Iron Quantification with LiverLab

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. [...]

MR LiverLab

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). [...]

Faster Abdominal MRI Examinations by Limiting Table Movement

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. [...]

Hepatic Hemangioma

A 55 year old woman with an incidental finding on an MRI of the thoracic spine. [...]

Hepatocellular Carcinoma-2

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. [...]

Subcapsular/extracapsular hematoma

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. [...]

Cholangiocarcinoma

This is a 71-year-old male who presented with a diagnosis of adenocarcinoma with uknownn primary and liver metastases. [...]

Hepatocellular Carcinoma

65 year old woman being evaluated for liver transplant. The patient has a history of hepatocellular carcinoma status post RFA in 2005. [...]

Metastatic breast cancer

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. [...]

Two liver lesions – hemangioma and focal nodular hyperplasia

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. [...]

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

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. [...]

Revisiting Liver Imaging with VIBE

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. [...]

syngo BLADE Motion Correction from Head to Toe

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. [...]

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

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. [...]

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

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 […] [...]

Nodular Lesions in Diffuse Liver Disease

Richard C. Semelka, MD Professor University of North Carolina Department of Radiology   *Video: latest on nephrogenic systemic fibrosis (nsf) [...]