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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

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

Fig. 4

1st follow-up DCE MRI with DWI after 1 month for a 55-year-old male patient with chronic viral hepatitis C diagnosed as HCC involving right hepatic lobe segment VI underwent TACE ablation with still elevated AFP level. a Treated lesion showed faint high in T1 WIs. b Faint high signals T2 WIs. c Faint high signals STIR WIs. d Facilitated diffusion in DWI at 800 b value. e Corresponding bright signals in ADC mapping series. f ADC value = 1.60 × 10− 3 s/mm2. g Faint high signal in pre-contrast LAVA sequence. h Non-rim APHE is seen in late arterial phase. i Porto-venous phase showing faint wash-out. j Faint wash-out in delayed phase. k Non-rim APHE is confirmed in late arterial phase with subtraction. l Faint wash-out is confirmed in delayed phase with subtraction. Final diagnosis: LR-TR viable 27 mm

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