Regions Of Low Signal Research Articles

Novel putative causal mutations associated with fat traits in Nellore cattle uncovered by eQTLs located in open chromatin regions

Intramuscular fat (IMF) and backfat thickness (BFT) are critical economic traits impacting meat quality. However, the genetic variants controlling these traits need to be better understood. To advance knowledge in this area, we integrated RNA-seq and single nucleotide polymorphisms (SNPs) identified in genomic and transcriptomic data to generate a linkage disequilibrium filtered panel of 553,581 variants. Expression quantitative trait loci (eQTL) analysis revealed 36,916 cis-eQTLs and 14,408 trans-eQTLs. Association analysis resulted in three eQTLs associated with BFT and 24 with IMF. Functional enrichment analysis of genes regulated by these 27 eQTLs revealed noteworthy pathways that can play a fundamental role in lipid metabolism and fat deposition, such as immune response, cytoskeleton remodeling, iron transport, and phospholipid metabolism. We next used ATAC-Seq assay to identify and overlap eQTL and open chromatin regions. Six eQTLs were in regulatory regions, four in predicted insulators and possible CCCTC-binding factor DNA binding sites, one in an active enhancer region, and the last in a low signal region. Our results provided novel insights into the transcriptional regulation of IMF and BFT, unraveling putative regulatory variants.

Patterns of Signal Intensity in CISS MRI of the Inner Ear and Eye.

Constructive interference in steady state (CISS) is a gradient echo magnetic resonance imaging (MRI) pulse sequence that provides excellent contrast between cerebrospinal fluid and adjacent structures but is prone to banding artifacts due to magnetic field inhomogeneities. We aimed to characterize artifacts in the inner ear and eye. In 30 patients (60 ears/eyes) undergoing CISS sequence MRI, nine low-signal intensity regions were identified in the inner ear and compared to temporal bone histopathology. The number and angle of bands across the eye were examined. In the cochlea, all ears had regions of low signal corresponding to anatomy (modiolus (all), spiral lamina (n = 59, 98.3%), and interscalar septa (n = 50, 83.3%)). In the labyrinth, the lateral semicircular canal crista (n = 42, 70%) and utricular macula (n = 47, 78.3%) were seen. Areas of low signal in the vestibule seen in all ears may represent the walls of the membranous utricle. Zero to three banding artifacts were seen in both eyes (right: 96.7%, mean 1.5; left: 93.3%, mean 1.3). Low signal regions in the inner ear on CISS sequences are common and have consistent patterns; most in the inner ear represent anatomy, appearing blurred due to partial volume averaging. Banding artifacts in the eye are more variable.

Insufficiency fracture of the supra-acetabulum that required differentiation from a pathological fracture secondary to a malignant bone tumor: a case report

BackgroundThe supra-acetabulum is a common site for malignant bone tumors, which can be difficult to differentiate from insufficiency fractures. We report a rare case of a stress fracture of the supra-acetabulum that required differentiation from a malignant bone tumor.Case presentationA 74-year-old Japanese man presented to the hospital because of right hip joint pain. X-rays showed no obvious abnormalities. Magnetic resonance imaging showed an abnormality in the right supra-acetabulum, and he was referred to our department. A linear, low-signal region and its surrounding equal signal region were observed at the same site in the T1-weighted image, and a linear low-signal region and high signal region were observed in the surrounding area in the T2-weighted image. On the contrast-enhanced magnetic resonance imaging, the lesion was still unclear and the whole area was gradually enhanced. A computed tomography-guided needle biopsy was performed, but no tumor cells were observed, therefore the lesion was presumed to be a fracture healing. The bone density was 66% for the lumbar spine (young adult mean, L2–4), and blood biochemistry showed an increase in alkaline phosphatase and total type I procollagen N-terminal propeptide.ConclusionThis case was diagnosed as an insufficiency fracture of the supra-acetabulum in a male patient with primary osteoporosis by biopsy specimen. Initially, a pathological fracture associated with a malignant lesion was considered. On magnetic resonance imaging, the boundary around the fracture line was unclear and a signal change that was gradually enhanced by gadolinium was observed. This is likely to be bone marrow edema associated with the stress fracture, and we believe this to be a useful finding that may help in differentiating a stress fracture from a pathological fracture secondary to a malignant lesion.

