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Imaging Characteristics of Normal Liver and Liver Tumors

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Radiation Therapy for Liver Tumors

Abstract

The liver is located in the epigastrium and right hypochondrium and is bordered superiorly by the diaphragm. It is divided into eight functional segments according to blood supply; this facilitates tumor localization and surgical planning. Modalities used to image the liver are ultrasonography (US), computed tomography (CT), magnetic resonance imaging (MRI), nuclear imaging, and invasive angiography. Generally, MRI and CT are the modalities of choice for imaging liver cirrhosis and its complications. The characterization and staging of liver malignancies such as hepatocellular carcinoma (HCC), cholangiocarcinoma, and liver metastases are also preferably done by MRI and CT; Ultrasound and nuclear imaging are less specific, while invasive angiography is reserved mainly for therapeutic procedures for HCC.

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Abbreviations

US:

Ultrasound

CT:

Computed tomography

MRI:

Magnetic resonance imaging

FDG-PET:

Fluorodeoxyglucose, positron emission tomography

MDCT:

Multidetector computed tomography

MRCP:

Magnetic resonance cholangiopancreatography

ERCP:

Endoscopic retrograde cholangiopancreatography

GRE:

Gradient recalled echo

DWI:

Diffusion-weighted imaging

ADC:

Apparent diffusion coefficient

HCC:

Hepatocellular carcinoma

IVC:

Inferior vena cava

RES:

Reticuloendothelial system

TIPS:

Transjugular intrahepatic portosystemic shunt

GI:

Gastrointestinal

AASLD:

American Association for the Study of Liver Disease

LI-RADS:

Liver imaging reporting and data system

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Correspondence to Ali A. Haydar MD, MRCP, FRCR .

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Haydar, A.A., Nasr, L.A., Hussain, H.K. (2017). Imaging Characteristics of Normal Liver and Liver Tumors. In: Meyer, J., Schefter, T. (eds) Radiation Therapy for Liver Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-54531-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-54531-8_2

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