Ontology type: schema:ScholarlyArticle
2016-06
AUTHORSRihyeon Kim, Jeong Min Lee, Cheong-Il Shin, Eun Sun Lee, Jeong Hee Yoon, Ijin Joo, Seong Ho Kim, Inpyeong Hwang, Joon Koo Han, Byung Ihn Choi
ABSTRACTOBJECTIVES: To determine the different imaging features of intrahepatic mass-forming cholangiocarcinoma (IMCC) from hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced magnetic resonance imaging (MRI). METHODS: This retrospective study was institutional review board approved and the requirement for informed consent was waived. Patients who underwent gadoxetic acid-enhanced MRI with histologically confirmed IMCCs (n = 46) or HCCs (n = 58) were included. Imaging features of IMCCs and HCCs on gadoxetic acid-enhanced MRI including T2- and T1-weighted, diffusion weighted images, dynamic study and hepatobiliary phase (HBP) images were analyzed. Univariate and multivariate logistic regression analyses were performed to identify relevant differentiating features between IMCCs and HCCs. RESULTS: Multivariate analysis revealed heterogeneous T2 signal intensity and a hypointense rim on the HBP as suggestive findings of IMCCs and the wash-in and "portal wash-out" enhancement pattern as well as focal T1 high signal intensity foci as indicative of HCCs (all, p < 0.05). When we combined any three of the above four imaging features, we were able to diagnose IMCCs with 94 % (43/46) sensitivity and 86 % (50/58) specificity. CONCLUSIONS: Combined interpretation of enhancement characteristics including HBP images, morphologic features, and strict application of the "portal wash-out" pattern helped more accurate discrimination of IMCCs from HCCs. KEY POINTS: • Analysis of enhancement characteristics helped accurate discrimination of IMCCs from HCCs. • Wash-out should be determined on the PVP of gadoxetic acid-enhanced MRI. • A hypointense rim on the HBP was a significant finding of IMCCs. More... »
PAGES1808-1817
http://scigraph.springernature.com/pub.10.1007/s00330-015-4005-8
DOIhttp://dx.doi.org/10.1007/s00330-015-4005-8
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/26373763
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"description": "OBJECTIVES: To determine the different imaging features of intrahepatic mass-forming cholangiocarcinoma (IMCC) from hepatocellular carcinoma (HCC) on gadoxetic acid-enhanced magnetic resonance imaging (MRI).\nMETHODS: This retrospective study was institutional review board approved and the requirement for informed consent was waived. Patients who underwent gadoxetic acid-enhanced MRI with histologically confirmed IMCCs (n\u2009=\u200946) or HCCs (n\u2009=\u200958) were included. Imaging features of IMCCs and HCCs on gadoxetic acid-enhanced MRI including T2- and T1-weighted, diffusion weighted images, dynamic study and hepatobiliary phase (HBP) images were analyzed. Univariate and multivariate logistic regression analyses were performed to identify relevant differentiating features between IMCCs and HCCs.\nRESULTS: Multivariate analysis revealed heterogeneous T2 signal intensity and a hypointense rim on the HBP as suggestive findings of IMCCs and the wash-in and \"portal wash-out\" enhancement pattern as well as focal T1 high signal intensity foci as indicative of HCCs (all, p\u2009<\u20090.05). When we combined any three of the above four imaging features, we were able to diagnose IMCCs with 94\u00a0% (43/46) sensitivity and 86\u00a0% (50/58) specificity.\nCONCLUSIONS: Combined interpretation of enhancement characteristics including HBP images, morphologic features, and strict application of the \"portal wash-out\" pattern helped more accurate discrimination of IMCCs from HCCs.\nKEY POINTS: \u2022 Analysis of enhancement characteristics helped accurate discrimination of IMCCs from HCCs. \u2022 Wash-out should be determined on the PVP of gadoxetic acid-enhanced MRI. \u2022 A hypointense rim on the HBP was a significant finding of IMCCs.",
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