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An evaluation of the sensitivity of MRI at detecting hepatocellular carcinoma in cirrhotic patients utilizing an explant reference standard

Abstract Objective To evaluate the sensitivity of magnetic resonance imaging (MRI) at detecting hepatocellular carcinoma (HCC). Materials and methods MRIs performed within 120 days of transplant, and pathology, were reviewed. Results Of the 87 patients included in the final analysis, 58 had HCC at e... Full description

Journal Title: Clinical imaging 2014, Vol.38 (5), p.693-697
Main Author: Hanna, Robert F
Other Authors: Ward, Thomas J , Chow, Daniel S , Lagana, Stephen M , Moreira, Roger K , Emond, Jean C , Weintraub, Joshua L , Prince, Martin R
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0899-7071
Link: https://www.ncbi.nlm.nih.gov/pubmed/24997104
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recordid: cdi_proquest_miscellaneous_1671531864
title: An evaluation of the sensitivity of MRI at detecting hepatocellular carcinoma in cirrhotic patients utilizing an explant reference standard
format: Article
creator:
  • Hanna, Robert F
  • Ward, Thomas J
  • Chow, Daniel S
  • Lagana, Stephen M
  • Moreira, Roger K
  • Emond, Jean C
  • Weintraub, Joshua L
  • Prince, Martin R
subjects:
  • Accuracy
  • Acquisitions & mergers
  • Adult
  • Aged
  • Biostatistics
  • Carcinoma, Hepatocellular - diagnosis
  • Carcinoma, Hepatocellular - etiology
  • Confidence intervals
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Health Insurance Portability & Accountability Act 1996-US
  • Hepatocellular carcinoma
  • Hepatoma
  • Humans
  • Imaging
  • Liver cancer
  • Liver cirrhosis
  • Liver Cirrhosis - complications
  • Liver Cirrhosis - diagnosis
  • Liver Cirrhosis - surgery
  • Liver Neoplasms - diagnosis
  • Liver Neoplasms - etiology
  • Liver Transplantation
  • Magnetic resonance imaging
  • Magnetic Resonance Imaging - methods
  • Male
  • Metastasis
  • Middle Aged
  • Neoplasm Staging - methods
  • Pathology
  • Patients
  • Radiology
  • Reference Values
  • Reproducibility of Results
  • Retrospective Studies
  • ROC Curve
  • Standards
  • Transplants
  • Transplants & implants
  • Young Adult
ispartof: Clinical imaging, 2014, Vol.38 (5), p.693-697
description: Abstract Objective To evaluate the sensitivity of magnetic resonance imaging (MRI) at detecting hepatocellular carcinoma (HCC). Materials and methods MRIs performed within 120 days of transplant, and pathology, were reviewed. Results Of the 87 patients included in the final analysis, 58 had HCC at explant (106 total HCCs). The per-patient and per-lesion sensitivity was 74.1% (43/58) and 81.1% (86/106), respectively. The sensitivity based on size < 1 cm, 1–2 cm, and > 2 cm was 80.0% (28/35), 77.2% (44/57), and 100% (14/14). Conclusion MRI accurately detects HCC, including HCCs < 2 cm. In our study population, the imaging disease staging was concordant with pathological staging in 80% of patients.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0899-7071
fulltext: fulltext
issn:
  • 0899-7071
  • 1873-4499
url: Link


