LIVER MR
(last updated 12/10/2025, last reviewed 12/10/2025)
INDICATION: Liver mass, liver lesion, hemangioma, abnormal LFTs, cirrhosis, hepatocelluar carcinoma, history of TACE or RFA, steatosis/fatty infiltration, metastatic disease, adenoma, focal nodular hyperplasia/FNH, Budd-Chiari.
For cirrhosis, r/o HCC, f/u HCC, HCC s/p TACE or RFA please use Eovist.
Use Eovist when requested by referring healthcare provider.
SEQUENCES
ROUTINE LIVER (spacing in parenthesis)
COR HASTE/SSFSE (5 mm / 1 mm gap)
AX HASTE/SSFSE (5 mm / 1 mm gap)
AX HASTE/SSFSE FAT SAT (5 mm / 1 mm gap)
AX IN/OUT PHASE T1 (6 mm / 1 mm gap) – TE 2.2/4.4 ms @ 1.5T, 1.1/2.2 ms @ 3T
AX DWI b50 and b800 (7 mm / 1.5 mm gap) – Send ADC map
AX VIBE/LAVA T1 FAT SAT PRE (5 mm / -2.5 mm gap)
– IV contrast –
AX VIBE/LAVA FAT SAT POST CARE-BOLUS ARTERIAL (5 mm / -2.5 mm gap)
AX VIBE/LAVA T1 FAT SAT POST 60 sec (5 mm / -2.5 mm gap)
COR VIBE/LAVA T1 FAT SAT POST 210 sec post (5 mm / -2.5 mm gap)
AX VIBE/LAVA T1 FAT SAT POST 240 sec post (5 mm / -2.5 mm gap)
Send subtractions on all post contrast phases
EOVIST (spacing in parenthesis)
AX IN/OUT PHASE T1 (6 mm / 1 mm gap) – TE 2.2/4.4 ms @ 1.5T, 1.1/2.2 ms @ 3T
AX HASTE/SSFSE (5 mm / 1 mm gap)
AX VIBE/LAVA T1 FAT SAT PRE (5 mm / -2.5 mm gap)
– IV contrast –
AX VIBE/LAVA FAT SAT POST CARE-BOLUS ARTERIAL (5 mm / -2.5 mm gap)
AX VIBE/LAVA T1 FAT SAT POST 60 sec (5 mm / -2.5 mm gap)
AX VIBE/LAVA T1 FAT SAT POST 240 sec post (5 mm / -2.5 mm gap)
AX HASTE/SSFSE FAT SAT (5 mm / 1 mm gap)
AX DWI b50 and b800 (7 mm / 1.5 mm gap) – Send ADC map
COR HASTE/SSFSE (5 mm / 1 mm gap)
AX VIBE/LAVA T1 FAT SAT POST 15 min post (5 mm / -2.5 mm gap) – should see contrast in CBD/GB
COR VIBE/LAVA T1 FAT SAT POST 15 min post (5 mm / -2.5 mm gap) – should see contrast in CBD/GB
Send subtractions on all post contrast phases
Well timed arterial phase liver
Note flow in portal vein