This book provides a practical approach for MR imaging of the focal and diffuse liver lesions. Its unique layout is based on state-of-the-art MR imaging sequences, computer-generated drawings, concise figure captions, relevant and systematic (differential) diagnostic information, recent literature references, and patient management possibilities. MR imaging findings are correlated to ultrasound, computed tomography, and pathology when appropriate. This book will greatly benefit all professionals interested and involved in imaging, diagnosis, and treatment of focal and diffuse liver lesions.
Author(s): Shahid M. Hussain, J.L. Gollan, R.C. Semelka
Edition: 1
Publisher: Springer
Year: 2006
Language: German
Pages: 263
Tags: Медицинские дисциплины;Клинические методы диагностики, лабораторная диагностика;Магнитно-резонансная томография;
Cover......Page 1
Foreword I......Page 7
Foreword II......Page 8
Preface......Page 9
Contents......Page 11
Part I - High-Fluid Content Liver Lesions......Page 14
1 Abscesses – Pyogenic Type......Page 15
2 BiliaryHamartomas (von Meyenberg Complexes)......Page 17
3 Cyst I – Typical Small......Page 19
4 Cyst II – Typical Large with MR-CT Correlation......Page 21
5 Cyst III – Multiple Small Lesions with MR-CT-US Comparison......Page 23
6 Cyst IV – Adult Polycystic Liver Disease......Page 25
7 Cystadenoma / Cystadenocarcinoma......Page 27
8 Hemangioma I – Typical Small......Page 29
9 Hemangioma II – Typical Medium-Sized with Description of Pathology......Page 31
10 Hemangioma III – Typical Giant......Page 33
11 Hemangioma IV – Giant Type with a Large Central Scar......Page 35
12 Hemangioma V – Atypical, Flash-Filling with Perilesional Enhancement......Page 37
13 Hemangioma VI – Multiple with Perilesional Enhancement......Page 39
14 Hemorrhage......Page 41
15 Hemorrhage –Within a Solid Tumor......Page 43
16 Mucinous Metastasis – Mimicking an Hemangioma......Page 45
Part II Solid Liver Lesions......Page 47
IIA Metastases: Colorectal......Page 48
17 Colorectal Metastases I – Typical Lesion......Page 49
18 Colorectal Metastases II – Typical Multiple Lesions......Page 51
19 Colorectal Metastases III – Metastasis Versus Cyst......Page 53
20 Colorectal Metastases IV – Metastasis Versus Hemangiomas......Page 55
21 Liver Metastases V – Large, Mucinous, Mimicking a Primary Liver Lesion......Page 57
22 ColorectalMetastases VI – with Portal Vein and Bile Duct Encasement......Page 59
23 ColorectalMetastases VII – Recurrent Disease Versus RFA Defect......Page 61
IIB Metastases: Non-Colorectal......Page 64
24 Breast Carcinoma Liver Metastases......Page 65
25 Kahler’s Disease (Multiple Myeloma) Liver Metastases......Page 67
26 Melanoma Liver Metastases I – Focal Type......Page 69
27 Melanoma Liver Metastases II – Diffuse Type......Page 71
28 Neuroendocrine Tumor I – Typical Liver Metastases......Page 73
29 Neuroendocrine Tumor II – Pancreas Tumor Metastases......Page 75
30 Neuroendocrine Tumor III – Gastrinoma Liver Metastases......Page 77
31 Neuroendocrine Tumor IV – Carcinoid Tumor Liver Metastases......Page 79
32 Neuroendocrine Tumor V – Peritoneal Spread......Page 81
33 Ovarian Tumor LiverMetastases – Mimicking Giant Hemangioma......Page 83
34 Renal Cell Carcinoma Liver Metastasis......Page 85
IIC Primary Solid Liver Lesions in Cirrhotic Liver......Page 88
35 Cirrhosis I – Liver Morphology......Page 89
36 Cirrhosis II – Regenerative Nodules and Confluent Fibrosis......Page 91
37 Cirrhosis III – Dysplastic Nodules......Page 93
38 Cirrhosis IV – Dysplastic Nodules – HCC Transition......Page 95
39 Cirrhosis V – Cyst in a Cirrhotic Liver......Page 97
40 Cirrhosis VI – Multiple Cysts in a Cirrhotic Liver......Page 99
41 Cirrhosis VII – Hemangioma in a Cirrhotic Liver......Page 101
42 HCC in Cirrhosis I – Typical Small with Pathologic Correlation......Page 103
43 HCC in Cirrhosis II – Small With and Without a Tumor Capsule......Page 105
44 HCC in Cirrhosis III – Nodule-in-Nodule Appearance......Page 107
45 HCC in Cirrhosis IV – Mosaic Pattern with Pathologic Correlation......Page 109
46 HCC in Cirrhosis V – Typical Large withMosaic and Capsule......Page 111
47 HCC in Cirrhosis VI – Mosaic Pattern with Fatty Infiltration......Page 113
48 HCC in Cirrhosis VII – Large Growing Lesion with Portal Invasion......Page 115
49 HCC in Cirrhosis VIII – Segmental Diffuse with Portal Vein Thrombosis......Page 117
50 HCC in Cirrhosis IX – Multiple Lesions Growing on Follow-up......Page 119
51 HCC in Cirrhosis X – Capsular Retraction and Suspected Diaphragm Invasion......Page 121
52 HCC in Cirrhosis XI – Diffuse Within the Entire Liver with Portal Vein Thrombosis......Page 123
53 HCC in Cirrhosis XII – With Intrahepatic Bile Duct Dilatation......Page 125
IID Primary Solid Liver Lesions in Non-Cirrhotic Liver......Page 128
54 Focal Nodular Hyperplasia I – Typical with Large Central Scar and Septa......Page 129
55 Focal Nodular Hyperplasia II – Typical with Pathologic Correlation......Page 131
56 Focal Nodular Hyperplasia III – Typical with Follow-up Examination......Page 133
57 Focal Nodular Hyperplasia IV – Multiple FNH Syndrome......Page 135
58 Focal Nodular Hyperplasia V – Fatty FNH with Concurrent Fatty Adenoma......Page 137
59 Focal Nodular Hyperplasia VI – Atypical with T2 Dark Central Scar......Page 139
60 Hepatic Angiomyolipoma – MR-CT Comparison......Page 141
61 Hepatic Lipoma – MR-CT-US Comparison......Page 143
62 Hepatocellular Adenoma I – Typical with Pathologic Correlation......Page 145
63 Hepatocellular Adenoma II – Large Exophytic with Pathologic Correlation......Page 147
64 Hepatocellular Adenoma III – Typical Fat-Containing......Page 149
65 Hepatocellular Adenoma IV – With Large Hemorrhage......Page 151
66 Hepatocellular Adenoma V – Multiple in Fatty Liver (Non-OC-Dependent)......Page 153
67 Hepatocellular Adenoma VI – Multiple in Fatty Liver (OC-Dependent)......Page 155
68 HCC in Non-Cirrhotic Liver I – Small with MR-Pathologic Correlation......Page 157
69 HCC in Non-Cirrhotic Liver II – Large with MR-Pathologic Correlation......Page 159
70 HCC in Non-Cirrhotic Liver III – Large Lesion with Inconclusive CT......Page 161
71 HCC in Non-Cirrhotic Liver IV – Cholangiocellular or Combined Type......Page 163
72 HCC in Non-Cirrhotic Liver V – Central Scar and Capsule Rupture......Page 165
73 HCC in Non-Cirrhotic Liver VI – Capsule with Pathologic Correlation......Page 167
74 HCC in Non-Cirrhotic Liver VII – Very Large with Pathologic Correlation......Page 169
75 HCC in Non-Cirrhotic Liver VIII – Vascular Invasion and Satellite Nodules......Page 171
76 HCC in Non-Cirrhotic Liver IX – Adenoma-Like HCC with Pathologic Correlation......Page 173
77 Intrahepatic Cholangiocarcinoma – With Pathologic Correlation......Page 175
78 Telangiectatic Hepatocellular Lesion......Page 177
Part III Diffuse (Depositional) Liver Diseases......Page 180
79 Focal Fatty Infiltration Mimicking Metastases......Page 181
80 Focal Fatty Sparing Mimicking Liver Lesions......Page 183
81 Hemosiderosis – Iron Deposition, Acquired Type......Page 185
82 Hemochromatosis – Severe Type......Page 187
83 Hemochromatosis with Solitary HCC......Page 189
84 Hemochromatosis with Multiple HCC......Page 191
85 Thalassemia with Iron Deposition......Page 193
Part IV Vascular Liver Lesions......Page 196
86 Arterioportal Shunt I – Early Enhancing Lesion in a Cirrhotic Liver......Page 197
87 Arterioportal Shunt II – Early Enhancing Lesion in a Non-Cirrhotic Liver......Page 199
88 Budd-Chiari Syndrome I – Abnormal Enhancement and Intrahepatic Collaterals......Page 201
89 Budd-Chiari Syndrome II – Gradual Deformation of the Liver......Page 203
90 Budd-Chiari Syndrome III – Nodules Mimicking Malignancy......Page 205
91 HereditaryHemorrhagic Telangiectasia (HHT) or Rendu-Osler-Weber Disease......Page 207
Part V Biliary Tree Abnormalities......Page 210
92 Caroli’s Disease I – Intrahepatic with Segmental Changes......Page 211
93 Caroli’s Disease II – Involvement of the Liver and Kidneys......Page 213
94 Cholelithiasis (Gallbladder Stones)......Page 215
95 Choledocholithiasis (Bile Duct Stones)......Page 217
96 Gallbladder Carcinoma I – Versus Gallbladder Wall Edema......Page 219
97 Gallbladder Carcinoma II – Hepatoid Type of Adenocarcinoma......Page 221
98 Hilar Cholangiocarcinoma I – Typical......Page 223
99 Hilar Cholangiocarcinoma II – Intrahepatic Mass......Page 225
100 Hilar Cholangiocarcinoma III – Partially Extrahepatic Tumor......Page 227
101 Hilar Cholangiocarcinoma IV – Metal Stent with Interval Growth......Page 229
102 Hilar Cholangiocarcinoma V – Biliary Dilatation Mimicking Klatskin Tumor at CT......Page 231
103 Primary Sclerosing Cholangitis I – Cholangitis and Segmental Atrophy......Page 233
104 Primary Sclerosing Cholangitis II – With Intrahepatic Cholestasis......Page 235
105 Primary Sclerosing Cholangitis III – With Intrahepatic Stones......Page 237
106 Primary Sclerosing Cholangitis IV – With Biliary Cirrhosis......Page 239
107 Primary Sclerosing Cholangitis V – With Intrahepatic Cholangiocarcinoma......Page 241
108 Primary Sclerosing Cholangitis VI – With Hilar Cholangiocarcinoma......Page 243
Part VI Differential Diagnosis......Page 246
109 T2 Bright Liver Lesions......Page 247
110 T1 Bright Liver Lesions......Page 249
111 T2 Bright Central Scar......Page 251
112 Lesions in Fatty Liver......Page 253
Part VII Appendices......Page 255
113 Appendix I: MR Imaging Technique and Protocol......Page 257
114 Appendix II: Liver Segmental and Vascular Anatomy......Page 259
Subject Index......Page 262
