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http://dx.doi.org/10.3348/kjr.2013.14.5.769

Diffusion-Weighted MRI in Intrahepatic Bile Duct Adenoma Arising from the Cirrhotic Liver  

An, Chansik (Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine)
Park, Sumi (Department of Radiology, National Health Insurance Corporation Ilsan Hospital)
Choi, Yoon Jung (Department of Pathology, National Health Insurance Corporation Ilsan Hospital)
Publication Information
Korean Journal of Radiology / v.14, no.5, 2013 , pp. 769-775 More about this Journal
Abstract
A 64-year-old male patient with liver cirrhosis underwent a CT study for hepatocellular carcinoma surveillance, which demonstrated a 1.4-cm hypervascular subcapsular tumor in the liver. On gadoxetic acid-enhanced MRI, the tumor showed brisk arterial enhancement and persistent hyperenhancement in the portal phase, but hypointensity in the hepatobiliary phase. On diffusion-weighted MRI, the tumor showed an apparent diffusion coefficient twofold greater than that of the background liver parenchyma, which suggested that the lesion was benign. The histologic diagnosis was intrahepatic bile duct adenoma with alcoholic liver cirrhosis.
Keywords
Bile duct adenoma; Peribiliary gland hamartoma; Diffusion-weighted imaging; Apparent diffusion coefficient; Gadoxetic acid-enhanced MRI;
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