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Clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma
Author(s) -
Lin Z Y,
Wang L Y,
Wang J H,
Lu S N,
Chen S C,
Chuang W L,
Hsieh M Y,
Tsai J F,
Chang W Y
Publication year - 1997
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/jum.1997.16.1.51
Subject(s) - medicine , hepatocellular carcinoma , hemangioma , color doppler , radiology , pathology , doppler sonography , ultrasonography
The clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma was investigated in 72 hepatocellular carcinomas (80 lesions), 30 metastases (82 lesions), and 39 hemangiomas (54 lesions). Overlaps of color patterns were found among hepatocellular carcinoma, metastases and hemangioma. Pulsatile waves from lesions with the basket, vessels within tumor, or spot patterns, or lesions measuring less than 3 cm with detectable signals, did not favor the diagnosis of hemangioma. In conclusion, color Doppler sonography can aid in the differentiation of hepatocellular carcinoma from hemangioma but may be unreliable in the differentiation of hepatocellular carcinoma from hypervascular metastases.