The Study Of Imaging Characteristics And Values Of Ultrasound Techniques, Computerized Tomography In Primary Liver Cancer Diagnosis

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Abstract

Objectives: To describe the imaging characteristics and investigate the appropriateness of some ultrasound imaging and computerized tomography features in common primary liver cancer.

Subjects and study methods:There were 34 patients with primary hepatocellular carcinoma and 5 patients with intra-hepaticcholangiocarcinoma at Hue Central Hospital from 01/2018 to 06/2019. We investigated the appropriateness of some ultrasound imaging and computerized tomography features in the diagnosis of primary hepatocellular carcinoma and intra-hepaticcholangiocarcinoma. The gold standard is the result of pathology
Results: With primary hepatocellular carcinoma, there were 26/34 cases with typical visual features on ultrasound, accounting for 76.5%; Computerized tomography had 32/34 cases with typical image features, accounting for 94.1%. For intra-hepaticcholangiocarcinoma, on 2/5 ultrasound has typical imaging features, accounting for 40.0%; On computerized tomography, there were 4/5 cases with typical image characteristics, accounting for 80.0%. The kappa relevant level between the two ultrasound and computerized tomography techniques in assessing portal venous thromboembolism and bile duct dilatation was 0.545 and 0.772 respectively.
Conclusions: Computerized tomography has a higher diagnostic value of primary hepatocellular carcinoma and intra-hepaticcholangiocarcinoma than ultrasound. In the case of computerized tomography with atypical images, pathology is necessary to help determine the diagnosis.

https://doi.org/10.38103/jcmhch.2019.57.12

References

Đặng Thị Thu Hiền (2015), Nghiên cứu đặc điểm hình ảnh siêu âm, Cắt lớp vi tính huyết khối tĩnh mạch cửa ở bệnh nhân ung thư biểu

mô tế bào gan, Luận văn thạc sĩ y học, Đại học Y dược Huế.

Hà Văn Mạo, Hoàng Kỷ, Phạm Hoàng Phiệt (2006), “Dịch tễ học và các yếu tố nguy cơ của ung thư gan nguyên phát; giải phẫu bệnh học

ung thư gan nguyên phát”, Ung thư gan nguyên phát, NXB Y Học, tr 13-24, 142-166.

Nguyễn Phước Bảo Quân (2010), Nghiên cứu đặc điểm hình ảnh của một số loại ung thư gan thường gặp bằng kỹ thuật chụp cắt lớp vi tính

vòng xoắn 3 thì, Luận án tiến sĩ Y khoa, Đại học Y Hà Nội.

Nguyễn Phước Bảo Quân (2013), “Gan”, Siêu âm bụng tổng quát, NXB Đại học Huế, tr 115- 305.

Arslanoglu A, Seyal R, Sodagari F (2016), “Current guidelines for the diagnosis and management of hepatocellular Carcinoma: A comparative review”, Am. J. Roentgenol, vol. 207, no. 5, pp. W88–W98.

Bagoria D, Mathur R, Gupta A, Choudhary S, Pamnani J (2017), “Research article role of triple phase CT in evaluation of local liver lesion”,International Journal of Current Research Vol. 9, Issue, 03, pp.48075-48078.

Bridgewater J, Galle R, Khan R, Llovet M (2014), “Guidelines for the diagnosis and management of intrahepatic cholangiocarcinoma”, J. Hepatol, vol. 60, no. 6, pp. 1268–1289.

Ehman C, Behr C, Umetsu E (2016), “Rate of observation and inter-observer agreement for LI-RADS major features at CT and MRI in 184 pathology proven hepatocellular carcinomas”, Abdom Radiol,41(5), pp.963-969.

Forner A, Vilana R, Ayuso C, Bianchi L, Sole M, Ayuso J R (2008),” Diagnosis of hepatic nodules 20 mm or smaller in cirrhosis: Prospective validation of the noninvasive diagnostic criteria for hepatocellular carcinoma”, Hepatology, 47(1), pp.97-104.

Kim S, Lee J, Lee K (2011), “Intrahepatic Mass-forming Enhancement Patterns at Multiphasic CT, with Special Emphasis on Arterial Enhancement Pattern- Correlation with Clinicopathologic Findings”, Radiology, 260(1), pp.148-157.

Lee JHet al (2012), “Enhancement patterns of hepatocellular carcinomas on multiphasic multidetector row CT: Comparison with pathological differentiation”, Br J Radiol, 85(1017), pp.573-583.

Li R et al (2016), “Dynamic enhancement patterns of intrahepatic cholangiocarcinoma in cirrhosis on contrast-enhanced computed tomography: Risk of misdiagnosis as hepatocellular carcinoma”, Sci Rep, 6(May), pp.4-11.

Petrick J, McGlynn K (2019), “The Changing Epidemiology of Primary Liver Cancer,” Curr. Epidemiol. Reports, vol. 6, no. 2, pp. 104–111.

Wang Y, Yang Q, Li S(2019) “Imaging features of combined hepatocellular and cholangiocarcinoma compared with those of hepatocellular carcinoma and intrahepatic cholangiocellular carcinoma in a Chinese population”, Clin Radiol, 74(5), pp.407.e1-407. e10.

YuanXM, Li R, Zhang H X, Tang L C et al (2015), “Factors Affecting the Enhancement Patterns of Intrahepatic Cholangiocarcinoma ( ICC ) on Contrast-Enhanced Ultrasound (CEUS) and their Pathological Correlations in Patients with a Single Lesion” no. Icc, pp.1–10.

Published 13-01-2025
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Language
Issue No. 57 (2019)
Section Original article
DOI 10.38103/jcmhch.2019.57.12
Keywords Từ khóa: ung thư biểu mô tế bào gan nguyên phát, ung thư biểu mô đường mật trong gan, chụp cắt lớp vi tính. Key words: primary hepatocellular carcinoma, intra-hepaticcholangiocarcinoma, computerized tomography

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Copyright (c) 2019 Journal of Clinical Medicine Hue Central Hospital

Long, T. V., Thuan, D. C., Van, N. T. C., Can, N. D., & Thuy, T. T. T. (2025). The Study Of Imaging Characteristics And Values Of Ultrasound Techniques, Computerized Tomography In Primary Liver Cancer Diagnosis. Journal of Clinical Medicine Hue Central Hospital, (57), 83–89. https://doi.org/10.38103/jcmhch.2019.57.12