Enhancement of Hepatocellular Carcinoma on Portal Venous Phase: Dural-phase CT - Angiography Correlation_West China Medical Journal

Authors：

1.Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041; 2.Department of Ultrasound of the Third Hospital of Datong, Datong Shanxi 037008; 3.the People’s Hospital of Pengzhou, Pengzhou Sichuan 611936; 4.Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China;

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Keywords：

原发性肝癌; 门静脉期; CT; DSA

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目的:通过数字减影血管造影(DSA)研究原发性肝癌(HCC)CT增强门静脉期强化特点及其原因。方法:本组HCC门静脉期强化共4例,行CT双期增强扫描及肝脏供血动脉DSA检查,分析供血动脉特点与门静脉期强化间的关系。结果:本组门静脉期均强化。完全性门静脉期强化1例,其供血动脉来源于膈下动脉及肝动脉分支1例;区域性门静脉期强化3例,其供血动脉来源于膈下动脉2例,来源于胃十二指肠动脉的网膜分支1例。供血动脉均走行较长。结论:HCC门静脉期强化供血动脉走行较长,部分管径纤细,导致肿瘤强化延迟。

Citation： YAN Qing,ZHANG Dechun,WANG Caohua,et al. Enhancement of Hepatocellular Carcinoma on Portal Venous Phase: Dural-phase CT - Angiography Correlation. West China Medical Journal, 2009, 24(4): 947-949. doi: Copy

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1. LEE H M, LU D S, KRASNY R M, et al. Hepatic lesion characterization in cirrhosis: significance of arterial hypervascularity on dual-phase helical CT[J]. AJR,1997,169(7):125-130..
2. BARON R L, OLIVER J H Ⅲ, DODD G D Ⅲ, et al. Hepatocellular carcinoma: evaluation with biphasic, contrast-enhanced, helical CT[J]. Radiology,1996,199(5):505-511..
3. MITUZAKA K, YAMASHITA Y, OGATA I, et al. Multi-phase helical CT of the liver for detecting small hepatomas in patients with liver cirrhosis:contrast-injection protocol and optimal timing[J]. AJR,1996,167(9):753-757..
4. MATSUI O, KADOYA M, KAMEYAMA T, et al. Benign and malignant nodules in cirrhotic livers: distinction based on blood supply[J]. Radiology,1991(2),178:493-497..
5. 黄娟,周翔平,刘荣波,等．原发性肝癌血供特点的螺旋CT表现及其与病理学特性的相关性研究[J]．中华放射学杂志,2000,34(11):753-756..
6. 袁建华,陈方宏,余文强,等．间接门静脉数字减影造影对肝癌血供的研究[J]．介入放射学杂志,1999,8(2):85-88..
7. UEDA K, TERADA T, NAKANUMA Y, et al. Vascular supply in adenomatous hyperpllasia of the liver and hepatocellular carcinoma:a morphometric study[J]. Hum Pathol,1992,23(7):619-625..
8. BRANCATELLI G, FEDERLE MP, KATYAL S, et al. Hemodynamic characterization of focal nodular hyperplasia using three-dimensional volume-rendered multidetector CT angiography[J]. AJR,2002,179(1):81-85..
9. KATOH T, MITANI M, NOMA K, et al. Delayed enhancement of hepatocellular carcinoma on dynamic CT: sign of extrahepatic collaterals after transcatheter arterial chemoembolization or transcatheter arterial chemoinfusion[J]. Abdomim Imaging,2002,27(1):34-39.
10. OKINO Y, KIYOSUE H, MATSUMOTO S, et al. Hepatocellular carcinoma: prediction of blood supply from right inferior phrenic artery by multiphasic CT[J]. J Comput Assist Tomogr,2003,27(3):341-346.

West China Medical Journal

Enhancement of Hepatocellular Carcinoma on Portal Venous Phase: Dural-phase CT - Angiography Correlation

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