|
|
||||||||
American Journal of Roentgenology, Vol 163, 323-331, Copyright © 1994 by American Roentgen Ray Society
ARTICLES |
RL Baron
Department of Radiology, University of Pittsburgh Medical Center, PA 15213.
Improvements in CT technology have dramatically increased our ability to detect and diagnose liver abnormalities, particularly neoplastic disease. Because of the high prevalence of liver disease in patients referred for abdominal CT examinations, contrast administration and scanning techniques are usually optimized for detection of liver disease on abdominal CT scans. A wide variety of contrast techniques can be used to evaluate the liver, and it is important to understand both the rationale behind each technique and the impact on the quality of the examination when one deviates from these techniques. In addition, the timing of contrast administration and scan acquisition has become critical, and improper timing can cause lesions that are easily visualized to be obscured. This article reviews principles of lesion detection and the effects of various contrast techniques on lesion visualization.
This article has been cited by other articles:
![]() |
X. Ma, A. E. Samir, N.-S. Holalkere, and D. V. Sahani Optimal Arterial Phase Imaging for Detection of Hypervascular Hepatocellular Carcinoma Determined by Continuous Image Capture on 16-MDCT Am. J. Roentgenol., September 1, 2008; 191(3): 772 - 777. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. M. Willatt, H. K. Hussain, S. Adusumilli, and J. A. Marrero MR Imaging of Hepatocellular Carcinoma in the Cirrhotic Liver: Challenges and Controversies Radiology, May 1, 2008; 247(2): 311 - 330. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Yanaga, K. Awai, T. Nakaura, T. Namimoto, S. Oda, Y. Funama, and Y. Yamashita Optimal Contrast Dose for Depiction of Hypervascular Hepatocellular Carcinoma at Dynamic CT Using 64-MDCT Am. J. Roentgenol., April 1, 2008; 190(4): 1003 - 1009. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Nakaura, K. Awai, Y. Yanaga, Y. Nakayama, S. Oda, Y. Funama, and Y. Yamashita Detection of Early Enhancement of Hypervascular Hepatocellular Carcinoma Using Single Breath-Hold 3D Pixel Shift Dynamic Subtraction MDCT Am. J. Roentgenol., January 1, 2008; 190(1): W13 - W18. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. L. Chu, B. N. Joe, A. C. A. Westphalen, E. M. Webb, F. V. Coakley, and B. M. Yeh Patient-specific Time to Peak Abdominal Organ Enhancement Varies with Time to Peak Aortic Enhancement at MR Imaging Radiology, December 1, 2007; 245(3): 779 - 787. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Sultana, K. Awai, Y. Nakayama, T. Nakaura, D. Liu, M. Hatemura, Y. Funama, S. Morishita, and Y. Yamashita Hypervascular Hepatocellular Carcinomas: Bolus Tracking with a 40-Detector CT Scanner to Time Arterial Phase Imaging Radiology, April 1, 2007; 243(1): 140 - 147. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. Schima, R. Hammerstingl, C. Catalano, L. Marti-Bonmati, E. J. Rummeny, F. T. Montero, A. Dirisamer, B. Westermayer, M. Bellomi, D. Brisbois, et al. Quadruple-phase MDCT of the liver in patients with suspected hepatocellular carcinoma: effect of contrast material flow rate. Am. J. Roentgenol., June 1, 2006; 186(6): 1571 - 1579. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Funama, K. Awai, Y. Nakayama, K. Kakei, N. Nagasue, M. Shimamura, N. Sato, S. Sultana, S. Morishita, and Y. Yamashita Radiation Dose Reduction without Degradation of Low-Contrast Detectability at Abdominal Multisection CT with a Low-Tube Voltage Technique: Phantom Study Radiology, December 1, 2005; 237(3): 905 - 910. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. H. Lee, J. K. Han, J. Y. Jeong, Y. J. Kim, H. J. Lee, S. H. Park, and B. I. Choi Hepatic Attenuation Differences Associated with Obstruction of the Portal or Hepatic Veins in Patients with Hepatic Abscess Am. J. Roentgenol., October 1, 2005; 185(4): 1015 - 1023. