Magnetic Resonance Imaging (MRI) in Liver Lesions

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Questions and Answers

What is one of the uses of duaa'i al-istikhdam?

  • Treating islet cell tumour
  • Curing diabetes
  • Diagnosing pancreatic cancer
  • Staging of pancreatic tumours (correct)

What is suspected in a patient with a possible islet cell tumour?

  • Pancreatic cancer
  • Islet cell tumour (correct)
  • Thyroid cancer
  • Diabetes

What is the staging of pancreatic tumours used for?

  • To cure pancreatic cancer
  • To diagnose islet cell tumour
  • To treat pancreatic cancer
  • To determine the severity of pancreatic tumours (correct)

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Study Notes

Dynamic Range of the Image

  • Improves signal-to-noise and contrast-to-noise ratios of focal liver lesions
  • Very heavily T2-weighted sequences can be used to show water content in bile ducts and cysts, and some focal lesions

Contrast-Enhanced Magnetic Resonance Liver Imaging

  • Gadolinium-enhanced T1-weighted magnetic resonance imaging helps in tissue characterization, but does not increase sensitivity for focal abnormalities

Superparamagnetic Iron Oxide (SPIO)

  • Also known as RE (Reticulo-Endothelial) agents
  • Taken up by the RE or Kuppfer cells in normal liver, giving a decrease in signal on T2- and especially T2*-weighted sequences
  • Not currently available due to commercial reasons

MRCP (Magnetic Resonance Cholangiopancreatography)

  • A non-invasive technique used to visualize the biliary tree inside and outside the liver and pancreatic duct
  • Commonly used to demonstrate the presence of stones and the level and cause of obstruction, especially combined with cross-sectional MRI, in cases of tumor or suspected tumor

Indications for MRI

  • Staging of pancreatic tumors
  • Suspected islet cell tumor
  • ...

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