Purpose
Detection, characterization, and monitoring of hepatocellular carcinomas (HCC) in
patients with cirrhosis is challenging due to their variable and rapid arterial enhancement.
Multiphase dynamic contrast-enhanced MRI (CE-MRI) is used clinically for HCC assessment, but suffers
from limited temporal resolution and difficulty in coordinating imaging and breath-hold timing
within a narrow temporal window of interest. We demonstrate a volumetric, high spatial resolution,
high temporal resolution dynamic contrast enhanced liver imaging method for improved detection and
characterization of HCC.
Methods
A time-resolved 3D-radial acquisition with iterative SENSE reconstruction images the
entire abdomen and thorax with high spatial and temporal resolution, using real-time 3D fluoroscopy
to match the breath-hold to contrast arrival. The sequence was tested on 17 subjects, including 8
patients with HCC or other hyper-vascular focal lesions.
Results
This technique was successful in acquiring volumetric imaging of the entire liver with
2.1 mm isotropic spatial and true 4 s temporal resolution.
Conclusion
This technique may be suitable for detecting, characterizing, and monitoring the
treatment of HCC. It also holds significant potential for perfusion modeling, which may provide a
non-invasive means to rapidly determine the efficacy of chemotherapeutic agents in these tumors over
the entire liver volume.