Cirrhosis: spectrum of findings on unenhanced and dynamic gadolinium-enhanced MR imaging

Abdominal Imaging
K M VitellasJ G Bova

Abstract

The appearance of the cirrhotic liver on computed tomography can be difficult to evaluate and can frustrate the radiologist distinguishing benign from malignant lesions. Hepatic edema, fibrosis, atrophy, and vascular abnormalities are common in the cirrhotic liver and produce derangements in morphology, attenuation, and perfusion, limiting the accurate characterization of hepatic masses. With the development of fast magnetic resonance (MR) sequences and dynamic postgadolinium-enhanced imaging, most hepatic lesions with uncertain etiology on computed tomography can be accurately characterized on MR imaging. We describe MR imaging techniques useful for imaging cirrhosis and its complications. We also illustrate the spectrum of findings in the cirrhotic liver on dynamic gadolinium-enhanced MR imaging, including reticular and confluent fibrosis, fatty infiltration, hemochromatosis, regenerating nodules, dysplastic nodules, hepatocellular carcinoma, and sequela of portal hypertension.

Citations

Apr 4, 2007·Nature Clinical Practice. Gastroenterology & Hepatology·Okka W HamerStefan Feuerbach
Jul 17, 2008·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Hila BarashRinat Abramovitch
Jul 28, 2012·Revista Da Sociedade Brasileira De Medicina Tropical·Luciana Cristina Dos Santos SilvaJosé Roberto Lambertucci
Jul 18, 2003·European Journal of Gastroenterology & Hepatology·Steffen RickesWolfram Wermke
Oct 19, 2013·Experimental and Therapeutic Medicine·Huang-Qing OuyangZhao-Hui Yang

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