Hepatic metastases
Updates to Case Attributes
MRI especially with delayed post-contrast imaging using a hepatocyte agent (Primovist) is more sensitive than PET for hepatic metastases especially smaller masses and should be performed (as well as PET for extra-hepatic disease) prior to any planned resection so as to provide the surgeon with the best road map.
- +<p>MRI especially with delayed post-contrast imaging using a hepatocyte agent (<a title="Primovist" href="/articles/gadoxetate-disodium">Primovist</a>) is more sensitive than PET for <a title="Hepatic metastases" href="/articles/hepatic-metastases-1">hepatic metastases</a> especially smaller masses and should be performed (as well as PET for extra-hepatic disease) prior to any planned resection so as to provide the surgeon with the best road map.</p>
Systems changed:
- Oncology
Updates to Link Attributes
Updates to Primarylink Attributes
Updates to Study Attributes
FDG PET/CT of the upper abdomen showing intense isotope activity in the dome of the right hepatic lobe consistent with a metastasis.
Updates to Study Attributes
MRI especially with delayed post contrast imaging using an hepatocyte agent (Primovist)Multiple subtle lesions in the right lobe. On the arterial phase dynamic series, the PET avid lesion is more sensitiveclearly seen but there are two further lesions, i.e. in the gall bladder fossa and posterior right lobe. These are easily seen on the PET/CT scan as any higher isotope accumulation than PET for hepatic metastases especially smaller masses, and should be performed (as well as PET for extra-hepatic disease) prior to any planned resection so as to provide the surgeon with the best road mapbackground liver.
Image MRI (T1 in-phase) ( update )
Image MRI (T1 C+) ( update )
Image MRI (late phase (~30 mins)) ( update )
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