By Guy Marchal MD (auth.), Andreas Heuck MD, Maximilian Reiser MD (eds.)
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Additional info for Abdominal and Pelvic MRI
1994; GABATA et al. 1990). al. 1997). All these agents have been shown to yield When present, a hypointense tumor capsule is best peripheral nodular enhancement on early scans and seen on Tl-weighted images (the appearance is more or less complete fill-in on delayed scans similar to that of a capsule in well-defined hepato(HAMM et al. 1990; RUMMENY et al. 1991a). These cellular carcinoma). MRI can also demonstrate areas enhancement patterns are similar to those obtained of intratumoral bleeding as hyperintense regions on with dynamic CT.
The most specific diagnosis may be achieved with the combination of unenhanced and dynamic bolus CT or MR studies in combination with hepatobiliary enhanced MRI or nuclear scintigraphy. Despite the risk of hemorrhage, hepatocellular adenomas have been biopsied safely and classified on the basis of cytology and histology; nevertheless, the diagnostic utility of percutaneous needle biopsy remains unclear. 4 Focal Nodular Hyperplasia Focal nodular hyperplasia (FNH) is the most common solid benign liver tumor (CRAIG et al.
For exhemangiomas with regions of fibrosis may be in- ample, as with dynamic CT, an early arterial blush can be observed during dynamic gadolinium chedistinguishable from metastases in some cases. late-enhanced MRI using fast scanning techniques (RUMMENY et al. 1991a; MATHIEU et al. 3 et al. 1990). With the use of hepatobiliary contrast agents such as Mn-DPDP or Gd-EOB-DTPA, enHepatocellular Adenoma hancement of these tumors has been noted (Fig. 3) Hepatocellular adenoma is a rare solid primary liver (HAMM et al.
Abdominal and Pelvic MRI by Guy Marchal MD (auth.), Andreas Heuck MD, Maximilian Reiser MD (eds.)