Journal
ACTA RADIOLOGICA
Volume 41, Issue 3, Pages 255-262Publisher
MUNKSGAARD INT PUBL LTD
DOI: 10.1080/028418500127345208
Keywords
liver, metastases; MR imaging, contrast enhancement
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Purpose: To assess liver and lesion enhancements by dynamic MR imaging after bolus injection of the hepatobiliary contrast agent gadolinium ethoxybenzyldiet- hylenetriamine-pentaacetic acid (Gd-EOB-DTPA) in patients with liver metastases and to compare the effect of different doses. Material and Method's: A randomized double-blinded trial with doses of 12.5, 25 and 50 mu mol/kg Gd-EOB-DTPA was performed in 35 patients with liver metastases. Liver enhancement, tumor enhancement and liver lesion contrast-to-noise (C/N) ratios were calculated from breath-hold gradient echo images (100/5/80 degrees) recorded precontrast and at different times up to 10 min postcontrast. Results: Normal liver showed a characteristic enhancement pattern, with a rapid enhancement in the first 45 s postcontrast and a slight but significant further increase up to 600 s. The initial enhancement in the lesions was also pronounced, but the enhancement was slightly decreased after 240 s postcontrast. At dose levels of 12.5 and 25 mu mol/kg Gd-EOB-DTPA, C/N ratios significantly increased compared to baseline from 90 to 600 s. Postcontrast C/N-values obtained using 50 mu mol/kg Cd-EOB-DTPA were not significantly increased, except for the examinations 480 s postcontrast. Conclusion: In liver metastases, CIN ratios obtained with doses of 12.5 and 25 mu mol/kg Gd-EOB-DTPA were slightly superior to 50 mu mol/kg Gd-EOB-DTPA. This finding is probably due to a more pronounced extracellular effect of the contrast medium at higher doses.
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