Barnett P H, Zerhouni E A, White R I, Siegelman S S
AJR Am J Roentgenol. 1980 Mar;134(3):439-47. doi: 10.2214/ajr.134.3.439.
Computed tomography (CT), using a sequential timed scanning technique, was performed on six patients with hepatic cavernous hemangiomas. Initial examination shows a moderately homogeneous circumscribed area with reduced attenuation values. Serial scans after injection of a bolus of contrast material show early peripheral opacification while the central part of the lesion retains low attenuation values for several minutes. Later scans demonstrate a variable degree of "filling in" of the central part of the hemangioma. If the characteristic appearance of this lesion is recognized, confusion with other ominous lesions and biopsy can be avoided. Because of limited experience, the described pattern may not be absolutely pathognomonic for hemangioma, so angiography is currently advised to confirm the diagnosis.
采用序贯定时扫描技术对6例肝海绵状血管瘤患者进行了计算机断层扫描(CT)。初始检查显示有一个边界清晰、密度略均匀降低的区域。注射一剂造影剂后的系列扫描显示早期周边强化,而病变中央部分在数分钟内仍保持低密度值。后续扫描显示血管瘤中央部分有不同程度的“填充”。如果认识到该病变的特征性表现,就可以避免与其他恶性病变混淆及进行活检。由于经验有限,所描述的表现可能并非肝血管瘤绝对的特征性表现,因此目前建议进行血管造影以确诊。