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Pitfalls in liver MRI: Technical approach to avoiding misdiagnosis and improving image quality

Joseph H Yacoub1, Khaled M Elsayes2, Kathryn J Fowler3

  • 1Department of Radiology, Medstar Georgetown University Hospital, Washington, DC, USA.

Journal of Magnetic Resonance Imaging : JMRI
|October 9, 2018
PubMed

Insights

This review highlights common technical and diagnostic challenges in liver magnetic resonance imaging (MRI). It provides strategies to avoid errors in multiphasic T1-weighted, hepatobiliary, and diffusion-weighted imaging interpretation.

Area of Science:

  • Radiology and Medical Imaging
  • Hepatobiliary Imaging

Background:

  • Liver magnetic resonance imaging (MRI) is crucial for diagnosing liver diseases.
  • Accurate interpretation of liver MRI requires understanding potential technical and diagnostic pitfalls.
  • Dynamic multiphasic T1-weighted, hepatobiliary phase, and diffusion-weighted imaging are key sequences.

Purpose of the Study:

  • To review common technical and diagnostic challenges in liver MRI interpretation.
  • To offer practical suggestions for avoiding errors in specific MRI sequences.
  • To improve the accuracy and reliability of liver MRI diagnostics.

Main Methods:

  • Illustrative review of common pitfalls in liver MRI.
  • Focus on dynamic multiphasic T1-weighted imaging.
  • Focus on hepatobiliary phase imaging.
  • Focus on diffusion-weighted imaging (DWI).

Main Results:

  • Identified common technical challenges in liver MRI acquisition and interpretation.
  • Highlighted frequent diagnostic errors associated with specific MRI sequences.
  • Provided actionable recommendations for error avoidance.

Conclusions:

  • Awareness of common pitfalls is essential for accurate liver MRI interpretation.
  • Implementing suggested strategies can minimize technical and diagnostic errors.
  • This review serves as a guide for radiologists interpreting liver MRI.

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