Liver and Spleen

  • M. Leon Skolnick


The liver and spleen are difficult to image with ultrasound because the overlying ribs, by preventing the transmission of ultrasound, obscure portions of these organs. In addition, since regions of the liver and spleen are larger than the field of view of a realtime scanner, a cross section of either of these organs often cannot be included on a single image. However, real-time imaging of the liver has several advantages over contact scanning. Small intrahepatic lesions can be more readily identified by real-time imaging than by contact scanning because the entire volume of the liver is continuously imaged as the real-time transducer sweeps through it, whereas with contact scanning serial scans are obtained with discrete spaces between the scans. In addition, when a questionable mass is identified, it can be more readily characterized as cystic or solid by real-time than by contact scanning since the beam can be more easily manipulated perpendicular to the surface of the mass and swept through the mass from side to side so as to both define its margins and internal echo pattern.


Portal Vein Hepatic Vein Left Lobe Right Atrium Constrictive Pericarditis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Marks WM, Filly RA, Callen PW (1979) Ultrasonic anatomy of the liver: a review with new applications. J Clin Ultrasound 7: 137–146PubMedCrossRefGoogle Scholar
  2. 2.
    Babcock DS, Kaufman L, Cosnow I (1978) Ultrasound diagnosis of hydatid disease (echinococcosis) in two cases. Am J Roentgenol 131: 895–897Google Scholar
  3. 3.
    Green B, Bree RL, Goldstein HM, Stanley C (1977) Gray scale ultrasound evaluation of hepatic neoplasms: patterns and correlations. Radiology 124: 203–208PubMedGoogle Scholar
  4. 4.
    Scheible W, Gosink BB, Leopold GR (1977) Gray scale echographic patterns of hepatic metastatic disease. Am J Roentgenol 129: 983–987Google Scholar
  5. 5.
    Wooten WB, Green B, Goldstein HM (1978) Ultrasonography of necrotic hepatic metastases. Radiology 128: 447–450PubMedGoogle Scholar
  6. 6.
    Cunningham JJ, Wooten W, Cunningham MA (1976) Gray scale echography of solu¬ble protein and protein aggregate fluid collections (in vitro study). J Clin Ultrasound 4: 417–419PubMedCrossRefGoogle Scholar
  7. 7.
    Broderick TW, Gosink B, Menuck L, Harris R, Wilcox J (1980) Echographic and radionuclide detection of hepatoma. Radiology 135: 149–151PubMedGoogle Scholar
  8. 8.
    Taylor KJW, Carpenter DA, Hill CR, McCready VR (1976) Gray scale ultrasound imaging. Radiology 119: 415–423PubMedGoogle Scholar
  9. 9.
    Bernardino ME, Green B (1979) Ultrasonographic evaluation of chemotherapeutic response in hepatic metastases. Radiology 133: 437–441PubMedGoogle Scholar
  10. 10.
    Sukov RJ, Cohen LJ, Sample WF (1980) Sonography of hepatic amebic abscesses. Am J Roentgenol 134: 911–915Google Scholar
  11. 11.
    Merritt CRB (1979) Ultrasonographic demonstration of portal vein thrombosis. Radiology 133: 425–427PubMedGoogle Scholar
  12. 12.
    Gosink BB, Lemon SK, Scheible W, Leopold GR (1979) Accuracy of ultrasonogra¬phy in diagnosis of hepatocellular disease. Am J Roentgenol 133: 19–23Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1981

Authors and Affiliations

  • M. Leon Skolnick
    • 1
    • 2
  1. 1.University of Pittsburgh School of MedicineUSA
  2. 2.Presbyterian-University HospitalPittsburghUSA

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