Synopsis

Increasing utilization and demand of Liver MRI presents both challenges and unique opportunities. Strategies incudes optimization and development of faster pulse sequences, hybrid imaging, automated exam planning and reducing pulse sequences acquired. The latter approach essentially amounts to abbreviated Liver MRI protocols. Various approaches have been described such as acquiring noncontrast sequences only , dynamic postcontrast series only or a combination of T2,DWI and delayed postcontrast images for HCC screening or surveillance and detection and surveillance of liver metastases. Noncontrast Multiparametric MRI providing liver fat ,iron and fibrosis quantification is also being increasing utilized as a replacement for liver biopsy.