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Cirrhosis MRI
hello there,
next week i haave an MRI of my abdomen .
i would like to know if cirrhosis would be visible in the MRI-
marc
next week i haave an MRI of my abdomen .
i would like to know if cirrhosis would be visible in the MRI-
marc
COMMUNITY LEADER
The most common visual presentations of cirrhosis when viewed with imaging are nodular growths on the liver (regenerative nodules are only present in cirrhosis), splenomegaly (an enlarged spleen which leads to low platelet counts).
Cirrhosis can be diagnosed or confirmed from viewing the liver using ultrasound, CT and MRI. There is no need for a liver biopsy to diagnose stage of liver disease as cirrhosis is obvious from images. Complete Cirrhosis is easy to diagnose because by definition it means the basic architecture of the liver is changed from a normal healthy or fibrotic liver.
Example:
"MR ABDOMEN UNEHANCED/ENHANCED 9/4/2013 1:43 PM COMPARISON: MR abdomen on 7/17/2013 CLINICAL HISTORY: 61-year-old male with HCC. TECHNIQUE: Multiplanar T1 and T2 weighted, diffusion and dynamic post-gadolinium images were obtained through the abdomen on a 1.5 Tesla magnet.
FINDINGS: Liver: Redemonstrated is a nodular contour of the liver, consistent with cirrhosis.
Again noted is a recanalized umbilical vein.
IMPRESSION: 1 Cirrhosis with evidence of portal hypertension."
The same liver (mine) seen on a CT scan...
"Liver: Redemonstrated is a nodular cirrhotic morphology of the liver with evidence of portal hypertension, including a recanalized umbilical vein."
Hector
Cirrhosis can be diagnosed or confirmed from viewing the liver using ultrasound, CT and MRI. There is no need for a liver biopsy to diagnose stage of liver disease as cirrhosis is obvious from images. Complete Cirrhosis is easy to diagnose because by definition it means the basic architecture of the liver is changed from a normal healthy or fibrotic liver.
Example:
"MR ABDOMEN UNEHANCED/ENHANCED 9/4/2013 1:43 PM COMPARISON: MR abdomen on 7/17/2013 CLINICAL HISTORY: 61-year-old male with HCC. TECHNIQUE: Multiplanar T1 and T2 weighted, diffusion and dynamic post-gadolinium images were obtained through the abdomen on a 1.5 Tesla magnet.
FINDINGS: Liver: Redemonstrated is a nodular contour of the liver, consistent with cirrhosis.
Again noted is a recanalized umbilical vein.
IMPRESSION: 1 Cirrhosis with evidence of portal hypertension."
The same liver (mine) seen on a CT scan...
"Liver: Redemonstrated is a nodular cirrhotic morphology of the liver with evidence of portal hypertension, including a recanalized umbilical vein."
Hector
"...Magnetic Resonance Imaging
MRI offers an alternative noninvasive method of imaging the liver based on tissue-specific characteristics.[42, 43] In addition to demonstrating morphologic changes in cirrhosis, MRI is suited for the evaluation of vascular structures for patency or tumor invasion...."
http://emedicine.medscape.com/article/366426-overview#a01
MRI offers an alternative noninvasive method of imaging the liver based on tissue-specific characteristics.[42, 43] In addition to demonstrating morphologic changes in cirrhosis, MRI is suited for the evaluation of vascular structures for patency or tumor invasion...."
http://emedicine.medscape.com/article/366426-overview#a01
Yes, cirrhosis can be seen on cross-sectional MRI.
"...Hepatic morphologic changes
Regardless of etiology, gross morphologic changes of cirrhosis are recognized by a variety of image techniques. Enlargement of the left lobe and caudate lobe, believed to be the result of lobar-relative regeneration rather than fibrosis, secondary to an accident of vascular supply, is recognized by any cross-sectional technique, such as computed tomography (CT) scanning, magnetic resonance imaging (MRI), or ultrasonography (US), each depicted in the images below...."
Cirrhosis Imaging
http://emedicine.medscape.com/article/366426-overview#a01
"...Hepatic morphologic changes
Regardless of etiology, gross morphologic changes of cirrhosis are recognized by a variety of image techniques. Enlargement of the left lobe and caudate lobe, believed to be the result of lobar-relative regeneration rather than fibrosis, secondary to an accident of vascular supply, is recognized by any cross-sectional technique, such as computed tomography (CT) scanning, magnetic resonance imaging (MRI), or ultrasonography (US), each depicted in the images below...."
Cirrhosis Imaging
http://emedicine.medscape.com/article/366426-overview#a01
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