Value of T1 and T2 relaxation times from echoplanar MR imaging in the characterization of focal hepatic lesions. 1993

M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
Department of Radiology, Massachusetts General Hospital, Boston 02114.

OBJECTIVE The purpose of this study was to determine the value of echoplanar imaging in characterizing focal hepatic lesions on the basis of image-derived T1 and T2 relaxation times. METHODS Forty-six proven hepatic lesions were analyzed: 24 solid (21 metastases, three primary liver tumors) and 22 nonsolid (11 hemangiomas and 11 cysts). Mean lesion size (maximal length) was 4.0 (+/- 3.2) cm, and 16 of 46 lesions were less than 2.0 cm. A commercially available 1.5-T echoplanar-equipped MR scanner was used to obtain fat-suppressed, single-excitation (TR essentially infinite) axial images with a slice thickness of 10 mm. T1-weighted inversion recovery images (TE = 25 msec; TI = 100, 380, 600, or 800 msec) were acquired for 28 of 46 lesions, and T2-weighted spin-echo images (TE = 25, 50, 100, 75 or 150 msec) were acquired for 45 of 46 lesions. For each acquisition (i.e., each different TI or TE), the entire liver was imaged in a single breath-hold of 12 sec or less. RESULTS The mean T1 was 1004 (+/- 234) msec for solid lesions, 1337 (+/- 216) msec for hemangiomas, and 3143 (+/- 1392) msec for cysts. Although the mean T1 of solid and nonsolid lesions differed (p < .004), overlap precluded the use of T1 as a discriminatory index. Mean T2 times were 80 (+/- 18) msec for solid lesions, 178 (+/- 40) msec for hemangiomas, and 517 (+/- 429) msec for cysts. The mean T2 for hemangiomas is the longest reported to date. A T2 cutoff of 116 msec was 100% accurate for classifying lesions as solid or nonsolid and 93% accurate for characterizing them as benign or malignant. CONCLUSIONS Our study suggests that echoplanar-derived T2 times (but not T1 times) are useful for characterizing focal hepatic lesions. An important use may be to characterize small lesions measuring less than 2.0 cm. The main advantages of echoplanar imaging are the absence of motion-induced volume averaging and phase artifacts, the ability to acquire purely T2-weighted images, and the use of multiple data points to calculate relaxation times.

UI MeSH Term Description Entries
D007091 Image Processing, Computer-Assisted A technique of inputting two-dimensional or three-dimensional images into a computer and then enhancing or analyzing the imagery into a form that is more useful to the human observer. Biomedical Image Processing,Computer-Assisted Image Processing,Digital Image Processing,Image Analysis, Computer-Assisted,Image Reconstruction,Medical Image Processing,Analysis, Computer-Assisted Image,Computer-Assisted Image Analysis,Computer Assisted Image Analysis,Computer Assisted Image Processing,Computer-Assisted Image Analyses,Image Analyses, Computer-Assisted,Image Analysis, Computer Assisted,Image Processing, Biomedical,Image Processing, Computer Assisted,Image Processing, Digital,Image Processing, Medical,Image Processings, Medical,Image Reconstructions,Medical Image Processings,Processing, Biomedical Image,Processing, Digital Image,Processing, Medical Image,Processings, Digital Image,Processings, Medical Image,Reconstruction, Image,Reconstructions, Image
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008107 Liver Diseases Pathological processes of the LIVER. Liver Dysfunction,Disease, Liver,Diseases, Liver,Dysfunction, Liver,Dysfunctions, Liver,Liver Disease,Liver Dysfunctions
D008113 Liver Neoplasms Tumors or cancer of the LIVER. Cancer of Liver,Hepatic Cancer,Liver Cancer,Cancer of the Liver,Cancer, Hepatocellular,Hepatic Neoplasms,Hepatocellular Cancer,Neoplasms, Hepatic,Neoplasms, Liver,Cancer, Hepatic,Cancer, Liver,Cancers, Hepatic,Cancers, Hepatocellular,Cancers, Liver,Hepatic Cancers,Hepatic Neoplasm,Hepatocellular Cancers,Liver Cancers,Liver Neoplasm,Neoplasm, Hepatic,Neoplasm, Liver
D008297 Male Males
D003560 Cysts Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues. Cyst
D005069 Evaluation Studies as Topic Works about studies that determine the effectiveness or value of processes, personnel, and equipment, or the material on conducting such studies. Critique,Evaluation Indexes,Evaluation Methodology,Evaluation Report,Evaluation Research,Methodology, Evaluation,Pre-Post Tests,Qualitative Evaluation,Quantitative Evaluation,Theoretical Effectiveness,Use-Effectiveness,Critiques,Effectiveness, Theoretical,Evaluation Methodologies,Evaluation Reports,Evaluation, Qualitative,Evaluation, Quantitative,Evaluations, Qualitative,Evaluations, Quantitative,Indexes, Evaluation,Methodologies, Evaluation,Pre Post Tests,Pre-Post Test,Qualitative Evaluations,Quantitative Evaluations,Report, Evaluation,Reports, Evaluation,Research, Evaluation,Test, Pre-Post,Tests, Pre-Post,Use Effectiveness
D005260 Female Females
D006392 Hemangioma, Cavernous A vascular anomaly that is a collection of tortuous BLOOD VESSELS and connective tissue. This tumor-like mass with the large vascular space is filled with blood and usually appears as a strawberry-like lesion in the subcutaneous areas of the face, extremities, or other regions of the body including the central nervous system. Angioma, Cavernous,Cavernous Angioma,Cavernous Hemangioma,Strawberry Hemangiomas,Cavernous Hemangiomas,Hemangioma, Strawberry,Hemangiomas, Cavernous,Hemangiomas, Strawberry,Strawberry Hemangioma
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
July 2000, AJR. American journal of roentgenology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
June 1985, AJR. American journal of roentgenology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
February 1998, AJR. American journal of roentgenology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
June 2000, Journal of magnetic resonance imaging : JMRI,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
November 1987, Radiology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
December 2006, Journal of magnetic resonance imaging : JMRI,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
April 1998, AJR. American journal of roentgenology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
June 1988, Radiology,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
July 2016, Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine,
M A Goldberg, and P F Hahn, and S Saini, and M S Cohen, and P Reimer, and T J Brady, and P R Mueller
May 2002, Journal of magnetic resonance imaging : JMRI,
Copied contents to your clipboard!