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titleAn evaluation of the sensitivity of MRI at detecting hepatocellular carcinoma in cirrhotic patients utilizing an explant reference standard
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creatorHanna, Robert F ; Ward, Thomas J ; Chow, Daniel S ; Lagana, Stephen M ; Moreira, Roger K ; Emond, Jean C ; Weintraub, Joshua L ; Prince, Martin R
creatorcontribHanna, Robert F ; Ward, Thomas J ; Chow, Daniel S ; Lagana, Stephen M ; Moreira, Roger K ; Emond, Jean C ; Weintraub, Joshua L ; Prince, Martin R
descriptionAbstract Objective To evaluate the sensitivity of magnetic resonance imaging (MRI) at detecting hepatocellular carcinoma (HCC). Materials and methods MRIs performed within 120 days of transplant, and pathology, were reviewed. Results Of the 87 patients included in the final analysis, 58 had HCC at explant (106 total HCCs). The per-patient and per-lesion sensitivity was 74.1% (43/58) and 81.1% (86/106), respectively. The sensitivity based on size < 1 cm, 1–2 cm, and > 2 cm was 80.0% (28/35), 77.2% (44/57), and 100% (14/14). Conclusion MRI accurately detects HCC, including HCCs < 2 cm. In our study population, the imaging disease staging was concordant with pathological staging in 80% of patients.
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subjectAccuracy ; Acquisitions & mergers ; Adult ; Aged ; Biostatistics ; Carcinoma, Hepatocellular - diagnosis ; Carcinoma, Hepatocellular - etiology ; Confidence intervals ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Health Insurance Portability & Accountability Act 1996-US ; Hepatocellular carcinoma ; Hepatoma ; Humans ; Imaging ; Liver cancer ; Liver cirrhosis ; Liver Cirrhosis - complications ; Liver Cirrhosis - diagnosis ; Liver Cirrhosis - surgery ; Liver Neoplasms - diagnosis ; Liver Neoplasms - etiology ; Liver Transplantation ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Metastasis ; Middle Aged ; Neoplasm Staging - methods ; Pathology ; Patients ; Radiology ; Reference Values ; Reproducibility of Results ; Retrospective Studies ; ROC Curve ; Standards ; Transplants ; Transplants & implants ; Young Adult
ispartofClinical imaging, 2014, Vol.38 (5), p.693-697
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descriptionAbstract Objective To evaluate the sensitivity of magnetic resonance imaging (MRI) at detecting hepatocellular carcinoma (HCC). Materials and methods MRIs performed within 120 days of transplant, and pathology, were reviewed. Results Of the 87 patients included in the final analysis, 58 had HCC at explant (106 total HCCs). The per-patient and per-lesion sensitivity was 74.1% (43/58) and 81.1% (86/106), respectively. The sensitivity based on size < 1 cm, 1–2 cm, and > 2 cm was 80.0% (28/35), 77.2% (44/57), and 100% (14/14). Conclusion MRI accurately detects HCC, including HCCs < 2 cm. In our study population, the imaging disease staging was concordant with pathological staging in 80% of patients.
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27Metastasis
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29Neoplasm Staging - methods
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32Radiology
33Reference Values
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36ROC Curve
37Standards
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39Transplants & implants
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titleAn evaluation of the sensitivity of MRI at detecting hepatocellular carcinoma in cirrhotic patients utilizing an explant reference standard
authorHanna, Robert F ; Ward, Thomas J ; Chow, Daniel S ; Lagana, Stephen M ; Moreira, Roger K ; Emond, Jean C ; Weintraub, Joshua L ; Prince, Martin R
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atitleAn evaluation of the sensitivity of MRI at detecting hepatocellular carcinoma in cirrhotic patients utilizing an explant reference standard
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abstractAbstract Objective To evaluate the sensitivity of magnetic resonance imaging (MRI) at detecting hepatocellular carcinoma (HCC). Materials and methods MRIs performed within 120 days of transplant, and pathology, were reviewed. Results Of the 87 patients included in the final analysis, 58 had HCC at explant (106 total HCCs). The per-patient and per-lesion sensitivity was 74.1% (43/58) and 81.1% (86/106), respectively. The sensitivity based on size < 1 cm, 1–2 cm, and > 2 cm was 80.0% (28/35), 77.2% (44/57), and 100% (14/14). Conclusion MRI accurately detects HCC, including HCCs < 2 cm. In our study population, the imaging disease staging was concordant with pathological staging in 80% of patients.
copUnited States
pubElsevier Inc
pmid24997104
doi10.1016/j.clinimag.2014.05.014