Document Detail


Solitary hepatic metastasis: comparison of dynamic contrast-enhanced CT and MR imaging with fat-suppressed T2-weighted, breath-hold T1-weighted FLASH, and dynamic gadolinium-enhanced FLASH sequences.
MedLine Citation:
PMID:  8061428     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty consecutive cancer patients with a solitary hepatic metastasis detected with dynamic contrast-material-enhanced computed tomography (CT) who were considered for hepatic resection underwent magnetic resonance (MR) imaging within 18 days after CT. Histologic confirmation was obtained in all lesions. CT depicted 20 solitary lesions. MR imaging showed a solitary lesion in 14 patients, two lesions in three patients, and more than two lesions in three patients, for a total of 37 lesions. Twenty-three lesions less than 2 cm in diameter were missed with CT, and six lesions less than 1.3 cm in diameter were missed with MR imaging. MR imaging was superior to CT in the detection of hepatic metastases on a patient-by-patient basis (P < .01). The results suggest that MR imaging is superior to dynamic contrast-enhanced CT for the detection of hepatic metastases.
Authors:
R C Semelka; J P Shoenut; S M Ascher; M A Kroeker; H M Greenberg; C S Yaffe; A B Micflikier
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  4     ISSN:  1053-1807     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:    1994 May-Jun
Date Detail:
Created Date:  1994-09-20     Completed Date:  1994-09-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  319-23     Citation Subset:  IM    
Affiliation:
Department of Radiology-MRI, University of North Carolina, Chapel Hill 27599.
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MeSH Terms
Descriptor/Qualifier:
Colorectal Neoplasms / pathology*
Contrast Media*
Drug Combinations
Female
Gadolinium / diagnostic use
Gadolinium DTPA
Humans
Liver Neoplasms / diagnosis*,  secondary*
Magnetic Resonance Imaging / methods*
Male
Meglumine / diagnostic use
Middle Aged
Organometallic Compounds / diagnostic use
Pentetic Acid / analogs & derivatives,  diagnostic use
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 0/Drug Combinations; 0/Organometallic Compounds; 6284-40-8/Meglumine; 67-43-6/Pentetic Acid; 7440-54-2/Gadolinium; 80529-93-7/Gadolinium DTPA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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