A Method to Achieve High Dynamic Range in a CMOS Image Sensor Using Interleaved Row Readout

We present a readout scheme for CMOS image sensors that can be used to achieve arbitrarily high dynamic range (HDR) in principle. The linear full well capacity (LFWC) in high signal regions was extended 50 times from 20 ke$^{-}$ to 984 ke$^{-}$ via an interlaced row-wise readout order, whilst the noise floor remained unchanged in low signal regions, resulting in a 34 dB increase in DR. The peak signal-to-noise ratio (PSNR) is increased in a continuous fashion from 43 dB to 60 dB. This was achieved by summing user-selected rows which were read out multiple times. Centroiding uncertainties were lowered when template-fitting a projected pattern, compared to the standard readout scheme. Example applications are aimed at scientific imaging due to the linearity and PSNR increase.

Using Optical Coherence Tomography to Identify Lipid and Its Impact on Interventions and Clinical Events - A Scoping Review.

Optical coherence tomographic (OCT) imaging has enabled identification of lipid, with increasing interest in how it may affect coronary interventions and clinical outcomes. This review summarizes the available evidence around OCT identification of lipid and its effect on interventions, clinical events, and the natural history of coronary disease.Methods and Results:We conducted a scoping review using the Medline, HealthStar, and Embase databases for articles published between 1996 and 2021. We screened 1,194 articles and identified 51 for inclusion in this study, summarizing the key findings. The literature supports a common OCT definition of lipid as low-signal regions with diffuse borders, validated against histology and other imaging modalities with acceptable intra- and inter-rater reliability. There is evidence that OCT-identified lipid at the site of stent implantation increases the risk of edge dissection, incomplete stent apposition, in-stent tissue protrusion, decreased coronary flow after stenting, side branch occlusion, and post-procedural cardiac biomarker increases. In mostly retrospective studies, lipid indices measured at non-stented sites are associated with plaque progression and the development of recurrent ischemic events. There is extensive literature supporting the ability of OCT to identify lipid and demonstrating a substantial impact of lipid on percutaneous coronary intervention outcomes. Future work to prospectively evaluate the effect of the characteristics of lipid-rich plaques on long-term clinical outcomes is needed.

Automated air region delineation on MRI for synthetic CT creation

Automatically and accurately separating air from other low signal regions (especially bone, liver, etc) in an MRI is difficult because these tissues produce similar MR intensities, resulting in errors in synthetic CT generation for MRI-based radiation therapy planning. This work aims to develop a technique to accurately and automatically determine air-regions for MR-guided adaptive radiation therapy.CT and MRI scans (T2-weighted) of phantoms with fabricated air-cavities and abdominal cancer patients were used to establish an MR intensity threshold for air delineation. From the phantom data, air/tissue boundaries in MRI were identified by CT-MRI registration. A formula relating the MRI intensities of air and surrounding materials was established to auto-threshold air-regions. The air-regions were further refined by using quantitative image texture features. A naive Bayesian classifier was trained using the extracted features with a leave-one-out cross validation technique to differentiate air from non-air voxels. The multi-step air auto-segmentation method was tested against the manually segmented air-regions. The dosimetry impacts of the air-segmentation methods were studied.Air-regions in the abdomen can be segmented on MRI within 1 mm accuracy using a multi-step auto-segmentation method as compared to manually delineated contours. The air delineation based on the MR threshold formula was improved using the MRI texture differences between air and tissues, as judged by the area under the receiver operating characteristic curve of 81% when two texture features (autocorrelation and contrast) were used. The performance increased to 82% with using three features (autocorrelation, sum-variance, and contrast). Dosimetric analysis showed no significant difference between the auto-segmentation and manual MR air delineation on commonly used dose volume parameters.The proposed techniques consisting of intensity-based auto-thresholding and image texture-based voxel classification can automatically and accurately segment air-regions on MRI, allowing synthetic CT to be generated quickly and precisely for MR-guided adaptive radiation therapy.

Joint B0 and image estimation integrated with model based reconstruction for field map update and distortion correction in prostate diffusion MRI

