Figure 4.
Intra-procedural 4D perfusion maps with anatomic MR images, and post-TACE CT images at four adjacent slice positions obtained in an 81-year-old patient with segment VII HCC. Quantitative Fρ maps fused with axial T2-weighted anatomic images acquired during x-ray DSA-MRI monitored TACE (a, b, d, e, g, h, j, k) spatially reveal TACE-induced perfusion reductions in the targeted tumor (arrows). Non-contrast enhanced axial CT images obtained immediately after TACE (c, f, i, l) qualitatively verify chemotherapy emulsion distribution, showing ethiodized oil contrast accumulation in the regions of perfusion reduction in the targeted tumor (arrows).