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Imaging Findings in Non-Cirrhotic Liver

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

With the widespread use of cross-sectional imaging examinations, physicians from a wide array of specialties are becoming involved with questions regarding the management of patients with focal liver lesions. To formulate a practical approach to these patients, several factors must be incorporated into a clinical decision-making algorithm, including the clinical setting (e.g., known comorbidities, underlying cirrhosis or a known primary neoplasm), the presence of clinical signs and symptoms, the results of laboratory tests, and the critical information provided by imaging studies. In this chapter, we will briefly review important technical factors for optimization of CT protocols for the evaluation of focal liver lesions in non-cirrhotic liver. We will emphasize key features and common pitfalls of most common liver lesions in the setting of non-cirrhotic liver and provide examples about benign and malignant tumors in non-cirrhotic liver.

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References

  • Baron RL (1994) Understanding and optimizing use of contrast material for CT of the liver. Am J Roentgenol 163:323–331

    CAS  Google Scholar 

  • Baron RL, Brancatelli G (2004) Computed tomographic imaging of hepatocellular carcinoma. Gastroenterology 127:S133–S143

    Article  PubMed  Google Scholar 

  • Blachar A et al (2002) Radiologists’ performance in the diagnosis of liver tumors with central scars by using specific CT criteria. Radiology 223:532–539

    Article  PubMed  Google Scholar 

  • Brancatelli G et al (2001) Focal nodular hyperplasia: CT findings with emphasis on multiphasic helical CT in 78 patients. Radiology 219:61–68

    PubMed  CAS  Google Scholar 

  • Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R (2002a) Benign regenerative nodules in Budd–Chiari syndrome and other vascular disorders of the liver: radiologic-pathologic and clinical correlation. Radiographics 22:847–862

    Google Scholar 

  • Brancatelli G et al (2002b) Hepatocellular carcinoma in noncirrhotic liver: CT, clinical, and pathologic findings in 39 U.S. residents. Radiology 222:89–94

    Article  PubMed  Google Scholar 

  • Brancatelli G, Federle MP, Grazioli L, Golfieri R, Lencioni R (2002c) Large regenerative nodules in Budd–Chiari syndrome and other vascular disorders of the liver: CT and MR imaging findings with clinicopathologic correlation. Am J Roentgenol 178:877–883

    Google Scholar 

  • Byun JH, Kim TK, Lee CW et al (2004) Arterioportal shunt: prevalence in small hemangiomas versus that in hepatocellular carcinomas 3 cm or smaller at two-phase helical CT. Radiology 232:354–360

    Article  PubMed  Google Scholar 

  • Catalano OA, Singh AH, Uppot RN, Hahn PF, Ferrone CR, Sahani DV (2008) Vascular and biliary variants in the liver: implications for liver surgery. Radiographics 28:359–378

    Article  PubMed  Google Scholar 

  • Choi CS et al (1998) Triphasic helical CT of hepatic focal nodular hyperplasia: incidence of atypical findings. Am J Roentgeol 170:391–395

    CAS  Google Scholar 

  • Ebied O, Federle MP, Blachar A et al (2003) Hepatocellular-cholangiocarcinoma: helical computed tomography findings in 30 patients. J Comput Assist Tomogr 27:117–124

    Article  PubMed  Google Scholar 

  • Foley WD, Mallisee TA, Hohenwalter MD, Wilson CR, Quiroz FA, Taylor AJ (2000) Multiphase hepatic CT with a multirow detector CT scanner. Am J Roentgenol 175:679–685

    CAS  Google Scholar 

  • Grazioli L et al (2000) Liver adenomatosis: clinical, histopathologic, and imaging findings in 15 patients. Radiology 216:395–402

    Google Scholar 

  • Grazioli L et al (2001) Focal nodular hyperplasia: morphologic and functional information from MR imaging with gadobenate dimeglumine. Radiology 221:31–39

    Article  Google Scholar 

  • Ichikawa T et al (1999) Fibrolamellar hepatocellular carcinoma: imaging and pathologic findings in 31 recent cases. Radiology 213:352–361

    PubMed  CAS  Google Scholar 

  • Ichikawa T et al (2000) Hepatocellular adenoma: multiphasic CT and pathologic findings in 25 patients. Radiology 214:861–868

    Google Scholar 

  • Jarnagin WR, Weber S, Tickoo SK et al (2002) Combined hepatocellular and cholangiocarcinoma: demographic, clinical, and prognostic factors. Cancer 94:2040–2046

    Article  PubMed  Google Scholar 

  • Kanematsu M et al (2006) Imaging liver metastases: review and update. Eur J Radiol 58:217–228

