Abstract

Introduction: Introduction of Multi Detector computed Tomography has been a huge leap in the CT technology. MDCT has a high diagnostic accuracy, sensitivity and specificity in the evaluation of focal and diffuse lesions of liver. The present study aimed to study the role of MDCT as a diagnostic modality for the benign lesions of liver. Material and methods: A prospective study of the role of MDCT in detecting and characterizing neoplastic hepatic lesions was conducted in the period in radiology department of RMCH, Bareilly. Thirty patients, with hepatic benign lesions, were selected. Diagnosis was confirmed by surgery and histopathology, follow up imaging and other non-radiological investigations. Results: Thirty patients were finally included as they were found to have benign lesions. Mean age of the patients was 49.8 years. 37% patients aged between 41 and 50 years while 17% patients were elderly. 63% were females. 63% patients had alcohol abuse while 60% were smokers. The most common presenting complaint was pain abdomen (n=15) followed by abdominal discomfort (n=13). Total of 29 lesions were identified on MDCT. The most common lesions were hemangioma (n=15) followed by simple cyst (n=5). Conclusion: MDCT is “The Imaging Modality of choice” in characterizing benign hepatic lesions.

Highlights

  • Introduction of Multi Detector computed Tomography has been a huge leap in the CT technology

  • It is helpful in detecting metastatic lesions.In the blood supply of Liver, 80% of normal liver parenchyma is supplied by theportal vein and 20% by the hepatic artery

  • Data for the study was collected from 30 patients attending the Department of surgery with clinically suspected focal liver lesions, or previous images depicted focal hepatic lesions with non specific appearance detected clinically or sonographically

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Summary

Introduction

Introduction of Multi Detector computed Tomography has been a huge leap in the CT technology. The present study aimed to study the role of MDCT as a diagnostic modality for the benign lesions of liver. Material and methods: A prospective study of the role of MDCT in detecting and characterizing neoplastic hepatic lesions was conducted in the period in radiology department of RMCH, Bareilly. Results: Thirty patients were included as they were found to have benign lesions. Conclusion: MDCT is “The Imaging Modality of choice” in characterizing benign hepatic lesions. It is helpful in detecting metastatic lesions.In the blood supply of Liver, 80% of normal liver parenchyma is supplied by theportal vein and 20% by the hepatic artery. The difference in blood supply results in different enhancement patterns between various liver lesions in the various phases of contrastenhancement (1)

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