Table 2.
Phase | Time after contrast injection | Appearance of liver parenchyma and vessels |
---|---|---|
Early arterial phase | 15-25 s | Portal vein is not enhanced. |
Late arterial phase | 30-40 s | Portal vein is enhanced, hepatic veins are not yet enhanced. |
Portal venous phase (PVP) | 70-80 s | Portal veins and liver parenchyma are fully enhanced and hepatic veins already get antegrade flow. |
Delayed phase – obtained with extracellular contrast agents or gadobenate dimeglumine (Gd-BOPTA) | 2-5 min | Portal and hepatic veins as well as (usually) liver parenchyma enhancing less than in PVP. |
Transitional phase – obtained with gadoxetate disodium (Gd-EOB-DTPA) |
2-5 min | Similar enhancement of liver vessels and parenchyma (overlap of extracellular and intracellular effect of Gd-EOB-DTPA). |
Hepatobiliary phase | 20 min after Gd-EOB-DTPA; 1-3 hours after Gd-BOPTA | Contrast is visible in biliary tree and liver vessels are hypointense compared to liver parenchyma. |