Adrian B. Cresswell, Fenella K.S. Welsh, Myrddin Rees HPB

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A diagnostic paradigm for resectable liver lesions: to biopsy or not to biopsy? Adrian B. Cresswell, Fenella K.S. Welsh, Myrddin Rees HPB Volume 11, Issue 7, Pages 533-540 (November 2009) DOI: 10.1111/j.1477-2574.2009.00081.x Copyright © 2009 International Hepato-Pancreato-Biliary Association Terms and Conditions

Figure 1 Kaplan–Meier survival curve comparing survival after liver resection in patients who underwent biopsy of suspected colorectal metastases (Group 1, biopsy) and those who did not (Group 2, no biopsy) (Jones et al. 20053) HPB 2009 11, 533-540DOI: (10.1111/j.1477-2574.2009.00081.x) Copyright © 2009 International Hepato-Pancreato-Biliary Association Terms and Conditions

Figure 2 Images obtained by computed tomography (CT) with venous contrast, T2-weighted HASTE magnetic resonance imaging (MRI), gadolinium-enhanced MRI and resovist-enhanced MRI. The comparative images show a simple cyst in segment 4b (CT and GAD images), displaying a typically high signal on T2 images and a metastasis in segment 2 (HASTE and resovist images). Gadolinium, which is an extracellular contrast agent, produces a typical ‘ring-enhancement’ of metastases, whereas resovist, which is a liver-specific agent, reduces the signal from normal parenchyma, which leads to a relatively increased signal from the metastasis HPB 2009 11, 533-540DOI: (10.1111/j.1477-2574.2009.00081.x) Copyright © 2009 International Hepato-Pancreato-Biliary Association Terms and Conditions