Locoregional treatments, as alternatives to surgery, play a key role in the management of hepatocellular carcinoma (HCC). Liver magnetic resonance imaging (MRI) enables a multiparametric assessment, going beyond the traditional dynamic computed tomography approach. Moreover, the use of hepatobiliary agents can improve diagnostic accuracy and are becoming important in the diagnosis and follow-up of HCC. However, the main challenge is to quickly identify classical responses to loco-regional treatments in order to determine the most suitable management strategy for each patient. The aim of this review is to provide a summary of the most common and uncommon liver MRI findings in patients who underwent loco-regional treatments for HCC, with a special focus on ablative therapies (radiofrequency, microwaves and cryoablation), trans-arterial chemoembolization, trans-arterial radio-embolization and stereotactic ablative radiotherapy techniques, considering the usefulness of gadoxetate disodium (Gd-EOB-DTPA) contrast agent. (C) The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.

Role of gadoxetic acid-enhanced liver magnetic resonance imaging in the evaluation of hepatocellular carcinoma after locoregional treatment

Gatti, Marco
;
Darvizeh, Fatemeh;Serafini, Alessandro;Guarneri, Alessia;Ricardi, Umberto;Fonio, Paolo;Faletti, Riccardo
Last
2022-01-01

Abstract

Locoregional treatments, as alternatives to surgery, play a key role in the management of hepatocellular carcinoma (HCC). Liver magnetic resonance imaging (MRI) enables a multiparametric assessment, going beyond the traditional dynamic computed tomography approach. Moreover, the use of hepatobiliary agents can improve diagnostic accuracy and are becoming important in the diagnosis and follow-up of HCC. However, the main challenge is to quickly identify classical responses to loco-regional treatments in order to determine the most suitable management strategy for each patient. The aim of this review is to provide a summary of the most common and uncommon liver MRI findings in patients who underwent loco-regional treatments for HCC, with a special focus on ablative therapies (radiofrequency, microwaves and cryoablation), trans-arterial chemoembolization, trans-arterial radio-embolization and stereotactic ablative radiotherapy techniques, considering the usefulness of gadoxetate disodium (Gd-EOB-DTPA) contrast agent. (C) The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
2022
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26
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Ablation techniques; Carcinoma; Catheter ablation; Gd-EOB-DTPA; Hepatocellular; Magnetic resonance imaging; Radiofrequency ablation; Contrast Media; Gadolinium DTPA; Humans; Magnetic Resonance Imaging; Carcinoma, Hepatocellular; Liver Neoplasms
Gatti, Marco; Maino, Cesare; Darvizeh, Fatemeh; Serafini, Alessandro; Tricarico, Eleonora; Guarneri, Alessia; Inchingolo, Riccardo; Ippolito, Davide; Ricardi, Umberto; Fonio, Paolo; Faletti, Riccardo
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1879861
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