Hepatoblastoma CT: Difference between revisions
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Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. Findings on CT scan suggestive of hepatoblastoma include well defined heterogeneous mass, frequent areas of necrosis and hemorrhage, and chunky dense calcifications.<ref name=differential>CT scan of hepatoblastoma. Dr Frank Gaillard et al. Radiopaedia (2015). http://radiopaedia.org/articles/hepatoblastoma. Accessed on November 4, 2015</ref> | Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. Findings on CT scan suggestive of hepatoblastoma include well defined heterogeneous mass, frequent areas of necrosis and hemorrhage, and chunky dense calcifications.<ref name=differential>CT scan of hepatoblastoma. Dr Frank Gaillard et al. Radiopaedia (2015). http://radiopaedia.org/articles/hepatoblastoma. Accessed on November 4, 2015</ref> | ||
==CT scan== | ==CT scan== | ||
Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. On abdominal CT scan, hepatoblastoma is characterized by:<ref name=differential>CT scan of hepatoblastoma. Dr Frank Gaillard et al. Radiopaedia (2015). http://radiopaedia.org/articles/hepatoblastoma. Accessed on November 4, 2015</ref> | Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. Surgeons prefer an angiographic or biphasic CT scan because of better depiction of the hepatic arterial, portal venous and hepatic vein and other liver structures. | ||
*Usually seen as a well defined heterogeneous mass, which is usually hypoattenuating compared to surrounding liver. | *On abdominal CT scan, hepatoblastoma is characterized by:<ref name=differential>CT scan of hepatoblastoma. Dr Frank Gaillard et al. Radiopaedia (2015). http://radiopaedia.org/articles/hepatoblastoma. Accessed on November 4, 2015</ref> | ||
*Frequently there are with areas of necrosis and hemorrhage. Chunky, dense calcifications may be seen in approximately 40% of cases. | **Usually seen as a well defined heterogeneous mass, which is usually hypoattenuating compared to surrounding liver. | ||
*CT is also able to evaluate the lungs for metastases and for nodal enlargement. | **Frequently there are with areas of necrosis and hemorrhage. Chunky, dense calcifications may be seen in approximately 40% of cases. | ||
**CT is also able to evaluate the lungs for metastases and for nodal enlargement. | |||
**Spiral CT scan findings of hypervascular lesions in the liver with delayed contrast excretion are highly suggestive of a malignant liver tumor. | |||
*Concerns about radiation exposures in pediatrics has changed this modality in favor of MRI, although MRI is much lengthy exam than CT has the advantage of multiplanar soft-tissue characterization, and when diffusion-weighted imaging techniques are used, MRI is exquisitely sensitive for detecting tiny liver lesions. | |||
===Gallery=== | |||
<gallery> | |||
Image: | |||
Hepatoblastoma_CT_scan.jpg|<sub>CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.<ref name=CT>Image courtesy of Dr Hani Al Salam. Radiopaedia 2015. (original file [http://radiopaedia.org/cases/hepatoblastoma here]). Creative Commons BY-SA-NC</ref></sub> | |||
Image: | |||
Hepatoblastoma_CT_scan2.jpg|<sub>CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.<ref name=CT>Image courtesy of Dr Hani Al Salam. Radiopaedia 2015. (original file [http://radiopaedia.org/cases/hepatoblastoma here]). Creative Commons BY-SA-NC</ref></sub> | |||
</gallery> | |||
==References== | ==References== | ||
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Latest revision as of 20:59, 13 March 2019
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Hepatoblastoma CT On the Web |
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American Roentgen Ray Society Images of Hepatoblastoma CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Nawal Muazam M.D.[2]
Overview
Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. Findings on CT scan suggestive of hepatoblastoma include well defined heterogeneous mass, frequent areas of necrosis and hemorrhage, and chunky dense calcifications.[1]
CT scan
Abdominal CT scan may be helpful in the diagnosis of hepatoblastoma. Surgeons prefer an angiographic or biphasic CT scan because of better depiction of the hepatic arterial, portal venous and hepatic vein and other liver structures.
- On abdominal CT scan, hepatoblastoma is characterized by:[1]
- Usually seen as a well defined heterogeneous mass, which is usually hypoattenuating compared to surrounding liver.
- Frequently there are with areas of necrosis and hemorrhage. Chunky, dense calcifications may be seen in approximately 40% of cases.
- CT is also able to evaluate the lungs for metastases and for nodal enlargement.
- Spiral CT scan findings of hypervascular lesions in the liver with delayed contrast excretion are highly suggestive of a malignant liver tumor.
- Concerns about radiation exposures in pediatrics has changed this modality in favor of MRI, although MRI is much lengthy exam than CT has the advantage of multiplanar soft-tissue characterization, and when diffusion-weighted imaging techniques are used, MRI is exquisitely sensitive for detecting tiny liver lesions.
Gallery
-
![CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]](/images/5/5e/Hepatoblastoma_CT_scan.jpg)
CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]
-
![CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]](/images/2/2f/Hepatoblastoma_CT_scan2.jpg)
CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]
![CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]](/index.php/File:Hepatoblastoma_CT_scan.jpg)
![CT shows a large heterogenous predominantly hypodense mass lesion arising from right lobe of liver with a chunky calcification.[2]](/index.php/File:Hepatoblastoma_CT_scan2.jpg)