ASST "Spedali Civili", P.le Spedali Civili 1, 25123 Brescia, Italy.
ASST "Spedali Civili", P.le Spedali Civili 1, 25123 Brescia, Italy; University of Brescia, P.le Spedali Civili 1, 25123 Brescia, Italy.
Eur J Radiol. 2017 Oct;95:378-398. doi: 10.1016/j.ejrad.2017.08.028. Epub 2017 Sep 1.
Benign focal liver lesions can origin from all kind of liver cells: hepatocytes, mesenchymal and cholangiocellular line. Their features at imaging may sometimes pose difficulties in differential diagnosis with malignant primary and secondary lesions. In particular, the use of MDCT and MRI with extracellular and hepatobiliary Contrast Agents may non invasively help in correct interpretation and definition of hepatocellular or mesenchymal and inflammatory nature, allowing to choose the best treatment option. The peculiarities of main benign liver lesions at US, CT and MRI are described, with special attention to differential diagnosis and diagnostic clues.
肝细胞、间叶细胞和胆管细胞。其影像学特征有时可能会对与原发性和转移性恶性肿瘤的鉴别诊断造成困难。特别是使用多排 CT 和 MRI 联合细胞外和肝胆对比剂可以无创性地帮助正确解读和确定肝细胞、间叶细胞或炎症性质,从而选择最佳的治疗方案。本文主要描述了肝脏良、恶性病变的超声、CT 和 MRI 特点,特别强调了其鉴别诊断和诊断线索。