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Related Experiment Videos

The infected liver: radiologic-pathologic correlation.

Koenraad J Mortelé1, Enrica Segatto, Pablo R Ros

  • 1Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA. kmortele@partners.org

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|July 17, 2004
PubMed
Summary
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Advanced imaging techniques like ultrasonography, CT, and MR imaging are crucial for diagnosing and managing liver infections. These methods aid in identifying abscesses and other conditions, often guiding treatment and potentially avoiding invasive procedures.

Area of Science:

  • Radiology
  • Infectious Diseases
  • Hepatology

Background:

  • Technological advancements have improved the role of medical imaging in diagnosing and managing liver infections.
  • Imaging-guided percutaneous drainage offers enhanced clinical treatment for focal liver abscesses.

Purpose of the Study:

  • To review the utility of ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging in the evaluation of infectious liver diseases.
  • To highlight how characteristic imaging findings aid in the diagnosis of various hepatic infections.

Main Methods:

  • Utilizing ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging for disease evaluation.
  • Analyzing characteristic changes in echogenicity, attenuation, signal intensity, and enhancement patterns.

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  • Correlating imaging findings with clinical information for diagnosis.

    • Main Results:

    • US, CT, and MR imaging accurately evaluate infectious liver diseases, including abscesses, parasitic, fungal, granulomatous, and viral infections.
    • CT is valuable for detecting calcifications and gas, while MR imaging excels in specificity for infections like hydatid cyst and candidiasis.
    • Radiologic findings, combined with clinical data, can often establish a likely diagnosis, sometimes negating the need for aspiration or biopsy.

    Conclusions:

    • Medical imaging plays a pivotal role in the comprehensive management of infectious liver diseases.
    • Characteristic imaging features are key to diagnosing specific hepatic infections.
    • While imaging is highly informative, biopsy may still be required for definitive diagnosis in some cases.