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Application of two-phase helical CT in liver neoplasms
Yuan-Chang Xu1, Ming Gu, Kai-Xiang Wang
1Department of Radiology, General Hospital of Chengdu Military Command, PLA, Chengdu 610083, China. xuyuanch@mail.sc.cninfo.net
Objective:
To assess the value of helical CT in the diagnosis of liver diseases.
Methods:
59 patients with different liver diseases were examined by two-phase or multi-phase dynamic helical CT.
Results:
Small hepatocellular carcinoma showed a higher density in the arterial phase, and a lower density in the portal vein phase. Large hepatic carcinoma showed a mixed pattern of higher-density in the arterial phase, and a lower density in the portal vein phase. Metastasis carcinoma showed an "oxeye sign" in the portal vein phase. Hemangioma was not obviously enhanced in the early arterial phase, marginally enhanced in the arterial phase, and equally-densed in the balanced phase.
Conclusion:
Two-phase helical CT is of value in improving the detection rate of or determining the features of hepatic diseases by two-phase helical dynamic scan (2.0-3.0 ml/s speed, and delay time 25-30 s and 70-85 s).