Difference between revisions of "MRI of the liver"
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*'''Portal vein''' | *'''Portal vein''' | ||
− | Search for extrahepatic findings | + | '''Search for extrahepatic findings''' |
*'''Lymph''' nodes in hepatic hilum. | *'''Lymph''' nodes in hepatic hilum. | ||
*Signs of portal hypertension: [[ascites]], [[splenomegaly]]; portosystemic collateral vessels | *Signs of portal hypertension: [[ascites]], [[splenomegaly]]; portosystemic collateral vessels | ||
− | + | ==Report== | |
[[LI-RADS]] (Liver Imaging and Reporting Data System) system should be used only if patient has a high risk for hepatocellular carcinoma (cirrhosis, chronic hepatitis B or current/prior HCC). | [[LI-RADS]] (Liver Imaging and Reporting Data System) system should be used only if patient has a high risk for hepatocellular carcinoma (cirrhosis, chronic hepatitis B or current/prior HCC). |
Revision as of 21:20, 12 July 2019
Author:
Rodrigo Horstmann Castilhos [notes 1]
Technique
Requires a phased array torso coil.
Basic screening
- Morphology: verify size, borders and contours.
- Liver parenchyma: Scan for steatosis, iron deposition
- Focal lesions: Scan for nodules
- Biliary ducts:
- Hepatic veins
- Portal vein
Search for extrahepatic findings
- Lymph nodes in hepatic hilum.
- Signs of portal hypertension: ascites, splenomegaly; portosystemic collateral vessels
Report
LI-RADS (Liver Imaging and Reporting Data System) system should be used only if patient has a high risk for hepatocellular carcinoma (cirrhosis, chronic hepatitis B or current/prior HCC).
Lesions and diseases
- Fatty liver disease: Liver steatosis, NASH;
- Liver iron deposition
- Cirrhosis
- Autoimmune hepatitis
- Primary biliary cirrhosis
- Primary sclerosing cholangitis
- Hepatic hemangioma
- Hepatic adenoma
- Focal nodular hyperplasia
- Hepatocellular carcinoma
- Cholangiocarcinoma
- Liver metastases
- Budd-Chiari syndrome
Notes
- ↑ For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.