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Effect of Intravenous Gadolinium-DTPA on Diffusion-Weighted Magnetic Resonance Images for Evaluation of Focal Hepatic Lesions

Chiu, Fang-Ying MS*; Jao, Jo-Chi MS†; Chen, Chiao-Yun MD‡; Liu, Gin-Chung MD‡; Jaw, Twei-Shiun MMS‡; Chiou, Yen-Yu MB‡; Hsu, Feng-O MB‡; Hsu, Jui-Sheng MD, PhD‡

Journal of Computer Assisted Tomography: March/April 2005 - Volume 29 - Issue 2 - pp 176-180
Original Article: Abdominal Imaging

Objective: Diffusion-weighted imaging (DWI) is usually performed before administration of intravenous contrast agents. Repetition of DWI is occasionally necessary after contrast administration, but the effects of contrast material on DWI and apparent diffusion coefficient (ADC) values in the abdomen have not yet been fully examined. The purpose of this work is to assess whether administration of gadolinium-based contrast material significantly affects DWI and ADC values at the focal hepatic lesions.

Methods: The results of DWI at 3.0 T (Signa VH3; GE Medical Systems, Milwaukee, WI) were examined in 20 patients (age range: 33-86 years, mean age = 68 years) who were evaluated by means of a hepatic protocol at our hospital. Among the 20 patients studied, a total of 57 lesions were detected. Diffusion-weighted imaging was obtained using single-shot echo planar imaging with a b value of 500 s/mm2. Patients were injected with 0.1 mmol/kg gadopentetate dimeglumine. The signal-to-noise ratio (SNR) of the liver and the hepatic lesions was examined, and the contrast-to-noise ratio (CNR) of each lesion was evaluated. In addition, the ADC values calculated from the DWI were compared before and after administration of contrast agent. The statistical significance of differences between precontrast and postcontrast administration was determined by use of a paired t test.

Results: The SNR and CNR of the DWI were not significantly different before and after administration of contrast agent. The ADC values tended to decrease after administration of contrast agent for each focal hepatic lesion and the liver, although they did not reach statistical significance.

Conclusion: There was no significant difference before and after administration of contrast agent in the SNR or CNR of DWI. This indicates the feasibility of postcontrast DWI as a substitute for an unsuccessful precontrast-enhanced study in clinical practice.

From the *Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan, Republic of China, †School of Medicine Radiation Technology, Kaohsiung Medical University, Kaohsiung City, Taiwan, Republic of China, and ‡Department of Medical Imaging, Kaohsiung Medical University, Chung-Ho Memorial Hospital, Kaohsiung City, Taiwan, Republic of China.

Received for publication January 12, 2005; accepted January 18, 2005.

Reprints: Jui-Sheng Hsu, Department of Medical Imaging, Kaohsiung Medical University, Chung-Ho Memorial Hospital, No. 100 Shih-Chuan 1st Road, Kaohsiung City, Taiwan, Republic of China (e-mail: lannylin@kmu.edu.tw).

© 2005 Lippincott Williams & Wilkins, Inc.