Liver Specific MRI using Gd-EOB-DTPA Disodium (Primovist) Effects Change in Management of Indeterminate Liver Lesions.
|
|
- Tracey Chambers
- 5 years ago
- Views:
Transcription
1 Liver Specific MRI using Gd-EOB-DTPA Disodium (Primovist) Effects Change in Management of Indeterminate Liver Lesions. Poster No.: C-1751 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit N. Rao, D. Assaf, K. Burney, S. Zar, N. Khosla, A. Mahmood; Carshalton/ Metastases, Haemangioma, Contrast agent-intravenous, MR, CT, Management,, Liver /ecr2012/C-1751 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 20
2 Learning objectives To illustrate that liver specific MRI using Gd-EOB-DTPA (Primovist) contrast agent not only assists in detecting and characterising liver lesions but can also influence management. We also hope to demonstrate that a locally lead service can be benefical in terms of effectiveness of resources. Page 2 of 20
3 Background Focal liver lesions can range from benign to malignant primary or secondary lesions, hence it is important to characterise such lesions accurately, allowing appropriate and prompt management. Potential causes for benign lesions commonly include; cysts, haemangiomas, Focal Nodular Hyperplasia (FNH) and adenomas, while the main malignant threats remain hepatocellular carcinoma and secondary metastases. Various modalities allow visualization of the liver parenchyma including; Ultrasound, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) but more often than not, the latter is advantageous with respects to soft tissue contrast as well as detection and characterisation of lesions. Liver specific contrast agents have gained favour for detecting and characterising indeterminate lesions found on computed tomography (CT). One such agent is Primovist [Gd-EOB-DTPA]. It is initially transported into hepatocytes by the organic anion transporting polypeptide 1 (OATP1) and is eventually excreted via the same transport system as bile. This demonstrates enhancement within normal liver cells during the late (hepatocyte) phase on MRI. This predictably occurs within 20 minutes after administration of the agent (table 1). Page 3 of 20
4 Table 1: Typical Imaging Appearance of Focal Liver Lesions Before and After Injection of Gadoxetate Disodium References: Ringe KI, Husarik DB, Sirlin, Merkle EM. Gadoxetate Disodium- Enhanced MRI of the Liver: Part 1, Protocol Optimization and Lesion Appearance in the Noncirrhotic Liver. AJR 2010; 195:13-28 We commenced a Gd-EOB-DTPA MRI service within our district hospital from April Prior to this, indeterminate lesions on CT or ultrasound were all sent for liver specific MRI to a tertiary liver centre (University Hospital Southampton). This required an additional referral to a gastroenterologist and then radiologist for the scan. The patient would then be sent in the reverse direction for benign Page 4 of 20
5 or normal scans for further management. This was a poor use of resources but more importantly a cause of prolonged time and concern for the patient. Our new service would effectively lead to direct requests from gastroenterologists for liver specific MRIs within our own setting and thus reduce multiple referrals and appointment slots across hospital trusts. Page 5 of 20
6 Imaging findings OR Procedure details We collated data from the hospital Radiology Information Systems (RIS) and Patient Archiving & Communication System (PACS). We performed 28 Primovist MRIs on patients with indeterminate liver lesions on CT (26 cases) and ultrasound (2 cases), over a 21 month period. The average age of patients was 58 years (range years) with a male to female ratio of 13:15. The reports for the initial modality and subsequent MRI were compared in terms of; number of lesions detected, change in diagnosis and whether a second opinion was required from a tertiary liver imaging unit. Twenty eight patients were assessed, one CT scan had no written report but images were reviewed at a local meeting. The MRI revealed no definite lesions on early or late phase. Of the 27 with a written report, CT and MRI concurred in 48% (13 patients), with 48% (13 patients) having differing numbers of lesions reported. 33% (9) of the patients had additonal lesions detected. Furthermore, Primovist MRI lead to changes in the diagnoses of 44% of those imaged. Only three MRI results needed review by a tertiary centre with their reports concurring with our own. Three patients were referred to tertiary centres in view of the MRI findings for further management. The results are shown graphically in figure; Page 6 of 20
7 Fig. 4: Graphical representation of the outcomes following liver specific MRI using Gd- EOB-DTPA. Percentages indicated are cases from the cohort number of 27. The majority of cases were found to be haemangiomas (13); Page 7 of 20
8 Fig. 5: A 27yr old female. History of recurrent pneumothoraces on the right but more recently on the left. Sensations of 'popping' in chest at time of menstrual periods hence underwent a CT (above) which reveals three small nodules which appear intimately related to the liver rather than pleural in nature and have similar characteristics to the liver in enhancement. An MRI of the liver was organised to determine whether these represent small humps on the surface of the liver or are due to pleural endometriotic lesions. Page 8 of 20
9 Fig. 6: MRI with Primovist - showing a 33mm lesion is visible at the junction of segment 4A and 8 of the liver, lying predominantly within segment 8. Dynamic imaging shows intense uptake in the arterial phase with the lesion becoming isointense on the portal venous phase images (2). On the 20 minute scan (image 4), there is marked enhancement around the edges with central wash-out. The appearances are most likely to represent a haemangioma. Malignant lesions confirmed or discovered included; metastases... Page 9 of 20
10 Fig. 7: A 44yr old female, underwent ERCP for obstructive jaundice and mild pancreatitis. She was found to have a tight stricture - biliary stent inserted. CT Abdomen - portal venous phase. Fatty change throughout liver with evidence of perfusion change in multiple sites. No discrete lesion is identified. Biliary stent is in situ (arrow) with inflammatory change in pancreatic head. Page 10 of 20
11 Fig. 8: MRI with Primovist contrast - 1. arterial, 2. Portal venous and 3. Hepatic phases showing multiple liver lesions none of which show any Primovist uptake and are highly suspicious of multiple liver metastases. 4. showing axial FLAIR images - multiple lesions are seen which correspond to non enhancing Primovist lesions (arrows). These were biopsied and confirmed to be malignant histologically(of pancreatic origin) Page 11 of 20
12 Fig. 9: Coronal MRI - showing abnormal soft tissue at the level of the pancreatic head (arrow) which appears to be abutting the SMA. There was a history of previous pancreatitis....and hepatocellular carcinomas Page 12 of 20
13 Fig. 10: The liver appears somewhat irregular in outline suggesting a degree of underlying chronic liver disease. There is however a 4.4cm lesion visible within segment 4 of the liver (circled). Following Primovist there appears to be some enhancement along its edges but on the biliary excretory phase this lesion can be appreciated separately from the background of the parenchyma and probably does not have significant Primovist uptake and is therefore suspicious of an underlying liver primary (HCC). Hepatic cysts were diagnosed in 2 cases; Page 13 of 20
14 Fig. 11: A 37yr old male presented with abnormal liver functions. He was found to have gastric varices on gastroscopy. A CT was performed which showed splenomegaly, varicies and occlusion of the splenic vein. Image 1 shows the CT of the liver with a tiny low-density focus in the liver in the superior aspect of the right lobe measuring 1cm in diameter. The differential was either a cyst or a haemangioma. MRI with TEs of 90 (image 2), 180 (image 3) and 200 (image 4) showing persisting high signal of the 2cm cyst. Page 14 of 20
15 Fig. 12: MRI of cyst (arrow) showing non enhancement during all phases of Primovist contrast inkeeping with a simple cyst. An interesting case revealed 67yr old female, investigated for abnormal liver functions, found to have large cystic lesions on ultrasound, further imaging on CT revealed a large pelvic tumour, presumed to be a ovarian malignancy with two, large lesions in the liver thought to be metastases. The images and findings are presented below; Page 15 of 20
16 Fig. 13: 67yr old female, investigated for abnormal liver functions, found to have large cystic lesions on ultrasound. She went on to have the following - CT Abdomen during arterial (A) and portal venous phase (PV) showing two significant large hypodense liver masses with wall thickening in the right liver lobe causing significant mass effect. There is mild segmental dilatation of the intrahepatic biliary tree in the left liver lobe. Page 16 of 20
17 Fig. 14: MRI Liver (Axial Post Primovist Hepatocyte phase (A) & coronal FIESTA (C) ) - showing two large cysts present within the right lobe of the liver (thin arrows). The signal characteristics of these cysts are very similar with slight heterogeneity present within the cyst fluid signal. Some degree of oedema/compressive effect is seen around the cysts. On the delayed phase oedematous changes seen around both the cyst with an altered area of perfusion seen anteriorly between the cyst. The diagnosis of organising liver abscesses was thought most probable. An ultrasound guided aspiration confirmed pus within the cavity. A large heterogeneous pelvic tumour is also noted on some of the sequences (Broad arrow - Under investigation). Page 17 of 20
18 Conclusion The introduction of Primovist MRI at Epsom and St Helier NHS Trust has offered a local service that is more sensitive and lead to changes in diagnosis and management. This study has demonstrated that the new protocol has enabled management to be tailored locally with referral to tertiary care centres only made when required. Page 18 of 20
19 Personal Information N. Rao 1, D. Assaf 2, K. Burney 3, S. Zar 4, N. Khosla 3, A. Mahmood 4 Epsom & St Helier University Hospitals NHS Trust, Carshalton, Surrey SM5 1AA, 1 Undergraduate Department 2 Department of Paediatrics 3 Department of Interventional Radiology 4 Department of Gastroenterology Page 19 of 20
20 References Purysko AS, Remer EM, Veniero JC. Focal liver lesion detection and characterization with GD-EOB-DTPA. Clinical Radiology 66 (2011) 673 e684. Ringe KI, Husarik DB, Sirlin, Merkle EM. Gadoxetate Disodium-Enhanced MRI of the Liver: Part 1, Protocol Optimization and Lesion Appearance in the Noncirrhotic Liver. AJR 2010; 195:13-28 Page 20 of 20
Biliary tree dilation - and now what?
Biliary tree dilation - and now what? Poster No.: C-1767 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, A. B. Ramos, S. Magalhães, M. Certo; Porto/PT Keywords: Pathology, Diagnostic
More informationPurpose. Methods and Materials. Results
Prevalence and significance of hypoattenuating hepatic lesions deemed too small to characterise: How are we following up these lesions and what are the outcomes? Poster No.: C-014 Congress: ECR 2009 Type:
More informationMR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA
MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA Poster No.: C-0019 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid
More informationComparison of T2-weighted MRCP before and after injection of Gd-EOB-DTPA in patients with primary sclerosing cholangitis (PSC)
Comparison of T2-weighted MRCP before and after injection of Gd-EOB-DTPA in patients with primary sclerosing cholangitis (PSC) Poster No.: C-0051 Congress: ECR 2010 Type: Scientific Exhibit Topic: Abdominal
More informationLesions of the pancreaticoduodenal groove, a pictorial review
Lesions of the pancreaticoduodenal groove, a pictorial review Poster No.: C-2131 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ni Mhurchu, L. Lavelle, I. Murphy, S. Skehan ; IE, Dublin/ IE Keywords:
More information64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes
64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes Poster No.: C-051 Congress: ECR 2009 Type: Scientific Exhibit Topic: Abdominal and Gastrointestinal Authors:
More informationThe role of abdominal CT and MRI in detection of complications after transplantations of liver, kidney and pancreas.
The role of abdominal CT and MRI in detection of complications after transplantations of liver, kidney and pancreas. Poster No.: C-1319 Congress: ECR 2015 Type: Educational Exhibit Authors: R. Muslimov,
More informationImaging characterization of renal clear cell carcinoma
Imaging characterization of renal clear cell carcinoma Poster No.: C-0327 Congress: ECR 2011 Type: Educational Exhibit Authors: S. Ballester 1, A. Gaser 2, M. Dotta 1, M. F. CAPPA 1, F. Hammar 1 ; 1 2
More informationSingle cold nodule in Graves' disease: benign vs malignant
Single cold nodule in Graves' disease: benign vs malignant Poster No.: C-0073 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Paper L. I. Sonoda, M. Halim, K. Balan; Cambridge/UK Head and neck,
More informationDiffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy
Diffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy Poster No.: C-1785 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific
More informationSlowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time
Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time Poster No.: C-208 Congress: ECR 2009 Type: Educational Exhibit Topic: Chest Authors:
More informationThe "whirl sign". Diagnostic accuracy for intestinal volvulus.
The "whirl sign". Diagnostic accuracy for intestinal volvulus. Poster No.: C-0670 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Pire, M. Marti, A. Borobia, A. Verón; Madrid/ES Keywords: Abdomen,
More informationThe Virtual Lung Nodule Clinic
The Virtual Lung Nodule Clinic Poster No.: C-1023 Congress: ECR 2016 Type: Educational Exhibit Authors: S. Higgins, F. C. Lyall, J. Taylor, J. goldman, S. Rolin, B. 1 2 1 2 2 3 2 2 3 Soar ; Torbay/UK,
More informationIntrahepatic cholangiocarcinoma: diffusion-weighted MR imaging findings
Intrahepatic cholangiocarcinoma: diffusion-weighted MR imaging findings Poster No.: C-1979 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit S. Schmidt, A. Pomoni, F. Becce, A. Denys,
More informationUS-Guided Radiofrequency Ablation of Hepatic Focal Lesions
US-Guided Radiofrequency Ablation of Hepatic Focal Lesions Poster No.: C-2219 Congress: ECR 2011 Type: Scientific Exhibit Authors: D. Armario Bel, A. PLA, F. TERREL, X. Serres; BARCELONA/ES Keywords: Neoplasia,
More informationComputed tomography and Modified RECIST criteria for assessment of response in malignant pleural mesothelioma
Computed tomography and Modified RECIST criteria for assessment of response in malignant pleural mesothelioma Poster No.: C-0729 Congress: ECR 2013 Type: Scientific Exhibit Authors: A. Marin, I. Pozek,
More informationAudit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals
Audit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals Poster No.: C-1349 Congress: ECR 2010 Type: Educational Exhibit Topic: Genitourinary
More informationMagnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital
Magnetic Resonance Cholangiopancreatography (MRCP) in a District General Hospital Poster No.: C-1790 Congress: ECR 2012 Type: Authors: Scientific Exhibit J. A. Maguire 1, H. Kasem 2, M. Akhtar 2, M. Strauss
More informationValsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study.
Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Poster No.: C-0512 Congress: ECR 2012 Type: Authors: Keywords: DOI:
More informationCharacterisation of cervical lymph nodes by US and PET-CT
Characterisation of cervical lymph nodes by US and PET-CT Poster No.: C-1807 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: J. I. Garcia Gomez; Mexico City/MX Keywords: cervical
More informationEthanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome.
Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome. Poster No.: C-0322 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit J.
More informationRadiological features of Legionella Pneumophila Pneumonia
Radiological features of Legionella Pneumophila Pneumonia Poster No.: E-0048 Congress: ESTI 2012 Type: Scientific Exhibit Authors: M. Vinciguerra, L. Stefanetti, E. Teti, G. Argentieri, L. G. 1 1 1 1 1
More informationTHI-RADS. US differentiation of thyroid lesions.
THI-RADS. US differentiation of thyroid lesions. Poster No.: C-0864 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. N. Sencha, Y. Patrunov, M. S. Mogutov, E. Penyaeva, A. 1 1 1 2 1 1 1 2 Gruzdev,
More informationTHI-RADS. US differentiation of thyroid lesions.
THI-RADS. US differentiation of thyroid lesions. Poster No.: C-0864 Congress: ECR 2015 Type: Scientific Exhibit Authors: A. N. Sencha, Y. Patrunov, M. S. Mogutov, E. Penyaeva, A. 1 1 1 2 1 1 1 2 Gruzdev,
More informationHigh density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous?
High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? Poster No.: C-1753 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit B. Y. Lee, H. R. KIM, J. I. Jung,
More informationVascular complications in percutaneous biliary interventions: A series of 111 procedures
Vascular complications in percutaneous biliary interventions: A series of 111 procedures Poster No.: C-0744 Congress: ECR 2013 Type: Educational Exhibit Authors: A. BHARADWAZ; AARHUS, Re/DK Keywords: Obstruction
More informationUrachal cyst: radiological findings and review of cases.
Urachal cyst: radiological findings and review of cases. Poster No.: C-0334 Congress: ECR 2014 Type: Scientific Exhibit Authors: I. Álvarez Silva 1, A. M. Fernández Martínez 1, T. Cuesta 1, S. Molnar Fuentes
More informationContrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts
Contrast-enhanced ultrasound (CEUS) in the evaluation and characterization of complex renal cysts Poster No.: C-2812 Congress: ECR 2018 Type: Educational Exhibit Authors: J. A. Torres de Abreu Macedo,
More informationCT evaluation of small bowel carcinoid tumors
CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT
More informationHyperechoic breast lesions can be malignant.
Hyperechoic breast lesions can be malignant. Poster No.: C-0041 Congress: ECR 2015 Type: Educational Exhibit Authors: G. Babu, R. bradley; Edinburgh/UK Keywords: Breast, Ultrasound, Biopsy, Cancer DOI:
More informationThe solitary pulmonary nodule: Assessing the success of predicting malignancy
The solitary pulmonary nodule: Assessing the success of predicting malignancy Poster No.: C-0829 Congress: ECR 2010 Type: Scientific Exhibit Topic: Chest Authors: R. W. K. Lindsay, J. Foster, K. McManus;
More informationSonographic and Mammographic Features of Phyllodes Tumours of the Breast: Correlation with Histological Grade
Sonographic and Mammographic Features of Phyllodes Tumours of the Breast: Correlation with Histological Grade Poster No.: C-0046 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit C. Y.
More informationDigital breast tomosynthesis (DBT) occult breast cancers: clinical, radiological and histopathological features.
Digital breast tomosynthesis (DBT) occult breast cancers: clinical, radiological and histopathological features. Poster No.: C-1707 Congress: ECR 2015 Type: Scientific Exhibit Authors: V. Vinci 1, A. Iqbal
More informationExcavated pulmonary nodule: steps to diagnosis?
Excavated pulmonary nodule: steps to diagnosis? Poster No.: C-1044 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit W. Mnari, M. MAATOUK, A. Zrig, B. Hmida, M. GOLLI; Monastir/ TN Metastases,
More informationIdentification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine
Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Poster No.: C-2125 Congress: ECR 2015 Type: Authors: Scientific Exhibit S. patil 1, A. M.
More informationLow-dose computed tomography (CT) protocol in the screening of patients with social exposure to asbestos
Low-dose computed tomography (CT) protocol in the screening of patients with social exposure to asbestos Poster No.: C-3032 Congress: ECR 2010 Type: Scientific Exhibit Topic: Radiographers Authors: P.
More informationRadiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer
Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Poster No.: C-0654 Congress: ECR 2011 Type: Scientific Paper Authors:
More informationSpectrum of findings of sclerosing adenosis at breast MRI.
Spectrum of findings of sclerosing adenosis at breast MRI. Poster No.: C-0738 Congress: ECR 2012 Type: Scientific Exhibit Authors: F. Vasselli 1, F. Pediconi 2, M. Telesca 2, M. Luciani 2, V. Casali 2,
More informationPictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation
Pictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation Poster No.: C-2617 Congress: ECR 2015 Type: Educational
More informationMonophasic versus biphasic contrast application in CT of patients with head and neck tumour
Monophasic versus biphasic contrast application in CT of patients with head and neck tumour Poster No.: C-3331 Congress: ECR 2010 Type: Topic: Authors: Keywords: DOI: Scientific Exhibit Head and Neck G.
More informationThe Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma
The Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma Poster No.: C-0691 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit H. L. khosa
More informationIs ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT
Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT Poster No.: C-1019 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationComputed Diffusion-Weighted Image in the Abdomen
Computed Diffusion-Weighted Image in the Abdomen Poster No.: C-0234 Congress: ECR 2014 Type: Scientific Exhibit Authors: T. Yoshikawa 1, N. Aoyama 1, Y. Ohno 1, K. Kyotani 1, Y. Kassai 2, K. Sofue 1, M.
More informationAdenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis
Adenomyosis by myometrial Invasion of endometriosis: Comparison with typical adenomyosis Poster No.: C-1294 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: S. Moon, H. K. Lim,
More informationRadiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant
Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,
More informationRadiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant
Radiologic and pathologic correlation of non-mass like breast lesions on US and MRI: Benign, high risk, versus malignant Poster No.: C-1161 Congress: ECR 2013 Type: Educational Exhibit Authors: J. Kwak,
More informationRole of positron emission mammography (PEM) for assessment of axillary lymph node status in patients with breast cancer
Role of positron emission mammography (PEM) for assessment of axillary lymph node status in patients with breast cancer Poster No.: C-1260 Congress: ECR 2011 Type: Scientific Paper Authors: K. M. Kulkarni,
More informationOur experience in the endovascular treatment of female varicocele
Our experience in the endovascular treatment of female varicocele Poster No.: C-0347 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit A. Sáez de Ocáriz García, M. M. Mendigana Ramos,
More informationPulmonary changes induced by radiotherapy. HRCT findings
Pulmonary changes induced by radiotherapy. HRCT findings Poster No.: C-2299 Congress: ECR 2015 Type: Educational Exhibit Authors: R. E. Correa Soto, M. Albert Antequera, K. Müller Campos, D. 1 2 4 3 1
More informationUltrasonic evaluation of superior mesenteric vein in cancer of the pancreatic head
Ultrasonic evaluation of superior mesenteric vein in cancer of the pancreatic head Poster No.: C-1430 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit E. Fisenko, N. Vetsheva, E. Pershina;
More informationQuantitative imaging of hepatic cirrhosis on abdominal CT images
Quantitative imaging of hepatic cirrhosis on abdominal CT images Poster No.: C-0556 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit S. Kido, A. Nakamura, Y. Hirano; Ube/JP Cirrhosis,
More informationCavitary lung lesion: Two different diagnosis with similar appearence
Cavitary lung lesion: Two different diagnosis with similar appearence Poster No.: P-0043 Congress: ESTI 2015 Type: Educational Poster Authors: M. Yesildag, H. Kalkan, K. Ödev; Konya/TR Keywords: Infection,
More informationSeemingly isolated greater trochanter fractures do not exist
Seemingly isolated greater trochanter fractures do not exist Poster No.: B-0950 Congress: ECR 2012 Type: Scientific Paper Authors: D. Dunker, J. H. Göthlin, M. Geijer ; Gothenburg/SE, Lund/SE Keywords:
More informationBolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography
Bolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography Poster No.: C-1342 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationBreast ultrasound appearances after Mammotome vacuumassisted
Breast ultrasound appearances after Mammotome vacuumassisted biopsy. Poster No.: C-1924 Congress: ECR 2011 Type: Educational Exhibit Authors: R. Patel 1, G. R. Kaplan 2 ; 1 London/UK, 2 Herts/UK Keywords:
More informationA pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography.
A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. Poster No.: C-1787 Congress: ECR 2012 Type: Educational Exhibit Authors: N. Ahmed 1, G. Avery
More informationMalignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects
Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Poster No.: C-0084 Congress: ECR 2014 Type: Scientific Exhibit Authors: E. A. Yukhno, I. Trofimenko, G. Trufanov; St. Petersburg/RU
More informationMalignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects
Malignant Transformation of Endometriosis: Magnetic Resonance Imaging Aspects Poster No.: C-0084 Congress: ECR 2014 Type: Scientific Exhibit Authors: E. A. Yukhno, I. Trofimenko, G. Trufanov; St. Petersburg/RU
More informationCierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging
Cierny-Mader classification of chronic osteomyelitis: Preoperative evaluation with cross-sectional imaging Poster No.: C-590 Congress: ECR 2009 Type: Topic: Educational Exhibit Musculoskeletal Authors:
More informationAetiologies of normal CT main pulmonary arterial (PA) measurements in patients with right heart catheter (RHC) confirmed pulmonary hypertension (PH)
Aetiologies of normal CT main pulmonary arterial (PA) measurements in patients with right heart catheter (RHC) confirmed pulmonary hypertension (PH) Poster No.: C-0964 Congress: ECR 2010 Type: Scientific
More informationPI-RADS classification: prognostic value for prostate cancer grading
PI-RADS classification: prognostic value for prostate cancer grading Poster No.: C-1622 Congress: ECR 2014 Type: Scientific Exhibit Authors: I. Platzek, A. Borkowetz, T. Paulus, T. Brauer, M. Wirth, M.
More informationAcute abdominal venous thromboses- the hyperdense noncontrast CT sign
Acute abdominal venous thromboses- the hyperdense noncontrast CT sign Poster No.: C-1095 Congress: ECR 2011 Type: Educational Exhibit Authors: M. Goldstein, K. Jhaveri; Toronto, ON/CA Keywords: Abdomen,
More informationTriple-negative breast cancer: which typical features can we identify on conventional and MRI imaging?
Triple-negative breast cancer: which typical features can we identify on conventional and MRI imaging? Poster No.: C-1862 Congress: ECR 2013 Type: Educational Exhibit Authors: V. Bertani 1, A. Gualano
More informationRadiologic Findings of Mucocele-like Tumors of the breast: Can we differentiate pure benign from associated with high risk lesions?
Radiologic Findings of Mucocele-like Tumors of the breast: Can we differentiate pure benign from associated with high risk lesions? Poster No.: C-0332 Congress: ECR 2014 Type: Educational Exhibit Authors:
More informationCognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions
Cognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions Poster No.: B-0704 Congress: ECR 2015 Type: Scientific Paper Authors: P. P. van Westerveld, J. Vriesema, J. H. W. van den
More informationCorrelation Between BIRADS Classification and Ultrasound -guided Tru-Cut Biopsy Results of Breast Lesions: Retrospective Analysis of 285 Patients
Correlation Between BIRADS Classification and Ultrasound -guided Tru-Cut Biopsy Results of Breast Lesions: Retrospective Analysis of 285 Patients Poster No.: C-1433 Congress: ECR 2014 Type: Scientific
More informationIntracystic papillary carcinoma of the breast
Intracystic papillary carcinoma of the breast Poster No.: C-1932 Congress: ECR 2011 Type: Educational Exhibit Authors: V. Dimarelos, F. TZIKOS, N. Kotziamani, G. Rodokalakis, 1 2 3 1 1 1 2 T. MALKOTSI
More informationA pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study
A pictorial essay depicting CT and MR characteristic of adrenal pathologies: Indian study Poster No.: C-0703 Congress: ECR 2011 Type: Educational Exhibit Authors: A. J. B. Baxi, K. L. Tourani, N. R. Thanugonda,
More informationEvaluation of liver and spleen stiffness using a ultrasound guided method: Accuracy of ARFI(R) measurements in liver disease patients
Evaluation of liver and spleen stiffness using a ultrasound guided method: Accuracy of ARFI(R) measurements in liver disease patients Poster No.: C-3242 Congress: ECR 2010 Type: Topic: Authors: Keywords:
More informationUtility of PET-CT for detection of N2 or N3 nodal mestastases in the mediastinum in patients with non-small cell lung cancer (NSCLC)
Utility of PET-CT for detection of N2 or N3 nodal mestastases in the mediastinum in patients with non-small cell lung cancer (NSCLC) Poster No.: C-1360 Congress: ECR 2015 Type: Scientific Exhibit Authors:
More informationPost-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options
Post-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options Poster No.: C-1501 Congress: ECR 2015 Type: Educational Exhibit Authors: A. Hadjivassiliou,
More informationA Randomized Controlled Study to Compare Image Quality between Fenestrated and Non-Fenestrated Intravenous Catheters for Cardiac MDCT
A Randomized Controlled Study to Compare Image Quality between Fenestrated and Non-Fenestrated Intravenous Catheters for Cardiac MDCT Poster No.: C-0623 Congress: ECR 2017 Type: Authors: Keywords: DOI:
More informationMR-guided prostatic biopsy at 3T: the role of PI-RADS-score: a histopahologic-radiologic correlation
MR-guided prostatic biopsy at 3T: the role of PI-RADS-score: a histopahologic-radiologic correlation Poster No.: B-0969 Congress: ECR 2015 Type: Scientific Paper Authors: A. Malich; Nordhausen/DE Keywords:
More informationBreast cancer tumor size: Correlation between MRI and histopathology
Breast cancer tumor size: Correlation between MRI and histopathology Poster No.: C-0409 Congress: ECR 2010 Type: Topic: Scientific Exhibit Breast Authors: H. Khan, M. Hoosein, M. Alattar, S. Tenant, L.
More informationComputed tomography for pulmonary embolism: scan assessment of a one-year cohort and estimated cancer risk associated with diagnostic irradiation.
Computed tomography for pulmonary embolism: scan assessment of a one-year cohort and estimated cancer risk associated with diagnostic irradiation. Award: Poster No.: E-0004 Certificate of Merit Congress:
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationMDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls
MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls Poster No.: C-0987 Congress: ECR 2015 Type: Educational Exhibit Authors: D. V. Bhargavi, R. Avantsa, P. Kala; Bangalore/IN
More informationLung cancer in patients with chronic empyema
Lung cancer in patients with chronic empyema Poster No.: P-0025 Congress: ESTI 2015 Type: Scientific Poster Authors: Y. Lee, C.-K. Park; Guri/KR Keywords: Neoplasia, Biopsy, PET-CT, CT, Thorax, Lung DOI:
More informationArtifact in Head CT Images Due to Air Bubbles in X-Ray Tube Oil
Artifact in Head CT Images Due to Air Bubbles in X-Ray Tube Oil Poster No.: C-0671 Congress: ECR 2016 Type: Educational Exhibit Authors: H. Patel 1, W. Liu 2, J. DeSanto 2, S. Meagher 2, M. Zagardo 2,
More informationRole of ultrasound in the evaluation of the ileocecal valve
Role of ultrasound in the evaluation of the ileocecal valve Poster No.: C-1581 Congress: ECR 2010 Type: Scientific Exhibit Topic: GI Tract Authors: M. Mohammed, M. Hussain, U. Momin, S. Lakhtakia, N. D.
More informationCorrelation between lesion type and the additional value of digital breast tomosynthesis
Correlation between lesion type and the additional value of digital breast tomosynthesis Poster No.: C-1604 Congress: ECR 2011 Type: Scientific Exhibit Authors: C. Van Ongeval, L. Cockmartin, A. Van Steen,
More informationBI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation
BI-RADS 3, 4 and 5 lesions on US: Five categories and their diagnostic efficacy and pitfalls in interpretation e-poster: C-118 Congress: ECR 2008 Type: Educational Exhibit Topic: Breast / Ultrasound Authors:
More informationCT assessment of acute coalescent mastoiditis.
CT assessment of acute coalescent mastoiditis. Poster No.: C-1794 Congress: ECR 2010 Type: Educational Exhibit Topic: Head and Neck Authors: A. Thomson, S. J. Thomas, A. Hutchings, E. Tilley; Portsmouth/UK
More informationUltrasound assessment of T1 Squamous Cell Carcinomas of the Tongue.
Ultrasound assessment of T1 Squamous Cell Carcinomas of the Tongue. Poster No.: C-2014 Congress: ECR 2015 Type: Educational Exhibit Authors: S. R. Rice, G. Price, L. Firmin, S. Morley, T. Beale; London/UK
More informationMRI BI-RADS: How to make it out?
MRI BI-RADS: How to make it out? Poster No.: C-1850 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Ben Ammar, A. Ben Miled, O. Ghdes, S. Harguem, A. Gaja, N. Mnif; Tunis/TN Keywords: Breast,
More informationVacuum-assisted breast biopsy using computer-aided 3.0 T- MRI guidance: diagnostic performance in 173 lesions
Vacuum-assisted breast biopsy using computer-aided 3.0 T- MRI guidance: diagnostic performance in 173 lesions Poster No.: C-2870 Congress: ECR 2017 Type: Scientific Exhibit Authors: A. Pozzetto, L. Camera,
More informationScientific Exhibit Authors: V. Moustakas, E. Karallas, K. Koutsopoulos ; Rodos/GR, 2
Diagnosis of Acute Appendicitis: the role of Color Doppler Ultrasound as first-line imaging method and evaluation of the higher diagnostic performances of CT against its disadvantages. Poster No.: C-0708
More informationUltrasound evaluation of patients with acute abdominal pain in the emergency department
Ultrasound evaluation of patients with acute abdominal pain in the emergency department Poster No.: C-2584 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit A. A. Falticeanu, A.-M. Alecsa-Lupu,
More informationEvaluation of BI-RADS 3 lesions in women with a high risk of hereditary breast cancer.
Evaluation of BI-RADS 3 lesions in women with a high risk of hereditary breast cancer. Poster No.: C-0346 Congress: ECR 2014 Type: Scientific Exhibit Authors: A. Thomas 1, R. Dominguez Oronoz 1, S. Roche
More informationUltra-low dose CT of the acute abdomen: Spectrum of imaging findings
Ultra-low dose CT of the acute abdomen: Spectrum of imaging findings Poster No.: C-1452 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract Authors: P. A. Vlachou, C. Kloeters, S. Kandel, P. Hein,
More informationSicle-cell disease and silent cerebral infarcts evaluated with magnetic resonance imaging
Sicle-cell disease and silent cerebral infarcts evaluated with magnetic resonance imaging Poster No.: C-0243 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Solomou, A. Rigopoulou, P. Kraniotis,
More informationBasic low - field MR imaging of meniscal injuries in children.
Basic low - field MR imaging of meniscal injuries in children. Poster No.: C-2365 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit A. Yakimov, M. Nikonova, E. Prokhorova, D. Vybornov,
More informationDiffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine
Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Poster No.: C-0894 Congress: ECR 2012 Type: Scientific Exhibit
More informationMR imaging features of paralabral ganglion cyst of the shoulder
MR imaging features of paralabral ganglion cyst of the shoulder Poster No.: C-1482 Congress: ECR 2016 Type: Educational Exhibit Authors: M. Bartocci, C. Dell'atti, E. Federici, D. Beomonte Zobel, V. Martinelli,
More informationRetrograde flow in the left ovarian vein is a shunt, not reflux
Retrograde flow in the left ovarian vein is a shunt, not reflux Poster No.: C-0846 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Livsey; Brisbane/AU Keywords: Genital / Reproductive system female,
More informationAbdominal fat distribution (subcutaneous vs. visceral abdominal fat compartments): correlation with gender, age, BMI and waist circumference
Abdominal fat distribution (subcutaneous vs. visceral abdominal fat compartments): correlation with gender, age, BMI and waist circumference Poster No.: C-934 Congress: ECR 202 Type: Scientific Exhibit
More informationThe predicament of cancer presenting during pregnancy
The predicament of cancer presenting during pregnancy Poster No.: C-3001 Congress: ECR 2010 Type: Educational Exhibit Topic: Radiographers Authors: D. O'Mahony, G. Murphy, G. Wilson, M. T. Keogan; Dublin/IE
More informationARDS - a must know. Page 1 of 14
ARDS - a must know Poster No.: C-1683 Congress: ECR 2016 Type: Authors: Keywords: DOI: Educational Exhibit M. Cristian; Turda/RO Education and training, Edema, Acute, Localisation, Education, Digital radiography,
More informationNeonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool
Neonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool Poster No.: C-0081 Congress: ECR 2012 Type: Educational Exhibit Authors: K. Chetcuti,
More information