机构：[1]Radiology and Nuclear Medicine, University Hospital Basel, 4031 Basel, Switzerland[2]Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, 1090 Vienna, Austria[3]Section of Hepatology, Clinic for Neurology,Department of Internal Medicine, Neurology and Dermatology, University Hospital Leipzig, 04103 Leipzig, Germany[4]Center for Advanced Imaging Innovation and Research (CAI2R), Department of Radiology, New York University School of Medicine, New York, NY 10016, USA[5]Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY 10016, USA[6]Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, National Yang-Ming University, Taipei 112, Taiwan[7]Department of Radiology, Spedali Civili di Brescia, 25123 Brescia, Italy[8]Department of Radiology, Yonsei University College of Medicine, Seoul 120-752, South Korea[9]Department of Radiology, Seoul National University Hospital, Seoul 110-744, South Korea[10]Department of Diagnostic and Interventional Radiology, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan[11]Klinik und Poliklinik für Radiologie, Ludwig-Maximilians- Universität München, Munich, Germany[12]Liver Imaging Group, University of California San Diego, San Diego, CA 92093-0888, USA[13]Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, People’s Republic of China四川大学华西医院[14]Department of Diagnostic, Molecular and Interventional Radiology and Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029-6574, USA[15]Department of Radiology, FukuokaUniversity Faculty of Medicine, Fukuoka City 801-1011, Japan[16]Department of Radiology, Royal Marsden Hospital and The Institute of Cancer Research, London SM2 5NG, UK
The 8th International Forum for Liver Magnetic Resonance Imaging (MRI), held in Basel, Switzerland, in October 2017, brought together clinical and academic radiologists from around the world to discuss developments in and reach consensus on key issues in the field of gadoxetic acid-enhanced liver MRI since the previous Forum held in 2013.
Two main themes in liver MRI were considered in detail at the Forum: the use of gadoxetic acid for contrast-enhanced MRI in patients with liver cirrhosis and the technical performance of gadoxetic acid-enhanced liver MRI, both opportunities and challenges. This article summarises the expert presentations and the delegate voting on consensus statements discussed at the Forum.
It was concluded that gadoxetic acid-enhanced MRI has higher sensitivity for the diagnosis of hepatocellular carcinoma (HCC), when compared with multidetector CT, by utilising features of hyperenhancement in the arterial phase and hypointensity in the hepatobiliary phase (HBP). Recent HCC management guidelines recognise an increasing role for gadoxetic acid-enhanced MRI in early diagnosis and monitoring post-resection. Additional research is needed to define the role of HBP in predicting microvascular invasion, to better define washout during the transitional phase in gadoxetic acid-enhanced MRI for HCC diagnosis, and to reduce the artefacts encountered in the arterial phase. Technical developments are being directed to shortening the MRI protocol for reducing time and patient discomfort and toward utilising faster imaging and non-Cartesian free-breathing approaches that have the potential to improve multiphasic dynamic imaging.
• Gadoxetic acid-enhanced MRI provides higher diagnostic sensitivity than CT for diagnosing HCC. • Gadoxetic acid-enhanced MRI has roles in early-HCC diagnosis and monitoring post-resection response. • Faster imaging and free-breathing approaches have potential to improve multiphasic dynamic imaging.
基金：
This study received funding from Bayer HealthCare.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2020]版：
大类|2 区医学
小类|2 区核医学
最新[2023]版：
大类|2 区医学
小类|2 区核医学
第一作者：
第一作者机构：[1]Radiology and Nuclear Medicine, University Hospital Basel, 4031 Basel, Switzerland
通讯作者：
推荐引用方式(GB/T 7714)：
Christoph J. Zech,Ahmed Ba-Ssalamah,Thomas Berg,et al.Consensus report from the 8th International Forum for Liver Magnetic Resonance Imaging.[J].European radiology.2020,30(1):370-382.doi:10.1007/s00330-019-06369-4.
APA：
Christoph J. Zech,Ahmed Ba-Ssalamah,Thomas Berg,Hersh Chandarana,Gar-Yang Chau...&Dow-Mu Koh.(2020).Consensus report from the 8th International Forum for Liver Magnetic Resonance Imaging..European radiology,30,(1)
MLA：
Christoph J. Zech,et al."Consensus report from the 8th International Forum for Liver Magnetic Resonance Imaging.".European radiology 30..1(2020):370-382
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