Quantitative analysis of gadoxetic acid-enhanced magnetic resonance imaging predicts histological grade of hepatocellular carcinoma

被引:11
作者
Tong, Hong-fei [1 ]
Liang, Hong-bo [1 ]
Mo, Zhi-kang [1 ]
Guan, Tian-pei [1 ]
Yang, Jian [1 ]
Fang, Chi-hua [1 ]
机构
[1] Southern Med Univ, ZhuJiang Hosp, Dept Hepatobiliary Surg, 253 Ind Rd, Guangzhou 510282, Guangdong, Peoples R China
关键词
Hepatocellular carcinoma; Gd-EOB-DTPA; MRI; Histological grade; Quantitative analysis; GD-EOB-DTPA; HISTOPATHOLOGIC FINDINGS; CONTRAST AGENT; SPIRAL CT; LIVER; MRI; DIAGNOSIS; EFFICACY; SAFETY;
D O I
10.1016/j.clinimag.2016.12.009
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: To confirm the histological grade of hepatocellular carcinoma (HCC) by gadoxetic acid-enhanced MRI. Methods: Ninety-five HCC patients underwent gadoxetic acid-enhanced MRI before surgical intervention. The correlations among the signal absolute enhancement, contrast enhancement ratio (CER) and tumor histological grade were analyzed. Results: The correlation between CER of tumor-to-liver and the grades of tumor differentiation is the most significant negative. The k-value for the CER of tumor-to-liver and histopathologic analysis is 0.62, which gives evidence of good agreement. Conclusion: The quantitative analysis of gadoxetic acid-enhanced MRI can predict the histological grades of small HCCs. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:9 / 14
页数:6
相关论文
共 29 条
[1]  
[Anonymous], HEPATOL RES
[2]   Clinical value of MRI liver-specific contrast agents: a tailored examination for a confident non-invasive diagnosis of focal liver lesions [J].
Ba-Ssalamah, Ahmed ;
Uffmann, Martin ;
Saini, Sanjai ;
Bastati, Nina ;
Herold, Christian ;
Schima, Wolfgang .
EUROPEAN RADIOLOGY, 2009, 19 (02) :342-357
[3]   Efficacy and safety of MR imaging with liver-specific contrast agent: US Multicenter Phase III study [J].
Bluemke, DA ;
Sahani, D ;
Amendola, M ;
Balzer, T ;
Breuer, J ;
Brown, JJ ;
Casalino, DD ;
Davis, PL ;
Francis, IR ;
Krinsky, G ;
Lee, FT ;
Lu, D ;
Paulson, EK ;
Schwartz, LH ;
Siegelman, ES .
RADIOLOGY, 2005, 237 (01) :89-98
[4]   Gadoxetate Disodium-Enhanced Hepatobiliary Phase MRI of Hepatocellular Carcinoma: Correlation With Histological Characteristics [J].
Choi, Jin-Young ;
Kim, Myeong-Jin ;
Park, Young Nyun ;
Lee, Jeong Min ;
Yoo, Sun Kook ;
Rha, Sun Young ;
Seok, Jae Yeon .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 197 (02) :399-405
[5]   Contrast-enhanced magnetic resonance cholangiography with Gd-BOPTA and Gd-EOB-DTPA in healthy subjects [J].
Dahlstrom, N. ;
Persson, A. ;
Albiin, N. ;
Smedby, O. ;
Brismar, T. B. .
ACTA RADIOLOGICA, 2007, 48 (04) :362-368
[6]  
EDMONDSON HA, 1954, CANCER-AM CANCER SOC, V7, P462, DOI 10.1002/1097-0142(195405)7:3<462::AID-CNCR2820070308>3.0.CO
[7]  
2-E
[8]   Qualitative and Quantitative Evaluation of Hepatocellular Carcinoma and Cirrhotic Liver Enhancement Using Gd-EOB-DTPA [J].
Frericks, Bernd B. ;
Loddenkemper, Christoph ;
Huppertz, Alexander ;
Valdeig, Steffi ;
Stroux, Andrea ;
Seja, Marion ;
Wolf, Karl-Juergen ;
Albrecht, Thomas .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2009, 193 (04) :1053-1060
[9]   Quantitative Evaluation of Enhancement Patterns in Focal Solid Liver Lesions with Gd-EOB-DTPA-Enhanced MRI [J].
Haimerl, Michael ;
Waechtler, Max ;
Zeman, Florian ;
Verloh, Niklas ;
Platzek, Ivan ;
Schreyer, Andreas Georg ;
Stroszczynski, Christian ;
Wiggermann, Philipp .
PLOS ONE, 2014, 9 (06)
[10]   Diagnostic efficacy of gadoxetic acid (Primovist)-enhanced MRI and spiral CT for a therapeutic strategy:: comparison with intraoperative and histopathologic findings in focal liver lesions [J].
Hammerstingl, Renate ;
Huppertz, Alexander ;
Breuer, Josy ;
Balzer, Thomas ;
Blakeborough, Anthony ;
Carter, Rick ;
Fuste, Lluis Castells ;
Heinz-Peer, Gertraud ;
Judmaier, Werner ;
Laniado, Michael ;
Manfredi, Riccardo M. ;
Mathieu, Didier G. ;
Mueller, Dieter ;
Mortele, Koenraad ;
Reimer, Peter ;
Reiser, Maximilian F. ;
Robinson, Philip J. ;
Shamsi, Kohkan ;
Strotzer, Michael ;
Taupitz, Matthias ;
Tombach, Bernd ;
Valeri, Gianluca ;
van Beers, Bernhard E. ;
Vogl, Thomas J. .
EUROPEAN RADIOLOGY, 2008, 18 (03) :457-467