Comparison of imaging characteristics between hepatic benign regenerative nodules and hepatocellular carcinomas associated with Budd-Chiari syndrome by contrast enhanced ultrasound

European Journal of Radiology
Ruifang ZhangLulu Sun

Abstract

To compare different imaging characteristics between hepatic benign regenerative nodules and hepatocellular carcinomas (HCCs) associated with Budd-Chiari syndrome (BCS) by contrast enhanced ultrasound (CEUS). A total of 32 chronic BCS patients (mean age, 42 years; age range, 18-59 years) with hepatic nodules who underwent CEUS were retrospectively studied. All patients had no the history of viral hepatitis. There were 23 patients with benign regenerative nodules (22±9 mm; range, 8-42 mm) and 9 patients with HCCs (63±21 mm; range, 26-90 mm). Lesion characteristics, including number, size, vascularization on color Doppler flow imaging, echogenicity, peripheral hypoechoic rim, and enhancement patterns in arterial, portal, and late phases on CEUS, were analyzed. There were significant differences in number and size of the lesions between two groups. No significant differences were observed in vascularity, echogenicity, and peripheral hypoechoic rim. Overall, there were significant differences in enhancement patterns in arterial, portal, and late phases between them on CEUS. Of 23 patients with benign regenerative nodules, 16 (70%) were center-to-periphery hyperenhanced and 7 patients (30%) were homogeneously hyperenhanced in arteri...Continue Reading

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Citations

Oct 25, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Yi SongRuifang Zhang
Feb 21, 2018·Abdominal Radiology·Valérie VilgrainPierre-Emmanuel Rautou
Sep 2, 2020·Pediatric Radiology·Kumble Seetharama Madhusudhan, Sanjay Sharma
Oct 25, 2016·Indian Pediatrics·Anandini SuriAabha Nagral
Jan 18, 2020·Journal of Medical Ultrasonics·Feiqian WangShin Maeda
Jul 8, 2017·Hepatology International·Dominique-Charles Valla
Mar 5, 2019·Alimentary Pharmacology & Therapeutics·Faisal KhanDhiraj Tripathi

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