[Comparison of CT arterioportography and spiral CT arterioportography in malignant lesions of the liver].
OBJECTIVE
To determine the value of spiral CT during arterial portography (SCTAP) in detecting and localising focal liver lesions we compared the SCTAP findings to those gained by conventional CT during arterial portography (CTAP).


METHODS
We evaluated a total of CT scans of 128 patients with 162 malignant lesions of the liver. 45 patients underwent SCTAP and 83 patients CTAP. Results of radiological studies were compared with surgical and pathological findings.


RESULTS
The overall sensitivity of SCTAP was 93% with a sensitivity of 80% for lesions of less than 1 cm diameter. For CTAP the overall sensitivity was 88%, but the sensitivity for lesions smaller than 1 cm was only 53%. Although with SCTAP examination of hepatic vasculature and liver parenchyma was continuous, we found no advantage in the localisation of lesions to the liver segments compared to CTAP, and the sensitivity of localisation did not correlate with the size of lesions.


CONCLUSIONS
In our study SCTAP turned out to be a reliable radiological method in the preoperative detection of focal liver lesions, with a high overall sensitivity. SCTAP showed improved sensitivity in the detection of small malignant lesions (< 1 cm) in comparison to CTAP.
Lorenzen
J
J
Abteilung für Röntgendiagnostik, Universitätsklinik Hamburg-Eppendorf.
Nicolas
V
V
Wesner
F
F
Brinken
B
B
Beese
M S
MS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011172:Portography / Q000379:methods*; D011300:Preoperative Care; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed / Q000379:methods*