Magnetic resonance imaging in evaluating focal liver lesions.
We report the results of magnetic resonance imaging (MRI) of the liver in 46 patients with various previously confirmed focal lesions. A characteristic signal pattern was found in hemangiomas (n = 11), with marked signal hyperintensity on T2 and proton weighted images as compared to normal liver tissue. Cysts (n = 7) also showed marked hyperintensity on T2 images, but could easily be differentiated by a lesser intensity on proton weighted images and signal hypointensity on T1 weighted images. Primary liver tumors (n = 4), metastatic liver disease (n = 18), focal nodular hyperplasia (n = 5), and liver adenoma (n = 1) revealed a weak signal hyperintensity on T2 images, with varying signals in T1 and proton weighted modalities. These data combined with other recent communications in the literature indicate that MRI is a promising diagnostic technique in the detection of focal liver lesions and that it may offer a high degree of specificity in the diagnosis of hepatic hemangiomas and benign cysts.
D003560:Cysts / Q000175:diagnosis; D004444:Echinococcosis, Hepatic / Q000175:diagnosis; D006391:Hemangioma / Q000175:diagnosis*; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis*; D008113:Liver Neoplasms / Q000175:diagnosis*; D009682:Magnetic Resonance Spectroscopy