PERFUSION CHARACTERISTICS OF HEPATIC CAVERNOUS HEMANGIOMA USING INTRAVENOUS CT ANGIOGRAPHY (IVCTA)

被引:30
作者
GAA, J
SAINI, S
FERRUCCI, JT
机构
[1] Department of Radiology, Municipal Hospital Darmstadt, Darmstadt
[2] Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA
关键词
LIVER; NEOPLASM; COMPUTED TOMOGRAPHY; ANGIOMA; GASTROINTESTINAL TRACT; CT;
D O I
10.1016/0720-048X(91)90078-A
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
Thirty-three patients with 35 proven hepatic cavernous hemangiomas (HCH) were studied with intravenous CT angiography (IVCTA). 15 scans were performed during the first 30 s after bolus (6 ml/s) injection of 50 ml iodinated contrast material. Thereafter 2 scans/min were obtained up to 30 min. Three criteria were utilized at IVCTA to make a specific diagnosis of HCH: (1) detection of an intense mural nodular enhancement in the arterial phase. The density in the nodular region(s) should have a density level similar to that of the aorta or hepatic arteries; (2) well-defined nodular area(s); and (3) centripetally oriented enlargement of the nodular region(s). These criteria were seen in 31 of 35 hemangiomas. In contrast the 'typical' Freeny-Marks criteria were present in only 23 of 35 hemangiomas. The results show that our criteria may provide greater specificity.
引用
收藏
页码:228 / 233
页数:6
相关论文
共 14 条
[1]  
Ishak, Rabin, Benign tumors of the liver, Med Clin N Am, 59, pp. 995-1013, (1975)
[2]  
Karhunen, Benign hepatic tumors and other tumor-like conditions, J Clin Pathol, 39, pp. 183-188, (1986)
[3]  
Araki, Itai, Furui, Tasaka, Dynamic CT densitometry of hepatic tumors, AJR, 135, pp. 1037-1043, (1980)
[4]  
Barnett, Zerhouni, White, Siegelmann SS. Computed tomography in the diagnosis of cavernous hemangioma of the liver, AJR, 134, pp. 439-447, (1980)
[5]  
Freeny, Marks, Hepatic hemangioma: dynamic bolus CT, AJR, 147, pp. 711-719, (1986)
[6]  
Itai, Araki, Furui, Tasaka, Differential diagnosis of hepatic masses on computed tomography, with particular reference to hepatocellular carcinoma, J Comput Assist Tomogr, 5, pp. 834-842, (1981)
[7]  
Itai, Othomo, Araki, Furui, Iio, Atomi, Computed tomography and sonography of cavernous hemangioma of the liver, AJR, 141, pp. 315-320, (1983)
[8]  
Johnson, Sheedy, Stanson, Stephens, Hattery, Adson, Computed tomography and angiography of cavernous hemangioma of the liver, Radiology, 138, pp. 115-121, (1981)
[9]  
Freeny, Marks, Patterns of contrast enhancement of benign and malignant hepatic neoplasms during bolus dynamic and delayed CT, Radiology, 160, pp. 613-618, (1986)
[10]  
Fuchs, Advances in CT: European scientific user conference SOMATOM PLUS, pp. 179-234, (1990)