liver — Clinical MRI

Fast and efficient liver imaging with Primovist®/Eovist®

July 27, 2018 by Gregor Thörmer, Ph.D.

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
Tagged With: dynamic imaging, liver

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 Jeong Hee Yoon, MD

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
Tagged With: liver, liver mass, motion

Iron Quantification with LiverLab

November 23, 2016 by Stephan Kannengiesser, Ph.D.

Liver iron content is an important clinical biomarker. Used with care, the R2c* values of the multi-echo Dixon VIBE in LiverLab allow estimating liver iron content. This article provides guidelines for the evaluation of liver iron. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: iron, liver

MR LiverLab

November 23, 2016 by Robert Sellers

MR offers promising techniques for fat and iron evaluation in routine clinical liver diagnostics. This article shares the knowledge of implementing LiverLab, a comprehensive package which provides fat signal fraction (correlating with hepatic steatosis) and R2* of water (correlating with iron content). [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques, Clinical Updates
Tagged With: fat, iron, liver

Faster Abdominal MRI Examinations by Limiting Table Movement

July 6, 2013 by Mustafa Rifaat Bashir

The article shows how to reduce total examination time of a non-contrast liver MRI/MRCP by up to 20% with no observable change in image quality. It presents a scanning protocol which prohibits table movement, particularly time-consuming shim data, throughout the course of the examination. [...]

Filed Under: Clinical Imaging, Clinical Methods & Techniques
Tagged With: liver, MRCP

Hepatic Hemangioma

July 6, 2013 by Dr Hakimelahi, MD

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
Tagged With: Benign Hepatic Mass, liver, liver mass

Hepatocellular Carcinoma-2

July 6, 2013 by Miguel Trelles, MD

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
Tagged With: liver, liver mass, malignant hepatic tumor

Subcapsular/extracapsular hematoma

July 6, 2013 by J. Ryan Mikus, MD, MS

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
Tagged With: liver

Cholangiocarcinoma

July 6, 2013 by Nirav A. Patel, MD, MBA

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
Tagged With: liver, liver mass, Malignant Hepatic Mass

Hepatocellular Carcinoma

July 6, 2013 by Dr Kimberly Kirschner, MD

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
Tagged With: liver, Malignant Hepatic Mass

Metastatic breast cancer

July 6, 2013 by Dr Harisha Kommana, MD

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
Tagged With: liver, liver mass, metastases

Two liver lesions – hemangioma and focal nodular hyperplasia

July 6, 2013 by Raghuram K. Rao, MD, MPH

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
Tagged With: Benign Hepatic Mass, liver, liver mass

Spectral Adiabatic Inversion Recovery (SPAIR) MR imaging of the Abdomen

July 6, 2013 by Thomas C. Lauenstein

SPAIR (Spectral Adiabatic Inversion Recovery) is a powerful technique for fat suppression which offers advantages over conventional fat suppression techniques. The technique is insensitive to B1 inhomogenities and only fat spins are suppressed/inverted. [...]

Filed Under: abdomen, Anatomic Regions, Clinical Imaging, Software & Hardware Updates
Tagged With: fat suppression, liver, upper abdomen

Revisiting Liver Imaging with VIBE

July 5, 2013 by Vamsi Narra, MD

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
Tagged With: breathhold, dynamic contrast enhanced MRI, fat suppression, liver, upper abdomen, VIBE

syngo BLADE Motion Correction from Head to Toe

July 5, 2013 by MRI

BLADE measures and corrects in-plane motion through periodically rotated overlapping parallel lines with enhanced reconstruction. syngo BLADE acquires multiple low resolution data sets and combines them to make one motion free, high quality image. This provides clear images in all slice orientations and body regions such as the head, spine, liver or knee. [...]

Filed Under: Clinical Imaging, Software & Hardware Updates, whole body
Tagged With: brain, knee, liver, motion, spine

Large FOV Imaging at 3T with a 32-Channel Body Array Coil

July 5, 2013 by Yutaka Natsuaki, Ph.D.

This article shows the benefits of a 32-channel body coil for large field-of-view imaging in the abdomen and pelvis, including MR Angiography. The evolution of parallel imaging techniques has been very rapid, with realization of their full potential requiring development and utilization of MR systems with up to 32 receiver channels. [...]

Filed Under: abdomen, Clinical Imaging, pelvis, Software & Hardware Updates
Tagged With: Contrast enhanced MRA, DIXON, FLASH, liver, multichannel coil

Case Report: Metastases from Neuroendocrine Carcinoma: Value of Diffusion-Weighted MR Imaging Compared to 68Ga-DOTATOC PET-CT

July 5, 2013 by Bernhard Klumpp, MD

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
Tagged With: diffusion, liver, metastases

Nodular Lesions in Diffuse Liver Disease

July 4, 2013 by Richard C. Semelka, MD

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
Tagged With: liver, liver mass