Role of Ultrasound and Ct Scan in Evaluating Focal Liver Lesions

R, Rajesh; Rajesh, K.R.; Choudhary, Sayal

doi:10.14260/jemds/2015/2556

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…All the above studies were having similar findings with the majority of cases of malignant nature. But one study done by Rathore et al 5 differ from our study in which it demonstrated maximum patient with benign lesion (64.4%) and malignant (35.5%).…”

Section: Diseases Spectrumcontrasting

confidence: 96%

“…Similar peak incidence in age group between 51-60 years correlating to our study was mentioned in study of Rathore et al 5 In the study of the Elbarbary et al 6 showed the peak incidence in 50-60 age group with 20(50%) patients, followed by the 61-70 age group having 12(30%) patients. Thus, coinciding with the conclusion drawn from our study.…”

Section: Age Distributionsupporting

confidence: 91%

“…In our study, a maximum number of lesions were distributed in both lobes of the liver accounting to 44(44%) patients, followed by the right lobe with 37(37%) patients and least site of focal hepatic lesion was seen in left lobe with 19(19%) patients. The study done by the Rathore et al 5 showed 30(42.85%) patients having right lobe involvement, whereas 28(40%) patients with both lobes involvement. Left lobe involvement was the least in his study, thus correlating with our study.…”

Section: Lobar Distributionmentioning

confidence: 92%

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Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Gadgil

Prasla

Baviskar

et al. 2020

mvpjms

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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.

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Section: Diseases Spectrumcontrasting

confidence: 96%

Section: Age Distributionsupporting

confidence: 91%

Section: Lobar Distributionmentioning

confidence: 92%

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Role of Computerized Tomographic Findings in Cases of Focal Hepatic Lesions

Gadgil

Prasla

Baviskar

et al. 2020

mvpjms

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Role of Computed Tomography in The Evaluation of Focal Liver Lesions

Arif

Latif

Ishaq

et al. 2022

PBMJ

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The liver lesions have marked differences across geographic regions and ethnic groups. In order to avoid inappropriate diagnosis and unnecessary surgery, Computed Tomography (CT) being a non-invasive imaging modality and with high sensitivity, provides better detection and distinguishing benign from malignant focal liver tumor lesions. Objective: To determine the role of Computed Tomography in the evaluation of focal liver lesions. Methods: A descriptive study was conducted at Government Kot Khawaja Saeed Teaching Hospital, Lahore, Pakistan. A sample size of 124 patients of both genders, age ranging from 22-90 years were enrolled in this study with a convenient sampling technique. Pregnant females and patients having renal insufficiency were excluded. The variables used to obtain data were: Age, Gender, Presenting complex clinical risk factors, CT findings, and other diagnoses. Toshiba Aquilion 16 CT scanner with KV 80-135 and MAs 500 was used. Injections of 1.5ml/kg IV contrast were given to patients, with a total dosage of 80-100ml at 4.5ml/sec through an 18G intravenous catheter. After contrast injection liver was scanned at 3 different time points or phases. All of the factors mentioned above were documented and kept in each patient's individual case record form (CRF). Data was gathered during the time frame specified. To examine the acquired data and arrange and compile the results, the statistical tool SPSS version 24 was used. Descriptive statistics and a Chi-square test was applied to check the comparison. Results: Among 124 individuals, 77 (62.1%) individuals were males, and 47 (37.9%) individuals were female. Average age of patients was 53.85±13.50 years. Multiple lesions were observed in 79 (63.7%) individuals had multiple lesions while 45 (36.3%) individuals had a single lesion. 94 (75.8%) individuals had malignant lesions while 30 (24.2%) had benign lesions. Lesions were more common in males than in females. The most common presenting complex clinic risk factor was hepatitis C virus with 45 individuals (36.3%) with Hepatitis C +ve. The most common CT finding was Hepatocellular Carcinoma with 41(33.1%). Conclusions: The study concluded that Computed Tomography being a non-invasive imaging modality and with high sensitivity, provides better detection and differentiation between benign and malignant focal liver lesions.

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Role of Ultrasound and Ct Scan in Evaluating Focal Liver Lesions

Cited by 2 publications

References 6 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 Computed Tomography in The Evaluation of Focal Liver Lesions

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