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Detection of Liver Metastases from Adenocarcinoma of the Colon and Pancreas: Comparison of Mangafodipir Trisodium–Enhanced Liver MRI and Whole-Body FDG PET

Dushyant V. Sahani, Sanjeeva P. Kalva, Alan J. Fischman, Rajagopal Kadavigere, Michael Blake, Peter F. Hahn and Sanjay Saini

Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114-2696.



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  		Fig. 1A —55-year-old man with colon cancer metastases to liver. Whole-body FDG PET coronal maximum-intensity-projection image shows focal area of increased FDG uptake in right lobe of liver (arrow).

 


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  		Fig. 1B —55-year-old man with colon cancer metastases to liver. Mangafodipir trisodium-enhanced axial T1-weighted fat-saturated image shows cluster of three focal lesions (arrow) in dome of liver that correlated with area of increased FDG activity seen in A.

 


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  		Fig. 1C —55-year-old man with colon cancer metastases to liver. Mangafodipir trisodium-enhanced axial T1-weighted fat-saturated image shows additional small (9 mm) lesion (arrow) in anterosuperior segment.

 


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  		Fig. 1D —55-year-old man with colon cancer metastases to liver. Intraoperative sonogram confirms presence of lesion (arrow) seen in C.

 


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  		Fig. 2A —50-year-old man with colon cancer. Whole-body FDG PET coronal oblique maximum-intensity-projection image shows focal increased uptake in right lobe of liver (arrow).

 


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  		Fig. 2B —50-year-old man with colon cancer. Axial mangafodipir trisodium-enhanced T1-weighted fat-saturated image shows lesion (arrow) in posterosuperior segment of right lobe.

 


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  		Fig. 2C —50-year-old man with colon cancer. MR images show two additional lesions (arrows) measuring 5 and 6 mm in right lobe of liver.

 


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  		Fig. 2D —50-year-old man with colon cancer. MR images show two additional lesions (arrows) measuring 5 and 6 mm in right lobe of liver.

 


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  		Fig. 2E —50-year-old man with colon cancer. Intraoperative sonograms confirm presence of two additional lesions (arrows) seen in C and D.

 


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  		Fig. 2F —50-year-old man with colon cancer. Intraoperative sonograms confirm presence of two additional lesions (arrows) seen in C and D.

 

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