Detection of hepatocellular carcinoma capsule by contrast-enhanced ultrasound using Levovist: correlations with pathological findings

Abstract

The arterial phase of CEUS is very useful for detection of HCC capsules and therefore facilitates selection of the most appropriate treatment method for HCC.

Evaluation of Hepatocellular Carcinoma by Contrast-Enhanced Sonography

“…A lesion with fat degeneration shows poor and inhomogeneous enhancement within the adipose portions of the mass (clearly hyperechoic on baseline sonography) and relevant enhancement of the remaining tumor tissue (hypoechoic on baseline imaging). Bhattacharjee et al 35 found the neither enhancement nor the wash‐out pattern correlated with the presence of a capsule. The arterial phase of contrast‐enhanced sonography is very useful for detection of hepatocellular carcinoma capsules.…”

“…With the development of second generation sonographic contrast agents and contrast‐specific imaging techniques, real‐time contrast‐enhanced sonography can be used to visualize lesion perfusion. Contrast‐enhanced sonography has become a useful and less invasive method for characterizing and evaluating the intranodular blood supply of focal liver lesions, and it can indicate pathologic features of hepatocellular carcinomas preoperatively 35 – 37 …”