Liver biopsy is a gold standard for the diagnosis of liver cirrhosis. However, biopsy can be false negative because of small amount of tissue sampled. Laparoscopy has been also used as another gold standard for the diagnosis of cirrhosis by directly assessing the liver surface, which compensate for the limitation of biopsy. Laparoscopy like 3D image can be obtained by 3D reconstruction of gadoxetic acid-enhanced hepatobiliary phase images (MR laparoscopy). The two MR laparoscopy findings, i.e. the rib pitting of liver surface and the sharpness of edge, showed good performance for discriminating liver cirrhosis from non-cirrhosis.
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