Zusammenfassung
Bei der Bildgebung der Leber werden sehr häufig fokale Läsionen gefunden. Es ist jedoch nicht ausreichend, Leberherde lediglich nachzuweisen. Abhängig vom klinischen Kontext ist darüber hinaus eine möglichst sichere Charakterisierung der jeweiligen Läsion erforderlich, da hiervon in der Regel die grundsätzliche Entscheidung für das weitere therapeutische Vorgehen abhängt.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
Baker ME, Pelley R (1995) Hepatic metastases: Basic principles and implications for radiologists. Radiology 197: 329–337
Ch’en IY, Katz DS, Jeffrey RB Jr et al. (1997)Do arterial phase helical CT images improve detection or characterization of colorectal liver metastases? J Comput Assist Tomogr 21: 391–397
Delbeke D, Vitola JV, Sandler MP et al. (1997)Staging recurrent metastatic colorectal carcinoma with PET.J Nucl Med 38: 1196–1201
Edmunson HA, Craig JR (1987) Neoplasms of the liver. In: Schiff ER (ed) Diseases of the liver. JB Lippincott, Philadelphia, pp 1109–1158
El Mouaaouy A, Naruhn M, Becker HD (1991) Diagnosis of liver metastases form malignant gastrintestinal neoplasms: Results of pre- and intraoperative ultrasound examinations. Surg Endosc 5: 209–213
Frederick MG, Paulson EK, Nelson RC (1997) Helical CT for detecting focal liver lesions in patients with breast carcinoma: Comparison of noncontrast phase, hepatic arterial phase, and portal venous phase. J Comput Assist Tomogr 21: 229–235
Giovagnoni A, Piga A, Argalia G, Giuseppetti GM, Ercolani P, Cellerino R (1993) Inadequacy of ultrasonography for monitoring response to treatment of liver metastases. J Clin Oncol 11: 2451–2455
Hagspiel KD, Neidl KF, Eichenberger AC, Weder W, Marincek B (1995) Detection of liver metastases: Comparison of superparamagnetic iron oxide-enhanced and unenhanced MR imaging at 1.5 Twith dynamic CT, intraoperative US, and percutaneous US. Radiology 196: 471–478
Hamm B (1996) Kosten-Nutzen-Überlegungen zur modernen Schnittbilddiagnostik am Beispiel der Oberbauchorgane. Radiologe 36: 292–299
Jones EC, Chezmar JL, Nelson RC, Bernardino ME (1992) The frequency and significance of small (less than or equal to 15 mm) hepatic lesions detected by CT. AJR Am J Roentgenol 158: 535–539
Kanematsu M, Hoshi H, Yamada T et al. (1999) Small hepatic nodules in cirrhosis: Ultrasonographic, CT, and MR imaging findings. Abdom Imaging 24: 47–55
Knol JA, Marn CS, Francis IR, Rubin JM, Bromberg J, Chang AE (1993) Comparisons of dynamic infusion and delayed computed tomography, intraoperative ultrasound, and palpation in the diagnosis of liver metastases. Am J Surg 165: 81–87
Kopka L, Grabbe E (1999) Biphasische Leberdiagnostik mit der Mehrzeilendetektor-Spiral-CT. Radiologe 39: 971–978
Leen E, Angerson WJ, Wotherspoon H, Moule B, Cook TG, McArdle CS (1995) Detection of colorectal liver metastases: Comparison of laparotomy, CT, US, and Doppler perfusion index and evaluation of postoperative follow-up results. Radiology 195: 113–116
Lin HH, Lin DY (1991)Is preoperative ultrasound cancer survey necessary in patients with normal liver function tests? J Clin Gastroenterol 13: 108–110
Megibow AJ, Zhou XH, Rotterdam H et al. (1995) Panvreatic adenocarcinoma: CT versus MR imaging in the evaluation of resectability - report of the radiology diagnostic oncology group. Radiology 195: 327–332
Mima S, Sekiya C, Kanagawa H et al. (1994) Mass Screening for hepatocellular carcinoma: Experience in Hokkaido, Japan. J Gastroenterol Hepatol 9: 361–365
Oliver JHI, Baron RL (1996) Helical biphasic contrast-enhanced CT of the liver: Technique, indicationss, interpretation, and pitfalls. Radiology 201: 1–14
Richter GM, Theobald I, Roeren T, Wunsch C, Lehnert T, Kauffmann GW (1996) Spiral CT portography in preoperative diagnosis of liver metastases. Chirurg 67: 630–636
Semelka RC, Schlund JF, Molina PL et al. (1996) Malignant liver lesions: Comparison of spiral CT arterial portography and MR imaging for diagnostic accuracy, cost, and effect on patient management. J Magn Reson Imaging 1: 39–43
Sherman M, Peltekian KM, Lee C (1995) Screening for hepatocellular carcinoma in chronic carriers of hepatitis B virus: Incidence and prevalence of hepatocellular carcinoma in a North American urban population. Hepatology 22: 432–438
Soyer P, Levesque M, Elias D, Zeitoun G, Roche A (1992) Detection of liver metastases from colorectal cancer: Comparison of intraoperative US and CT during arterial portography. Radiology 183: 541–544
Soyer P, Levesque M, Caudron C, Elias D, Zeitoun G, Roche A (1993) MRI of liver metastases from colorectal cancer vs. CT during arterial portography. J Comput Assist Tomogr 17: 67–74
Valls C, Lopez E, Guma A et al. (1998) Helical CT versus CT arterial portography in the detection of hepatic metastasis of colorectal carcinoma. AJR Am J Roentgenol 170: 1341–1347
Vullierme MP, Abdelouafi A, Vilgrain V, Denys A, Sibert A, Menu Y (1997) Comparison of scanners and porto-scanners, both in helical mode, for the study of hepatic metastases. Prospective study in 12 patients. Gastroenterol Clin Biol 21: 254–258
Zerhouni EA, Rutter C, Hamilton SRet al. (1996) CT and MR imaging in the Staging of colorectal carcinoma: Report of the Radiology Diagnostic Oncology Group II. Radiology 200: 443–451
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Helmberger, T., Kulinna, C., Reiser, M. (2002). Aktuelle Wertigkeit der Computertomographie von Lebermetastasen. In: Vogl, T.J., Mack, M.G., Balzer, J.O. (eds) LeberMetastasen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59385-7_8
Download citation
DOI: https://doi.org/10.1007/978-3-642-59385-7_8
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63958-6
Online ISBN: 978-3-642-59385-7
eBook Packages: Springer Book Archive