SMALL HEPATOCELLULAR-CARCINOMA IN PATIENTS UNDERGOING LIVER-TRANSPLANTATION - DETECTION WITH CT AFTER INJECTION OF IODIZED OIL

被引:54
作者
TAOUREL, PG
PAGEAUX, GP
COSTE, V
FABRE, JM
PRADEL, JA
RAMOS, J
LARREY, D
DOMERGUE, J
MICHEL, H
BRUEL, JM
机构
[1] CHR MONTPELLIER, HOP ST ELOI, SERV HEPATOGASTROENTEROL, F-34295 MONTPELLIER 5, FRANCE
[2] CHR MONTPELLIER, HOP ST ELOI, ANAT PATHOL LAB, F-34295 MONTPELLIER 5, FRANCE
[3] CHR MONTPELLIER, HOP ST ELOI, SERV CHIRURG DIGEST, F-34295 MONTPELLIER 5, FRANCE
关键词
CONTRAST MEDIA; FATTY ACID; LIVER; TRANSPLANTATION; CIRRHOSIS; LIVER NEOPLASMS; DIAGNOSIS;
D O I
10.1148/radiology.197.2.7480680
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess computed tomography (CT) with iodized oil for depiction of small hepatocellular carcinoma (HCC) before liver transplantation. MATERIALS AND METHODS: Thirty-five consecutive cirrhotic patients underwent CT with iodized oil to determine the presence, number, size, and location of possible nodules. All patients underwent liver transplantation within 4 months after CT. Explanted livers were cut in 8-mm slices that corresponded to axial CT scan planes. Comparison between CT staging and pathologic findings was made. RESULTS: Pathologic studies showed 17 HCC nodules (diameter, 0.9-4.0 cm) in nine of the 35 livers. CT depicted nine of these 17 nodules. Lesion-by-lesion analysis revealed a sensitivity of 53%; CT falsely depicted three additional nodules not confirmed with pathologic findings. Patient-by-patient analysis revealed an 89% sensitivity and an 88% specificity. CONCLUSION: CT with iodized oil, when assessed lesion by lesion, has a low sensitivity. These results must be considered when liver resection is proposed for HCC.
引用
收藏
页码:377 / 380
页数:4
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