Spiral CT for the detection of hepatocellular carcinomas: relative value of arterial- and late-phase scanning |
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Authors: | B I Choi J M Cho J K Han D S Choi M C Han |
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Institution: | (1) Department of Radiology, Seoul National University Hospital, 28, Yongon-dong, Chongno-Gu, Seoul, 110–744, Korea, KR |
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Abstract: | Background: Spiral computed tomography (CT) can image the liver during arterial and late phases of contrast and optimize the evaluation
of hypervascular tumor. The objective of this study was to evaluate the relative value of arterial- and late-phase spiral
CT in the detection of hepatocellular carcinomas.
Methods: Fifty-eight patients with hepatocellular carcinomas underwent two-phase spiral CT examination with 10-mm collimation at 10
mm/s table speed (Siemens Somatom Plus S), and 120 mL of contrast material (36 g iodine) was injected at the rate of 3 mL/s.
CT images of hepatic arterial and late phases were obtained with a 35-s and 180-s delay, respectively.
Results: In 58 patients, 111 hepatocellular carcinoma lesions were seen. The arterial phase detected 93 (84%) and the late phase 75
(68%) lesions (p < 0.01). The arterial phase detected more lesions in 11 patients, and the late phase dected more in two patients and an equal
number in 45 patients. If lesions larger than 2 cm are excluded, the arterial phase detected 40 (74%) and the late phase 21
(39%) of 54 lesions (p < 0.001).
Conclusion: The arterial phase of spiral CT greatly improves the detection of hepatocellular carcinoma when compared with the late phase.
Received: 13 April 1995/Accepted: 22 May 1995 |
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Keywords: | : Computed tomography (CT) technology— Liver CT— Hepatocellular carcinoma CT |
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