Role of triple phase computed tomography findings for evaluation of hepatic lesions

Ahirwar, Chandra Prakash; Patil, Abhijit; Soni, Neelam

doi:10.18203/2320-6012.ijrms20162332

Cited by 7 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study done by Ahirwar et al 4 show 60 malignant patients and 40 benign patients which correlated with our study.…”

Section: Diseases Spectrumsupporting

confidence: 92%

“…The hemangioma was reported in 13 cases of hemangioma in our study. This was the most common benign group lesion in our study, correlating to the study by Ahirwar et al 4 The age of patients range from 31-80 years with mean age of 56 years. The male incidence was more in our study having 7(53.8%) patients as compared to 6(46.1%) female patients.…”

Section: Hemangiomasupporting

confidence: 91%

“…In the study done by Ahirwar et al 4 also showed 22(22%) patients fall under 51-60 age group which overlapped with 25 patient (25%) patients in our study. However, the peak incidence in our studies was observed in the age group 51-60 years whereas he showed peak incidence in 41-50 age group with 30(30%) patients.…”

Section: Age Distributionsupporting

confidence: 77%

See 2 more Smart Citations

Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Gadgil

Prasla

Baviskar

et al. 2020

mvpjms

View full text Add to dashboard Cite

Introduction: Focal Hepatic Lesions (FHL) has been a common reason for consultation faced by medical consultants. With the widespread use of imaging studies led to an increase in detection of incidental focal liver lesions. It is important to consider both malignant liver lesions as well as benign solid and cystic liver lesions such as hemangioma, focal nodular hyperplasia, hepatocellular adenoma, and hepatic cysts, in the differential diagnosis. Objectives: Our aim was to study the computerized tomographic finding in the various focal hepatic lesions and also to study the various enhancement pattern of the focal hepatic lesion. Materials and Methods: CT scan study of abdomen and pelvis was done on 100 patients from August 2015 to December 2017 over a period of the 2 years. Patients, irrespective of age and sex referred to radiology department of our institute on IPD or OPD basis were included in the study. All patients will be subjected to computerized tomography of the abdomen with CT (Siemens Somatom Emotion 6) machine and Somatom Essenza. Results: Total 100 patients were studied for various focal hepatic lesions out of which 64(64%) were male patients and 36(36%) were female patients. The most common affected age group encountered in our study was 51-60 years. Various focal hepatic lesions were reported in which 64(64%) patient had malignant nature of lesion with most common pathology detected was hepatic metastasis seen in 37(37%) patient. On other hand benign lesion were evident in the 36(36%) patient with hemangioma as most common pathology in this category. Conclusion: Multi-detector Computed Tomography (MDCT) with a correlation of triple phase study is an excellent tool for diagnosis of the focal liver lesion by learning the degree and pattern of enhancement in all three phase thus helping in better characterization of the lesion. MDCT allows the reconstruction and reformation of images supported in detecting multiple lesions and early diagnosis of a focal lesion in the presence diffuse liver condition.

show abstract

“…The study done by Ahirwar et al 4 show 60 malignant patients and 40 benign patients which correlated with our study.…”

Section: Diseases Spectrumsupporting

confidence: 92%

Section: Hemangiomasupporting

confidence: 91%

See 1 more Smart Citation

Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Gadgil

Prasla

Baviskar

et al. 2020

mvpjms

View full text Add to dashboard Cite

show abstract

“…Ahirwar CP et al, added that with sensitivity of 91.3%, specificity 97.8%, PPV 91.3% and NPV 97.8% (p-value<0.001, kappa value 0.847), Triple phase CT is excellent diagnostic modality for characterisation and better evaluation of hepatic masses. 11 The hydatid cyst and hepatocellular carcinoma cases showed overall sensitivity and specificity of 97.4%, 96.1%, and 96.9%, 90.4%, respectively. In contrast Hassan and their colleagues had sensitivity and specificity of haemangiomas to be 76.9%, 88.4% and for MRI 85.2% and 91.2%, whereas, in hepatocellular carcinoma, the sensitivity and specificity of CT were 62% and 83.3% and for MRI were 90.3% and 87.5% in metastases, sensitivity and specificity of CT were 60% and 84% and for MRI were 76.2% and 87.8%.…”

Section: Discussionmentioning

confidence: 90%

Role of MDCT Evaluation in Detection and Characterisation of Hepatic Mass Lesions

