Comparison of contrast-enhanced harmonic ultrasonography and power Doppler ultrasonography for depicting vascularity of hepatocellular carcinoma identified by angiography-assisted CT

Takashi Honda, Takashi Kumada, Seiki Kiriyama, Yasuhiro Sone, Makoto Tanikawa, Yasuhiro Hisanaga, Hidenori Toyoda, Hiroki Ishiguro, Sadanobu Ogawa, Kenji Takeshima, Toshiaki Kawachi, Toshio Hibi, Kazuhiko Hayashi, Yoshiaki Katano, Yoshihide Fukuda, Hidemi Goto

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6 Citations (Scopus)

Abstract

The sensitivity of contrast-enhanced harmonic gray scale imaging was compared with that of power Doppler sonography in depicting tumor vascularity and contrast enhancement of hepatocellular carcinoma (HCC) identified by angiography-assisted computed tomography (CT). One hundred thirty-nine classic HCC nodules (108 patients), each appearing as a high-attenuation mass on early-phase CT during hepatic arteriography and as a perfusion defect on CT during arterial portography, were evaluated. Vascular findings and contrast enhancement patterns were evaluated by contrast-enhanced harmonic gray scale imaging. Arterial pulsatile flow into each nodule was checked by power Doppler sonography. Sensitivity of each modality for depicting tumor vascularity was examined by angiography-assisted CT findings as the gold standard. The sensitivity of contrast-enhanced harmonic gray scale imaging (134/139, 96.4%) was significantly greater than that of power Doppler sonography (96/139, 69.1%) (P < 0.05). Twenty-six of twenty-seven nodules (96.3%) in the lateral segment, in which motion artifact is likely, were enhanced by contrast-enhanced harmonic gray scale imaging. Contrast-enhanced harmonic gray scale imaging is more sensitive than power Doppler sonography and is a noninvasive method that can be used as effectively as angiography-assisted CT to evaluate tumor vessels and contrast enhancement of HCC.

Original languageEnglish
Pages (from-to)315-322
Number of pages8
JournalHepatology Research
Volume27
Issue number4
Publication statusPublished - 12-2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Infectious Diseases

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    Honda, T., Kumada, T., Kiriyama, S., Sone, Y., Tanikawa, M., Hisanaga, Y., Toyoda, H., Ishiguro, H., Ogawa, S., Takeshima, K., Kawachi, T., Hibi, T., Hayashi, K., Katano, Y., Fukuda, Y., & Goto, H. (2003). Comparison of contrast-enhanced harmonic ultrasonography and power Doppler ultrasonography for depicting vascularity of hepatocellular carcinoma identified by angiography-assisted CT. Hepatology Research, 27(4), 315-322.