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Radiology, Vol 193, 677-682, Copyright © 1994 by Radiological Society of North America


ARTICLES

Dynamic MR imaging of liver tumors: analysis with temporal reconstruction images

L Marti-Bonmati, L Masia, C Torrijo, C Casillas and MD Ferrer
Department of Diagnostic Radiology, Hospital Dr Peset, Valencia, Spain.

PURPOSE: To graphically display the time dependency of contrast enhancement of liver tumors at examination with dynamic magnetic resonance (MR) imaging. MATERIALS AND METHODS: A temporal reconstruction image was generated by obtaining a line of interest drawn on a single image through the liver and the tumor and reformatted over a sequence of temporal images. This calculated image expressed the temporal evolution of the line, including nontumoral liver and tumor, with regard to three variables: signal intensity, enhancement, and velocity. This allowed a visually integrated analysis of 95 hepatic lesions studied with dynamic single-section MR imaging after contrast material administration. RESULTS: Temporal reconstruction images were obtained for all the dynamic studies. Five patterns of enhancement based on signal intensity and velocity variations coupled with morphologic information were found: wall, diffusion, moderate enhancement, marked progressive, and early intense patterns. CONCLUSION: Temporal reconstruction of liver tumors after contrast material administration can be used to analyze, describe, and report the dynamics of lesion enhancement with morphologic and temporal resolution.


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