EOB プリモビスト症例集 第7回 回答

key words: high flow hemangioma, atypical hemangioma, EOB primovist MRI

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肝画像診断 症例6 の動画参照
http://medicaldirect.jp/shourei6/kaitou62.html

<参考文献

High-flow hemangioma について

Kim KW, Kim AY, Kim TK, et al.
Hepatic hemangiomas with arterioportal shunt: sonographic appearances with CT and MRI correlation.
AJR Am J Roentgenol. 2006 Oct;187(4):W406-14.
http://www.ncbi.nlm.nih.gov/pubmed/16985113

 

Jang HJ, Kim TK, Lim HK, et al.
Hepatic hemangioma: atypical appearances on CT, MR imaging, and sonography.
AJR, 2003 Jan;180(1):135-41.
http://www.ncbi.nlm.nih.gov/pubmed/12490492

 

Vilgrain V, Boulos L, Vullierme MP,et al.
Imaging of atypical hemangiomas of the liver with pathologic correlation.
Radiographics. 2000 Mar-Apr;20(2):379-97.
http://www.ncbi.nlm.nih.gov/pubmed/10715338

Kato H, Kanematsu M, Matsuo M, et al.
Atypically enhancing hepatic cavernous hemangiomas: high-spatial-resolution gadolinium-enhanced triphasic dynamic gradient-recalled-echo imaging findings.
Eur Radiol. 2001;11(12):2510-5. Epub 2001 Sep 7.

 

Yan FH, Zeng MS, Zhou KR
Role and pitfalls of hepatic helical multi-phase CT scanning in differential diagnosis of small hemangioma and small hepatocellular carcinoma.
World J Gastroenterol 1998 Aug;4(4):343-347.

 

Yu JS, Kim KW, Park MS, Yoon SW.
Hepatic cavernous hemangioma in cirrhotic liver: imaging findings.
Korean J Radiol. 2000 Oct-Dec;1(4):185-90.

EOB プリモビスト症例集 第5回 回答

参考文献

*dysplastic nodules 文献

Earls JP, et al.

Dysplastic nodules and hepatocellular carcinoma: thin-section MR imaging of explanted cirrhotic livers with pathologic correlation.

Radiology 1996 Oct;201(1):207-14.

http://www.ncbi.nlm.nih.gov/pubmed/8816545

Early hepatocelluar carcinoma: MR imaging

Muramatsu Y, et al.

Radiology. 1991 Oct;181(1):209-13.

http://www.ncbi.nlm.nih.gov/pubmed/1653443

Matsui O, et al.

Adenmatous hperplastic nodules in the cirrhotic liver: differentiation from hepatocellular carcinoma with MR imaging.

Radiology. 1989 Oct;173(1):123-6.

http://www.ncbi.nlm.nih.gov/pubmed/2550995

*最新の論文: T1WI 高信号を呈する結節のEOB primovist診断

Chou CT, et al. Characterization of hyperintense nodules on precontrast T1-weighted MRI: utility of gadoxetic acid-enhanced hepatocyte-phase imag

J Magn Reson Imaging. 2011 Mar;33(3):625-32.

http://www.ncbi.nlm.nih.gov/pubmed/21563246

*結節の分化度と肝細胞相での信号強度の相関性を検討した論文

Kogita S, Imai Y, Okada M, et al. Gd-EOB-DTPA-enhanced magnetic resonance images of hepatocellular carcinoma: correlation with histological grading and portal blood flow.

Eur Radiol. 2010 Oct;20(10):2405-13. Epub 2010 May 19.

http://www.ncbi.nlm.nih.gov/pubmed?term=Kogita%20S%2C%20Imai%20Y%2C%20Okada%20M%2C%20et%20al.%20%20Gd-EOB-DTPA-enhanced%20magnetic%20resonance%20images%20of%20hepatocellular%20carcinoma%3A%20correlation%20with%20histological%20grading%20and%20portal%20blood%20flow.

肝臓CT、MRI 症例集(随時更新)

症例1 50歳男性、糖原病(画像をクリック)

肝mri 糖源病

症例2 71歳男性、C型肝硬変(画像をクリック)

肝臓CT 肝硬変

症例3 55歳女性(画像をクリック)

肝CT 

症例4 58歳男性、B型肝硬変(画像をクリック)

肝 血管造影 B型肝硬変

症例5 60歳女性、肝硬変(画像をクリック)

肝CT 肝硬変

症例6 40歳男性、検診にて指摘(画像をクリック)

肝CT 

症例7 50歳女性、検診にて指摘(画像をクリック)

肝MRI

症例8 50歳女性、検診にて肝腫瘤指摘(画像をクリック)

肝CT

症例9 21歳男性、検診にて腫瘤を指摘(画像をクリック)

