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Neuere Entwicklungen der Leber-MRT

New developments in MRI of the liver

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Zusammenfassung

Das Fach Radiologie hat in der Medizin eine Sonderstellung erlangt. Eine exakte Diagnose ist entscheidend, um rasch und effizient behandeln zu können. Dies wirkt sich direkt auf den einzelnen Patienten aus, was mit einer Verkürzung der Zeit bis zur Diagnosestellung, dem Vermeiden unnötiger invasiver Methoden oder teuren zeitaufwendigen Verlaufskontrollen einhergeht. Die MRT stellt aufgrund ihrer kontinuierlichen Entwicklungen der letzten Jahre ein Musterbeispiel dar, v. a. bei der Diagnostik der verschiedenen Lebererkrankungen. In diesem Artikel erläutern wir den direkten Zusammenhang zwischen neueren technischen Entwicklungen im Bereich der MRT wie 3,0 T, diffusionsgewichteten Sequenzen, Perfusions-MRT, Spektroskopie, Texturanalyse sowie MR-Elastographie und dem Stellen einer sicheren, nichtinvasiven Diagnose der fokalen und diffusen Leberveränderungen.

Abstract

Radiology has gained an exceptional position in medicine because a correct diagnosis is the most crucial issue in determining an accurate and personalized therapeutic strategy. This has a direct influence not only on the individual patient but also on the socio-economic aspects of healthcare services in terms of shortening the time interval to establish a diagnosis and to avoid risk-associated invasive diagnostic methods or long-term, cost-intensive follow-up. Magnetic resonance imaging (MRI) is an excellent example of this which due to continuous technological developments and emerging techniques allows a non-invasive diagnosis of the different hepatic diseases. In this article, we illustrate the direct correlation between the recent technical advances in MRI, such as 3.0 T, diffusion-weighted imaging, perfusion imaging, spectroscopy, texture analysis and MR elastography and obtaining a confident non-invasive diagnosis of focal and diffuse liver diseases.

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Authors and Affiliations

  1. Universitätsklinik für Radiodiagnostik, AKH, Medizinische Universität Wien, Währinger Guertel 18–20, A-1090, Wien, Österreich

    N. Bastati-Huber MD, H. Prosch, S. Baroud, S. Magnaldi & A. Ba-Ssalamah

  2. Abteilung für Radiologie und Bildgebende Diagnostik, Krankenhaus Göttlicher Heiland, Wien, Wien, Österreich

    W. Schima

Authors
  1. N. Bastati-Huber MD
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  2. H. Prosch
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  3. S. Baroud
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  4. S. Magnaldi
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  6. A. Ba-Ssalamah
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Correspondence to N. Bastati-Huber MD.

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Bastati-Huber, N., Prosch, H., Baroud, S. et al. Neuere Entwicklungen der Leber-MRT. Radiologe 51, 680–687 (2011). https://doi.org/10.1007/s00117-010-2126-2

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  • DOI: https://doi.org/10.1007/s00117-010-2126-2

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