By Guy Marchal MD (auth.), Andreas Heuck MD, Maximilian Reiser MD (eds.)
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Extra resources for Abdominal and Pelvic MRI
In patients with increased creatinine, and particularly those in whom values are rising, administration of gadolinium should be used with caution and may be contraindicated, but there appears to exist a larger tolerance for gadolinium than for iodinated contrast agents. 2 Results and Role of MRI For the detection of metastases, MRI has been shown to have an overall sensitivity of 78%-83% and a specificity of 89% for resectability (SOYER et al. 1996; NELSON et al. 1988; KUHLMAN et al. 1994; URHAHN et al.
Giant hemangioma. a Tl-weighted FLASH image showing giant hemangioma and small hemangioma of the right liver lobe. bTl-weighted FLASH image after injection of Resovist®, showing hemangiomas hyperintense in relation to liver due to the Tl effect of superparamagnetic iron oxide particles c Fig. 1 a-c. Cavernous hemangioma. a Typical (large arrowhead) and atypical appearance (small arrowhead) on heavily T2-weighted (SE 2500/120) image. 1 mmollkg). Note the peripheral nodular enhancement (arrows). c Delayed Tl-weighted FLASH image obtained after Gd-DTPA administration, showing complete fill-in of the small hemangioma (arrow) evident on images obtained with other heavily T2weighted pulse sequences such as fast spin echo (FSE) or ultrafast echoplanar imaging techniques.
Radiology 165:419-423 Itoh K, Saini S, Hahn PF, et al. (1990) Differentiation between small hepatic hemangiomas and metastases on MR images: importance of size-specific quantitative criteria. AJR 155:61-65 Karhunen PJ (1986) Benign hepatic tumors and tumor-like conditions in men. J Clin PathoI39:183-188 Kerlin P, Davis GL, McGill DB, Weiland LH, Adson MA, Sheedy PF II (1983) Hepatic adenoma and focal nodular hyperplasia: clinical, pathologic and radiologic features. Gastroenterology 84:994-1002 Klatskin J (1977) Hepatic tumors: possible relationship of use of contraceptives.
Abdominal and Pelvic MRI by Guy Marchal MD (auth.), Andreas Heuck MD, Maximilian Reiser MD (eds.)