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  • 1
    ISSN: 1432-0509
    Keywords: Key words: Malignant fibrous histiocytoma—IVC, neoplasms—IVC, tumor thrombus—Contrast-enhanced spiral computed tomography—Magnetic resonance imaging.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Primary malignant tumors of the inferior vena cava are infrequent. We report a very rare case of primary malignant fibrous histiocytoma of the inferior vena cava and describe the contrast-enhanced spiral computed tomographic and magnetic resonance imaging findings.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0509
    Keywords: Key words: Liver, MR—Liver, neoplasms—Liver, metastases—Liver, hemangioma.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: To report the observation that chemotherapy-treated liver metastases may mimic the appearance of hemangiomas on T2-weighted and serial postgadolinium gradient-echo magnetic resonance (MR) images. Methods: T2-weighted and serial postgadolinium spoiled gradient-echo images were prospectively and retrospectively analyzed in six patients. All patients had been treated with chemotherapy for a duration of 2–12 months. Histopathologic evaluation of liver lesions was performed in three patients. Results: Twelve lesions that resembled hemangiomas were identified. Lesions were 0.8–5.5 cm in diameter. All were well defined, oval or lobulated, and demonstrated decreased signal intensity on T1-weighted images and increased signal intensity on T2-weighted images. On immediate postgadolinium images, all lesions demonstrated peripheral nodular enhancement, which coalesced on delayed imaging. Final histopathologic diagnoses were as follows: hepatic metastases from colon cancer (two patients), ovarian cancer (two patients), pancreatic islet cell tumor (one patient), and breast cancer (one patient). Conclusions: Metastases treated by chemotherapy may mimic the appearance of hemangiomas on a variety of commonly employed MR techniques. In patients undergoing MR imaging for the evaluation of liver metastases, a history of prior chemotherapy administration and duration should be sought to prevent inaccurate staging and inappropriate therapeutic decision making.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0509
    Keywords: Key words: CT arterial portography〈+〉—〈+〉Gadolinium〈+〉—〈+〉Liver, MR, 761.1213〈+〉—〈+〉Magnetic resonance (MR), rapid imaging.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: The purpose of this study was to evaluate patients with wedge-shaped perfusion defects seen on spiral CT arterial portography for the presence of transient increased wedge-shaped enhancement on dynamic gadolinium-enhanced gradient echo MR images. Methods: Nineteen patients underwent CTAP and MRI within a 2-week interval. All patients with wedge-shaped perfusion defects on CT arterial portography were evaluated in a separate review session for the presence of transient increased segmental hepatic enhancement on dynamic gadolinium-enhanced spoiled gradient echo (SGE) MR images. Results: Eight patients were identified to have subsegmental, segmental, or lobar wedge-shaped perfusion defects by CT arterial portography. In 8/8 patients, there was transient wedge-shaped increased hepatic enhancement on MR images which corresponded to the perfusion defects identified on CT arterial portography. Transient increased enhancement on MR images was observed on immediate postgadolinium images as high-signal intensity of the involved subsegment, segment, or lobe. This relatively high-signal area faded to near isointensity in all cases on images obtained at 45 s. Conclusion: Wedge-shaped perfusion defects demonstrated by CT arterial portography corresponded to wedge-shaped increased hepatic enhancement following gadolinium administration on SGE MR images.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-0509
