Evaluation of Focal Hepatic Lesion and associated changes in Gallbladder and Kidneys using Spiral Computed Tomography

Abstract

Focal hepatic lesions are the lesions in the liver apart from its usual parenchyma. Objective: To check the efficiency of triphasic computed tomography for diagnosing benign and malignant focal liver lesions and to assess frequencies of both types of liver lesions. Methods: On 60 patients, triphasic CT scan for the liver was performed in Allied Hospital, Faisalabad. The liver was scanned in the arterial, the portal-venous, and the delayed phases followed by contrast injection. During all of these phases evaluation of lesions was made on enhancement patterns and frequencies of each lesion was checked. Results: The results showed that out of 60 patients 26(43.3%) were diagnosed with benign and 34(56.67%) were diagnosed with malignant focal liver lesions. Benign cases had a higher frequency of Haemangioma and malignant cases had a higher frequency of hepatocellular carcinoma. The overall study showed the percentage of incidents in gallbladder and renal system. Conclusions: The triphasic CT liver due to its accuracy provides assured diagnosis for liver lesions and thus reduces biopsy procedures