A MODEL-BASED PREDICTION OF THE PROBABILITY OF HEPATOCELLULAR ADENOMA AND FOCAL NODULAR HYPERPLASIA BASED ON CHARACTERISTICS ON CONTRAST-ENHANCED ULTRASOUND

被引:19
作者
Taimr, Pavel [1 ]
Broker, Mirelle E. E. [2 ]
Dwarkasing, Roy S. [3 ]
Hansen, Bettina E. [1 ]
De Knegt, Robert J. [1 ]
De Man, Robert A. [1 ]
Ijzermansy, Jan N. M. [2 ]
机构
[1] Erasmus Univ, Med Ctr, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands
[2] Erasmus Univ, Med Ctr, Dept Surg, Rotterdam, Netherlands
[3] Erasmus Univ, Med Ctr, Dept Radiol, Rotterdam, Netherlands
关键词
Hepatocellular adenoma; Focal nodular hyperplasia; Contrast-enhanced ultrasound; CLINICAL-PRACTICE RECOMMENDATIONS; LIVER-LESIONS; IMAGING FINDINGS; DIFFERENTIATION; UPDATE; CEUS; SONOGRAPHY; GUIDELINES; BENIGN; CT;
D O I
10.1016/j.ultrasmedbio.2017.05.011
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Contrast-enhanced ultrasound (CEUS) is an emerging imaging technique that is increasingly used to diagnose liver lesions. It is of the utmost importance to differentiate between the two most common solid focal liver lesions (i.e., hepatocellular adenoma [HCA] and focal nodular hyperplasia [FNH]), because their management and follow-up differ greatly. The main objective of this study was to determine how frequently the specific CEUS features of HCA and FNH are visible on CEUS and to define their predictive value for discrimination between HCA and FNH. We included 324 CEUS examinations performed on patients with FNH (n = 181) or HCA (n = 143). Patients with HCA and FNH significantly differed with respect to age and CEUS features of steatosis, echogenicity, homogeneity, the presence of a central scar, central artery, arterial enhancement pattern, necrosis or thrombus and enhancement in the late venous phase. (C) 2017 World Federation for Ultrasound in Medicine & Biology.
引用
收藏
页码:2144 / 2150
页数:7
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