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Hepatobiliary Imaging

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lightbulbAbout this topic
Hepatobiliary imaging is a specialized area of medical imaging focused on the diagnosis and evaluation of liver, gallbladder, and biliary tract diseases. It employs various imaging modalities, including ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine techniques, to visualize and assess the structure and function of hepatobiliary organs.
lightbulbAbout this topic
Hepatobiliary imaging is a specialized area of medical imaging focused on the diagnosis and evaluation of liver, gallbladder, and biliary tract diseases. It employs various imaging modalities, including ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and nuclear medicine techniques, to visualize and assess the structure and function of hepatobiliary organs.

Key research themes

1. How can imaging optimally guide diagnosis and treatment decisions in hepatocellular carcinoma (HCC)?

This research theme focuses on the role of advanced imaging modalities—especially MRI, CT, and ultrasonography—in the noninvasive diagnosis, staging, and treatment planning of HCC. It addresses how imaging features can accurately differentiate HCC from benign and other malignant liver lesions, support transplant eligibility assessment, and influence curative versus palliative treatment decisions. The theme is critical as early and precise imaging diagnosis directly impacts patient survival through timely interventions.

Key finding: This work rigorously validates the major imaging features defined in LI-RADS—arterial phase hyperenhancement (APHE), washout appearance, capsule appearance, observation size, and threshold growth—for diagnosing HCC with... Read more
Key finding: The prospective multicenter SORAMIC trial shows gadoxetic acid-enhanced hepatobiliary phase (HBP) MRI provides superior accuracy over contrast-enhanced CT for stratifying HCC patients for curative versus palliative treatment... Read more
Key finding: This review demonstrates MRI achieves higher sensitivity (up to 84%) and specificity for detecting small (1-2 cm) HCC lesions compared to CT and ultrasound, particularly when hepatobiliary-specific contrast agents and... Read more
Key finding: This review highlights the complementary roles of ultrasonography, contrast-enhanced CT, and especially MRI—including diffusion-weighted imaging and hepatospecific contrast agents—for early HCC detection, tumor... Read more
Key finding: This consensus articulates the development, structure, and clinical use of LI-RADS, a standardized lexicon and reporting system aimed to reduce variability in liver imaging interpretation for HCC diagnosis. By incorporating... Read more

2. What advances in imaging protocols and contrast agents enhance visualization and functional assessment of hepatobiliary diseases?

This theme investigates technical improvements in MRI protocols and contrast agent use that improve lesion detectability, tissue characterization, and functional liver assessment. Research includes optimization of hepatobiliary MRI protocols with hepatospecific agents, timing of hepatobiliary phase imaging, motion artifact reduction strategies, and emerging quantitative imaging biomarkers. These advances enable more accurate diagnosis, assessment of liver function, and differentiation of benign versus malignant lesions, greatly influencing clinical decision-making.

Key finding: This comprehensive review demonstrates that optimized liver MRI protocols integrating motion-resistant T2 sequences, diffusion-weighted imaging, and hepatobiliary contrast agents significantly enhance lesion characterization... Read more
Key finding: This prospective study finds no significant difference in liver function assessment accuracy between 10-minute and 20-minute hepatobiliary phase (HBP) imaging on 3.0 T Gd-EOB-DTPA-enhanced MRI, as measured by T1 relaxation... Read more

3. How can imaging modalities differentiate benign from malignant focal liver lesions and guide the assessment of post-treatment changes?

This theme focuses on the radiologic differentiation of HCC from other focal liver lesions such as adenomas, hemangiomas, and metastases, as well as the interpretation of imaging appearances after locoregional therapies. It covers the role of radiomics and texture analysis in improving lesion classification, the evaluation of post-treatment vascular and tissue changes on CT and MRI, and the importance of recognizing pitfalls such as hepatic steatosis alterations that mimic lesions. Accurate lesion characterization is crucial for diagnosis, treatment planning, and monitoring therapeutic response.

Key finding: This review evidences that radiomics and CT texture analysis extract non-visible quantitative features that improve differentiation between malignant and benign focal liver lesions. Implementation of radiomic biomarkers can... Read more
Key finding: This comprehensive review delineates the characteristic CT imaging signatures of HCC after various locoregional therapies including radiofrequency ablation, transarterial chemoembolization, and radioembolization. It... Read more
Key finding: This narrative highlights imaging features and challenges for radiologists evaluating postoperative liver after anatomic versus nonanatomic hepatic resections. It underscores the value of CT and MRI—including MR... Read more
Key finding: This paper details how hepatic steatosis—either homogeneous or heterogeneous—presents specific imaging patterns that can mimic or obscure focal liver lesions, posing diagnostic pitfalls. It emphasizes the role of MRI in... Read more

All papers in Hepatobiliary Imaging

ABSTRACT BACKGROUND: Mean portal vein diameter is considered as the best indicator for portal hypertension. However, the cutoff point differs from study to study (above 10-15 mm) despite the existence of normal mean portal vein diameter... more
Common bile duct ectasia is a sonographic evidence of obstruction to normal flow. Availability of a reference range is therefore clinically warranted. This Study is aimed at establishing a reference range of the Common Bile Duct diameter... more
Dilatation of the pancreatic duct indicates obstruction to normal flow or a predictor to pancreatic pathology. Availability of a reference value is therefore important. This Study is aimed at establishing a normogram in apparently healthy... more
Common bile duct ectasia is a sonographic evidence of obstruction to normal flow. Availability of a reference range is therefore clinically warranted. This Study is aimed at establishing a reference range of the Common Bile Duct diameter... more
Objective: To determine the association between Doppler Parameters of average peak portal vein velocity and flow direction and Child Pugh classes of patients suffering from the chronic liver disease. Study Design: It was a descriptive... more
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