title: Role of gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging in the management of hepatocellular carcinoma: consensus at the Symposium of the 48th Annual Meeting of the Liver Cancer Study Group of Japan.
abstract: We summarize here the consensus reached at the Symposium of the 48th Annual Meeting of the Liver Cancer Study Group of Japan held in Kanazawa on July 20th and 21st, 2012, on the role of gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid-enhanced magnetic resonance imaging (EOB-MRI) in the management of hepatocellular carcinoma (HCC). Currently, dynamic CT is the first choice of imaging modality when HCC is suspected. EOB-MRI is useful for differentiation and definitive diagnosis of HCC when dynamic CT/MRI does not show conclusive findings for HCC. In addition, contrast- enhanced ultrasound with Sonazoid is useful for making a decision on whether or not to treat a hypovascular lesion <1 cm when the nodules are shown with low intensity in the hepatocyte phase of EOB-MRI. Furthermore, EOB-MRI should be performed in selected cases of HCC ultrahigh-risk groups every 3-4 months, or EOB-MRI should be performed at least once at the first visit in all HCC ultrahigh-risk groups.
authors: Department of Gastroenterology and Hepatology, Kinki University School of Medicine, Osakasayama, Osaka, Japan. m-kudo@med.kindai.ac.jp
authors: Masatoshi
authors: M
authors: Kudo
authors: Osamu
authors: O
authors: Matsui
authors: Michiie
authors: M
authors: Sakamoto
authors: Azusa
authors: A
authors: Kitao
authors: Tonsok
authors: T
authors: Kim
authors: Shun-ichi
authors: S
authors: Ariizumi
authors: Tomoaki
authors: T
authors: Ichikawa
authors: Satoshi
authors: S
authors: Kobayashi
authors: Yasuharu
authors: Y
authors: Imai
authors: Namiki
authors: N
authors: Izumi
authors: Yasunari
authors: Y
authors: Fujinaga
authors: Shigeki
authors: S
authors: Arii
mesh_terms: D000465:Algorithms; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000628:therapy; D003287:Contrast Media; D019786:Gadolinium DTPA; D006801:Humans; D007089:Image Enhancement; D007564:Japan; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000628:therapy; D008279:Magnetic Resonance Imaging
chemical_list: D003287:Contrast Media; C073590:gadolinium ethoxybenzyl DTPA; D019786:Gadolinium DTPA