Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10712764 | Magnetic Resonance Imaging | 2011 | 5 Pages |
Abstract
Budd-Chiari syndrome (BCS) is a rare disorder caused by the obstruction of hepatic venous outflow, leading to sinusoidal congestion, ischemic injury to liver cells and portal hypertension. Long-term survival largely depends on whether hepatocellular carcinoma occurs. A recently available liver-specific contrast medium, gadolinium-ethoxybenzyl-diethylenetriamine penta-acetic acid (Gd-EOB-DTPA), reportedly has high diagnostic capability for detection of malignant liver tumors. However, there has been no report of the sue of Gd-EOB-DTPA-enhanced magnetic resonance imaging (MRI) for BCS. We present a case of chronic BCS who underwent both gadopentetate dimeglumine (Gd-DTPA) and Gd-EOB-DTPA-enhanced MRI. Hepatic congestion and edema were seen as slightly hypointense areas on Gd-EOB-DTPA-enhanced hepatobiliary-phase images, although these areas were observed as slightly hyperintense on previously obtained Gd-DTPA-enhanced delayed-phase image. Reduced uptake of Gd-EOB-DTPA by hepatocytes in the region of congestion or edema may account for this difference, which should be recognized in image interpretations.
Related Topics
Physical Sciences and Engineering
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Condensed Matter Physics
Authors
Kazuhiro Kitajima, Takeshi Yoshikawa, Yasushi Seo, Yoshiharu Ohno, Yoshihiko Yano, Akira Miki, Tomonori Kanda, Naoki Kanata, Takeshi Azuma, Kazuro Sugimura,