Small (<20 mm) enhancing hepatic nodules seen on arterial phase MR imaging of the cirrhotic liver: clinical implications.

作者: Yong Yeon Jeong , Donald G. Mitchell , Tamotsu Kamishima

DOI: 10.2214/AJR.178.6.1781327

关键词: Mr imagingHyperintensityCirrhosisRadiologyArterial phaseMedicineBenignityNuclear medicineNodule (medicine)Hepatocellular carcinomaHepatic nodules

摘要: OBJECTIVE. To determine the significance in patients with cirrhosis of small (<20 mm) hepatic nodules that show no hyperintensity on T2-weighted MR images but enhance during arterial phase imaging, we reviewed cases such nodules.MATERIALS AND METHODS. Our review radiology reports yielded 68 40 showed had rapid enhancement imaging after administration a gadolinium contrast agent. Thirty-four (60 nodules) multiple follow-up examinations (range length follow-up, 1-72 months; average 15 months 2 weeks). The final diagnosis nodule was determined by pathology or at least years to ensure stability and, therefore, benignity. Two radiologists independently nodules, noting size, signal intensity T1- images, and homogeneity contr...

参考文章(35)
Jin-Chuan Sheu, Juei-Low Sung, Ding-Shinn Chen, Pei-Ming Yang, Ming-Yang Lai, Chue-Shue Lee, Hey-Chi Hsu, Che-Nan Chuang, Pan-Chyr Yang, Teh-Hong Wang, Jaw-Town Lin, Cha-Ze Lee, Growth rate of asymptomatic hepatocellular carcinoma and its clinical implications. Gastroenterology. ,vol. 89, pp. 259- 266 ,(1985) , 10.1016/0016-5085(85)90324-5
A.-E. Mahfouz, B. Hamm, K.-J. Wolf, Dynamic gadopentetate dimeglumine-enhanced MR imaging of hepatocellular carcinoma European Radiology. ,vol. 3, pp. 453- 458 ,(1993) , 10.1007/BF00221423
Young Nyun Park, Chang-Pei Yang, Gerardo J. Fernandez, Olcay Cubukcu, Swan N. Thung, Neil D. Theise, Neoangiogenesis and sinusoidal "capillarization" in dysplastic nodules of the liver. The American Journal of Surgical Pathology. ,vol. 22, pp. 656- 662 ,(1998) , 10.1097/00000478-199806000-00002
Ian R. Wanless, , Terminology of nodular hepatocellular lesions Hepatology. ,vol. 22, pp. 983- 993 ,(1995) , 10.1002/HEP.1840220341
Tito Livraghi, Luigi Bolondi, Sergio Lazzaroni, Giuseppe Marin, Alberto Morabito, Gian Ludovico Rapaccini, Andrea Salmi, Guido Torzilli, Percutaneous etharrol injection in the treatment of hepatocellular carcinoma in cirrhosis. A study on 207 patients Cancer. ,vol. 69, pp. 925- 929 ,(1992) , 10.1002/1097-0142(19920215)69:4<925::AID-CNCR2820690415>3.0.CO;2-G
S. Monzawa, K. Omata, N. Shimazu, A. Yagawa, K. Hosoda, T. Araki, Well-differentiated hepatocellular carcinoma: findings of US, CT, and MR imaging. Abdominal Imaging. ,vol. 24, pp. 392- 397 ,(1999) , 10.1007/S002619900521
G A Krinsky, N D Theise, N M Rofsky, H Mizrachi, L W Tepperman, J C Weinreb, Dysplastic nodules in cirrhotic liver: Arterial phase enhancement at CT and MR imaging - A case report Radiology. ,vol. 209, pp. 461- 464 ,(1998) , 10.1148/RADIOLOGY.209.2.9807574