LIVER MR (last updated 04/27/17, last reviewed 02/10/2022)
INDICATION: Liver mass, liver lesion, hemangioma, abnormal LFTs, cirrhosis, hepatocelluar carcinoma, history of TACE or RFA, steatosis/fatty infiltration, metastatic disease, adenoma, focal nodular hyperplasia/FNH, Budd-Chiari.
For cirrhosis, r/o HCC, f/u HCC, HCC s/p TACE or RFA please use Eovist.
SEQUENCES
ROUTINE
Cor HASTE
Ax HASTE
Ax in/out phase FLASH T1
Ax TSE T2 breath hold
Ax fat sat TSE T2 breath hold
AX DWI
Ax VIBE T1 (fat sat) pre
Ax VIBE T1 (fat sat) care bolus arterial phase
Ax VIBE T1 (fat sat) 60 sec post
Cor VIBE T1 (fat sat) 240 sec post
Ax VIBE T1 (fat sat) post 270 sec
Subtraction images
EOVIST
Cor HASTE
Ax HASTE
Ax in/out of phase FLASH T1
Ax VIBE pre
Ax VIBE care bolus arterial post
Ax VIBE portal venous post
Ax DWI 2D (min 2 b values)
Ax VIBE equilibrium post
Ax TSE T2 breath hold
Ax fat sat TSE T2 breath hold
Ax Hepatobiliary post VIBE (15 min, should see excreted contrast in CBD)
Cor Hepatobiliary post VIBE
Subtraction images
**PLEASE DO SUBTRACTION IMAGES ON ALL EXAMS
Note flow in portal vein