TRIPLE PHASE CT EVALUATION OF LIVER LESIONS WITH FNAC/HPE CORRELATION.

Abstract

Introduction: Detection and characterization of hepatic lesions is crucial due to the high prevalence of both benign and malignant lesions. USG is the most common initial method for evaluation, but in most cases, a definitive diagnosis cannot be made based on it. CT is superior modality because of its ability to detect vascular perfusion in the different phases. Aim: Objectives: To assess the role of Triple phase computed tomography in differentiating various focal hepatic SOLs. To evaluate the characteristics of focal hepatic lesions on a Triphasic Computed Tomography scan performed in patients with suspected focal liver disease and to correlate the CT findings with FNAC/Histopathological examination. Methodology: This prospective study was conducted for a period of one year. 90 patients were included with suspected hepatic lesions clinically or on ultrasound findings with age more than seven years from both genders. Computed tomography (CT) examinations were done and different enhancement patterns were then seen. The final report was made by the radiologist while the FNAC/HPE findings were reviewed. In present study, 56% of patient Results: s were males and 44% were females. Right lobe was involved in 60% and both lobes in 23% of patients. The most common lesion was hemangioma. Abscess was the 2nd most common benign lesion. Sensitivity, specificity, PPV and NPV for HCC detection was 85%, 95%, 81.8% and 92.7% respectively. Sensitivity, specificity, PPV and NPV for metastasis detection was 85%, 84.37%, 77.3% and 90% respectively. Triple phase CT not only diagnosed hepatic lesions wi Conclusion: th high sensitivity and specificity but also helped in planning the management. CT findings very well correlated with the final pathological diagnosis.