Indications
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Evaluating focal nodular hyperplasia (FNH) vs adenoma
- hepatobiliary phase (20 minutes after contrast injection)
- Focal nodular hyperplasia appears iso- to hyperintens
- Liver adenoma appears hypointense
- hepatobiliary phase (20 minutes after contrast injection)
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Evaluation of hepatic metastases
- Does not take up the contrast
- Gadoxetate disodium uptake in a lesion indicates that it contains hepatocytes (or is a vascular malformation), and effectively excludes a metastasis from outside the liver
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Post-liver transplant (except if hepatic artery suspected or if suspecting abscess)
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Hepatocellular carcinoma (HCC) surveillance
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Contrast enhanced cholangiogram
- bile leak
- suspected gallbladder obstruction
- hepatojejunostomy evaluation