Triple phase CT in evaluating indeterminate focal liver lesion
Gaurav Khurana1, Rajesh Kumar1, Ashish Kumar Shukla1
1Department of Radiodiagnosis, Santosh Medical College, Santosh Deemed to Be University, Ghaziabad, Delhi NCR, India.
Bioinformation
|June 12, 2026
Summary
Triple-phase computed tomography (CT) accurately distinguishes benign from malignant indeterminate focal liver lesions (FLLs). This imaging technique aids in better clinical decisions for liver lesion management.
Area of Science:
- Radiology
- Medical Imaging
- Hepatology
Background:
- Indeterminate focal liver lesions (FLLs) pose diagnostic challenges.
- Management varies based on whether FLLs are benign or malignant.
Purpose of the Study:
- To evaluate the diagnostic performance of triple-phase multidetector computed tomography (MDCT) for characterizing indeterminate FLLs.
- To assess dynamic contrast enhancement patterns in liver lesions.
Main Methods:
- Utilized triple-phase MDCT, analyzing contrast enhancement in arterial, portal venous, and delayed phases.
- Assessed vascular and enhancement patterns to differentiate lesion types.
Main Results:
- Triple-phase CT accurately differentiated benign from malignant FLLs.
- Malignant lesions showed distinct features like portal venous hypoenhancement and late-phase washout.
- Enhancement patterns provided key diagnostic insights.
Conclusions:
- Triple-phase CT demonstrates high accuracy in managing indeterminate FLLs.
- This imaging modality supports improved clinical decision-making for liver lesions.
Keywords:
Benign lesionsdiagnosisfocal liver lesions (FLLs)multidetector computed tomography (MDCT)triple-phase CT

