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. 2021 Aug 4;11:586343. doi: 10.3389/fonc.2021.586343

Figure 3.

Figure 3

Sample images acquired with the conventional liver workflow of a 52-year-old post-surgical colon cancer patient. The lesion could not be identified on the T2-weighted BLADE image (A), T2-weighted TSE image (B), DW images with b = 50, 1000 s/mm2 (C, D), pre-contrast T1-weighted Fat-Sat VIBE images (E), or water images of the DIXON VIBE (F). In the arterial phase T1-weighted VIBE (G), multiple small hypervascular focal lesions appear in the right lobe. The suspicious lesions return to isointensity on the venous-phase (H) and delayed-phases (I, J). The diagnostic report from the conventional protocol considered them as transient hepatic intensity difference, whereas in the report from the abbreviated protocol, these suspicious lesions were not mentioned. The abbreviated protocol acquired the image marked with an asterisk (*), whereas the conventional protocol acquired all the series. Notably, the suspicious transient hepatic intensity difference is subtle and difficult to identify.