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Yagyu, K. Awai, M. Inoue, R. Watai, T. Sano, H. Hasegawa, and Y. Nishimura MDCT of Hypervascular Hepatocellular Carcinomas: A Prospective Study Using Contrast Materials with Different Iodine Concentrations Am. J. Roentgenol., May 1, 2005; 184(5): 1535 - 1540. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Hur, M.-S. Park, J.-S. Yu, J.-S. Lim, S. W. Hong, and K. W. Kim Focal Eosinophilic Necrosis Versus Metastasis in the Liver: The Usefulness of Two-Phase Dynamic CT Am. J. Roentgenol., April 1, 2005; 184(4): 1085 - 1090. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Beyer, G. Antoch, A. Bockisch, and J. Stattaus Optimized Intravenous Contrast Administration for Diagnostic Whole-Body 18F-FDG PET/CT J. Nucl. Med., March 1, 2005; 46(3): 429 - 435. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Awai, M. Inoue, Y. Yagyu, M. Watanabe, T. Sano, S. Nin, R. Koike, Y. Nishimura, and Y. Yamashita Moderate versus High Concentration of Contrast Material for Aortic and Hepatic Enhancement and Tumor-to-Liver Contrast at Multi-Detector Row CT Radiology, December 1, 2004; 233(3): 682 - 688. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. G. Fletcher, M. J. Wiersema, M. A. Farrell, J. L. Fidler, L. J. Burgart, T. Koyama, C. D. Johnson, D. H. Stephens, E. M. Ward, and W. S. Harmsen Pancreatic Malignancy: Value of Arterial, Pancreatic, and Hepatic Phase Imaging with Multi-Detector Row CT Radiology, October 1, 2003; 229(1): 81 - 90. [Abstract] [Full Text] [PDF] |
||||
![]() |
I.-M. Danet, R. C. Semelka, P. Leonardou, L. Braga, G. Vaidean, J. T. Woosley, and M. Kanematsu Spectrum of MRI Appearances of Untreated Metastases of the Liver Am. J. Roentgenol., September 1, 2003; 181(3): 809 - 817. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Noguchi, T. Murakami, T. Kim, M. Hori, K. Osuga, S. Kawata, S. Kumano, A. Okada, T. Sugiura, and H. Nakamura Detection of Hepatocellular Carcinoma: Comparison of Dynamic MR Imaging with Dynamic Double Arterial Phase Helical CT Am. J. Roentgenol., February 1, 2003; 180(2): 455 - 460. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Laghi, R. Iannaccone, P. Rossi, I. Carbone, R. Ferrari, F. Mangiapane, I. Nofroni, and R. Passariello Hepatocellular Carcinoma: Detection with Triple-Phase Multi-Detector Row Helical CT in Patients with Chronic Hepatitis Radiology, February 1, 2003; 226(2): 543 - 549. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Ichikawa, T. Kitamura, H. Nakajima, H. Sou, T. Tsukamoto, S. Ikenaga, and T. Araki Hypervascular Hepatocellular Carcinoma: Can Double Arterial Phase Imaging with Multidetector CT Improve Tumor Depiction in the Cirrhotic Liver? Am. J. Roentgenol., September 1, 2002; 179(3): 751 - 758. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Awai, K. Takada, H. Onishi, and S. Hori Aortic and Hepatic Enhancement and Tumor-to-Liver Contrast: Analysis of the Effect of Different Concentrations of Contrast Material at Multi-Detector Row Helical CT Radiology, September 1, 2002; 224(3): 757 - 763. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. W. Prokesch, L. C. Chow, C. F. Beaulieu, R. Bammer, and R. B. Jeffrey Jr Isoattenuating Pancreatic Adenocarcinoma at Multi-Detector Row CT: Secondary Signs Radiology, September 1, 2002; 224(3): 764 - 768. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. Brancatelli, M. P. Federle, S. Katyal, and V. Kapoor Hemodynamic Characterization of Focal Nodular Hyperplasia Using Three-Dimensional Volume-Rendered Multidetector CT Angiography Am. J. Roentgenol., July 1, 2002; 179(1): 81 - 85. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Imbriaco, A. J. Megibow, L. Camera, L. Pace, P. P. Mainenti, M. Romano, G. Selva, and M. Salvatore Dual-Phase Versus Single-Phase Helical CT to Detect and Assess Resectability of Pancreatic Carcinoma Am. J. Roentgenol., June 1, 2002; 178(6): 1473 - 1479. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Kim, T. Murakami, M. Hori, M. Takamura, S. Takahashi, A. Okada, S. Kawata, M. Cruz, M. P. Federle, and H. Nakamura Small Hypervascular Hepatocellular Carcinoma Revealed by Double Arterial Phase CT Performed with Single Breath-Hold Scanning and Automatic Bolus Tracking Am. J. Roentgenol., April 1, 2002; 178(4): 899 - 904. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. L. Baron and M. S. Peterson From the RSNA Refresher Courses: Screening the Cirrhotic Liver for Hepatocellular Carcinoma with CT and MR Imaging: Opportunities and Pitfalls RadioGraphics, October 1, 2001; 21(90001): S117 - 132. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Murakami, T. Kim, M. Takamura, M. Hori, S. Takahashi, M. P. Federle, K. Tsuda, K. Osuga, S. Kawata, H. Nakamura, et al. Hypervascular Hepatocellular Carcinoma: Detection with Double Arterial Phase Multi-Detector Row Helical CT Radiology, March 1, 2001; 218(3): 763 - 767. [Abstract] [Full Text] |
||||
![]() |
J. H. Lim, C. K. Kim, W. J. Lee, C. K. Park, K. C. Koh, S. W. Paik, and J. W. Joh Detection of Hepatocellular Carcinomas and Dysplastic Nodules in Cirrhotic Livers: Accuracy of Helical CT in Transplant Patients Am. J. Roentgenol., September 1, 2000; 175(3): 693 - 698. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. L. Hänninen, T. J. Vogl, R. Felfe, W. Pegios, J. Balzer, W. Clauss, and R. Felix Detection of Focal Liver Lesions at Biphasic Spiral CT: Randomized Double-Blind Study of the Effect of Iodine Concentration in Contrast Materials Radiology, August 1, 2000; 216(2): 403 - 409. [Abstract] [Full Text] |
||||
![]() |
T. Ichikawa, M. S. Peterson, M. P. Federle, R. L. Baron, H. Haradome, Y. Kawamori, S. Nawano, and T. Araki Islet Cell Tumor of the Pancreas: Biphasic CT versus MR Imaging in Tumor Detection Radiology, July 1, 2000; 216(1): 163 - 171. [Abstract] [Full Text] |
||||
![]() |
E. O'Riordan, C. M. Craven, D. Wilson, and P. J. Robinson Dual Phase Hepatic CT: Influence of Scanning Direction on Liver Attenuation Am. J. Roentgenol., May 1, 2000; 174(5): 1417 - 1421. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. T. Sica, H. Ji, and P. R. Ros CT and MR Imaging of Hepatic Metastases Am. J. Roentgenol., March 1, 2000; 174(3): 691 - 698. [Full Text] [PDF] |
||||
![]() |
D. H. Sheafor, J. S. Killius, E. K. Paulson, D. M. DeLong, A. M. Foti, and R. C. Nelson Hepatic Parenchymal Enhancement during Triple-Phase Helical CT: Can It Be Used to Predict Which Patients with Breast Cancer Will Develop Hepatic Metastases? Radiology, March 1, 2000; 214(3): 875 - 880. [Abstract] [Full Text] |
||||
![]() |
B. S. Kuszyk, D. A. Bluemke, M. A. Choti, K. M. Horton, C. A. Magee, and E. K. Fishman Contrast-Enhanced CT of Small Hypovascular Hepatic Tumors: Effect of Lesion Enhancement on Conspicuity in Rabbits Am. J. Roentgenol., February 1, 2000; 174(2): 471 - 0. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. N. Nazarian, J. H. Park, E. J. Halpern, L. Parker, P. T. Johnson, A. S. Lev-Toaff, and R. J. Wechsler Size of Colorectal Liver Metastases at Abdominal CT: Comparison of Precontrast and Postcontrast Studies Radiology, December 1, 1999; 213(3): 825 - 830. [Abstract] [Full Text] |
||||
![]() |
T. Kim, T. Murakami, S. Takahashi, A. Okada, M. Hori, Y. Narumi, and H. Nakamura Pancreatic CT Imaging: Effects of Different Injection Rates and Doses of Contrast Material Radiology, July 1, 1999; 212(1): 219 - 225. [Abstract] [Full Text] |
||||
![]() |
J. A. Brink Liver Window Settings at Hepatic CT: Added Value or Marginal Cost? Radiology, March 1, 1999; 210(3): 593 - 594. [Full Text] |
||||
![]() |
S. Saini Imaging of the Hepatobiliary Tract N. Engl. J. Med., June 26, 1997; 336(26): 1889 - 1894. [Full Text] [PDF] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |