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Registered Bioimaging of Nanomaterials for Diagnostic and Therapeutic Monitoring
Published on: December 9, 2010
Superparamagnetic iron oxide hepatic MR imaging: efficacy and safety using conventional and fast spin-echo pulse
L H Schwartz1, S E Seltzer, C M Tempany
1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Journal of Magnetic Resonance Imaging : JMRI
|September 1, 1995
Summary
Superparamagnetic iron oxide contrast agents like ferumoxides improve lesion detection in liver MRI. Conventional T2-weighted spin-echo sequences showed the best results for lesion-to-liver contrast enhancement.
Area of Science:
- Radiology
- Medical Imaging
- Hepatology
Background:
- Focal hepatic lesions require accurate detection for diagnosis and management.
- Superparamagnetic iron oxide (SPIO) contrast agents offer unique magnetic properties for MRI.
- Evaluating novel contrast agents is crucial for advancing diagnostic capabilities in liver imaging.
Purpose of the Study:
- To assess the technical efficacy and safety of intravenous ferumoxides (Feridex) for detecting hepatic lesions.
- To compare the performance of ferumoxides across different MRI pulse sequences, including conventional spin-echo and fast spin-echo.
- To quantify the impact of ferumoxides on lesion-to-liver contrast and overall image quality.
Main Methods:
- Prospective MRI studies were conducted on 25 patients with suspected focal hepatic lesions.
- Precontrast and postcontrast magnetic resonance imaging (MRI) were performed using various pulse sequences.
- Quantitative region of interest measurements and subjective assessments of image quality and lesion detection were analyzed.
Main Results:
- Ferumoxides decreased hepatic signal intensity across all evaluated pulse sequences.
- Significant increases in lesion-to-liver contrast were observed with T2-weighted spin-echo (41.1%), fast spin-echo (36.5%), and fat-suppressed fast spin-echo (32.0%) sequences.
- A decrease in lesion-to-liver contrast was noted on T1-weighted postcontrast sequences (-23.8%).
- Radiologists preferred precontrast sequences due to superior overall image quality despite contrast-enhanced lesion conspicuity.
Conclusions:
- Intravenous ferumoxides at 10 mumol/kg effectively enhance lesion-to-liver contrast in hepatic MRI.
- Conventional T2-weighted spin-echo sequences demonstrated superior performance compared to fast spin-echo sequences for ferumoxides-enhanced imaging.
- Ferumoxides show potential utility in hepatic lesion detection, particularly with specific MRI pulse sequences.
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