%0 Journal Article %T Diffusion-Weighted MR Imaging of the Benign Hepatic Focal Lesions %A Adel El-Badrawy %A Germeen Albair Ashmallah %A Ahmed Mohamed Tawfik %A Sherif Abdelfattah %A Manal Salah-Eldin %A Emad Eldin Azmy %A Amro Awad El-Karef %A Ghada A. Salem %A Omar Farouk %J Open Journal of Radiology %P 136-143 %@ 2164-3032 %D 2014 %I Scientific Research Publishing %R 10.4236/ojrad.2014.41018 %X

Purpose: To determine the role of diffusion weighted MR imaging and apparent diffusion coefficient (ADC) in benign hepatic focal lesions. Method and Materials: This study included 47 patients (29 M, 18 F with mean age of 43 years) with benign hepatic focal lesions. They were cyst (n = 8), hemangioma (n = 23), abscess (n = 5), adenoma (n = 5), focal nodular hyperplasia (n = 4) and nodular regenerative hyperplasia (n = 2). They underwent routine MR imaging and diffusion MR weighted imaging using 1.5 tesla MR unit (Symphony-Siemens). Diffusion MR imaging was done using spin echo type of single shot echo planar imaging (EPI) with b value of 0, 500 & 1000 sec/mm2. The apparent diffusion coefficient (ADC) map was reconstructed and ADC value was measured. The mean ADC values correlated with histo-pathological results as well as follow-up imaging results. Results: Adequate ADC maps were obtained in 47 patients. The mean ADC values were 3.4 ¡À 0.12 ¡Á 10-3 mm2/sec in cystic lesion, 2.23 ¡À 0.08 ¡Á 10-3 mm2/sec in hemangioma, 1.94 ¡À 0.05 ¡Á 10-3 mm2/sec in abscess, 1.72 ¡À 0.07 ¡Á 10-3 in focal nodular hyperplasia, 1.65 ¡À 0.06 ¡Á 10-3 mm2/sec in adenoma, 1.62 ¡À 0.07 ¡Á 10-3 mm2/sec in nodular regenerative hyperplasia. The mean ADC values were significantly different within benign hepatic focal lesions (P < 0.001). The differences between the mean ADC values of FNH, adenoma and NRH were not statistically significant (P < 0.23). Conclusion: Diffusion weighted MR imaging is a new imaging modality for diagnosis and characterization of different benign hepatic focal lesions, particularly in patient with renal dysfunction.

%K Diffusion %K MR Imaging %K Apparent Diffusion Coefficient %K Benign Hepatic Focal Lesion %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=43484