Pre-Treatment Hepatic Arterial Mapping with MRI in Cirrhotic Patients with Hepatocellular Carcinoma (HCC)

Iva Petkovska¹, Manojkumar Saranathan¹, Thomas A. Hope¹, Brian Andrew Hargreaves¹, Umar Tariq¹, Shreyas S. Vasanawala¹

Assessment of hepatic arterial anatomy prior to transcatheter arterial chemoembolization (TACE) is critical. High spatial and temporal resolution multiphasic contrast enhanced liver MRI via view sharing yields multiple angiographic and arterial phases within single breath-hold and enables depiction of vascular anatomy with acceptable quality and concordant findings with catheter angiogram. Identification of variant vascular anatomy, absence of an extra-capsular feeding branch and main donor to segmental vessel to be embolized may aid pre-treatment planning in HCC.