Robert F. Hanna1, Stephen M. Lagana2,
Roger K. Moreira2, Jean C. Emond3, Inna Postolov4,
Martin R. Prince1,5
1Diagnostic Radiology,
Columbia University - New York Presbyterian Hospital, New York, NY, United
States; 2Pathology, Columbia University - New York Presbyterian
Hospital; 3Surgery, Columbia University - New York Presbyterian
Hospital; 4Diagnostic Radiology, Columbia University - New York
Presbyterian Hospital, New York, NY , United States; 5Diagnostic
Radiology, Weill Cornell Medical Center, New York, NY, United States
Accuracy of MRI and triple phase CT for detecting hepatocellular carcinoma (HCC) in cirrhosis was investigated in 107 patients undergoing liver tranplantation utilizing histopathologic analysis of explant as the reference standard. MRI is significantly more accurate than CT, especially for small HCC with a per patient accuracy of 91% and a sensitivity for detecting < 1cm lesions of 80%.