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Hepatocellular adenoma: MR imaging features with pathologic correlation

K Y Chung1, W W Mayo-Smith, S Saini

  • 1Department of Radiology, Massachusetts General Hospital, Boston 02114, USA.

AJR. American Journal of Roentgenology
|August 1, 1995
PubMed
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Magnetic resonance (MR) imaging reveals variable features of hepatic adenomas. Tumor heterogeneity, especially with hemorrhage, and early arterial enhancement on MR imaging can suggest this diagnosis.

Area of Science:

  • Radiology
  • Hepatology
  • Oncology

Background:

  • Hepatic adenomas are benign liver tumors.
  • Accurate diagnosis is crucial for management.
  • MR imaging is a key modality for characterizing liver lesions.

Purpose of the Study:

  • To describe MR imaging characteristics of hepatic adenomas.
  • To correlate MR imaging findings with histopathologic features.

Main Methods:

  • Retrospective review of MR images (T1/T2-weighted, dynamic GRE) from 16 patients with 31 hepatic adenomas.
  • Correlation of imaging findings with histopathologic results from 23 lesions.

Main Results:

  • Most hepatic adenomas (29/31) showed heterogeneous signal intensity.

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  • Early arterial enhancement was observed in 13/15 lesions.
  • MR imaging effectively detected hemorrhage, intratumoral vessels, fatty change, and peliosis.
  • Conclusions:

    • Hepatic adenomas exhibit diverse MR imaging appearances due to varied histology.
    • No single MR imaging feature is definitive.
    • Tumor heterogeneity, hemorrhage, and early arterial enhancement suggest hepatic adenoma in appropriate clinical contexts.