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Appearance of Focal Liver Lesions Using Contrast-Enhanced Magnetic Resonance Imaging Using Gadofosveset Trisodium, an Intravascular (Blood-Pool) Contrast.

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Presentation on theme: "Appearance of Focal Liver Lesions Using Contrast-Enhanced Magnetic Resonance Imaging Using Gadofosveset Trisodium, an Intravascular (Blood-Pool) Contrast."— Presentation transcript:

1 Appearance of Focal Liver Lesions Using Contrast-Enhanced Magnetic Resonance Imaging Using Gadofosveset Trisodium, an Intravascular (Blood-Pool) Contrast Agent: A Pictorial Essay  H.M.C. Cheung, MD, C. Law, MD, MPH, M. Shoichet, MD, P.J. Karanicolas, MD, PhD, N. Coburn, MD, MPH, L. Milot, MD, MSc  Canadian Association of Radiologists Journal  Volume 67, Issue 3, Pages (August 2016) DOI: /j.carj Copyright © Terms and Conditions

2 Figure 1 Cavernous hepatic hemangioma with gadofosveset-enhanced magnetic resonance imaging in (A) arterial, (B) portal venous, and (C) 10-minute delayed phase imaging demonstrates early peripheral discontinuous enhancement with progressive fill-in. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

3 Figure 2 Focal nodular hyperplasia with gadofosveset-enhanced magnetic resonance imaging in (A) arterial, (B) portal venous, and (C) 10-minute delayed phase imaging demonstrates homogeneous arterial enhancement that fades to background liver on portal venous and delayed phase imaging. The central scar is hypoenhancing on arterial phase with progressive enhancement on delayed phases. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

4 Figure 3 Hepatic adenoma with gadofosveset-enhanced magnetic resonance imaging in (A) arterial, (B) portal venous, and (C) 10-minute delayed phase imaging demonstrates slight arterial enhancement with washout of contrast on portal venous and delayed phase imaging. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

5 Figure 4 Hepatocellular carcinoma with gadofosveset-enhanced magnetic resonance imaging in (A) arterial, (B) portal venous, and (C) 10-minute delayed phase imaging demonstrates arterial enhancement with washout of contrast on portal venous and delayed phase imaging. Note the presence of a tumour capsule. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

6 Figure 5 Cholangiocarcinoma with gadofosveset-enhanced magnetic resonance imaging (MRI) in (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. There is rim enhancement on arterial phase imaging with progressive central enhancement on delayed phase imaging and associated capsular retraction. Note that the degree of central enhancement on delayed phase imaging appears greater with gadobutrol than with gadofosveset. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

7 Figure 6 Liver metastasis from colorectal cancer with gadofosveset-enhanced magnetic resonance imaging (MRI) in (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. The lesion appears hypoenhancing on all phases with gadofosveset. There is central enhancement seen on delayed phase imaging with gadobutrol that is less pronounced with gadofosveset. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

8 Figure 7 Liver metastasis from pancreatic adenocarcinoma with gadofosveset-enhanced magnetic resonance imaging (MRI) in (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. There is continuous rim enhancement on arterial phase that persists in the delayed phases. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

9 Figure 8 Multiple liver metastases from breast cancer with gadofosveset-enhanced magnetic resonance imaging (MRI) in the (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. There is rim enhancement of the metastases. Enhancement is less pronounced on delayed phase imaging with gadofosveset than with gadobutrol. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

10 Figure 9 Liver metastasis from renal cell carcinoma with gadofosveset-enhanced magnetic resonance imaging (MRI) in the (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. There is arterial enhancement with perisistent enhancement in delayed phase imaging in keeping with a hypervascular metastasis. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions

11 Figure 10 Multiple liver metastases from a carcinoid tumour with gadofosveset-enhanced magnetic resonance imaging (MRI) in the (A) arterial and (B) 10-minute delayed phase imaging and with gadobutrol-enhanced MRI in (C) 10-minute delayed phase imaging. There is arterial enhancement with persistent enhancement in delayed phase imaging. Note that there is a greater degree of enhancement on delayed phase imaging with gadofosveset than with gadobutrol. Canadian Association of Radiologists Journal  , DOI: ( /j.carj ) Copyright © Terms and Conditions


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