Bruneton J N, Kerboul P, Grimaldi C, Normand F, Balu-Maestro C, Rampal P, Delmont J
Department of Radiology, Centre Antoine-Lacassagne, Nice, France.
Gastrointest Radiol. 1988;13(1):45-51. doi: 10.1007/BF01889023.
Hepatic intraarterial lipiodol (HIAL) coupled with computed tomography (CT) was used in a homogeneous series of 138 cases. All patients received 10 ml lipiodol emulsion injected by an arterial route; there were no serious complications. Four semiologic patterns were observed. Aside from nodular regenerative hyperplasia occurring in the absence of cirrhosis, HIAL gave no false-positive indications of tumor, as demonstrated by a series of 20 patients with uncomplicated cirrhosis evaluated for over 12 months. Comparison of ultrasonography, CT, angiography, and HIAL coupled with CT for exploration of hepatomas revealed the marked superiority of HIAL/CT for both tumor detection and lesion localization (search for daughter tumors).
138例患者接受了肝动脉内碘油（HIAL）联合计算机断层扫描（CT）检查。所有患者均经动脉途径注射10ml碘油乳剂，未出现严重并发症。观察到四种影像学表现。除了在无肝硬化情况下出现的结节性再生性增生外，HIAL未出现肿瘤假阳性表现，这在20例未合并并发症的肝硬化患者中进行了超过12个月的评估得以证实。超声检查、CT、血管造影以及HIAL联合CT对肝癌的探查比较显示，HIAL/CT在肿瘤检测和病灶定位（寻找子瘤）方面具有明显优势。
