[Comparison of enhancement patterns of multi-phase scan of dynamic MRI and dynamic CT in small hepatocellular carcinoma].
OBJECTIVE
To study prospectively the enhancement features of multi-phase scan of dynamic MRI and spiral CT in the diagnosis of small hepatocellular carcinoma (SHCC) and to discuss the cause of dynamic MRI being superior to spiral CT.


METHODS
Multi-phase contrast scanning of dynamic MR and spiral CT were done in 53 SHCC patients. The lesions were proved by surgery and pathology. The arterial-phase, portal venous-phase and delayed phase scan of spiral CT were carried out after the pre-contrast scanning of the entire liver. MRI was performed with SE sequence and FMPSPGR sequence dynamic multi-phase contrast scans.


RESULTS
Seventy-six lesions were found in 53 patients. Sixty-nine lesions and 54 lesions were enhanced obviously in MR and spiral CT arterial-phase scans. The typical enhancement patterns of SHCC in the arterial-phase, portal venous-phase and delayed phase scan of MRI and spiral CT were hyper-hypo-hypointense (dense) and hyperintense (hyperdense), -isointense (isodense) and -hypointense (hypodense). Atypical enhancement patterns were hyperintense (hyperdense), -hyperintense (hyperdense), -hyperintense (hyperdense), -hyperintense (hyperdense), -isointense (isodense), -isointense (isodense) and -hypointense- (hypodense), -hypointense (hypodense) and -hypointense (hypodense).


CONCLUSIONS
Both dynamic MRI and spiral CT multi-phase contrast scanning are able to demonstrate the enhancement features of SHCC, with arterial-phase scan of MRI being superior to spiral CT in reflecting the hypervascular characterization of SHCC. Combined with SE sequence in characterizing the SHCC, MRI is better than spiral CT.
Yan
F
F
Department of Radiology, Zhongshan Hospital, Medical Center of Fudan University, Shanghai 200032, China.
Zhou
K
K
Shen
J
J
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods