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Bruegel M et al. - In a review of the use of diffusion-weighted echo-planar imaging (DW-EPI) for hepatic metastases, it was concluded that DW-EPI is more sensitive than T2-weighted MR imaging and at least as accurate as superparamagnetic iron oxide-enhanced or gadolinium-enhanced MR imaging for detection of hepatic metastases. Although difficulties occasionally arise in further characterizing small lesions detected with DW-EPI, substantial improvements in preoperative evaluation of liver metastases in candidates for hepatic resection may be expected.

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