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KMID : 0386119920280040593
Journal of the Korean Radiological Society
1992 Volume.28 No. 4 p.593 ~ p.600
Evaluation of Hepatic Masses by Angio-CT
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Abstract
Authors performed angio-CT(portal &/or arterial CT) in 35 patients with various hepatic masses. We obtained portal CT in 32 and arterial CT in 13 patients. The contrast material was injected into superior mesenteric artery for portal CT and into
hepatic
artery for arterial CT after transfemoral cathetrization of these arteries.
We concluded that portal CT was superior to other imaging modalities highly sensitive in detecting hepatic masses, especially, early hepatocellular carcinomas, daughter nodules, and subclinical metastatic hepatic malignancy, With this method,
detection
rate of early hepatocelluar carcinomas improved 62% in number of patients and 90% in number of masses. Detection rate of subclinical hepatic metastases improve 60% each in number of patients and in number of masses. It was also useful for the
detection
of portal vein invasion.
Arterial CT was useful in differential of masses and in defining the characteristics of entire or part of the masses because this method revealed hemodynamic patterns more definitely.
KEYWORD
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