Role of Multi Detector Computed Tomography in the Evaluation of Hepatic Masses: Multi Detector CT to evaluate Hepatic Masses

Ishtiaq ur rehman Rehman; Syed Muhammad Yousaf Farooq; Adnan  Ashraf; Muhammad Zakir  Khan; Hafiz Syed Arslan Gilani; Muhammad Arslan Faisal; Faizan Ahmad; Muhammad Aqib  Afzal

doi:10.54393/pbmj.v4i2.81

Authors

Ishtiaq ur rehman Rehman Department of Radiological Sciences, University of Lahore, Lahore, Pakistan
Syed Muhammad Yousaf Farooq Department of Radiological Sciences, University of Lahore, Lahore, Pakistan
Adnan Ashraf Department of Radiological Sciences, University of Lahore, Lahore, Pakistan
Muhammad Zakir Khan Department of Radiological Sciences, University of Lahore, Lahore, Pakistan
Hafiz Syed Arslan Gilani Department of Radiological Sciences, The University of Lahore, Lahore, Pakistan
Muhammad Arslan Faisal Department of Radiological Sciences, University of Lahore, Lahore, Pakistan
Faizan Ahmad Department of Radiological Sciences, University of Lahore, Lahore, Pakistan.
Muhammad Aqib Afzal Department of Radiological Sciences, University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pbmj.v4i2.81

Keywords:

This research is about 7 hepatic masses.

Abstract

The liver is at risk of various diseases which include benign and malignant. The rich blood supply by hepatic artery and portal vein. Objective: To find the role of multi detector computed tomography in the evaluation of hepatic masses. Methods: It was cross-sectional analytical study. It involves 162 patients suffering from liver masses visiting Shalimar hospital, Lahore. Consecutive sampling method was used. Analyses by using SPSS version 21.0. Results: In this study, 162 patients visited radiological department because all the patients were suffering from different hepatic masses. Out of 162 patients, 116 patients were males and 46 patients were females. In these 162 patients, 112 patients (69.9%) were suffering from HCC, 55 patients (34%) were suffering from abscess, 42 patients (26.9%) were suffering from multiple cysts, 12 patients (8%)were suffering from FNH, 9 patients (7.4%) were suffering from hemangioma, 4 (2.5%)patients were suffering from hydatid cyst and 2 patients (1.2%) were suffering from lymphoma. Conclusion: Triple phases CT helps in better diagnosis of different types of hepatic masses and our study concludes that the prevalence of HCC is higher than other masses. It also provide information about enhancement of liver lesion with the help of images. CT also helps in diagnosis of different liver lesions in arterial, venous and delayed phase.

References

European Association for the Study Of The Liver. EASL clinical practice guidelines: management of hepatocellular carcinoma. Journal of hepatology. 2018 Jul 1;69(1):182-236

Ozougwu J. Physiology of the liver. International Journal of Research in Pharmacy and Biosciences. 2017;4(8):13-24

Hussain SM, Semelka RC. Hepatic imaging: comparison of modalities. Radiologic Clinics of North America. 2005 Sep 1;43(5):929-47.

Zamora-Valdés D, Ponciano-Rodríguez G, Chávez-Tapia NC, Méndez-Sánchez N. The endocannabinoid system in chronic liver disease. Annals of hepatology. 2005;4(4):248-54.

Yaqoob J, Bari V, Usman MU, Munir K, Mosharaf F, Akhtar W. The evaluation of hepatocellular carcinoma with biphasic contrast enhanced helical CT scan. Journal of Pakistan Medical Association. 2004;54(3):123

Hafeez S, Alam MS, Sajjad Z, Khan ZA, Akhter W, Mubarak F. Triphasic computed tomography (CT) scan in focal tumoral liver lesions. Journal of the Pakistan Medical Association. 2011;61(6):571.

Min JH, Kang TW, Kim YY, Cha DI, Kim YK, Kim SH, Sinn DH, Ha SY, Kim K. Vanishing washout of hepatocellular carcinoma according to the presence of hepatic steatosis: diagnostic performance of CT and MRI. European Radiology. 2021 May;31(5):3315-25.

Soler L, Delingette H, Malandain G, Montagnat J, Ayache N, Koehl C, Dourthe O, Malassagne B, Smith M, Mutter D, Marescaux J. Fully automatic anatomical, pathological, and functional segmentation from CT scans for hepatic surgery. Computer Aided Surgery. 2001 Jan 1;6(3):131-42.

Liau KH, Blumgart LH, DeMatteo RP. Segment-oriented approach to liver resection. Surgical Clinics. 2004 Apr 1;84(2):543-61.

Schima W, Hammerstingl R, Catalano C, Marti-Bonmati L, Rummeny EJ, Montero FT, Dirisamer A, Westermayer B, Bellomi M, Brisbois D, Chevallier P. Quadruple-phase MDCT of the liver in patients with suspected hepatocellular carcinoma: effect of contrast material flow rate. American Journal of Roentgenology. 2006 Jun;186(6):1571-9.

Lee KH, O'Malley ME, Haider MA, Hanbidge A. Triple-phase MDCT of hepatocellular carcinoma. American Journal of Roentgenology. 2004 Mar;182(3):643-9.