Clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma

Zu Yau Lin*, Liang Yen Wang, Jing Houng Wang, Sheng Nan Lu, Shinn Cherng Chen, Wan Long Chuang, Ming Yuh Hsieh, Jung Fa Tsai, Wen Yu Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

30 Scopus citations

Abstract

The clinical utility of color Doppler sonography in the differentiation of hepatocellular carcinoma from metastases and hemangioma was investigated in 72 hepatocellular carcinomas (80 lesions), 30 metastases (82 lesions), and 39 hemangiomas (54 lesions). Overlaps of color patterns were found among hepatocellular carcinoma, metastases and hemangioma. Pulsatile waves from lesions with the basket, vessels within tumor, or spot patterns, or lesions measuring less than 3 cm with detectable signals, did not favor the diagnosis of hemangioma. In conclusion, color Doppler sonography can aid in the differentiation of hepatocellular carcinoma from hemangioma but may be unreliable in the differentiation of hepatocellular carcinoma from hypervascular metastases.

Original languageEnglish
Pages (from-to)51-58
Number of pages8
JournalJournal of Ultrasound in Medicine
Volume16
Issue number1
DOIs
StatePublished - 01 1997
Externally publishedYes

Keywords

  • Hepatic hemangioma
  • Hepatocellular carcinoma
  • Metastatic liver cancers
  • Ultrasonography, Doppler studies

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