The capabilities of computed tomography (CT), ultrasonography (US), and magnetic resonance (MR) imaging were studied in order to determine the role of each of these noninvasive examinations for estimating the T-factor of hepatocellular carcinomas (HCCs). Fifty-one patients with surgically proven HCCs received CT (50 patients), US (46 patients), and MR (44 patients). The images of CT, US, and MR were prospectively evaluated for main tumor size, intrahepatic metastases, and vascular invasion, which compose the T-factor of HCC, and compared to pathological results. The sizes of the main tumor were estimated correctly by all examinations. For estimating intrahepatic metastases, US (74%) and MR (73%) were superior to CT (65%). For estimating portal invasion, CT (79%) was superior to US (70%) and MR (66%), because CT could demonstrate the segmental staining caused by portal invasion. The estimates of hepatic venous invasion were difficult during any of the examinations. We conclude that presurgical evaluations of the T-factor require the use of US and CT or MR and CT.
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Lin TY. Recent advances in technique of hepatic lobectomy and result of surgical treatment for primary carcinoma of the liver. Prog Liver Dis 1976 5:668–682
Lin TY. Resection therapy for primary malignant hepatic tumors. Int Adv Surg Oncol 1979;2:25–54
Lee NW, Ong GB. The surgical management of primary carcinoma of the liver. World J Surg 1982;6:66–75
Foster JH. Liver resection—operative technique. In: Foster JH, Berman MM, eds. Solid liver tumors, vol. 23. Philadelphia: Saunders, 1977
Fortner JG, Kim DK, Maclean BJ, et al. Major hepatic resection for neoplasia—personal experience of 108 patients. Ann Surg 1978;188:363–371
Iwatsuki S, Shaw BW, Starzl TE. Experience with 150 liver resections. Ann Surg 1983;197:247–253
Balasegaram M. Hepatic resection for malignant tumors. Surg Round 1979;2:14–26
Spiessl B, Beahrs OH, Hermanek P, Hutter RVP, Scheibe O, Wagner O. Liver. In: Spiessl B, Beahrs OH, Bermanek P, Hutter RVP, Scheibe O, Wagner O, eds. TNM atlas: illustrated guide to the TNM/pTNM-classification of malignant tumours. New York: Springer-Verlag, 1989:98–105
Honda H, Onitsuka H, Murakami J, et al. Characteristic findings of hepatocellular carcinoma: an evaluation with comparative study of US, CT, and MRI. Gastrointest Radiol 1992;17:245–249
Honda H, Matsuura Y, Onitsuka H, et al. Differential diagnosis of hepatic tumors (hepatoma, hemangioma, and metastasis) with CT: value of two-phased incremental imaging. AJR 1992;159:735–740
Itai Y, Furui S, Ohtomo K, et al. Dynamic CT features of arterioportal shunts in hepatocellular carcinoma. AJR 1986;146:723–727
Matsui O, Takashima T, Kadoya M, et al. Segmental staining on hepatic arteriography as a sign of intrahepatic portal vein obstruction. Radiology 1984;152:601–606
Kishi K, Shikata T, Hirohashi S, Hasegawa H, Yamazaki S, Makuuchi M. Hepatocellular carcinoma: a clinical and pathologic analysis of 57 hepatectomy cases. Cancer 1983;51:542–548
Okamoto E, Yamanaka N, Toyosaka A, Tanaka N, Yabuki K. Current status of hepatic resection in the treatment of hepatocellular carcinoma. In: Okuda K, Ishak KG, eds. Neoplasms of the liver. Tokyo: Springer-Verlag, 1987:353–365
Shimoyama T, Shimizu T, Takahira R, et al. Study of small hepatocellular carcinoma. Jpn J Cancer Clin 1989;35:899–904
Heiken JP, Wayman PJ, Lee JKT, et al. Detection of focal hepatic masses: prospective evaluation with CT, delayed CT, CT during arterial portography, and MR imaging. Radiology 1989;171:47–51
Nelson RC, Chezmar JL, Sugarbaker PH, Bernardino ME. Hepatic tumors: comparison of during arterial portography, delayed CT, and MR imaging for preoperative evaluation. Radiology 1989;172:27–34
Ohishi H, Uchida H, Ohue S, et al. Computed tomography detection of small daughter nodules in hepatocellular carcinoma after iodized oil infusion into the hepatic artery. CT 1988;12:129–134
Hayashi N, Yamamoto K, Tamaki N, et al. Metastatic nodules of hepatocellular carcinoma: detection with angiography, CT, and US. Radiology 1987;165:61–63
Edmondson HA. Benign epithelial tumors and tumor-like lesions of the liver. In: Okuda K, Peters RL, eds. Hepatocellular carcinoma. New York: Wiley, 1976:309–330
Choi BI, Han MC, Kim C-W. Small hepatocellular carcinoma versus small cavernous hemangioma: differentiation with MR imaging at 2.0T. Radiology 1990;176:103–106
Itai Y, Ohnishi S, Ohtomo K, Kokubo T, Imawari M, Atomi Y. Hepatic cavernous hemangioma in patients at high risk for liver cancer. Acta Radiol 1987;28:697–703
Price J, Chan M, Hamilton-Wood C, Chronos NAF, Mok SD, Metreweli C. Sonographic diagnosis of portal vein invasion in patients with hepatocellular carcinoma: comparison with arterial portography. Clin Radiol 1990;41:9–12
Mathieu D, Grenier P, Larde D, Vasile N. Portal vein involvement in hepatocellular carcinoma: dynamic CT features. Radiology 1984;152:127–132
Itai Y, Ohtomo K, Furui S, Minami M, Yoshikawa K, Yashiro N. MR imaging of hepatocellular carcinoma. J Comput Assist Tomogr 1986;10:963–968
Itoh K, Nishikawa K, Togashi K, et al. Hepatocellular carcinoma: MR imaging. Radiology 1987;164:21–25
Bookstein JJ, Cho KJ, Davis GB, Dail D. Arterioportal communications: observations and hypotheses concerning transsinusoidal and transvasal types. Radiology 1982;142:581–590
Kojiro M, Nakashima T. Pathology of hepatocellular carcinoma. In: Okuda K, Ishak KG, eds. Neoplasms of the liver. Tokyo: Springer-Verlag, 1987:81–104
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Honda, H., Onitsuka, H., Adachi, E. et al. Hepatocellular carcinoma: Prospective assessments of the T-factor with CT, US, and MR imaging. Abdom Imaging 18, 247–252 (1993). https://doi.org/10.1007/BF00198115
- Liver, neoplasm
- Hepatocellular carcinoma, CT, MR, US