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Hepatic cavernous hemangiomas

Patterns of contrast enhancement on MR fluoroscopy imaging

      Abstract

      Purpose: The purpose of this study was to assess the patterns of contrast enhancement of hepatic hemangiomas on gadolinium-enhanced MR fluoroscopy imaging prospectively. Method: Investigation was performed on a 0.3-T open MR unit. Gadolinium-enhanced MR fluoroscopy images were obtained in 24 patients with 28 hepatic hemangiomas. Each MR fluoroscopy image was obtained in 2 s and MR fluoroscopy lasted for 10–25 min for each investigation. Results: Three patterns of contrast enhancement were observed in 24 patients on MR fluoroscopy images. Four small lesions were not detected on MR fluoroscopy images. Uniform enhancement was seen in nine lesions (29%), peripheral nodular enhancement progressing centripetally to uniform enhancement was seen in nine lesions (29%), and peripheral nodular enhancement with persistent central hypointensity was seen in six lesions (22%). Conclusion: Enhanced MR fluoroscopy technique could obtain dynamic images of hepatic hemangiomas. It can be suggested as a useful technique for the showing of enhancement of hepatic hemangiomas, keeping in mind its low sensitivity in the diagnosis of small hemangiomas.

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      References

        • McFarland EG
        • Mayo-Smith WW
        • Saini S
        • Hahn PF
        • Goldberg MA
        • Lee MJ
        Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging.
        Radiology. 1994; 193: 43-47
        • Li K
        • Glazer G
        • Quint L
        • Francis IR
        • Aisen AM
        • Ensminger WD
        • Bookstein FL
        Distinction of hepatic cavernous hemangioma from hepatic metastasis with MR imaging.
        Radiology. 1988; 169: 409-415
        • Stark D
        • Felder R
        • Wittenberg J
        • Saini S
        • Butch RJ
        • White ME
        • Edelman RR
        • Mueller PR
        • Simeone JF
        • Cohen AM
        Magnetic resonance imaging of cavernous hemangioma of the liver: tissue-specific characterization.
        AJR, Am J Roentgenol. 1985; 145: 213-222
        • Yu JS
        • Kim MJ
        • Kim KW
        • Chang JC
        • Jo BJ
        • Kim TH
        • Lee JT
        • Yoo HS
        Hepatic cavernous hemangioma: sonographic patterns and speed of contrast enhancement on multiphase dynamic MR imaging.
        AJR, Am J Roentgenol. 1998; 171: 1021-1025
        • Tung GA
        • Vaccaro JP
        • Cronan JJ
        • Rogg JM
        Cavernous hemangioma of the liver: pathologic correlation with high-field MR imaging.
        AJR, Am J Roentgenol. 1994; 162: 1113-1117
        • Semelka RC
        • Brown ED
        • Ascher SM
        • Willms AB
        • Brown MA
        • Finn JP
        Hepatic hemangiomas: a multi-institutional study of appearance on T2-weighted and serial gadolinium-enhanced gradient-echo MR images.
        Radiology. 1994; 192: 401-406
        • Mano I
        • Yoshida S
        • Nakabayashi K
        • Yashiro N
        • Iio M
        Fast spin-echo imaging with suspended respiration: gadolinium-enhanced MR imaging of liver tumors.
        J Comput-Assisted Tomogr. 1987; 11: 73-80
        • Freeny PC
        • Marks WM
        Hepatic hemangioma: dynamic bolus CT.
        AJR, Am J Roentgenol. 1986; 147: 711-719
        • Ohtomo K
        • Itai Y
        • Yoshikawa K
        • Kokubo T
        • Yashiro N
        • Iio M
        • Furukawa K
        Hepatic tumors: dynamic MR imaging.
        Radiology. 1987; 163: 27-31
        • Van Beers B
        • Demeure R
        • Pringot J
        • Defalque D
        • Geubel A
        • Gigot JF
        • Jamart J
        Dynamic spin-echo imaging with Gd-DTPA: value in the differentiation of hepatic tumors.
        AJR, Am J Roentgenol. 1990; 154: 515-519
        • Taupitz M
        • Speidel A
        • Hamm B
        • Deimling M
        • Reichel M
        • Bock A
        • Wolf KJ
        T2-weighted breath-hold MR imaging of the liver at 1.5T: result with a three-dimensional steady-state free procession sequence in 87 patients.
        Radiology. 1995; 194: 439-446
        • Soyer P
        • Le Normand S
        • de Givry SC
        • Gueye C
        • Somveille E
        • Scherrer A
        T2-weighted spin-echo MR imaging of the liver: breath-hold fast spin-echo versus non-breath-hold fast spin-echo images with and without fat suppression.
        Radiology. 1996; 196: 401-408
        • Ichikawa T
        • Haradome H
        • Hachiya J
        • Nitatori T
        • Araki T
        Characterization of hepatic lesion by perfusion-weighted MR imaging with an echoplanar sequence.
        AJR, Am J Roentgenol. 1998; 170: 1029-1034
        • Spielman DM
        • Pauly JM
        • Meyer CH
        Magnetic resonance fluoroscopy using spirals with variable sampling densities.
        Magn Reson Med. 1995; 34: 388-394
        • Tung GA
        • Vaccaro JP
        • Cronan JJ
        • Rogg JM
        Cavernous hemangioma of the liver: pathologic correlation with high-field MR imaging.
        AJR, Am J Roentgenol. 1994; 162: 1113-1117
        • Leslie DF
        • Johnson CD
        • MacCarty RL
        • Ward EM
        • Ilstrup DM
        • Harmsen WS
        Single-pass CT of hepatic tumors: value of globular enhancement in distinguishing hemangiomas from hypervascular metastases.
        AJR, Am J Roentgenol. 1995; 165: 1403-1406