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Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: Value of dynamic and DWI MRI in evaluation of HCC viability after TACE via LI-RADS v2018 diagnostic algorithm

Fig. 1

A 66-year-old male patient having HCC underwent TACE ablation for one focal lesion involving right hepatic lobe segment VIII. a Pre-TACE CT-scan in the arterial phase showing intense enhancement. b Wash-out in delayed phase. c Follow-up with CT-scan showing no definite enhancement in the arterial phase. d No definite wash-out in delayed phase. e Yet the patient had high AFP level, so DCE MRI was done showing bright signals in T2. f Relative hypo-intense signals in T1 WIs. g Restricted diffusion in DWI at 800 b value. h Corresponding dark signals in ADC mapping series. i ADC value = 0.91 × 10−3 s/mm2. j Iso-intense signals in pre-contrast phase of LAVA. k Arterial enhancement in late arterial phase. l Wash out of the contrast in the porto-venous. m Delayed phase. n Being confirmed in subtraction images throughout arterial, o porto-venous, and p delayed phases. Final diagnosis: LR-TR viable 2.9 mm, (pretreatment, LR-5, 28 mm)

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