肝CT

症例10 60歳男性(画像をクリック)

肝CT

症例11 55歳 男性

症例12 60歳 男性

回答はこちら

症例13

 回答はこちら

症例14(画像をクリック)

HPアップ時のアイキャッチ画像

解答はこちら

エキスパートはこう考える第2回 回答

iphone用動画

<key word>喫煙、尿崩症、両肺対称性網状陰影、上肺優位の縮み、多発空洞性陰影、多発結節影、骨病変、Langerhans cell histiocytosis, LCH, eosinophilic granuloma, 好酸球性肉芽腫

<key画像

下垂体 MRI

骨病変 1

骨病変 2

縦隔条件 1

縦隔条件 2

縦隔条件 3

側頭骨 1

肺野条件 1

肺野条件 2

肺野条件 3

<文献>

LCH肺
Abbott GF, Rosado-de-Christenson ML, et al.
From the archives of the AFIP: pulmonary Langerhans cell
histiocytosis.
Radiographics. 2004 May-Jun;24(3):821-41.

http://radiographics.rsna.org/content/24/3/821.full.pdf+html

Leatherwood DL, Heitkamp DE, Emerson RE.
Best cases from the AFIP: Pulmonary Langerhans cell
histiocytosis.
Radiographics. 2007 Jan-Feb;27(1):265-8.

http://radiographics.rsna.org/content/27/1/265.full.pdf+html

Sundar KM, Gosselin MV, Chung HL, Cahill BC.
Pulmonary Langerhans cell histiocytosis: emerging concepts
in pathobiology, radiology, and clinical evolution of
disease.
Chest. 2003 May;123(5):1673-83.

http://chestjournal.chestpubs.org/content/123/5/1673.full.pdf+html

Kulwiec EL, Lynch DA, Aguayo SM, Schwarz MI, King TE Jr.
Imaging of pulmonary histiocytosis X.
Radiographics. 1992 May;12(3):515-26.

http://radiographics.rsna.org/content/12/3/515.long

LCH縦隔
Donnelly LF, Frush DP.
Langerhans’ cell histiocytosis showing low-attenuation
mediastinal mass and cystic lung disease.
AJR Am J Roentgenol. 2000 Mar;174(3):877-8.
http://www.ajronline.org/cgi/content/full/174/3/877-a

LCH 全般
Meyer JS, Harty MP, Mahboubi S, Heyman S, Zimmerman RA,
Womer RB, Dormans JP, D’Angio GJ.
Langerhans cell histiocytosis: presentation and evolution
of radiologic findings with clinical correlation.
Radiographics. 1995 Sep;15(5):1135-46.

http://radiographics.rsna.org/content/15/5/1135.long

LCH 頭部

D’Ambrosio N, Soohoo S, Warshall C, Johnson A, Karimi S.
Craniofacial and intracranial manifestations of langerhans
cell histiocytosis: report of findings in 100 patients.
AJR Am J Roentgenol. 2008 Aug;191(2):589-97.

http://www.ajronline.org/cgi/reprint/191/2/589

Grois N, Prayer D, Prosch H, Lassmann H; CNS LCH
Co-operative Group.
Neuropathology of CNS disease in Langerhans cell
histiocytosis.
Brain. 2005 Apr;128(Pt 4):829-38. Epub 2005 Feb 10.

http://brain.oxfordjournals.org/cgi/reprint/128/4/829

Prayer D, Grois N, Prosch H, Gadner H, Barkovich AJ.
MR imaging presentation of intracranial disease associated
with Langerhans cell histiocytosis.
AJNR Am J Neuroradiol. 2004 May;25(5):880-91.

http://www.ajnr.org/cgi/reprint/25/5/880

LCH骨
Stull MA, Kransdorf MJ, Devaney KO.
Langerhans cell histiocytosis of bone.
Radiographics. 1992 Jul;12(4):801-23.

http://radiographics.rsna.org/content/12/4/801.long

Sartoris DJ, Parker BR.
Histiocytosis X: rate and pattern of resolution of osseous
lesions.
Radiology. 1984 Sep;152(3):679-84.

http://radiology.rsna.org/content/152/3/679.long

LCH甲状腺
Uchiyama M, Watanabe R, Ito I, Ikeda T.
Thyroid involvement in pulmonary langerhans cell
histiocytosis.
Intern Med. 2009;48(23):2047-8. Epub 2009 Dec 1.
http://www.jstage.jst.go.jp/article/internalmedicine/48/23/2047/_pdf

LCH肝
Radin DR.
Langerhans cell histiocytosis of the liver: imaging
findings.
AJR Am J Roentgenol. 1992 Jul;159(1):63-4.

http://www.ajronline.org/cgi/reprint/159/1/63