA-assisted MRI of the liver and a histopathological evaluation after hepatic tumor ...

This study aimed to assess the degree of differentiation of hepatocellular carcinoma (HCC) using Gd-EOB-DTPA-assisted magnetic resonance imaging (MRI) with T1 relaxometry. Thirty-three solitary HCC lesions were included in this retrospective study. This study's inclusion criteria were preoperative Gd-EOB-DTPA-assisted MRI of the liver and a histopathological evaluation after hepatic tumor resection. T1 maps of the liver were evaluated to determine the T1 relaxation time and reduction rate between the native phase and hepatobiliary phase (HBP) in liver lesions. These findings were correlated with the histopathologically determined degree of HCC differentiation (G1, well-differentiated; G2, moderately differentiated; G3, poorly differentiated). There was no significant difference between well-differentiated (950.2 +/- 140.2 ms) and moderately/poorly differentiated (1009.4 +/- 202.0 ms) HCCs in the native T1 maps. After contrast medium administration, a significant difference (p <= 0.001) in the mean T1 relaxation time in the HBP was found between well-differentiated (555.4 +/- 140.2 ms) and moderately/poorly differentiated (750.9 +/- 146.4 ms) HCCs. For well-differentiated HCCs, the reduction rate in the T1 time was significantly higher at 0.40 +/- 0.15 than for moderately/poorly differentiated HCCs (0.25 +/- 0.07; p = 0.006). In conclusion this study suggests that the uptake of Gd-EOB-DTPA in HCCs is correlated with tumor grade. Thus, Gd-EOB-DTPA-assisted T1 relaxometry can help to further differentiation of HCC.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftScientific Reports
Verlag:Nature
Ort der Veröffentlichung:BERLIN
Band:11
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 22991
Datum26 November 2021
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.1038/s41598-021-02499-2DOI
Stichwörter / KeywordsGD-EOB-DTPA; FOCAL LIVER-LESIONS; ORGANIC ANION TRANSPORTER; HISTOPATHOLOGIC FINDINGS; HISTOLOGICAL GRADE; HEPATIC-UPTAKE; NEEDLE-BIOPSY; SPIRAL CT; TRANSPLANTATION; ENHANCEMENT;
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-521177
Dokumenten-ID52117

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