    Keywords: Key words: Kidney, abscess〈+〉—〈+〉Kidney, infection〈+〉—〈+〉Kidney, magnetic resonance imaging〈+〉—〈+〉Kidney, computed tomography.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Purpose: To determine the appearance of renal abscesses on gadolinium-enhanced magnetic resonance (MR) images, we reviewed 12 MR studies of eight patients with renal abscesses. These findings were compared with findings on other imaging modalities. Methods: Eight patients underwent 12 MR studies at 1.5 T, including T1-weighted gradient echo and fat-suppressed spin echo pre- and post-Gd-DTPA enhancement. Two radiologists retrospectively reviewed the MR images and compared MR findings to the findings on contrast-enhanced computed tomography (CECT) in five patients, noncontrast computed tomography (NCCT) in two patients, and ultrasound in all patients. Results: On contrast-enhanced MR images, renal abscesses were clearly depicted as heterogeneously low-signal-intensity lesions. Four patients had solitary abscesses, and four had multiple abscesses. Prominent perinephric inflammatory stranding was observed in six patients and was best shown on gadolinium-enhanced T1 fat-suppressed images. CECT findings were comparable to contrast-enhanced MR images, although contrast resolution was less on CECT images in all cases. Renal abscesses were poorly shown on NCCT and ultrasound images. Conclusion: Renal abscesses are clearly shown on gadolinium-enhanced MR images as low-signal-intensity lesions associated with prominent perinephric inflammatory strands. In this study, NCCT and ultrasound studies are poor at defining abscesses. Despite lesser contrast resolution of CECT versus MRI, the findings in cases of renal abscesses are similar. In patients with elevated serum creatinine, iodine contrast allergy, or the need for serial exams, MRI may be the best imaging technique to evaluate renal abscesses.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 22 (1997), S. 91 -95 
    ISSN: 1432-0509
    Keywords: Key words: Pelvic organs, MR—Pelvis, MR—Pelvic organ, neoplasms—Fistula, colonic—Fistula, enterovesical—Fistula, enterocutaneous.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: This multi-institutional study examines appearances of pelvic fistulas on magnetic resonance (MR) images. Methods: MR images of 46 patients with documented fistulas from five teaching hospitals were retrospectively reviewed. All patients underwent T1-weighted (T1WI), T2-weighted (T2WI), and intravenous gadolinium chelate-enhanced T1-weighted (Gd-T1WI) images. Imaging sequences were separately and then collectively reviewed. The following determinations were made: fistula detection, fistula morphology and signal intensity, and the presence of associated abnormalities. Fistulas were classified into two categories: (1) fistulas that communicate with the bladder and (2) fistulas that do not communicate with the bladder. Fistulas within these two groups were subclassified further. The presence of fistulas was documented by surgery (five patients), endoscopy (six patients), fistulogram (20 patients), or physical exam (15 patients). Results: Among the 46 patients, 53 fistulas were documented by means other than MR. Overall T1WI, T2W1 and Gd-T1WI images demonstrated 23, 31, and 39 of 53 fistulas, respectively. Gd-T1W1 detected significantly more fistulas than T1W1 (p 〈 0.05). Bladder fistulas were better shown on Gd-T1WI (8/15 fistulas) than on T1WI and T2WI (2/15 and 3/15) (p 〈 0.05). Nonbladder fistulas were demonstrated by T1WI, T2WI, and Gd-T1WI images in 21, 28, and 31 of 38 fistulas, respectively. Among all fistulas, perianal fistulas (a subcategory of nonbladder fistula) had the highest detection by T1WI, T2WI, and Gd-T1WI in 19, 20 and 22 of 23 fistulas, respectively. On T1WI, 19 of 23 detected fistulas were low in signal intensity. On T2WI, 28 of 39 detected fistulas were high in signal intensity. On Gd-T1WI images, 29 of 40 fistulas were low in signal intensity, with enhanced tract wall. Conclusion: Bladder fistulas were best shown on Gd-T1WI, which was significantly greater than on T1WI or T2WI. Nonbladder fistulas were comparably shown by all techniques, with all performing modestly well. Perianal fistulas were shown equally well by all MR sequences and were the fistulas demonstrated with the highest sensitivity on MR images.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 150-152 
    ISSN: 1432-0509
    Keywords: Intrahepatic foregut cysts ; Magnetic resonance imaging ; Contrast-enhanced MRI ; Computed tomography ; Ultrasound
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hepatic foregut cysts are uncommon lesions of the liver. In this report we prospectively examined two patients by means of computed tomography (CT), ultrasound, and contrast-enhanced magnetic resonance imaging. Ciliated hepatic foregut cysts were subsequently demonstrated in both patients following CT-guided biopsy. Magnetic resonance imaging was found to be useful in differentiating these cysts from other lesions.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-0509
