Diffusion-Weighted MR Imaging of Focal Liver Lesions in the Left and Right Lobes: Is There a Difference in ADC Values?

作者：Schmid Tannwald Christine^*; Jiang Yulei; Dahi Farid; Rist Carsten; Sethi Ila; Oto Aytekin

来源：Academic Radiology, 2013, 20(4): 440-445.

DOI：10.1016/j.acra.2012.10.012

• Diffusion-weighted MRI
• ADC measurements
• focal liver lesions
• left and right hepatic lobe

Rationale and Objectives: To determine possible differences between the left and right hepatic lobes in apparent diffusion coefficient (ADC) values of benign and malignant focal liver lesions (FLLs) and normal liver parenchyma.
Materials and Methods: Thirty-six patients (16 males, 20 females; mean age 56.8 years) with FLLs of the same etiology in both the left and right hepatic lobes (13 patients with 26 benign FLLs and 23 patients with 46 malignant FLLs) who underwent 1.5T magnetic resonance imaging (MRI) including diffusion-weighted MRI (b values: 0 and 800 seconds/mm) with respiratory gating and without cardiac gating were included in this Health Insurance Portability and Accountability Act-compliant and institutional review board-approved study. ADC values of normal liver parenchyma and FLLs in each hepatic lobe were calculated and compared by using Student's t-test and Wilcoxon signed-rank test, respectively.
Results: The mean ADC values of normal liver parenchyma, benign FLLs, and malignant FLLs were significantly higher (P < .001, P = .003, and P = .005, respectively) in the left hepatic lobe (1.74 x 10(-3), 1.81 x 10(-3), and 1.48 x 10(-3) mm(2)/second, respectively) than in the right hepatic lobe (1.48 x 10(-3), 1.54 x 10(-3), and 1.24 x 10(-3) mm(2)/second, respectively).
Conclusion: ADC values of benign and malignant FLLs calculated from noncardiac-gated DW-MRI are significantly higher in the left hepatic lobe compared with the right hepatic lobe. This may be a limitation for characterization of FLLs based on ADC measurements.

• 出版日期2013-4