In prostate Diffusion Weighted MRI, differences in susceptibility values exist at the interface between the prostate and rectal-air. This can result in off-resonance magnetic field leading to geometric distortions including signal stretching and signal pile-up in the reconstructed images. Using a set of EPI data acquired with blip-up and blip-down phase encoding gradient directions, model based reconstruction has recently been proposed that can correct these distortions by using a B0 field estimated from a separate B0 scan. However, change in the size of the rectal air region across time can occur that can result in a mismatch of the B0 field to the EPI scan. Also, the measured B0 field itself can be erroneous in regions of low Signal to Noise ratio around the prostate rectal air interface. In this work, using a set of single shot EPI data acquired with blip-up and blip-down phase encoding gradient directions, a novel joint model based reconstruction is proposed that can account for changes in the off resonance effects between the B0 and EPI scans. For ten prostate patients, using a measured B0 field as an initial B0 estimate, on a 5-point scale (1–5) image quality scores evaluated by an experienced radiologist, the proposed framework achieved scores of 3.50 ± 0.85 and 3.40 ± 0.51 for b-values of 0 and 500 s/mm2, respectively compared to 3.40 ± 0.70 and 3.30 ± 0.67 for model based reconstruction. The proposed framework is also capable of estimating a distortion corrected EPI image even without an initial B0 field estimate in situations where a separate B0 scan cannot be obtained due to time constraint.

A Technique to Rapidly Generate Synthetic Computed Tomography for Magnetic Resonance Imaging–Guided Online Adaptive Replanning: An Exploratory Study

To develop an automatic, accurate, atlas-based technique for synthetic computed tomography (sCT) generation to be used for online adaptive replanning during magnetic resonance imaging (MRI)-guided radiation therapy (RT). The proposed method uses deformable image registration (DIR) of daily MRI and reference computed tomography (CT) with additional corrections to maintain bone rigidity and to transfer random air regions by thresholding. The DIR is performed with constraints on the bony structures using a special algorithm of ADMIRE (Elekta). The air regions are delineated from low-signal regions on the daily MRI and forced to air density. The bone regions in the MRI (already determined from the CT) are separated from the air regions because both bone and air have low signal density in MRI. All these steps are automated. The generated sCT is compared with reference CT and the alternative voxel-based CT (bCT) for 4 extracranial sites (head and neck, thorax, abdomen, pelvis) in terms of mean absolute error (MAE), gamma analysis of 3-dimensional doses, and dose volume histogram parameters. Both MAE and dosimetric analysis results were favorable for the proposed sCT generation method. The average MAE for the sCT/bCT were 25.5/66.7, 25.9/65.3, 24.8/44.2 and 16.6/47.7 for head and neck, thorax, abdomen, and pelvis, respectively, and the gamma analysis (1.5%, 2mm) yielded 98.7/97.1, 99.1/93.9, 99.5/99.4, 99.7/99.4, respectively, for those sites. The proposed method generates equal or more accurate sCT than those from the bulk density assignment, without the need for multiple MRI sequences. This method can be fully automated and applicable for online adaptive replanning.

Ultra-small superparamagnetic iron oxide contrast agents for lymph node staging of high-risk prostate cancer

Ultrasmall superparamagnetic particles of iron oxide (USPIOs) imaged with magnetic resonance imaging (MRI) have been proposed as an experimental method for visualizing lymph node (LN) metastases. The method does not require ionizing radiation, yet can detect small nodes that are involved with metastases. USPIOs are naturally taken up by macrophages that deposit in the normal LN creating a low signal region in normal areas; areas within the node that do not show this loss of signal are likely involved by tumor although there can be other causes (fibrosis or inflammation). However, the lack of approved USPIOs that are clinically available hinders adoption and larger studies. The proposed indications for USPIO MRI, including specific compounds and imaging methods are discussed.

Whole-brain 3D FLAIR at 7T using direct signal control.

PurposeImage quality obtained for brain imaging at 7T can be hampered by inhomogeneities in the static magnetic field, B0, and the RF electromagnetic field, B1. In imaging sequences such as fluid‐attenuated inversion recovery (FLAIR), which is used to assess neurological disorders, these inhomogeneities cause spatial variations in signal that can reduce clinical efficacy. In this work, we aim to correct for signal inhomogeneities to ensure whole‐brain coverage with 3D FLAIR at 7T.MethodsThe direct signal control (DSC) framework was used to optimize channel weightings applied to the 8 transmit channels used in this work on a pulse‐by‐pulse basis through the echo train in the FLAIR sequences. 3D FLAIR brain images were acquired on 5 different subjects and compared with imaging using a quadrature‐like mode of the transmit array. Precomputed “universal” DSC solutions calculated from a separate set of 5 subjects were also explored.ResultsDSC consistently enabled improved imaging across all subjects, with no dropouts in signal seen over the entire brain volume, which contrasted with imaging in quadrature mode. Further, the universal DSC solutions also consistently improved imaging despite not being optimized specifically for the subject being imaged.Conclusion3D FLAIR brain imaging at 7T is substantially improved using DSC and is able to recover regions of low signal without increasing imaging time or interecho spacing.

