Clinical MRI of the Abdomen: Why,How,When

763 Pages·2011·60.98 MB·English

by  Nickolas Papanikolaou

Clinical MRI of the Abdomen

Nicholas C. Gourtsoyiannis (Editor)
Clinical MRI
of the Abdomen
Why, How, When
With Contributions by
Philip Aschoff • Fred Avni • Sandra Baleato • Carlo Bartolozzi •
Valentina Battaglia • Christoph D. Becker • Regina G.H. Beets-Tan • Elena Bozzi •
Filipe Caseiro-Alves • Claus D. Claussen • François Cornud • Luís Curvo-Semedo •
Olle Ekberg • Niccolò Faccioli • Lucía Flors Blasco • Sofia Gourtsoyianni •
Nicholas C. Gourtsoyiannis • Steve Halligan • Thomas K. Helmberger •
Karin Herrmann • Gabriel P. Krestin • Marzena Kulawska-Didoszak •
Thomas C. Lauenstein • Estela López-Pérez • Riccardo Manfredi •
Luis Martí-Bonmatí • Celso Matos • Sukru Mehmet Erturk •
Charalampos Mpougias • Claus Nolte-Ernsting • Anwar R. Padhani •
Nicholas Papanicolaou • Nickolas Papanikolaou • Shilpan M. Patel •
Martina Pezzullo • Roberto Pozzi Mucelli • Rodney H. Reznek •
Michael Riccabona • Pablo R. Ros • Anju Sahdev • Evis Sala •
Heinz-Peter Schlemmer • Stuart Taylor • Sylvain Terraz • Charikleia Triantopoulou •
Bernard E. Van Beers • Magalie Viallon • Valérie Vilgrain
Prof. Dr. Nicholas C. Gourtsoyiannis
Department of Radiology
University Hospital of Heraklion
University of Crete Medical School
Iraklion Crete
Greece
[email protected]
ISBN: 978-3-540-85688-7 e-ISBN: 978-3-540-85689-4
DOI: 10.1007/978-3-540-85689-4
Springer Heidelberg Dordrecht London New York
© Springer-Verlag Berlin Heidelberg 2011
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To my Fellows and Co-workers
of the Department of Radiology
at the University of Crete

Preface
In the modern era of evidence-based medicine, where radiologists are asked to act as
integrators for clinical decisions, the strengths and limitations of MR Imaging appli-
cations to abdominal diseases need to be properly chartered, adequately explained
and understood and thoroughly taken into consideration, when providing the most
appropriate method of imaging examination in the field, that would influence clinical
management and improve outcomes, including medical costs.
The main intention with this volume is to provide the reader with a comprehensive
account and an in depth guide of the actual why, how and when of MR imaging
approaches to the most commonly encountered abdominal disease entities. It is hoped
that the volume will be used as both, an in-depth working guide to clinical practice
and an up-to-day reference source for those engaged in MR imaging evaluation of
abdominal diseases.
Initial systematically structured technical chapters are followed by clinically ori-
ented sections, each one of them providing a timely critical update of the existing
knowledge of MR applications to abdominal organs. Key points with clinical rele-
vance are elaborated and emphasis is given to advantages and limitations, the pearls
and pitfalls, of each one of these richly illustrated applications.
This is in fact a joint European effort to produce a fully encompassing source for
radiologists engaged in MR Imaging of the abdomen, with distilled, current and prac-
tical information.
I am indebted to all the distinguished colleagues, leading experts in the field, who
generously contributed authoritative reviews, thus sharing their invaluable knowl-
edge, insights and expertise. I am also grateful to the publishers, Springer- Verlag, for
an excellent result and for superb support and assistance throughout the project.
Iraklion Crete, Greece Nicholas C. Gourtsoyiannis
vii

Contents
Part I Technical Considerations
1 Technical Considerations ...................................... 3
Nickolas Papanikolaou and Charalampos Mpougias
Part II Contrast Agents
2 MR Contrast Agents .......................................... 17
Luís Curvo-Semedo and Filipe Caseiro-Alves
Part III Liver and Biliary Tract
3 Diffuse Parenchymal Disease ................................... 43
Luis Martí-Bonmatí and Lucía Flors Blasco
4 Benign Focal Lesions.......................................... 73
Bernard E. Van Beers and Valérie Vilgrain
5 Hepatocellular Carcinoma ..................................... 95
Carlo Bartolozzi, Valentina Battaglia, and Elena Bozzi
6 Primary and Secondary Liver Malignancies....................... 117
Sukru Mehmet Erturk, Karin Herrmann, and Pablo R. Ros
7 Biliary Tract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Sylvain Terraz, Magalie Viallon, and Christoph D. Becker
8 Pearls and Pitfalls of Liver and Biliary Tract Imaging .............. 149
Luis Martí-Bonmatí and Estela López-Pérez
Part IV Pancreas
9 Ducts ....................................................... 187
Celso Matos and Sandra Baleato
10 Parenchymal Disease.......................................... 225
Thomas K. Helmberger
ix