HEPATIC PSEUDOLESION IN THE LEFT LOBE AROUND THE FALCIFORM LIGAMENT AT HELICAL CT

被引:39
作者
OHASHI, I
INA, H
GOMI, N
HIMENO, Y
OKADA, Y
HANAFUSA, K
SUZUKI, S
SHIBUYA, H
机构
[1] NAKANO GEN HOSP,DEPT RADIOL,TOKYO,JAPAN
[2] TOKYO METROPOLITAN MATSUZAWA HOSP,DEPT RADIOL,TOKYO,JAPAN
关键词
COMPUTED TOMOGRAPHY (CT); HELICAL; LIVER; CT; LIVER NEOPLASMS; DIAGNOSIS;
D O I
10.1148/radiology.196.1.7784576
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 determine the prevalence and possible cause of pseudolesions in the left hepatic lobe around the falciform ligament at hepatic helical computed tomography (CT). MATERIALS AND METHODS: Portal venous-dominant CT scans of 472 consecutive patients were reviewed. CT of the left hepatic lobe was performed after injection of contrast material into the portal vein in 73 patients, the hepatic artery in 32, and the internal thoracic artery in four. The scans were compared with those obtained at helical CT, and the findings were analyzed. RESULTS: Pseudolesions were seen on 64 (14%) of 472 helical CT scans and correlated well (accuracy, 96%) with portal perfusion defects. They were not more enhanced than the surrounding liver parenchyma at CT arteriography with hepatic artery injection but were enhanced in two patients at CT arteriography with internal thoracic artery injection. CONCLUSION: Pseudolesions are caused by portal perfusion defects and may receive an aberrant blood supply.
引用
收藏
页码:245 / 249
页数:5
相关论文
共 19 条
[1]  
Fernandez M.P., Bernardino M.E., Hepatic pseudolesion: Appearance of focal low attenuation in the medial segment of the left lobe at CT arterial portography, Radiology, 181, pp. 809-812, (1991)
[2]  
Nelson R.C., Thompson G.H., Chezmar J.L., Harned II R.K., Fernanden M.P., CT during arterial portography: Diagnostic pitfalls, RadioGraphics, 12, pp. 705-718, (1992)
[3]  
Peterson M.S., Baron R.L., Dodd III G.D., Et al., Hepatic parenchymal perfusion defects detected with CTAP: Imaging-pathologic correlation, Radiology, 185, pp. 149-155, (1992)
[4]  
Paulson E.K., Baker M.E., Spritzer C.E., Leder R.A., Gulliver D.J., Meyers W.C., Focal fatty infiltration: A cause of non-tumorous defects in the left hepatic lobe during CT arterial portography, J Comput Assist Tomogr, 17, pp. 590-595, (1993)
[5]  
Soyer P., Lacheheb D., Levesque M., False-positive CT portography: Correlation with pathologic findings, AJR, 160, pp. 285-289, (1993)
[6]  
Soyer P., Bluemke D.A., Hruban R.H., Sitzmann J.V., Fishman E.K., Hepatic metastases from colorectal cancer: Detection and false-positive findings with helical CT during arterial portography, Radiology, 193, pp. 71-74, (1994)
[7]  
Matsui O., Takahashi S., Kadoya M., Et al., Pseudolesion in segment IV of the liver at CT during arterial portography: Correlation with aberrant gastric venous drainage, Radiology, 193, pp. 31-35, (1994)
[8]  
Ito K., Choji T., Fujita T., Et al., Early-enhancing pseudolesion in medial segment of left hepatic lobe detected with multisection dynamic MR, Radiology, 187, pp. 695-699, (1993)
[9]  
Young S.W., Turner R.J., Castellino R.A., A strategy for the contrast enhancement of malignant tumors using dynamic computed tomography and intravascular pharmacokinetics, Radiology, 137, pp. 137-147, (1980)
[10]  
Marchal C.J., Baert A.L., Wilms G.E., CT of noncystic liver lesions: Bolus enhancement, AJR, 135, pp. 57-65, (1980)