Effects of baffle reflection and shadow in an integrating sphere on the total luminous flux measurement of a linearly-shaped lamp

<p class="Text">The measured total luminous flux of a linearly-shaped lamp by using the integrating sphere substitution method against a standard spherical lamp can be deviated from accurate by the presence of a baffle in the sphere. The baffle introduced two main effects on the sphere response: the baffle reflection, or high-signal region, and the baffle shadow, or low-signal region. Once the baffle condition changed, the two effects changed, causing the measured value to change differently regarding the lamp alignment. In the perpendicular alignment, increasing the baffle length increased the measured flux value. This was due to the dramatic increase in the magnitude of the signal in the baffle reflection behind the baffle. In a coaxial alignment, on the contrary, increasing the baffle length resulted in the decrease of the measured flux value. This was due to the increase in the area of the baffle shadow on the opposite hemisphere from the baffle, which increased at the higher ratio than the area of the baffle reflection. In both alignments, the measurement uncertainty increased with the baffle length due to the increasing magnitude of the signal fluctuations. The trends were similar for all linearly-shaped test lamps with different lengths and diameters.</p>

Evaluation of a corrected implementation of a method of simulating pulmonary nodules in chest tomosynthesis

Background A method of simulating pulmonary nodules in tomosynthesis images has previously been developed and evaluated. An unknown feature of a rounding function included in the computer code was later found to introduce an artifact, affecting simulated nodules in low-signal regions of the images. The computer code has now been corrected. Purpose To perform a thorough evaluation of the corrected nodule-simulation method, comparing the detection rate and visual appearance of artificial nodules with those of real nodules in an observer performance experiment. Material and Methods A cohort of 64 patients with a total of 129 pulmonary nodules was used in the study. Artificial nodules, each matching a corresponding real nodule by size, attenuation, and anatomical location, were generated and simulated into the tomosynthesis images of the different patients. The detection rate and visual appearance of artificial nodules generated using both the corrected and uncorrected computer code were compared to those of real nodules. The results were evaluated using modified receiver operating characteristic (ROC) analyses. Results The difference in detection rate between artificial and real nodules slightly increased using the corrected computer code (uncorrected code: area under the curve [AUC], 0.47; 95% CI, 0.43-0.51; corrected code: AUC, 0.42; 95% CI, 0.38-0.46). The visual appearance was however substantially improved using the corrected computer code (uncorrected code: AUC, 0.70; 95% CI, 0.63-0.76; corrected code: AUC, 0.49; 95% CI, 0.29-0.65). Conclusion The computer code including a correct rounding function generates simulated nodules that are more visually realistic than simulated nodules generated using the uncorrected computer code, but have a slightly different detection rate compared to real nodules.

Combining phase images from array coils using a short echo time reference scan (COMPOSER).

PurposeTo develop a simple method for combining phase images from multichannel coils that does not require a reference coil and does not entail phase unwrapping, fitting or iterative procedures.Theory and MethodsAt very short echo time, the phase measured with each coil of an array approximates to the phase offset to which the image from that coil is subject. Subtracting this information from the phase of the scan of interest matches the phases from the coils, allowing them to be combined. The effectiveness of this approach is quantified in the brain, calf and breast with coils of diverse designs.ResultsThe quality of phase matching between coil elements was close to 100% with all coils assessed even in regions of low signal. This method of phase combination was similar in effectiveness to the Roemer method (which needs a reference coil) and was superior to the rival reference‐coil‐free approaches tested.ConclusionThe proposed approach—COMbining Phase data using a Short Echo‐time Reference scan (COMPOSER)—is a simple and effective approach to reconstructing phase images from multichannel coils. It requires little additional scan time, is compatible with parallel imaging and is applicable to all coils, independent of configuration. Magn Reson Med 77:318–327, 2017. © 2015 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine

Magnetic resonance-based visualization of thermal ablative margins around hepatic tumors by means of systemic ferucarbotran administration before radiofrequency ablation: animal study to reveal the connection between excess iron deposition and T2*-weighted hypointensity in ablative margins.

