Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Taylor, K. J.
Right arrow Articles by Taylor, C. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Taylor, K. J.
Right arrow Articles by Taylor, C. R.

Radiology, Vol 164, 643-647, Copyright © 1987 by Radiological Society of North America

ARTICLES

Focal liver masses: differential diagnosis with pulsed Doppler US

KJ Taylor, I Ramos, SS Morse, KL Fortune, L Hammers and CR Taylor

Duplex Doppler ultrasound (US) was used in 68 consecutive patients with focal liver lesions, including 12 hepatocellular carcinomas, one cholangiocarcinoma, 37 metastases, 15 hemangiomas, one hemangioendothelioma, and two focal nodular hyperplasias. Of the hepatocellular carcinomas, six were diffusely hyperechoic, two were hypoechoic, two were single hyperechoic lesions, and two were multifocal and hyperechoic. All ten tumors with Doppler shifts of 5 kHz or above proved to be hepatocellular carcinomas. The other two hepatocellular carcinomas showed Doppler shifts of 3 kHz. In contrast, no hemangioma showed shifts above 0.7 kHz, and ten of the 15 gave no detectable signal. Of the metastases, 20 gave no signal and 17 had signals of up to 4 kHz. Three-kilohertz signals were also obtained from a cholangiocarcinoma, a hemangioendothelioma, and focal nodular hyperplasia. Correlation with angiographic findings suggested that the high-velocity Doppler signals were associated with large pressure gradients due to arteriovenous shunting. Duplex Doppler US can therefore aid in the differential diagnosis of diffuse and focal liver lesions.


This article has been cited by other articles:


Home page
 RadiologyHome page
J. H. Byun, T. K. Kim, C. W. Lee, J. K. Lee, A. Y. Kim, P. N. Kim, H. K. Ha, and M.-G. Lee
Arterioportal Shunt: Prevalence in Small Hemangiomas versus That in Hepatocellular Carcinomas 3 cm or Smaller at Two-Phase Helical CT
Radiology, August 1, 2004; 232(2): 354 - 360.
[Abstract] [Full Text] [PDF]

Home page
 RadiologyHome page
T. Isozaki, K. Numata, T. Kiba, K. Hara, M. Morimoto, T. Sakaguchi, H. Sekihara, T. Kubota, H. Shimada, T. Morizane, et al.
Differential Diagnosis of Hepatic Tumors by Using Contrast Enhancement Patterns at US
Radiology, December 1, 2003; 229(3): 798 - 805.
[Abstract] [Full Text] [PDF]

Home page
 J Ultrasound MedHome page
R. I. Feld, K. W. Brown, M. F. Cunnane, C. R. B. Merritt, and P. G. Curcillo
Unusual "To-and-Fro" Doppler Spectral Waveform in Lymph Node Metastasis
J. Ultrasound Med., June 1, 2002; 21(6): 663 - 667.
[Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. D. Moritz, A. Ludwig, and J.-W. Oestmann
Contrast-Enhanced Color Doppler Sonography for Evaluation of Enlarged Cervical Lymph Nodes in Head and Neck Tumors
Am. J. Roentgenol., May 1, 2000; 174(5): 1279 - 1284.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1987 by the Radiological Society of North America.