Published September 2019 | Version v1
Journal article

MRI in differentiating malignant versus benign portal vein thrombosis in patients with hepatocellular carcinoma: Value of post contrast imaging with subtraction

  • 1. Johns Hopkins University, 601 N Caroline Street, Radiology, JHOC 3235-A, Baltimore, MD, 21287-0010 (United States)
  • 2. Baystate Medical Center, 759 Chestnut Street, Springfield, MA, 01199 (United States)
  • 3. Mayo Healthcare System, Department of Radiology, 1221 Whipple St., Eau Claire, WI, 54703 (United States)
  • 4. Istanbul University Cerrahpasa Medical Faculty, Radiology Department, Cerrahpasa Mahallesi Kocamustafapasa, Fatih, İstanbul, 34098 (Turkey)
  • 5. University of Minnesota Radiology Department, MMC 292, 420 Delaware St. SE, Minneapolis, MN, 55455 (United States)
  • 6. Biostatistics Core, Masonic Cancer Center, University of Minnesota, 717 Delaware Street SE Rm 140-08, Minneapolis, MN, 55414 (United States)
  • 7. University of Minnesota, 420 Delaware Street S.E. B234, Mayo Memorial Building MMC 292, Minneapolis, MN, 55455 (United States)

Description

Highlights: • Enhancement accurately differentiates benign from malignant portal vein thrombus. • High accuracy is achieved at arterial, portal venous, and delayed phase imaging. • Subtracted and nonsubtracted images demonstrate similarly high diagnostic accuracy. • Sensitivity and specificity of 20% enhancement on subtracted later phases was >90%. - Abstract: Purpose: To evaluate MR imaging parameters including quantitative multiphasic post-contrast enhancement with subtraction and qualitative diffusion weighted imaging (DWI) in differentiating benign versus malignant portal venous thrombosis (PVT) in patients with hepatocellular carcinoma (HCC).

Availability note (English)

Available from http://dx.doi.org/10.1016/j.ejrad.2019.07.008

Additional details

Identifiers

DOI
10.1016/j.ejrad.2019.07.008;
PII
S0720048X19302487;

Publishing Information

Journal Title
European Journal of Radiology
Journal Volume
118
Journal Page Range
p. 88-95
ISSN
0720-048X
CODEN
EJRADR

INIS

Country of Publication
Netherlands
Country of Input or Organization
International Atomic Energy Agency (IAEA)
INIS RN
51013639
Subject category
S62: RADIOLOGY AND NUCLEAR MEDICINE;
Descriptors DEI
ACCURACY; DIAGNOSIS; DIFFUSION; HEPATOMAS; IMAGES; LIVER; NMR IMAGING; PATIENTS; SENSITIVITY; SPECIFICITY; THROMBOSIS; VEINS; WEIGHT
Descriptors DEC
BLOOD VESSELS; BODY; CARCINOMAS; CARDIOVASCULAR DISEASES; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DIGESTIVE SYSTEM; DISEASES; GLANDS; NEOPLASMS; ORGANS; VASCULAR DISEASES

Optional Information

Notes
© 2019 Elsevier B.V. All rights reserved.