Head and Neck Imaging

The Diagnostic Value of MRI for Hepatocellular Adenoma

Author:ZHANG Yan-qin, SUN Pei-xiang, ZHANG Xiao-bo, YE Hui-yi

affiliation:1 Department of Radiology, Luohe City Third People's Hospital, Luohe, 462000, China; 2 Department of Radiology, Chinese PLA General Hospital, Beijing ,100853, China

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Abstract

Objective To investigate value of MRI in diagnosing hepatocellular adenoma (HCA). Methods MRI findings of 8 cases with HCA proved by pathology were analyzed retrospectively. All were performed MRI plain and dynamic enhanced. Results ① All lesions were solitary, and round or oval with clear boundaries; There were 5 cases in right lobe, 3 cases in left lobe, and the average diameter was 5.8cm. There are 4 cases with bleeding, 7 cases with enveloped. ② MRI scan: 5 cases showed slightly lower signal and 2 cases with equal signal、1 case slightly higher signal on T1WI of in phase, all signals could be seen reduced on out-phase . 6 cases showed slightly higher signal, 2 cases equal or slightly lower signal on T2WI, 7 cases showed higher signal and 1case with equal signal on DWI. ③ MRI enhancement: There were 6 cases significantly enhanced at arterial phase, continued to strengthen at portal venous phase, 3 cases showed slightly signal and 1 case showed equal signal, 2 cases showed slightly lower signal at delayed phase. 1 case moderately enhanced and 1 case mild enhanced at arterial phase, both continued to strengthen at venous phase, with slightly lower signal at delay period. 7 cases with enveloped and delayed enhanced. Conclusion MRI examination could accurately display the pathological component of HCA, improve the differential diagnosis of liver lesions containing lipids and make a correct preoperatively diagnosis.

【Keyword】Hepatocellular Adenoma; Magnetic Resonance Imaging; X-ray Computed; Diffusion Weighted

【Chart number】R445.2 ;R735.7

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672-5131.2015.01.18