Capsule, septum, and T2 hyperintense foci for differentiation between large hepatocellular carcinoma (>= 5 cm) and intrahepatic cholangiocarcinoma on gadoxetic acid MRI
DC Field | Value | Language |
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dc.contributor.author | Hwang, Jiyoung | - |
dc.contributor.author | Kim, Young Kon | - |
dc.contributor.author | Min, Ji Hye | - |
dc.contributor.author | Choi, Seo-Youn | - |
dc.contributor.author | Jeong, Woo Kyung | - |
dc.contributor.author | Hong, Seong Sook | - |
dc.contributor.author | Kim, Hyun-joo | - |
dc.contributor.author | Ahn, Soohyun | - |
dc.contributor.author | Ahn, Hyeon Seon | - |
dc.date.accessioned | 2021-08-11T14:24:02Z | - |
dc.date.available | 2021-08-11T14:24:02Z | - |
dc.date.issued | 2017-11 | - |
dc.identifier.issn | 0938-7994 | - |
dc.identifier.issn | 1432-1084 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7090 | - |
dc.description.abstract | Objective To determine the added value of capsule, septum, and T2 hyperintense foci for differentiating large hepatocellular carcinoma (HCC; >= 5 cm) from intrahepatic cholangiocarcinoma (ICC) using gadoxetic acid MRI. Methods The study included 116 patients (94 men, 22 women; mean age, 56.8 years) with surgically confirmed HCCs (n = 87, 5.0-18.0 cm) or ICCs (n = 29, 5.0-14.0 cm) who underwent gadoxetic acid MRI. Three observers independently reviewed MRIs in two sessions, examining enhancement patterns only and then adding capsule, septum, and T2 hyperintense foci. Reviewers used a five-point scale to score accuracy, sensitivity, and specificity. Results A significant increase was observed in accuracy when ancillary features (96.1-98.3%) were added compared to enhancement pattern only (83.6-88.4%; p ae<currency> 0.02). Sensitivity was significantly increased with combined reading (97.1-98.3%) compared to enhancement features only (81.6-88.5%; p ae<currency> 0.006) for two observers, with no difference in specificity (84.5-89.7% vs. 86.2-98.3%; p > 0.05). We found substantial to excellent interobserver agreement for ancillary features (0.598-0.976). Conclusion Adding capsule, septum, and T2 hyperintense foci to enhancement patterns for gadoxetic acid MRI increased diagnostic performance for characterizing large HCC by differentiating it from ICC. | - |
dc.format.extent | 10 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Springer Verlag | - |
dc.title | Capsule, septum, and T2 hyperintense foci for differentiation between large hepatocellular carcinoma (>= 5 cm) and intrahepatic cholangiocarcinoma on gadoxetic acid MRI | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1007/s00330-017-4846-4 | - |
dc.identifier.scopusid | 2-s2.0-85019206066 | - |
dc.identifier.wosid | 000412820500016 | - |
dc.identifier.bibliographicCitation | European Radiology, v.27, no.11, pp 4581 - 4590 | - |
dc.citation.title | European Radiology | - |
dc.citation.volume | 27 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 4581 | - |
dc.citation.endPage | 4590 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.subject.keywordPlus | ENHANCED MRI | - |
dc.subject.keywordPlus | FORMING CHOLANGIOCARCINOMA | - |
dc.subject.keywordPlus | HISTOPATHOLOGIC FINDINGS | - |
dc.subject.keywordPlus | CLINICAL-SIGNIFICANCE | - |
dc.subject.keywordPlus | COMPUTED-TOMOGRAPHY | - |
dc.subject.keywordPlus | HEPATOBILIARY PHASE | - |
dc.subject.keywordPlus | CIRRHOTIC LIVER | - |
dc.subject.keywordPlus | DIAGNOSIS | - |
dc.subject.keywordPlus | MASS | - |
dc.subject.keywordPlus | CONTRAST | - |
dc.subject.keywordAuthor | Gadoxetic acid | - |
dc.subject.keywordAuthor | MRI | - |
dc.subject.keywordAuthor | Hepatocellular carcinoma | - |
dc.subject.keywordAuthor | Cholangiocarcinoma | - |
dc.subject.keywordAuthor | Ancillary feature | - |
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