2009
DOI: 10.1007/s00261-009-9508-9
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Hemodynamic characterization of hepatic angiomyolipoma with least amount of fat evaluated by contrast-enhanced magnetic resonance angiography

Abstract: The purpose of our study was to describe contrast-enhanced magnetic resonance angiography (MRA) findings of hepatic angiomyolipoma (AML) with less lipocyte. We reviewed the MRA findings of five resected lesions of hepatic AML with less lipocyte specimens and found that the efferent vessels of hepatic AMLs were the hepatic veins. These findings corresponded well with those seen on conventional contrast-enhanced dynamic CT scans. This hemodynamic finding may be an important characterization of hepatic AML with l… Show more

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Cited by 20 publications
(10 citation statements)
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“…The distinction between these lesions by enhancement pattern can be difficult. However, abundant central vessels, especially thickly distorted vessels were observed in these lesions, which is a characteristic radiographic features of Epi-HAML compared with other hypervascular hepatic tumors [9]. The other two lesions with small or no vessels continued enhanced in the portal venous/delayed phase.…”
Section: Discussionmentioning
confidence: 99%
“…The distinction between these lesions by enhancement pattern can be difficult. However, abundant central vessels, especially thickly distorted vessels were observed in these lesions, which is a characteristic radiographic features of Epi-HAML compared with other hypervascular hepatic tumors [9]. The other two lesions with small or no vessels continued enhanced in the portal venous/delayed phase.…”
Section: Discussionmentioning
confidence: 99%
“…16). The literature specifies that the efferent vessels of AML are hepatic veins, which is another typical characteristic [9][10][11]. However, this feature was seen in Cases 1 and 3 only.…”
Section: Discussionmentioning
confidence: 52%
“…Magnetic resonance imaging findings include the presence of hypointensity or hyperintensity of T1-weighted images and hyperintensity on T2-weighted images. 10,11 In our case, low-mechanical index real-time contrast-enhanced sonography showed strong enhancement in the thick solid rim but no enhancement in the predominantly cystic internal part of the lesion, indicating internal cystic degeneration due to hemorrhage and necrosis. The tumor was obviously enhanced in the solid rim from early arterial phase to the late phase.…”
Section: Case Reportmentioning
confidence: 74%