Meeting Banner
Abstract #4045

Vessel-Penetrating Sign in the Liver: MR Imaging Manifestations of Various Liver Pathologies

Kenji Matsuzaki1, Mayumi Takeuchi1, Masafumi Harada1

1Department of Radiology, University of Tokushima, Tokushima, Japan

Preserved intrahepatic vessels may be observed within various benign and malignant pathologies in the liver as "vessel-penetrating sign" (VPS) on imaging. MRI has an advantage to demonstrate vessels without the administration of contrast medium as flow voids on spin echo sequences with long TR; echo planar diffusion-weighted imaging, or as high signal intensity structures on gradient echo sequences with steady state free precession. The presence of VPS suggests infiltrative tumor growth, highly non-destructive tumors, mass formed by the aggregated malignant tumors, or benign tumor-like conditions. We present diagnostic imaging features of various liver lesions, which show VPS, with pathologic correlation.

Keywords

administration advantage aggregated aggregation appear appearance arrow benign blood cancer cancerous carcinoma cause cells characteristic chemical chills chronic cirrhotic clinical common commonly complained conditions content contrast correct correlation defined demarcated destructive diagnosis diagnostic differentiated diffuse diffusion dilated disease dynamic early enhancement even evident exhibit exhibiting extensive extent fatty features fever finding flow formed forming free grade gradient granulation grow growth helpful highly huge infiltration infiltrative inflammatory intense intensity involved irregular japan laden lead lesions like liver lobe lobular long lymphoma malignant manifestations mass masses massive medium metastasis microscopically mimic mottled nature neoplasm neoplastic nodules often outline pathologic pathologies patient patients pattern penetrating peripheral planar portal precession presence preserved problem radiology rare relatively resembling saturated shaped sheath sign sinusoid slight solving spin stage steady structures suggestive suggests summary supply symptoms tend tissue tumor tumors type uptake various vein vessel vessels voids