Diagnostic Value Of Ct Enhancement Pattern Of Focal Liver Masses.

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Objectives: Objectives of the study were to study the Enhancement Pattern ofrnvarious hepatic masses using Triphasic CT as diagnostic modality, differentiatingrndifferent hepatic masses and to compare our findings with that reported in literature rnMethods:A total of 60 patients were seen in this cross-sectional study done inrnDepartment of Radiology,Tikur Anbessa specialized Hospital (TASH) Addis Ababa,rnEthiopia from October, 2017 to September, 2018. All patients underwent TriphasicrnCT examination and diagnosis were made by histopathology/typical imagingrnfindings, follow up, and clinical and lab findings as applicable.rnResults: Our study included 60 patients with hepatic focal mass masses; mostrncommon neoplasm was metastases (38.3%) followed by hepatocellularrncarcinoma(HCC)which accounted for 31.6 % and hemangioma which accounted forrn15% of cases. Peripheral intrahepatic cholangiocarcinoma accounted for 5 % cases.rnThe enhancement patterns of HCC were as follows: 57.8% demonstraternheterogeneous hypervascularenhancement inthe arterial phase and totallyrnhypovascular in the delayed phase, while 36.8% showed homogeneous hypervascularrnpattern. Almostall of the HCC (100 %) appeared as totally hypovascularmasses in therndelayed phase. In the case of hemangiomas, 73.3 % showsGlobular peripheralrnenhancement in the arterial phase; in the delayed phase, 60 % showed completerncentripetal filling in which is iso vascularto vessels. In the arterial phase,60.8 % ofrnmetastases were hypovascular. In the delayed phase, all (100%) werernhypovascular.Metastases were most commonly hypovascular in all phases (60.8%). rnConclusions: Triphasic CT with its high accuracy is helpful in confident diagnosis ofrna hepatic masses. It has an indispensable role in evaluatingandcharacterizinghepaticrnmasses which helps in guiding appropriate management plan with proper surgicalrntriage.

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Diagnostic  Value Of Ct Enhancement Pattern Of Focal Liver Masses.

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