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192107

State of the art of magnetic resonance imaging ( MRI ) in evaluation of focal hepatic lesions

Article

Last updated: 04 Jan 2025

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Abstract

Background: The recent developments in (MRI) sequences for the upper abdomen comprise unenhanced diffusion-weighted imaging (DWI), and (DCE) MRI. DWI allows improved detection of small (< 10 mm) focal liver lesions and useful as a road map sequence. The aim of this work was to study recent and advanced magnetic resonance imaging (MRI) techniques in the evaluation of focal hepatic lesions. Methods: this study included 40 patients, patients underwent assessment with recent MRI sequences (DWI), DCE MRI, T2-weighted imaging, steady-state free precession (SSFP) imaging and T1 in-phase/out-phase imaging. Results: Half of the studied patients were females. Age ranged from 30 to 67 years with mean 48.825 years. Forty percent of patients had right-side lesion while 22.5% had left side lesion. On HPE of the studied patients, 52.5% had malignant growth while the remaining 47.5% had benign lesions. About 23% had HCC. One fifth had hemorrhagic cyst and the same percentage had metastatic lesion. Adenoma was present in 7.5%, There is statistically significant relation between nature of foci and ADC value (significantly higher in benign lesions). ROC curve of ADC in diagnosis of benign nature of focal hepatic masses among the studied patients; area under curve 0.945, (p < 0.05). Conclusion: diffusion-weighted MRI sequence with quantitative ADC measurements should be used as an additional sequence to supplement conventional MRI protocol studies for proper detection (using low b values) and characterization (using high b values) of focal liver lesions

DOI

10.21608/bmfj.2021.49593.1342

Keywords

Magnetic resonance, MRI, focal, hepatic

Authors

First Name

Ahmed

Last Name

Youssef

MiddleName

-

Affiliation

Radio diagnosis&amp; Medical Imaging, Benha University Faculty of Medicine

Email

ahmedfaridyoussef@yahoo.com

City

-

Orcid

-

First Name

Amany

Last Name

Elkharbotly

MiddleName

-

Affiliation

Radio diagnosis&amp; Medical Imaging, Benha University Faculty of Medicine

Email

amanymohamedfathyelkharbotly@yahoo.com

City

-

Orcid

-

First Name

Hamada

Last Name

Khater

MiddleName

-

Affiliation

Radio diagnosis&amp; Medical Imaging, Benha University Faculty of Medicine

Email

hamadam.t.khater@yahoo.com

City

-

Orcid

-

First Name

Magdy

Last Name

Awad

MiddleName

-

Affiliation

Radiodiagnosis, Faculty of Medicine, Benha University

Email

magdyawadbenha@gmail.com

City

-

Orcid

-

Volume

39

Article Issue

Special issue (Radiology)

Related Issue

34004

Issue Date

2022-05-01

Receive Date

2020-11-12

Publish Date

2022-05-01

Page Start

68

Page End

77

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_192107.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=192107

Order

6

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

State of the art of magnetic resonance imaging ( MRI ) in evaluation of focal hepatic lesions

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Type

Article

Created At

22 Jan 2023