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MR Elastography – Pearls and Pitfalls

January 31, 2019 by
Given that liver fibrosis is often spatially heterogeneous, the volume of liver sampled is considered one of the key advantages of MR Elastography compared with liver biopsy and ultrasound elastography. GRE type sequences appear to be the best choice in patients with normal iron concentrations in the liver, while SE-EPI appears to be superior for patients with iron overload. [...]
Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, liver
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Fast and efficient liver imaging with Primovist®/Eovist®

July 27, 2018 by
This liver workflow makes better use of the time between the dynamic and liver-specific phases – by shifting the time consuming acquisition of high-res T2w images and DWI to after the contrast injection and – by shortening the delay between contrast dynamics and the acquisition of hepatobiliary phase images. The protocols allow to perform a complete Primovist liver exam in a 30-minute exam slot. [...]
Filed Under: abdomen, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, liver
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Evaluation of Transient Motion During Gadoxetic Acid–Enhanced Multiphasic Liver Magnetic Resonance Imaging Using Free-Breathing Golden-Angle Radial Sparse Parallel Magnetic Resonance Imaging

October 24, 2017 by
Transient motion developed in 40% of patients shortly after gadoxetic acid administration, and gated free-breathing T1WI using GRASP was able to consistently provide acceptable arterial phase imaging in patients who exhibited transient motion. [...]
Filed Under: abdomen, Clinical Imaging, Clinical Methods & Techniques, Clinical Updates, liver
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First Experiences with the World’s First MAGNETOM Vida

June 12, 2017 by
This review focuses on 8 critical questions regarding gadolinium deposition in the brain and body, with the answers and discussion therein important for future regulatory decisions and clinical practice. [...]
Filed Under: brain, Clinical Imaging, heart, liver, Software & Hardware Updates, whole body
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Hepatic Hemangioma

July 6, 2013 by
A 55 year old woman with an incidental finding on an MRI of the thoracic spine. [...]
Filed Under: abdomen, Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Hepatocellular Carcinoma-2

July 6, 2013 by
This 54 year old woman presented to the gastroenterology clinic complaining of abdominal pain. A right upper quadrant ultrasound was performed demonstrating an ill-defined hypoechoic hepatic mass. MRI was recommended for further evaluation. [...]
Filed Under: abdomen, Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Subcapsular/extracapsular hematoma

July 6, 2013 by
This is a 54-year-old Caucasian male with a past medical history of polymyositis and recent outside hospital admission for biliary tree obstruction with subsequent ERCP, cholecystectomy, and liver biopsy. He was admitted to our institution with elevated LFTs and abdominal pain. [...]
Filed Under: abdomen, Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Cholangiocarcinoma

July 6, 2013 by
This is a 71-year-old male who presented with a diagnosis of adenocarcinoma with uknownn primary and liver metastases. [...]
Filed Under: Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Hepatocellular Carcinoma

July 6, 2013 by
65 year old woman being evaluated for liver transplant. The patient has a history of hepatocellular carcinoma status post RFA in 2005. [...]
Filed Under: Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Metastatic breast cancer

July 6, 2013 by
This is a 59-year-old female with a history of infiltrating ductal breast cancer, s/p partial mastectomy in 2007 and radiotherapy in 2008. [...]
Filed Under: Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Two liver lesions – hemangioma and focal nodular hyperplasia

July 6, 2013 by
This is a 38 year old female who had a CT performed for nonrelated reasons, but had incidentally detected liver masses. An MRI was ordered for further workup. [...]
Filed Under: abdomen, Cases, Clinical Imaging, liver, Meet The Experts, Val M. Runge
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Revisiting Liver Imaging with VIBE

July 5, 2013 by
Volume Interpolated Breath-hold Examination (VIBE) offers three-dimensional multiphase image acquisition before and following contrast administration on a breath-hold time scale. The dynamic behavior of liver lesions and structures during the precontrast, arterial, portal venous, early equilibrium and 5-minute delayed equilibrium phases of enhancement allows more accurate characterization than static pre- and postcontrast analysis. [...]
Filed Under: abdomen, Anatomic Regions, Clinical Imaging, liver, Software & Hardware Updates
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Case Report: Metastases from Neuroendocrine Carcinoma: Value of Diffusion-Weighted MR Imaging Compared to 68Ga-DOTATOC PET-CT

July 5, 2013 by
Neuroendocrine tumors may be challenging to diagnose. Diffusion-weighted MR imaging (DWI) plays an important role in the accurate detection of liver lesions, which may be occult onconventional MRI and especially CT. In the presented case, the suspicion of diffuse hepatic spread is also supported by the additionally performed 68Ga-DOTATOC PET. The article shows, that DWI […] [...]
Filed Under: Clinical Imaging, Clinical Updates, liver
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Nodular Lesions in Diffuse Liver Disease

July 4, 2013 by
Richard C. Semelka, MD Professor University of North Carolina Department of Radiology   *Video: latest on nephrogenic systemic fibrosis (nsf) [...]
Filed Under: Clinical Imaging, Clinical Updates, liver
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