By K. Rajender Reddy MD, Thomas Faust MD
ISBN-10: 1556426755
ISBN-13: 9781556426759
- Acute and protracted viral hepatitis
- Non-alcoholic fatty liver illness
- Autoimmune hepatitis
- Cholestatic liver illnesses (PBC and PSC)
- Drug hepatoxicity
- Metabolic liver ailment
- Liver problems in being pregnant
- Liver transplantation
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Additional info for The Clinician's Guide to Liver Disease
Example text
On the portal venous phase image in Image C, the enhancement has decreased. The mass is isoattenuating with the rest of the liver. Figure 1-3. Computed tomography of liver metastasis. The image on the left shows the arterial phase, which demonstrates a liver lesion (arrow) in a patient with colon cancer. The lesion is hypointense, reflecting the hypovascularity of the lesion. The image on the right shows the lesion on the venous contrast phase. Evaluation of the Liver Patient 21 Figure 1-4. Computed tomography of hepatic steatosis.
The advent of helical CT has led to substantial decreases in acquisition time and a great reduction in motion artifact that, in the past, was a result of breathing between the scanning of single slices. Helical CT also permits the imaging of multiple phases in the same study after intravenous contrast administration, for example, the arterial phase after 10 to 30 seconds and the portal venous phase between 50 and 70 seconds, thereby increasing the sensitivity for the detection of hepatic tumors (Figure 1-2) and contrasting them with hepatic metastases (Figure 1-3).
Liver imaging is particularly useful in the evaluation of focal liver lesions, diffuse liver disease, and biliary diseases. Based on the clinical presentation of the patient, different imaging strategies are employed. Table 1-6 summarizes the imaging modalities used in several clinical situations. Imaging is generally indicated in the evaluation of the patient with jaundice or abnormal LFTs and in the patient with suspected or established mass lesions of the liver. In addition, imaging may allow the assessment of cirrhosis and portal hypertension.
The Clinician's Guide to Liver Disease by K. Rajender Reddy MD, Thomas Faust MD
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