The purpose of this paper is to clarify whether copper accumulation in
hepatocellular carcinoma (HCC) is a cause of high intensity signal pa
ttern on T1-welghted images (TI-WI) by comparing the histologically pr
oven copper accumulation with MR images, Forty-five surgically resecte
d HCCs were analyzed, Distribution patterns of divalent copper by a mo
dified Timm's method on their maximum cut surfaces were compared with
signal patterns on corresponding T1-WI, The degree of copper accumulat
ion in tumor compared with surrounding liver tissue was higher in 6 le
sions, equal in 17 lesions, and lower in 22 lesions. High intensity pa
ttern on T1-WI were observed in 3 of 6 lesions (50%), 10 of 17 lesions
(59%), and 10 of 22 lesions (45%), Distribution patterns of copper we
re not correlated with intensity patterns on TI-WI, We conclude that t
he paramagnetic effect of divalent copper accumulation in HCC is insuf
ficient to influence the MRI.