Prediction of microvascular invasion of hepatocellular carcinoma using gadoxetic acid-enhanced MR and 18F-FDG PET/CT

Verfasser / Beitragende:
[Su Ahn, Jeong Lee, Ijin Joo, Eun Lee, Soo Lee, Gi Cheon, Joon Han, Byung Choi]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/4(2015-04-01), 843-851
Format:
Artikel (online)
ID: 605494347
LEADER caa a22 4500
001 605494347
003 CHVBK
005 20210128100525.0
007 cr unu---uuuuu
008 210128e20150401xx s 000 0 eng
024 7 0 |a 10.1007/s00261-014-0256-0  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-014-0256-0 
245 0 0 |a Prediction of microvascular invasion of hepatocellular carcinoma using gadoxetic acid-enhanced MR and 18F-FDG PET/CT  |h [Elektronische Daten]  |c [Su Ahn, Jeong Lee, Ijin Joo, Eun Lee, Soo Lee, Gi Cheon, Joon Han, Byung Choi] 
520 3 |a Purpose: To identify the gadoxetic acid-enhanced MR and the 18F-fludeoxyglucose (FDG) PET/CT findings associated with microvascular invasion (MVI) of hepatocellular carcinoma (HCC) in patients who are undergoing liver transplantation (LT). Methods: Fifty-one patients with 78 HCCs underwent LT. Preoperative MRI and 18F-FDG PET/CT findings were retrospectively analyzed and the association of the imaging findings with MVI was assessed. Results: Univariate analysis revealed that hypointensity seen on T1WI (OR=4.329, p=0.011), peritumoral enhancement (OR=7.000, p=0.008), inhomogeneity on arterial phase (OR=4.321, p=0.011), delayed phase (OR=4.519, p=0.009) or hepatobiliary phase (OR=3.564, p=0.032), and the large tumor size (>5cm) (OR=12.091, p=0.001) showed statistically significant associations with MVI. The ratio of tumor maximum standardized uptake value (SUV) to normal liver mean SUV (TSUVmax/LSUVmean) (2.05±1.43 vs. 1.08±0.37) revealed significantly higher value in the MVI-positive group. Multivariate analysis revealed that peritumoral enhancement and a TSUVmax/LSUVmean of 1.2 or greater had a statistically significant association with MVI, with odds ratios of 10.648 (p=0.016) and 14.218 (p=0.001), respectively. Conclusions: Preoperative imaging findings such as peritumoral enhancement seen on gadoxetic acid-enhanced MR and a TSUVmax/LSUVmean of 1.2 or more on 18F-FDG PET/CT, may suggest the presence of MVI in HCC patients. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Microvascular invasion  |2 nationallicence 
690 7 |a Liver transplantation  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
690 7 |a PET/CT  |2 nationallicence 
700 1 |a Ahn  |D Su  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Jeong  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Joo  |D Ijin  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Eun  |u Department of Radiology, National Cancer Center, Goyang, Korea  |4 aut 
700 1 |a Lee  |D Soo  |u Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea  |4 aut 
700 1 |a Cheon  |D Gi  |u Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea  |4 aut 
700 1 |a Han  |D Joon  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Choi  |D Byung  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 843-851  |x 0942-8925  |q 40:4<843  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0256-0  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-014-0256-0  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ahn  |D Su  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Jeong  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Joo  |D Ijin  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Eun  |u Department of Radiology, National Cancer Center, Goyang, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Soo  |u Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cheon  |D Gi  |u Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Han  |D Joon  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Choi  |D Byung  |u Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/4(2015-04-01), 843-851  |x 0942-8925  |q 40:4<843  |1 2015  |2 40  |o 261