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Sonography and computed tomography in hepatic haemangioma
Acta Medica Scandinavica. Supplementum
|January 1, 1982
Summary
Computed tomography (CT) may diagnose hepatic haemangioma, but sonography is less reliable. Angiography and fine-needle biopsy are useful in diagnosing hepatic haemangioma when results are uncertain.
Area of Science:
- Radiology
- Diagnostic Imaging
- Hepatology
Background:
- Hepatic haemangiomas are benign liver tumors.
- Accurate diagnosis is crucial for appropriate management.
Purpose of the Study:
- To evaluate the diagnostic accuracy of sonography and computed tomography (CT) for hepatic haemangioma.
- To assess the utility of percutaneous fine-needle biopsy in diagnosing hepatic haemangioma.
Main Methods:
- Seven patients with suspected hepatic haemangioma underwent sonography and CT.
- Percutaneous fine-needle biopsy was performed in three patients.
- Angiography was used for comparison, and histological confirmation was obtained in five cases.
Main Results:
- Sonography revealed lesions with mixed sonodense and sonolucent features.
- CT demonstrated typical peripheral post-contrast enhancement.
- Sonography missed one small lesion; CT missed two.
- Fine-needle biopsy was diagnostic in two of three cases without complications.
Conclusions:
- CT may be diagnostic for hepatic haemangioma, while sonography appears less reliable.
- Angiography and fine-needle biopsy are valuable adjuncts in diagnosing hepatic haemangioma, especially in equivocal cases.