KMID : 0880420110120030341
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Korean Journal of Radiology 2011 Volume.12 No. 3 p.341 ~ p.350
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Diagnosing Small Hepatic Cysts on Multidetector CT: an Additional Merit of Thinner Coronal Reformations
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Hwang Sung-Ho
Yu Jeong-Sik Chung Jae-Joon Kim Joo-Hee Kim Ki-Whang
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Abstract
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Objective: We wanted to validate the additional merit of the thinner coronal reformation images from multidetector CT (MDCT) for making the diagnosis of hepatic cysts.
Materials and Methods: For the 90 benign hepatic cysts confirmed on MRI, the transverse (5-mm thickness) and additional coronal (2-mm thickness) reformation images from MDCT were compared with each other in terms of the Hounsfield units (HUs) and the size of each hepatic cyst.
Results: The attenuations (mean: 17.2 HUs, standard deviation: ¡¾ 14.4) on the thinner coronal images were significantly lower than those (mean: 40.7 HUs; standard deviation: ¡¾ 20.6) on the thicker transverse images for the small hepatic cysts (¡Â 10 mm on the transverse image, p < 0.01). Twenty-three (79%) of the 29 cysts between 5 mm and 10 mm and 21 (51%) of 41 lesions up to 5 mm showed a mean HU value of 20 or less on the coronal reformation images.
Conclusion: By reducing the partial volume effect, routine coronal reformation of MDCT with a thinner section thickness can provide another merit for making a confidential diagnosis of many small sub-centimeter hepatic cysts, and these small cysts are not easily characterized on the conventional transverse images.
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KEYWORD
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Multidetector CT (MDCT), Hepatic cyst, Hounsfield units (HUs), Sectional thickness, Partial volume effect
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