Madhavi¹

2020

IJCMSR

View full text Add to dashboard Cite

How to cite this article: Dova Madhavi. Role of MDCT evaluation in detection and characterisation of hepatic mass lesions. International Journal of Contemporary Medicine Surgery and Radiology. 2020;5(1):A35-A38. INTRODUCTIONFocal liver lesions are best assessed and characterised by multiphasic CT. It is an effective aid in determining the number, location, and nature of such lesions and monitoring their size over period. In patients with cancer, the precise detection of metastatic disease at the time of diagnosis or during treatment remains crucial to organisation of the disease. Multidetector Computed Tomography (MDCT) represents an advance in CT technology that involves the use of a multiple-row detector array instead of the traditional single-row detector array used in spiral CT. This innovation allows scanning four to eight times faster than scanning with spiral CT. 1 A triphasic spiral CT technique images the entire liver in arterial, portal, and equilibrium phases. 2,3 Rapid availability and short scanning time made CT an ideal imaging modality. 4,5 Inclusion of arterial phase imaging along with portal venous imaging improves the lesion detection especially in hyper vascular neoplasms. 6 Most sensitive phase for lesion detection is portal phase whereas additional information on vascularity of the lesion is given by arterial and equilibrium phases. 7 Multiple modalities in radiological imaging along with histopathological characteristics and clinical assessment are used to achieve a correct diagnosis. 7In the available literature there are fewer comprehensive studies about the character of multiphasic MDCT scan in characterising liver lesions under benign or malignant category and were conducted with a very small sample size. With the above background, this study was assumed as an effort to assess the role of MDCT in detection and characterisation of focal liver lesions with a larger sample size and help in deciding further course of management. MATERIAL AND METHODSThis cross-sectional study was conducted in the Department of Radiodiagnosis in Tertiary care institute for a period of 15 months from January 2018 to April 2019 and total of 90 patients were included in the study. Sample size was calculated based on specification and Positive Predictive Value of MDCT 8 using the formula: n = Zα 2 ×P(1-P)/L 2 Sample Size = 2 2 ×0.05×(1-0.05)/ (0.05) 2 = 4×0.05×0.95 0.0025 = 76 Where, Zα=1.96 (95% CI), P=Prevalence=5% (based on Tertiary Care Hospital) and L=Margin of error=5% Loss=10%=8 Then sample size came out to be=84~90 Adult patients of age group 20-60 years with focal hepatic lesions on abdominal imaging (USG), all patients presenting A B S T R A C T Introduction:Multiphasic Computed Tomography (CT) has become the chief imaging modality for recognition and characterisation of focal liver lesions. CT has assumed primary role in evaluating hepatic masses. Study aimed to assess the imaging features of focal hepatic lesions on Multidetector Computed Tomography (MDCT) and its comparative assessment with histopatho...

show abstract

“…In distinguishing a benign lesion from malignant lesion, triple phase CT plays a crucial role. This also avoid the unnecessary invasive procedures [6] . The fast data acquisition by CT allows successive scanning of entire liver at different phases after the administration of contrast medium.…”

Section: Introductionmentioning

confidence: 91%

The Role of USG and Triple Phase CT for Evaluation of Space Occupying Lesions Including Liver Hemangioma

Shabir¹,

Sharma

Chauhan³

2022

Int J Sci Healthcare Res

View full text Add to dashboard Cite

Purpose: To know the role of USG and triple phase CT for evaluation of space occupying lesions including liver hemangioma and to compare the diagnostic capability of CT Triple Phase and USG. Method: This comparative study was conducted in SGT hospital. Data was collected of 25 patients for five months. Patients were taken >18 and < 75 years of age. Consent form was filled up by the patients and history was also taken. Diseases were diagnosed on both the modalities USG and CT and comparison was done after examine the patients. Result: Out of 25 patients, 18 (72%) were males and 7 (28%) were females. Maximum number of diseases were diagnosed on CT Triple phase, in 17(68%) patients and less number of diseases were diagnosed on ultrasound, in 8(32%) patients. Out of 17 patients who underwent for CT Triple phase, maximum number of patients had liver abscess 6(35.29%), multifocal hepatic lesion and hepatic granulomas were in 1(5.88%) patients. Out of 8 patients who underwent for ultrasound, maximum number of patients had liver abscess in 3(37.5%) patients and multifocal hepatic lesion was found in 1(12.5%) patients. Cystic lesion and hepatic granulomas were not seen on ultrasound. Conclusion: The sensitivity of liver triple phase was high as compare to the ultrasound which was mainly noticed in liver abscess. USG must be performed in all the patients with clinical suspected hepatic masses for initial detection and localization of lesion. Keywords: ultrasound, CT, liver, triple phase, lesion, hemangioma

show abstract

Role of triple phase computed tomography findings for evaluation of hepatic lesions

Cited by 7 publications

References 12 publications

Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Role of MDCT Evaluation in Detection and Characterisation of Hepatic Mass Lesions

The Role of USG and Triple Phase CT for Evaluation of Space Occupying Lesions Including Liver Hemangioma

Contact Info

Product

Resources

About