Histopathologically confirmed focal nodular hyperplasia of the liver: Gadoxetic acid-enhanced MRI characteristics

Purpose

The purpose of this study was to evaluate enhancement characteristics of histopathologically confirmed focal nodular hyperplasia (FNHs) with gadoxetic acid-enhanced MRI.

Materials and Methods

Twenty-seven patients with all histopathologically proven FNHs were retrospectively identified. MRI consisted of T₁- and T₂-weighted (w) sequences with and without fat saturation (FS), multiphase dynamic T₁-w images, and FS T₁-w images during the hepatobiliary phase. Standard of reference was surgical resection (n = 24) or biopsy (n = 3). Images were analyzed for morphology and contrast behavior including signal intensity (SI) measurement on T₁-w images normalized to the pre-contrast base line.

Results

In total 36 FNHs were evaluated. All FNHs showed enhancement in the arterial phase, significant reduction contrast enhancement (“wash-out”) in the late dynamic phases was not present. In the hepatobiliary phase, all FNHs (100%) showed enhancement (overall SI increase, 118% (± 91%), P < 0.001) with at least partial hyperintensity to the liver. Upon visual comparison, 3 of 36 FNHs appeared with heterogeneous/partial enhancement (8%) and 7 (19%) showed rim-accentuated enhancement.

Conclusion

The typical enhancement pattern of FNH with gadoxetic acid consists of arterial hyperperfusion, no wash-out during the venous phase, and at least partial hyperintensity compared to the liver in the hepatobiliary phase. Partial hypointensity or rim-accentuated enhancement rarely occurs.     

Chromophore Systeme, 2. Konformation und Lichtabsorption von (2-Alkoxyvinyl)ethandionen

Chromophoric Systems, 2. – Conformation and Absorption of Light in (2-Alkoxyvinyl)ethanediones The unusual color properties of yellow 1,2-bis(4,5-dihydrofuran-3-yl)ethane-1,2-dione ( 1 ) and colorless 1,2-bis(5,6-dihydro-4H-pyran-3-yl)ethane-1,2-dione ( 2 ) in the solid state and in solution are investigated by crystal structure analysis, UV-Vis, PE, and ¹³C-NMR spectroscopy as well as by reparameterized force-field calculations. Dione 1 takes an antiperiplaner CO/CO conformation of its chromophore in the solid state whereas dione 2 is twisted in this respect by 102°. In solution both chromophores are not planar, but 1 is less distorted (ca. 142°) than dione 2 (ca. 126°). The calculated rotational barrier for CO/CO twisting amounts to 0.9 kcal mol⁻¹ for 1 and to 2.2 kcal mol⁻¹ for 2 .