Focal Nodular Hyperplasia and Hepatic Adenomas: Differential Diagnosis with Multiphasic Helical CT / 实用放射学杂志

ABSTRACT

Objective To study the methods of differential diagnosis of focal nodular hyperplasia and hepatic adenoma using multiphasic helical CT.Methods The data triphase helical CT of focal nodular hyperplasia (FNH) in 7 cases and hepatic adenomas in 5 cases proved pathologically were aualysed.The number,morphology,size,central scars and calcifications of lesions were observed,and the CT values of lesions and liver parenchyma on plain scan,arterial phase and portal venous phase were measured respectively.Results In 7 cases of FNH , mulitple lesions were present in one case , single lesion was in other 6 cases , totally 10 lesions in which six lesions were larger than 3 cm and four of the other were smaller than 3 cm in diameter , the central scars were detected in 7 cases . Five cases of hepatic adenoma were single and larger than 3 cm in diameter, no central scars were detected . Both focal nodular hyperplasia and hepatic adenoma no calicification could be seen . The study showed no significant difference between mean density values of focal nodular hyperplasia ( 48.18?7.82 ) HU and hepatic adenoma ( 42.54?2.37 ) HU on plain scan . In aterial phase , CT values were significant higher in focal nodular hyperplasia(124.29?18.69) HU than that in hepatic adenoma(83.29?9.09) HU.In the portal venous phase,no significant difference in values were detected between focal nodular hyperplasia(110.51?22.71) HU and hepatic adenoma(123.75?5.01) HU.Conclusion The differential diagnosis of focal nodular hyperplasia and hepatic adenoma can be done by multiphasic helical CT in combination with the quantitative evaluation of the density of liver lesions.