Superparamagnetic iron oxide enhanced magnetic resonance imaging in the detection of malignant liver lesions Malign karaciǧer kitlelerinin saptanmasında süperparamanyetik demir oksit ile manyetik rezonans görüntüleme


Çaǧli B., Temizöz O., Gençhellaç H., ÜMİT H. C., Tosun A., Çakir B.

Balkan Medical Journal, cilt.28, sa.3, ss.286-292, 2011 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 28 Sayı: 3
  • Basım Tarihi: 2011
  • Doi Numarası: 10.5174/tutfd.2010.03880.2
  • Dergi Adı: Balkan Medical Journal
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.286-292
  • Anahtar Kelimeler: Contrast-noise ratio, MR imaging, Superparamagnetic iron oxide (SPIO), T1-weighted flash and T2-weighted double-echo TSE sequences
  • Trakya Üniversitesi Adresli: Evet

Özet

Objective: To determine the value of superparamagnetic iron oxide (SPIO)-enhanced MR imaging in malignant liver lesions. Materials and Methods: Twenty patients with various hepatic masses or metastases were investigated with 1 tesla MR. T1-weighted FLASH and double- echo TSE T2-weighted sequences were applied before and after contrast injection. "Defining statistics" were prepared according to pre and postcontrast signal intensity measurements. Results: In this study there were 11 patients with metastases, 4 patients with hemangioma, 4 patients with HCC and one patient with a hemangioma and a metastasis at the same time. In cases wheret we found only hemangiomas, in all sequences, S/N ratios (p=0.043) and T2-weighted double-echo TSE with long TE SI change (p=0.043) were significant. While in the hemangiomas in T2-weighted double-echo TSE with long TE there is an decrease in the C/N ratios; in cases with metastasis and HCC, compared to other sequences significant increase in C/N ratio in T2-weighted double-echo TSE with short TE sequences was detected. Conclusion: SPIO-enhanced MR imaging can be used as a non-invasive radiologic technique for the detection focal liver lesions, to determine the number of lesions and also has a value in differentiating the benign lesions (especially hemangiomas) from primary tumors or metastatic malignant lesions. © Trakya University Faculty of Medicine.