    Article  PubMed  Google Scholar 

  • Kapoor V, Brancatelli G, Federle MP, Katyal S, Marsh JW, Geller DA (2003) Multidetector CT arteriography with volumetric three-dimensional rendering to evaluate patients with metastatic colorectal disease for placement of a floxuridine infusion pump. Am J Roentgenol 181:455–463

    Google Scholar 

  • Khalil HI, Patterson SA, Panicek DM (2005) Hepatic lesions deemed too small to characterize at CT: prevalence and importance in women with breast cancer. Radiology 235:872–878

    Article  PubMed  Google Scholar 

  • Kim T, Federle MP, Baron RL, Peterson MS, Kawamori Y (2001) Discrimination of small hepatic hemangiomas from hypervascular malignant tumors smaller than 3 cm with three-phase helical CT. Radiology 219:699–706

    PubMed  CAS  Google Scholar 

  • Kondo F (2001) Benign nodular hepatocellular lesions caused by abnormal hepatic circulation: etiological analysis and introduction of a new concept. J Gastroenterol Hepatol 16:1319–1328

    Article  PubMed  CAS  Google Scholar 

  • Koyama T et al (2002) Primary hepatic angiosarcoma: findings at CT and MR imaging. Radiology 222:667–673

    Google Scholar 

  • Lacomis JM, Baron RL, Oliver JH 3rd, Nalesnik MA, Federle MP (1997) Cholangiocarcinoma: delayed CT contrast enhancement patterns. Radiology 203:98–104

    PubMed  CAS  Google Scholar 

  • McLarney JK et al (1999) Fibrolamellar carcinoma of the liver: radiologic-pathologic correlation. Radiographics 19:453–471

    PubMed  CAS  Google Scholar 

  • Mermuys K et al (2004) Epithelioid hemangioendothelioma of the liver: radiologic–pathologic correlation. Abdom Imaging 29:221–223

    Article  PubMed  CAS  Google Scholar 

  • Miller WJ et al (1992) Epithelioid hemangioendothelioma of the liver: imaging findings with pathologic correlation. AJR 159:53–57

    PubMed  CAS  Google Scholar 

  • Mortelé KJ et al (2001) Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics 21:895–910

    PubMed  Google Scholar 

  • Namasivayam S et al (2007) Imaging of liver metastases: MRI. Cancer Imaging 7:2–9

    Article  PubMed  Google Scholar 

  • Nelson RC et al (1990) Diagnostic approach to hepatic hemangiomas. Radiology 76:11–13

    Google Scholar 

  • Ohtomo K, Baron RL, Dodd GD 3rd et al (1993) Confluent hepatic fibrosis in advanced cirrhosis: appearance at CT. Radiology 188:31–35

    PubMed  CAS  Google Scholar 

  • Oliver JH 3rd, Baron RL, Federle MP, Jones BC, Sheng R (1997) Hypervascular liver metastases: do unenhanced and hepatic arterial phase CT images affect tumor detection? Radiology 205:709–715

    PubMed  Google Scholar 

  • Peterson MS et al (2000) Hepatic angiosarcoma: findings on multiphasic contrast-enhanced helical CT do not mimic hepatic hemangioma. Am J Roentgeol 175:165–170

    CAS  Google Scholar 

  • Quinn SF et al (1992) Hepatic cavernous hemangiomas: simple diagnostic sign with dynamic bolus CT. Radiology 182:545–548

    Google Scholar 

  • Sahani DV, Kalva SP (2004) Imaging the liver. Oncologist 9:385–397

    Article  PubMed  Google Scholar 

  • Valls C et al (2001) Hepatic metastases from colorectal cancer: preoperative detection and assessment of resectability with helical CT. Radiology 218:55–60

    PubMed  CAS  Google Scholar 

  • Vilgrain V, Lewin M, Vons C et al (1999) Hepatic nodules in Budd–Chiari syndrome: imaging features. Radiology 210:443–450

    PubMed  CAS  Google Scholar 

  • Wanless IR et al (1985) On the pathogenesis of focal nodular hyperplasia of the liver. Hepatology 5:1194–2000

    Article  PubMed  CAS  Google Scholar 

  • Yu JS et al (2006) Hepatic metastases: perilesional enhancement on dynamic MRI. Am J Roentgeol 186:1051–1058

    Article  Google Scholar 

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Correspondence to Daniele Marin .

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© 2011 Springer-Verlag Berlin Heidelberg

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Marin, D., Brancatelli, G. (2011). Imaging Findings in Non-Cirrhotic Liver. In: Zech, C., Bartolozzi, C., Baron, R., Reiser, M. (eds) Multislice-CT of the Abdomen. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_407

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  • DOI: https://doi.org/10.1007/174_2011_407

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17862-7

  • Online ISBN: 978-3-642-17863-4

  • eBook Packages: MedicineMedicine (R0)

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