Prolonged positive contrast enhancement with Gd-EOB-DTPA in experimental liver tumors: potential value in tissue characterization

J Magn Reson Imaging. 1994 May-Jun;4(3):355-63. doi: 10.1002/jmri.1880040322.

Abstract

To evaluate the potential of the hepatobiliary magnetic resonance (MR) imaging contrast agent gadolinium EOB-DTPA (ethoxybenzyl diethylenetriaminepentaacetic acid) for the characterization of hepatic tumors, 79 primary and six implanted hepatomas in 38 rats were studied. MR imaging findings after administration of Gd-DTPA (0.3 mmol/kg) and Gd-EOB-DTPA (30 mumol/kg) were correlated with microangiographic and histologic findings. Gd-EOB-DTPA produced a strong liver enhancement, which caused prompt negative contrast enhancement (CE) in all implanted hepatomas and in 77 of 79 primary hepatomas. A positive CE that lasted up to 2 hours was found in two of 79 primary hepatomas, both of which were highly differentiated (grade I) hepatocellular carcinomas (HCCs). The rest were moderately differentiated to undifferentiated HCCs (grades II-IV). Rim enhancement, which corresponded histologically to peritumoral malignant infiltration sequestering normal hepatocytes, was seen around all implanted and some primary hepatomas. Positive tumor CE after administration of Gd-EOB-DTPA in this study is much less frequent but much more specific in comparison with the results of previous studies with manganese-DPDP (N,N'-dipyridoxylethylenediamine-N,N'-diacetate 5,5'-bis[phosphate]). These findings may help further discriminate hepatic tumors.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Contrast Media*
  • Edetic Acid / analogs & derivatives
  • Gadolinium
  • Gadolinium DTPA
  • Liver / pathology*
  • Liver Neoplasms, Experimental / diagnosis*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Manganese
  • Neoplasm Transplantation
  • Organometallic Compounds*
  • Pentetic Acid / analogs & derivatives*
  • Pyridoxal Phosphate / analogs & derivatives
  • Rats
  • Rats, Wistar
  • Time Factors

Substances

  • Contrast Media
  • Organometallic Compounds
  • gadolinium ethoxybenzyl DTPA
  • Manganese
  • Pyridoxal Phosphate
  • Pentetic Acid
  • Edetic Acid
  • Gadolinium
  • Gadolinium DTPA
  • N,N'-bis(pyridoxal-5-phosphate)ethylenediamine-N,N'-diacetic acid