focal liver lesions
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age > 18 years; 2. Suspicion of focal liver lesions, both benign and/or malignant: Benign: A. Haemangioma; B. Focal Nodular Hyperplasia; C. Adenoma; D. Cyst. Malignant: A. Metastasis; B. Hepatocellular Cacrinoma (HCC).
Exclusion criteria
Exclusion criteria: 1. Clinical query on liver MRI chart directed to other liver disease than focal liver lesions like liver cirrhosis, hepatitis, or liver abscess (these are no exclusion criteria when apparent as secondary disease to focal disease); 2. Previous liver surgery; 3. A pacemake;r 4. Administration of a liver specific contrast agent within 2 weeks prior to the first MRI with Primovist; 5. Claustrophobia; 6. Hypersensitivity to the active substances or any of the recipients of Gd-EOB-DTPA contrast: A. Previous reaction to contrast media; B. History of bronchial asthma; C. History of allergic disorders causing anaphylactic shock. 7. Caution should be exercised in patients with clinically severe cardiovascular disease. Myocardial infarction, uncontrolled hypertension, instable angina pectoris, congestive heart failure, uncontrolled arrhythmia’s requiring medication; 8. Pregnancy or lactating women; 9. High plasma concentration of rifampicin (inhibitor of Gd-EOB-DTPA uptake).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the diagnostic value of MR-Primovist and Respiratory Triggered DWI MRI for the detection and characterization of focal liver lesions. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Accuracy and agreement between MR-Gadovist and MR-Primovist for lesion detection and characterization on a per lesion basis; 2. Change in surgical strategy. | — |
Contacts
University Medical Center Utrecht (UMCU) Department of Surgery