The objective of this study was to demonstrate experimentally that radiofrequency ablation (RFA) of ferucarbotran-accumulated healthy liver tissues causes excess iron deposition in the ablated liver tissues on postablation days and produces sustained T2*-weighted low signals indicative of ablative margins surrounding hepatic tumors. We conducted 3 experiments using 30 rats. In experiment 1, we administered either ferucarbotran (n = 6) or saline (n = 4), acquired T2*-weighted images (T2*-WIs) of the liver by using a 3-T magnetic resonance scanner, and subsequently performed RFA of healthy liver lobes. We acquired follow-up T2*-WIs up to day 7 and histologically analyzed the liver specimens. In another 4 rats, we performed sham operation, instead of RFA, in ferucarbotran-accumulated liver lobes, followed by the same image acquisition and histological analysis. In experiment 2, we administered 59Fe-labeled ferucarbotran, subsequently performed either RFA (n = 4) or sham operation (n = 4) in the liver, and acquired autoradiograms of the liver specimens on day 7. In experiment 3, we conducted RFA treatment for 8 rats bearing orthotopic hepatic tumors after ferucarbotran administration and monitored tumor growth by using serial T2*-WIs. On days 4 and 7 of the experiment 1, T2*-WIs of 6 rats with systemic ferucarbotran administration and subsequent hepatic RFA showed low-signal regions indicative of ablated liver tissues, whereas high-signal areas were seen in 4 saline-administered rats. Neither high nor low signal areas were detected in 4 sham-operated rats. Histologically, larger amounts of iron were observed in the RFA-induced necrotic liver tissues in the ferucarbotran-administered rats than in the saline-administered-rats. The 59Fe autoradiography of the rats in experiment 2 revealed accumulation of ferucarbotran-derived iron in necrotic liver tissues. Among 6 hepatic tumors grown in 6 rats of the experiment 3, a total of 4 tumors were stable in size, but the other 2 increased markedly on day 7. Retrospectively, T2*-WIs showed the former tumor sites surrounded completely by low-signal areas on day 4. The RFA of ferucarbotran-accumulated healthy liver tissues in the rats caused excess iron deposition in the ablated liver tissues and produced sustained T2*-weighted hypointense regions. Similar hypointense regions surrounding hepatic tumors were indicative of ablative margins.

Histogram flow mapping with optical coherence tomography for in vivo skin angiography of hereditary hemorrhagic telangiectasia

Speckle statistics of flowing scatterers have been well documented in the literature. Speckle variance optical coherence tomography exploits the large variance values of intensity changes in time caused mainly by the random backscattering of light resulting from translational activity of red blood cells to map out the microvascular networks. A method to map out the microvasculature malformation of skin based on the time-domain histograms of individual pixels is presented with results obtained from both normal skin and skin containing vascular malformation. Results demonstrated that this method can potentially map out deeper blood vessels and enhance the visualization of microvasculature in low signal regions, while being resistant against motion (e.g., patient tremor or internal reflex movements). The overall results are manifested as more uniform en face projection maps of microvessels. Potential applications include clinical imaging of skin vascular abnormalities and wide-field skin angiography for the study of complex vascular networks.

SU‐C‐103‐05: Automated Interstitial Brachytherapy Catheter Localization From Volumetric MR Data

Purpose: This work seeks to validate an automatic method for extracting interstitial catheter locations from volumetric MR data. Methods: A 3D b‐SSFP (balanced Steady State Free Precession) MRI sequence was used to enhance catheter detection, utilizing a controlled enlargement of size caused by magnetic susceptibility artifacts . Starting with a user‐provided needle‐tip location, the needle extraction algorithm searched the MR image for segments that maximized the “needle likelihood” and iteratively fit Bezier curves to these segments. To validate the geometry of extracted catheters, a phantom was constructed from transparent gel wax. An obturator was placed at the center of a transparent plastic container, and wax gel was melted and poured around it. A Syed‐Neblett template was then placed at one end of the obturator and 12 MR compatible catheters were inserted into the gel. The catheter trajectories extracted from the MR scan by the algorithm were compared to a CT scan. The algorithm was applied to patient scans under an IRB approved protocol. Results: The volumetric b‐SSFP sequence produced an artifact enhancement that enabled brachytherapy catheters to be distinguished from other signal voids. Comparison in a phantom of catheter locations extracted automatically from MR to those extracted manually from CT showed agreement of 3.5 mm Hausdorff Distance. When applied to patient scans, the presence of low signal regions between template and the target tumor required some manual intervention to ensure proper catheter extraction. Conclusion: An automatic algorithm for extracting interstitial catheter locations from MR scans has been developed. Using a b‐SSFP sequence allowed an iterative curve fitting algorithm to track MR artifacts from user provided tips to template. This algorithm should prove helpful to facilitate MR based treatment planning for interstitial brachytherapy. NIH P41 EB015898

Correction of geometric distortion in Propeller echo planar imaging using a modified reversed gradient approach.

