caa a22 4500 605492824 CHVBK 20210128100517.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00261-014-0317-4 doi (NATIONALLICENCE)springer-10.1007/s00261-014-0317-4 Central element in liver masses, helpful, or pitfall? [Elektronische Daten] [C. Rousseau, M. Ronot, E. Sibileau, I. Boulay-Coletta, M. Lewin, V. Duchatelle, V. Vilgrain, M. Zins] A central element was first described in focal nodular hyperplasia (FNH) as a so-called "central scar,” and is normally associated with this entity. However, many other liver masses may present with a central element. Depending on its appearance, and the lesion itself, central elements can be essential, helpful, or confusing for diagnosis. Indeed, nodules that develop on liver vascular disorders, fibrolamellar hepatocellular carcinoma, large hemangioma, peripheral cholangiocarcinoma, or epithelioid hemangioenthelioma often present with a central element, thus increasing the level of diagnostic confidence when present. On the other hand, central elements are rare or atypical in liver metastases, hepatocellular adenoma, or hepatocellular carcinoma. In this setting, the presence of a central element can lead to a misdiagnosis. The description and details of the imaging features of these different central elements, especially on MRI, as well as a thorough evaluation of the entire lesion, can improve the diagnostic performance in these cases. Springer Science+Business Media New York, 2014 Central scar nationallicence Central element nationallicence Focal liver lesions nationallicence Focal nodular hyperplasia nationallicence Magnetic resonance imaging nationallicence Radio-pathological correlations nationallicence Rousseau C. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut Ronot M. Department of Radiology, Hôpital Beaujon, Assistance Publique-Hôpitaux de paris (APHP), 100 av Général Leclerc, 92110, Clichy, France aut Sibileau E. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut Boulay-Coletta I. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut Lewin M. Department of Radiology, Hôpital Paul Brousse, 12 Avenue Paul Vaillant Couturier, 94800, Villejuif, France aut Duchatelle V. Department of Pathology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut Vilgrain V. Department of Radiology, Hôpital Beaujon, Assistance Publique-Hôpitaux de paris (APHP), 100 av Général Leclerc, 92110, Clichy, France aut Zins M. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1904-1925 0942-8925 40:6<1904 2015 40 261 https://doi.org/10.1007/s00261-014-0317-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-014-0317-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rousseau C. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut NATIONALLICENCE 700 1- Ronot M. Department of Radiology, Hôpital Beaujon, Assistance Publique-Hôpitaux de paris (APHP), 100 av Général Leclerc, 92110, Clichy, France aut NATIONALLICENCE 700 1- Sibileau E. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut NATIONALLICENCE 700 1- Boulay-Coletta I. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut NATIONALLICENCE 700 1- Lewin M. Department of Radiology, Hôpital Paul Brousse, 12 Avenue Paul Vaillant Couturier, 94800, Villejuif, France aut NATIONALLICENCE 700 1- Duchatelle V. Department of Pathology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut NATIONALLICENCE 700 1- Vilgrain V. Department of Radiology, Hôpital Beaujon, Assistance Publique-Hôpitaux de paris (APHP), 100 av Général Leclerc, 92110, Clichy, France aut NATIONALLICENCE 700 1- Zins M. Departments of Radiology, Fondation Hôpital Saint-Joseph, 185 Rue Raymond Losserand, 75674, Paris, France aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1904-1925 0942-8925 40:6<1904 2015 40 261