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Hepatocellular carcinoma missed on gadolinium enhanced MR imaging, discovered in liver explants: Retrospective evaluation
Author(s) -
KaradenizBilgili Mirace Y.,
Braga Larissa,
Birchard Katherine R.,
Gerber David,
Firat Zeynep,
Woosley John T.,
Shrestha Roshan,
Semelka Richard C.
Publication year - 2006
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.20491
Subject(s) - medicine , hepatocellular carcinoma , magnetic resonance imaging , liver transplantation , hccs , radiology , nodule (geology) , retrospective cohort study , prospective cohort study , nuclear medicine , transplantation , pathology , paleontology , biology
The main purpose of this study was to determine if hepatocellular carcinomas (HCCs) missed on prospective magnetic resonance (MR) study could be identified on retrospective MR analysis, and to determine the cause for misdiagnosis. Among 555 patients who underwent liver transplantation between 1993 and 2004, 279 were imaged with MR imaging and four of these revealed HCCs in explanted livers that were not reported on prospective MR reading. The main cause of missed lesions were suboptimal image quality due to inability of patients to suspend respiration; other causes were HCC misinterpreted as high‐grade dysplastic nodule and isoenhancement of HCC on early phase images. J. Magn. Reson. Imaging 2006. © 2006 Wiley‐Liss, Inc.