This study investigates the application of a modified reversed gradient algorithm to the Propeller-EPI imaging method (periodically rotated overlapping parallel lines with enhanced reconstruction based on echo-planar imaging readout) for corrections of geometric distortions due to the EPI readout. Propeller-EPI acquisition was executed with 360-degree rotational coverage of the k-space, from which the image pairs with opposite phase-encoding gradient polarities were extracted for reversed gradient geometric and intensity corrections. The spatial displacements obtained on a pixel-by-pixel basis were fitted using a two-dimensional polynomial followed by low-pass filtering to assure correction reliability in low-signal regions. Single-shot EPI images were obtained on a phantom, whereas high spatial resolution T2-weighted and diffusion tensor Propeller-EPI data were acquired in vivo from healthy subjects at 3.0 Tesla, to demonstrate the effectiveness of the proposed algorithm. Phantom images show success of the smoothed displacement map concept in providing improvements of the geometric corrections at low-signal regions. Human brain images demonstrate prominently superior reconstruction quality of Propeller-EPI images with modified reversed gradient corrections as compared with those obtained without corrections, as evidenced from verification against the distortion-free fast spin-echo images at the same level. The modified reversed gradient method is an effective approach to obtain high-resolution Propeller-EPI images with substantially reduced artifacts.

Progressive ataxia and palatal tremor associated with dense pontine calcification: A unique case

Progressive ataxia and palatal tremor associated with dense pontine calcification: A unique case

Detection and characterization of regulatory elements using probabilistic conditional random field and hidden Markov models

By altering the electrostatic charge of histones or providing binding sites to protein recognition molecules, Chromatin marks have been proposed to regulate gene expression, a property that has motivated researchers to link these marks to Cis-regulatory elements. With the help of next generation sequencing technologies, we can now correlate one specific chromatin mark with regulatory elements (e.g. enhancers or promoters) and also build tools, such as hidden Markov models, to gain insight into mark combinations. However, hidden Markov models have limitation for their character of generative models and assume that a current observation depends only on a current hidden state in the chain. Here, we employed two graphical probabilistic models, namely the linear conditional random field model and multivariate hidden Markov model, to mark gene regions with different states based on recurrent and spatially coherent character of these eight marks. Both models revealed chromatin states that may correspond to enhancers and promoters, transcribed regions, transcriptional elongation, and low-signal regions. We also found that the linear conditional random field model was more effective than the hidden Markov model in recognizing regulatory elements, such as promoter-, enhancer-, and transcriptional elongation-associated regions, which gives us a better choice.

CT and MRI findings of combined hepatocellular carcinoma and cholangiocarcinoma

Objective To investigate the imaging findings of combined hepatocellular carcinoma and cholangiocarcinoma(cHCC-CC) with dynamic MRI and spiral CT.Methods Twenty-three patients of cHCC-CC were evaluated.All patients had surgery and diagnoses were confirmed by histopathology.Eighteen patients had pre- and post-contrast scans with spiral CT.Five patients had MR with dynamic multi-phase contrast scanning.Imaging findings in all patients were retrospectively reviewed.Results CT of eighteen patients showed low-density masses with ill-defined margin (n =15 ),lymphadenopathy( n =5 ),invasion of blood vessels ( n =7 ),satellite lesions ( n =5 ),enhancing pseudocapsule ( n =9 ),and dilatation of intrahepatic ducts (n =1 ).MRI of five patients showed lesions with low signal on T1 WI and high signal on T2WI,lymphadenopathy(n =1 ),invasion of blood vessels (n =1 ),enhancing pseudocapsule (n =4).Dynamic CT or MRI enhanced scanning showed areas of heterogeneous enhancement in the interior or periphery of the tumor on the arterial phase,areas of inhomogeneous high signal ( corresponding regions of low signal on the arterial phase) on the portal venous phase,areas of mixed signal intensity due to retention of contrast agents on the delayed phase.Conclusions Combined hepatocellular carcinoma and cholangiocarcinom demonstrate imaging features on conventional and dynamic MRI and spiral CT,which can be helpful to improve the diagnostic accuracy of this disease. Key words: Liver neoplasms ; Tomography, X-ray computed ; Magnetic resonance imaging