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Abstract #3578

Gadoxetic Acid-Enhanced MR Imaging for T-Staging of Gallbladder Carcinoma: Emphasis on Liver Invasion

Jiyoung Hwang 1 , Young Kon Kim 2 , Mi Hee Lee 3 , and Hyun-joo Kim 1

1 Department of Radiology, Soonchunhyang University Seoul Hospital, Seoul, Seoul, Korea, 2 Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Seoul, Korea, 3 Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Seoul, Korea

Purpose: To evaluate gadoxetic acid-enhanced MR imaging with an emphasis on the usefulness of hepatobiliary phase (HBP) in T-staging of gallbladder carcinoma. Methods: 66 patients with confirmed gallbladder carcinoma underwent gadoxetic acid-enhanced MR imaging. Two radiologists independently reviewed two sets of MR imaging without / with HBP for local tumor spread. Results: This study yielded acceptable diagnostic performance with gadoxetic acid-enhanced MR imaging with the overall accuracies of 86.4% and 87.9% for each observer. By adding HBP, the sensitivities to differentiate T2 versus T3 lesions were increased for both observers although there was no significant difference (P > 0.05). Conclusions: Gadoxetic acid-enhanced MR imaging provided acceptable diagnostic performance for T-staging of gallbladder carcinoma. Addition of HBP aids in detection of liver invasion.

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