Focal Nodular Hyperplasia and Hepatocellular Adenoma of the Liver
Differentiation with Multiphasic Helical CT
Andrea J. Ruppert-Kohlmayr1,
Martin M. Uggowitzer1,
Christian Kugler1,
Doris Zebedin1,
Gottfried Schaffler1 and
Georg S. Ruppert2
1
Department of Radiology, University Hospital of Graz, Auenbruggerplatz 9,
A-8036 Graz, Austria. 2
Doors to Knowledge, Alte Reichsstr. 9, A-8410 Wildon, Austria.
Fig. 1A.29-year-old woman with instantly detected liver lesion.
Triphasic helical CT scan reveals focal nodular hyperplasia with central scar
(curved arrow, left) in right liver lobe that is slightly hypodense
in unenhanced phase (left); hyperdense in arterial phase (middle), with
visible feeding vessel in central scar (straight arrow, middle); and
slightly hyperdense in portal venous phase (right).
Fig. 1B.29-year-old woman with instantly detected liver lesion.
Arterial phase CT scan shows feeding artery (arrow) on base of same
lesion as that shown in A as originating from hepatic artery.
Fig. 2.36-year-old woman with focal nodular hyperplasia in right
liver lobe (straight arrow). Helical CT scan obtained during
unenhanced (left), arterial (middle), and portal venous (right) phases shows
central scar (curved arrow, middle and right) with central feeding
artery.
Fig. 3A.44-year-old woman with hepatocellular adenoma (straight
arrow) in right liver lobe (subcapsular). Arterial phase CT scan shows
lesion is slightly hyperdense and shows feeding artery (curved arrow)
originates from branch of hepatic artery.
Fig. 5.Graph shows relative enhancement in arterial phase of
hepatocellular adenoma (left) and focal nodular hyperplasia (right). Threshold
of 1.6 shows highly accurate differentiation of these lesions.