Utility of Radial Scanning for the Identification of Arterial Hypervascularity of Hepatocellular Carcinoma on Gadoxetic Acid-Enhanced Magnetic Resonance Images.


Journal

Journal of computer assisted tomography
ISSN: 1532-3145
Titre abrégé: J Comput Assist Tomogr
Pays: United States
ID NLM: 7703942

Informations de publication

Date de publication:
Historique:
pubmed: 5 3 2021
medline: 29 7 2021
entrez: 4 3 2021
Statut: ppublish

Résumé

This study aimed to compare the accuracy of assessing the arterial hypervascularity of hepatocellular carcinoma (HCC) on dynamic computed tomography (CT) scans and gadoxetic acid (EOB)-enhanced magnetic resonance imaging (MRI) scans performed with radial sampling. We studied the images of 40 patients with hypervascular HCC. A radiologist recorded the standard deviation of the attenuation (or the signal intensity [SI]) in subcutaneous fat tissue as the image noise (N) and calculated the contrast-to-noise ratio (CNR) as follows: (CNR) = (n-ROIT - n-ROIL)/N, where n-ROIT is the mean attenuation (or SI) of the tumor divided by the mean attenuation (or SI) of the aorta and n-ROIL is the mean attenuation (or SI) of the liver parenchyma divided by the mean attenuation (or SI) of the aorta. The CNR was significantly higher on EOB-enhanced MRI than on dynamic CT scans. For the assessment of HCC vascularity, EOB-enhanced MRI scans acquired with radial sampling were more accurate than dynamic CT images.

Identifiants

pubmed: 33661153
doi: 10.1097/RCT.0000000000001139
pii: 00004728-900000000-98940
doi:

Substances chimiques

gadolinium ethoxybenzyl DTPA 0
Gadolinium DTPA K2I13DR72L

Types de publication

Comparative Study Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

359-366

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

K.A. received a research grant from Hitachi, Ltd. T.N., K.H., M.T., R.S., and Y.B. are employees of Hitachi, Ltd. The other authors declare that they have no conflict of interest.

Références

Choi JY, Lee JM, Sirlin CB. CT and MR imaging diagnosis and staging of hepatocellular carcinoma: part I. Development, growth, and spread: key pathologic and imaging aspects. Radiology. 2014;272:635–654.
Sun HY, Lee JM, Shin CI, et al. Gadoxetic acid–enhanced magnetic resonance imaging for differentiating small hepatocellular carcinomas (< or =2 cm in diameter) from arterial enhancing pseudolesions: special emphasis on hepatobiliary phase imaging. Invest Radiol. 2010;45:96–103.
Cha DI, Choi GS, Kim YK, et al. Extracellular contrast-enhanced MRI with diffusion-weighted imaging for HCC diagnosis: prospective comparison with gadoxetic acid using LI-RADS. Eur Radiol. 2020;30:3723–3734.
American College of Radiology. CT/MRI LI-RADS v2018. 2018. Available at: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/LI-RADS/CT-MRI-LI-RADS-v2018 Accessed December 1, 2020.
Organ Procurement and Transplantation Network. OPTN policies. Policy 9: allocation of livers and liver-intestines. Available at: https://optn.transplant.hrsa.gov/media/1200/optn_policies.pdf Accessed December 1, 2020.
Semaan S, Vietti Violi N, Lewis S, et al. Hepatocellular carcinoma detection in liver cirrhosis: diagnostic performance of contrast-enhanced CT vs. MRI with extracellular contrast vs. gadoxetic acid. Eur Radiol. 2020;30:1020–1030.
Lee YJ, Lee JM, Lee JS, et al. Hepatocellular carcinoma: diagnostic performance of multidetector CT and MR imaging-a systematic review and meta-analysis. Radiology. 2015;275:97–109.
Li J, Wang J, Lei L, et al. The diagnostic performance of gadoxetic acid disodium-enhanced magnetic resonance imaging and contrast-enhanced multi-detector computed tomography in detecting hepatocellular carcinoma: a meta-analysis of eight prospective studies. Eur Radiol. 2019;29:6519–6528.
EASL. Clinical practice guidelines: management of hepatocellular carcinoma. J Hepatol. 2018;69:182–236.
Kudo M, Matsui O, Izumi N, et al. Surveillance and diagnostic algorithm for hepatocellular carcinoma proposed by the Liver Cancer Study Group of Japan: 2014 update. Oncology. 2014;87(suppl 1):7–21.
Pugacheva O, Matsui O, Kozaka K, et al. Detection of small hypervascular hepatocellular carcinomas by EASL criteria: comparison with double-phase CT during hepatic arteriography. Eur J Radiol. 2011;80:e201–e206.
Min JH, Kim JM, Kim YK, et al. Magnetic resonance imaging with extracellular contrast detects hepatocellular carcinoma with greater accuracy than with gadoxetic acid or computed tomography. Clin Gastroenterol Hepatol. 2019.
Min JH, Kim JM, Kim YK, et al. Prospective intraindividual comparison of magnetic resonance imaging with gadoxetic acid and extracellular contrast for diagnosis of hepatocellular carcinomas using the liver imaging reporting and data system. Hepatology. 2018;68:2254–2266.
Tamada T, Ito K, Sone T, et al. Dynamic contrast-enhanced magnetic resonance imaging of abdominal solid organ and major vessel: comparison of enhancement effect between Gd-EOB-DTPA and Gd-DTPA. J Magn Reson Imaging. 2009;29:636–640.
Zech CJ, Vos B, Nordell A, et al. Vascular enhancement in early dynamic liver MR imaging in an animal model: comparison of two injection regimen and two different doses Gd-EOB-DTPA (gadoxetic acid) with standard Gd-DTPA. Invest Radiol. 2009;44:305–310.
Agrawal MD, Spincemaille P, Mennitt KW, et al. Improved hepatic arterial phase MRI with 3-second temporal resolution. J Magn Reson Imaging. 2013;37:1129–1136.
Pfeiffer D, Parakh A, Patino M, et al. Iodine material density images in dual-energy CT: quantification of contrast uptake and washout in HCC. Abdom Radiol (NY). 2018;43:3317–3323.
Sugimoto K, Moriyasu F, Shiraishi J, et al. Assessment of arterial hypervascularity of hepatocellular carcinoma: comparison of contrast-enhanced US and gadoxetate disodium-enhanced MR imaging. Eur Radiol. 2012;22:1205–1213.
Likert R. A technique for the measurement of attitudes. Arch Psychol. 1932;140:55.
Svanholm H, Starklint H, Gundersen HJ, et al. Reproducibility of histomorphologic diagnoses with special reference to the kappa statistic. APMIS. 1989;97:689–698.
Masuda T, Nakaura T, Funama Y, et al. Aortic and hepatic contrast enhancement during hepatic-arterial and portal venous phase computed tomography scanning: multivariate linear regression analysis using age, sex, total body weight, height, and cardiac output. J Comput Assist Tomogr. 2017;41:309–314.
Kudo M. Multistep human hepatocarcinogenesis: correlation of imaging with pathology. J Gastroenterol. 2009;44(suppl 19):112–118.
Yu MH, Kim JH, Yoon JH, et al. Small (</=1-cm) hepatocellular carcinoma: diagnostic performance and imaging features at gadoxetic acid–enhanced MR imaging. Radiology. 2014;271:748–760.
Pietryga JA, Burke LM, Marin D, et al. Respiratory motion artifact affecting hepatic arterial phase imaging with gadoxetate disodium: examination recovery with a multiple arterial phase acquisition. Radiology. 2014;271:426–434.
Kawai N, Goshima S, Noda Y, et al. Gadoxetic acid–enhanced dynamic magnetic resonance imaging using optimized integrated combination of compressed sensing and parallel imaging technique. Magn Reson Imaging. 2019;57:111–117.
Yoon JH, Nickel MD, Peeters JM, et al. Rapid imaging: recent advances in abdominal MRI for reducing acquisition time and its clinical applications. Korean J Radiol. 2019;20:1597–1615.
Davenport MS, Viglianti BL, Al-Hawary MM, et al. Comparison of acute transient dyspnea after intravenous administration of gadoxetate disodium and gadobenate dimeglumine: effect on arterial phase image quality. Radiology. 2013;266:452–461.
Motosugi U, Bannas P, Bookwalter CA, et al. An investigation of transient severe motion related to gadoxetic acid–enhanced MR imaging. Radiology. 2016;279:93–102.
Kromrey ML, Hori M, Goshima S, et al. Gadoxetate disodium-related event during image acquisition: a prospective multi-institutional study for better MR practice. Eur Radiol. 2020;30:281–290.
Yoon JH, Lee JM, Yu MH, et al. Triple arterial phase MR imaging with gadoxetic acid using a combination of contrast enhanced time robust angiography, keyhole, and viewsharing techniques and two-dimensional parallel imaging in comparison with conventional single arterial phase. Korean J Radiol. 2016;17:522–532.
Kajita K, Goshima S, Noda Y, et al. Thin-slice free-breathing pseudo-golden-angle radial stack-of-stars with gating and tracking T1-weighted acquisition: an efficient gadoxetic acid–enhanced hepatobiliary-phase imaging alternative for patients with unstable breath holding. Magn Reson Med Sci. 2019;18:4–11.
Chandarana H, Block TK, Rosenkrantz AB, et al. Free-breathing radial 3D fat-suppressed T1-weighted gradient echo sequence: a viable alternative for contrast-enhanced liver imaging in patients unable to suspend respiration. Invest Radiol. 2011;46:648–653.

Auteurs

Keigo Narita (K)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Yuko Nakamura (Y)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Toru Higaki (T)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Takashi Nishihara (T)

Healthcare Business Unit, Hitachi, Ltd, Kashiwa, Chiba, Japan.

Kuniaki Harada (K)

Healthcare Business Unit, Hitachi, Ltd, Kashiwa, Chiba, Japan.

Masahiro Takizawa (M)

Healthcare Business Unit, Hitachi, Ltd, Kashiwa, Chiba, Japan.

Ryuji Shirase (R)

Healthcare Business Unit, Hitachi, Ltd, Kashiwa, Chiba, Japan.

Yoshitaka Bito (Y)

Healthcare Business Unit, Hitachi, Ltd, Kashiwa, Chiba, Japan.

Motonori Akagi (M)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Yukiko Honda (Y)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Makoto Iida (M)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Kazuo Awai (K)

From the Diagnostic Radiology, Hiroshima University, Hiroshima, Hiroshima.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH