TRIPHASIC MULTIDETECTOR COMPUTED TOMOGRAPHY IN DETECTION AND CHARACTERISATION OF SOLITARY LIVER LESIONS

Dr. Sambit Kumar Pattanayak; Dr Pravakar Bahinipati; Dr Satya Sundar G Mohapatra

Volume : VII, Issue : VII, July - 2018

TRIPHASIC MULTIDETECTOR COMPUTED TOMOGRAPHY IN DETECTION AND CHARACTERISATION OF SOLITARY LIVER LESIONS

Dr. Sambit Kumar Pattanayak, Dr Pravakar Bahinipati, Dr Satya Sundar G Mohapatra

Abstract :

BACKGROUND :– Focal liver lesions are discrete abnormality arising within liver and are increasingly being discovered with the widespread use of diagnostic imaging modalities. Differentiation of various liver lesions is considered to be critical for determining the treatment options.Triphasic CT has become the primary imaging modality for detection andcharacterization of focal liver lesions. It is an effective aid in determining the number,location, and nature of such lesions and monitoring their size over time.

MATERIALS & METHODS :– This study was carried out on 40 cases diagnosed Chronic Liver Disease suspected to have solitary liver masses, from outpatient departments and indoor wards of various departments, in the department of Radiodiagnosis, Ims & Sum Hospital, Bhubaneswar from July 2015 to August 2017. Patients from both sexes and all ages were included as part of the study.

Results & Conclusions :– The combination of soft tissue characterization and anatomical localization afforded by CT allows radiologists to make a substantial contribution to the preoperative assessment of the patients with Solitary liver lesions.With triphasic multidetector CT (MDCT) there is tremendous improvement in scanning time, tissue resolution and quality of three dimensional (3D) reconstruction. MDCT has ought about newer applications like excellent quality Triphasic CT which will play significant role in solitary hepatic mass lesions. Radiological evaluation with cross sectional modalities, i.e. Triphasic ensures accurate anatomical localization, tumour morphology and state of surrounding structures in benign lesions. In malignant tumours, it is invaluable for staging and provides essential information about the tumour extent that directly affects the surgical approach necessary for curatives resection.