MR features of small hepatocellular carcinoma in normal, fibrotic, and cirrhotic livers: a comparative study

Verfasser / Beitragende:
[Ruo Sheng, Meng Zeng, Yuan Ji, Li Yang, Cai Chen, Sheng Rao]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/8(2015-10-01), 3062-3069
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0536-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0536-3 
245 0 0 |a MR features of small hepatocellular carcinoma in normal, fibrotic, and cirrhotic livers: a comparative study  |h [Elektronische Daten]  |c [Ruo Sheng, Meng Zeng, Yuan Ji, Li Yang, Cai Chen, Sheng Rao] 
520 3 |a Purpose: The objective of this study is to compare MR imaging features of small hepatocellular carcinoma (HCC) (≤2cm) in normal, fibrotic, and cirrhotic liver. Methods: A total of 215 patients with 235 pathologically proven sHCC were retrospectively analyzed. Patients were classified into three groups according to the patients' liver condition: patients with normal liver (F0, group 1), fibrosis without cirrhosis (F1-3, group 2), and cirrhosis (F4, group 3). The morphological and MR signal features on T1, T2-weighted, dynamic enhanced, and diffusion-weighted imaging were evaluated and compared. Results: There were 10, 38, and 167 patients in group 1, 2, and 3, respectively. Patients with normal liver were older than those with fibrosis or cirrhosis (P=0.0086), and tumors in the normal liver were larger than those in the fibrotic or cirrhotic liver (P=0.0407). No statistical differences were found among groups in signals on T2-weighted images (P=0.163), signals on each phase after contrast (P=0.269, 0.893, and 0.259, respectively), enhancement patterns (P=0.753), ADC values (P=0.760), as well as the presence of capsule-like enhancement (P=0.953), mosaic pattern (P=0.572), fat content (P=0.222), iron sparing (P=1.000), hemorrhage (P=0.181), and venous invasion (P=0.175). Both signal-to-noise ratios (SNR) (χ 2=2.045, P=0.132) and lesion-to-liver contrast-to-noise ratios (CNR) (χ 2=0.438, P=0.646) were not different as well. But confusing features of iso/hypointensity on T2-weighted imaging (n=11, 6.0%) and progressive enhancement pattern (n=2, 1.1%) were exclusively found in the cirrhosis background, and hypovascular tumors with iso/hypointensity on arterial phase were only seen in the fibrosis (n=5, 11.9%) and cirrhosis groups (n=10, 5.5%). Conclusion: MR features of sHCC were similar among patients with normal, fibrotic, and cirrhotic livers. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Hepatocellular carcinoma  |2 nationallicence 
690 7 |a Cirrhosis  |2 nationallicence 
690 7 |a Fibrosis  |2 nationallicence 
690 7 |a Magnetic resonance imaging  |2 nationallicence 
700 1 |a Sheng  |D Ruo  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
700 1 |a Zeng  |D Meng  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
700 1 |a Ji  |D Yuan  |u Department of Pathology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
700 1 |a Yang  |D Li  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
700 1 |a Chen  |D Cai  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
700 1 |a Rao  |D Sheng  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 3062-3069  |x 0942-8925  |q 40:8<3062  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0536-3  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0536-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sheng  |D Ruo  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zeng  |D Meng  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ji  |D Yuan  |u Department of Pathology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yang  |D Li  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Cai  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rao  |D Sheng  |u Department of Radiology, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, 200032, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 3062-3069  |x 0942-8925  |q 40:8<3062  |1 2015  |2 40  |o 261