The cheating liver: imaging of focal steatosis and fatty sparing

被引:29
作者
Burgio, Marco Dioguardi [1 ]
Bruno, Onorina [2 ]
Agnello, Francesco [1 ]
Torrisi, Chiara [1 ]
Vernuccio, Federica [1 ]
Cabibbo, Giuseppe [3 ]
Soresi, Maurizio [4 ]
Petta, Salvatore [3 ]
Calamia, Mauro [1 ]
Papia, Giovanni [1 ]
Gambino, Angelo [1 ]
Ricceri, Viola [1 ]
Midiri, Massimo [1 ]
Lagalla, Roberto [1 ]
Brancatelli, Giuseppe [1 ]
机构
[1] Univ Palermo, Di Bi Med, Sect Radiol, Via Vespro 127, I-90127 Palermo, Italy
[2] Hosp Beaujon, Dept Radiol, Clichy, France
[3] Univ Palermo, Di Bi MIS, Sect Gastroenterol, Palermo, Italy
[4] Univ Palermo, Di Bi MIS, Unit Internal Med, Palermo, Italy
关键词
Focal steatosis; fatty sparing; liver; CT; MRI; HEPATIC STEATOSIS; SPARED AREA; HEPATOCELLULAR-CARCINOMA; COMPUTED-TOMOGRAPHY; FALCIFORM LIGAMENT; INSULIN DELIVERY; SEGMENT-IV; DISEASE; CT; INFILTRATION;
D O I
10.1586/17474124.2016.1169919
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Focal steatosis and fatty sparing are a frequent finding in liver imaging, and can mimic solid lesions. Liver regional variations in the degree of fat accumulation can be related to vascular anomalies, metabolic disorders, use of certain drugs or coexistence of hepatic masses. CT and MRI are the modalities of choice for the noninvasive diagnosis of hepatic steatosis. Knowledge of CT and MRI appearance of focal steatosis and fatty sparing is crucial for an accurate diagnosis, and to rule-out other pathologic processes. This paper will review the CT and MRI techniques for the diagnosis of hepatic steatosis and the CT and MRI features of common and uncommon causes of focal steatosis and fatty sparing.
引用
收藏
页码:671 / 678
页数:8
相关论文
共 52 条
[1]   The natural history of nonalcoholic fatty liver disease: A population-based cohort study [J].
Adams, LA ;
Lymp, JF ;
St Sauver, J ;
Sanderson, SO ;
Lindor, KD ;
Feldstein, A ;
Angulo, P .
GASTROENTEROLOGY, 2005, 129 (01) :113-121
[2]   Fatty liver disease in severe obese patients: Diagnostic value of abdominal ultrasound [J].
Almeida, Alessandro de Moura ;
Cotrim, Helma Pinchemel ;
Valente Barbosa, Daniel Batista ;
Matteoni de Athayde, Luciana Gordilho ;
Santos, Adimeia Souza ;
Vieira Bitencourt, Almir Galvo ;
Rodrigues de Freitas, Luiz Antonio ;
Rios, Adriano ;
Alves, Erivaldo .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (09) :1415-1418
[3]   Focally spared area of fatty liver caused by arterioportal shunt [J].
Arita, T ;
Matsunaga, N ;
Honma, Y ;
Nishikawa, E ;
Nagaoka, S .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1996, 20 (03) :360-362
[4]   Ultrasonographic fatty liver indicator, a novel score which rules out NASH and is correlated with metabolic parameters in NAFLD [J].
Ballestri, Stefano ;
Lonardo, Amedeo ;
Romagnoli, Dante ;
Carulli, Lucia ;
Losi, Luisa ;
Day, Christopher P. ;
Loria, Paola .
LIVER INTERNATIONAL, 2012, 32 (08) :1242-1252
[5]   Fat-containing lesions of the liver: Cross-sectional imaging findings with emphasis on MRI [J].
Basaran, C ;
Karcaaltincaba, M ;
Akata, D ;
Karabulut, N ;
Akinci, D ;
Ozmen, M ;
Akhan, O .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2005, 184 (04) :1103-1110
[6]  
BATTAGLIA DM, 1995, AM J GASTROENTEROL, V90, P2238
[7]   Current concepts: Liver biopsy. [J].
Bravo, AA ;
Sheth, SG ;
Chopra, S .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (07) :495-500
[8]   Fatty Liver Disease: MR Imaging Techniques for the Detection and Quantification of Liver Steatosis [J].
Cassidy, Fiona Hughes ;
Yokoo, Takeshi ;
Aganovic, Lejla ;
Hanna, Robert F. ;
Bydder, Mark ;
Middleton, Michael S. ;
Hamilton, Gavin ;
Chavez, Alyssa D. ;
Schwimmer, Jeffrey B. ;
Sirlin, Claude B. .
RADIOGRAPHICS, 2009, 29 (01) :231-260
[9]   3.0-T MR Imaging of the Abdomen: Comparison with 1.5 T [J].
Chang, Kevin J. ;
Kamel, Ihab R. ;
Macura, Katarzyna J. ;
Bluemke, David A. .
RADIOGRAPHICS, 2008, 28 (07) :1983-1998
[10]   Peritumoral fat-spared area is well correlated with the presence of temporal peritumoral enhancement in hepatic hemangioma in fatty liver [J].
Chen, RC ;
Li, CS ;
Lii, JM ;
Chen, WT ;
Tu, HY .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2005, 22 (01) :86-91