    Keywords: Kidney ; MR, 81.1214 ; Kidney, neoplasm, 81.31, 81.21 ; Magnetic resonance (MR), contrast enhancement
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background This study evaluates the ability of MRI to stage transitional cell carcinoma of the upper urinary tract. Methods Nine patients who had transitional cell carcinoma of the upper urinary tract detected by other imaging modalities underwent MRI examination at 1.5 T. Imaging included pre- and postgadolinium-DTPA T1-weighted images (9 patients) pre- and postgadolinium chelate T1-weighted fat-suppressed spin echo (7 patients). Postcontrast images were acquired prior to the presence of gadolinium within the collecting system (〈2 min postcontrast), intermediate (2.5–8 min), and late (〉10 min) postcontrast. Images were prospectively interpreted and lesion staging was determined. Correlation with histopathology was obtained in all cases. Results Transitional cell cancers were demonstrated in 9/9 patients, and tumors ranged in size from 2 to 8 cm (mean = 3.8 cm) in one dimension. Correct tumor staging was performed in 8/9 patients. The staging error in one case occurred because direct tumor extension into the renal parenchyma was not detected. Conclusions The results of this preliminary study show that MRI stages transitional cell cancers relatively well; however, MRI is not able to detect superficial invasion of renal parenchyma.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 403-404 
    ISSN: 1432-0509
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 20 (1995), S. 122-125 
    ISSN: 1432-0509
    Keywords: Liver, MR studies ; Liver neoplasm, MR ; Magnetic resonance (MR), rapid imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The magnetic resonance (MR) appearance of fibrolamellar hepatocellular carcinoma (FL-HCC) on T1- and T2-weighted and dynamic serial postgadolinium-DTPA images is reported. Both tumors were large (〉7 cm in shortest dimension) and had central regions of low signal intensity on T1- and T2-weighted images. Diffuse heterogeneous enhancement of the tumors occurred on immediate postcontrast images. Lesions became more homogeneous in enhancement over time, but lack of enhancement of central portions of the tumor persisted. Although persistent lack of enhancement of the tumor scar on late postcontrast MR images may be characteristic of FL-HCC compared with delayed enhancement in focal nodular hyperplasia, the potential similarities between these tumors is stressed.
    Type of Medium: Electronic Resource
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  • 10
    ISSN: 1432-1084
    Keywords: Lung ; MR studies/ magnetic resonance (MR), contrast enhancement ; Magnetic resonance (MR), rapid imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A FLASH technique was used, which encompassed the entire thorax in the transverse plane, before and after dynamic intravenous injection of godalinium DTPA (Gd-DTPA) to study 7 patients with normal lungs, 12 patients with interstitial lung disease (ILD), and 11 patients with pulmonary nodules. Comparative CT studies were obtained within 2 weeks of the MRI study in the patients with lung disease. Quantitative signal intensity (SI) measurements were performed. Qualitative evaluation of lung parenchyma was determined in a prospective blinded fashion, and in the normal group comparison was made with the CT images. In normal patients, SI of lung parenchyma increased by 7.7 ± 1.3%. On precontrast images, second-order pulmonary branchings were visible while post-contrast, fifth-to sixth-order branches were apparent. In patients with ILD, interstitial changes enhanced to a variable ] substantial (308.4%). Detection of pulmonary nodules improved following contrast injection. The minimum lesion size detectable decreased from 8 mm precontrast to 5 mm post-contrast. Percentage contrast enhancement was greater for malignant nodules (124.2 ±79.7%) than benign nodules (5.8 ± 4.7%)(p〈0.01). Society of North America, 1–6 December 1991, Chicago
    Type of Medium: Electronic Resource
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