Trial of a quantitative method for evaluating hemangioma of the liver and hepatocellular carcinoma using a radio-frequency signal.
OBJECTIVE
In recent years, advances in ultrasonographic techniques have allowed the detection of even small hepatocellular carcinomas. However, many cases do not show distinctive ultrasonographic features. A quantitative ultrasonographic procedure for making the diagnosis would therefore be desirable. It is recognized that radio-frequency (RF) signals from hepatic tumors conform to the K distribution. The K distribution is used for the characterization of the statistical properties of backscattering signals from heterogeneous regions. In this study, RF signals were acquired from hemangioma of the liver (hemangioma) and hepatocellular carcinoma (HCC), and parameters of the K distribution, i.e., φ (the mean square of the amplitude of RF signals) and α (the number of effective scatterers), were calculated for the quantitative ultrasonographic evaluation of hepatic tumors.


METHODS
This study included 10 nodules of 10 patients with hemangioma and 27 nodules of 24 patients with HCC. The A-mode RF signals passing through the hepatic tumors were acquired with an Aloka SSD-1000 ultrasound system, and measurement units comprising 279 points were set on the RF signals corresponding to the tumor lesion. The parameters of the K distribution that were most consistent with the histogram were calculated and assessed.


RESULTS
With regard to φ, the values were high in hemangioma, and there was a significant (P < 0.05) difference in the φ value between hemangioma and HCC. On the other hand, there was no significant difference in the α value between hemangioma and HCC.


CONCLUSIONS
The α values of hemangioma were equivalent to those of HCC, while the φ values for hemangioma were higher than those for HCC. It was deduced from these observations that a situation in which an electron beam is likely to scatter exists in the tumor. This is also consistent with the pathological findings reported from previous studies. The use of these parameters is expected to allow quantitative ultrasonographic evaluation of hepatic tumors.
Third Department of Internal Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa Mitaka-shi, Tokyo, 181-8611, Japan. k-kogure@ck9.so-net.ne.jp.
Kazutoki
K
Kogure
K distribution; hemangioma of the liver; hepatocellular carcinoma; radio-frequency signal; ultrasonography