Mühler A, Lüning M
Institut für Röntgendiagnostik, Bereich Medizin (Charité), Humboldt-Universität Berlin.
Rofo. 1990 Dec;153(6):637-44. doi: 10.1055/s-2008-1033456.
In a retrospective study the findings of dynamic CT investigations in 185 patients with histologically confirmed hepatic masses were analysed and related to 47 criteria which have been described in the literature. The criteria with the highest value for making a specific diagnosis have been defined for seven different lesions (abscess, adenoma, FNH, haemangioma, adenocarcinoma metastases, metastases from other tumours, HCC). We found agreement with the literature in the following: the target phenomenon for abscesses, central scarring for FNH, spreading enhancement for haemangiomas and irregularity of the liver contour in the absence of subcapsular tumours for HCC. By combining a number of criteria it was possible to suggest the type of lesion retrospectively. The predictive value was found to range from 73% to 100%, a definite diagnosis was possible in only 64%.
在一项回顾性研究中，分析了185例经组织学证实患有肝脏肿块患者的动态CT检查结果，并将其与文献中描述的47项标准相关联。针对七种不同病变（脓肿、腺瘤、局灶性结节性增生、血管瘤、腺癌转移瘤、其他肿瘤转移瘤、肝细胞癌）定义了对做出特定诊断价值最高的标准。我们在以下方面与文献达成一致：脓肿的靶征、局灶性结节性增生的中央瘢痕、血管瘤的渐进性强化以及肝细胞癌在无包膜下肿瘤时肝脏轮廓的不规则。通过综合多项标准，可以回顾性地提示病变类型。发现预测价值范围为73%至100%，仅64%的病例能够做出明确诊断。
