European Radiology

, Volume 17, Issue 6, pp 1544–1554

Liver haemangioma: common and uncommon findings and how to improve the differential diagnosis

  • Filipe Caseiro-Alves
  • Jorge Brito
  • Antonio Eiras Araujo
  • Pedro Belo-Soares
  • Henrique Rodrigues
  • Augusta Cipriano
  • Daniel Sousa
  • Didier Mathieu
Hepatobiliary-Pancreas

DOI: 10.1007/s00330-006-0503-z

Cite this article as:
Caseiro-Alves, F., Brito, J., Araujo, A.E. et al. Eur Radiol (2007) 17: 1544. doi:10.1007/s00330-006-0503-z

Abstract

Haemangiomas are common focal liver lesions, generally detected in the work-up of asymptomatic patients. From the pathological point of view, they can be classified as small (capillary) or large, with cavernous vascular spaces that may show thrombosis, calcifications and hyalinisation. The polymorphic imaging appearance of haemangiomas depends on their histological features and flow pattern. The widespread use of cross-sectional imaging has allowed an increased detection rate and a better characterisation of this benign tumour. Recent developments of ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) providing high spatial and temporal resolution, together with the use of new contrast agents and/or pulse sequences has broadened the spectrum of imaging findings, contributing to diagnostic refinement in difficult cases. The scope of the present article is to provide an overview of the range of appearances of haemangiomas, explored with recent cross-sectional imaging modalities, emphasising its atypical findings as explored by temporally resolved contrast-enhanced imaging.

Keywords

Ultrasound Computed tomography X-ray computed Magnetic resonance imaging Liver Neoplasms Haemangioma Contrast agents 

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Filipe Caseiro-Alves
    • 1
  • Jorge Brito
    • 1
  • Antonio Eiras Araujo
    • 2
  • Pedro Belo-Soares
    • 1
  • Henrique Rodrigues
    • 1
  • Augusta Cipriano
    • 3
  • Daniel Sousa
    • 2
  • Didier Mathieu
    • 4
  1. 1.Clínica Universitária de ImagiologiaHospitais da Universidade de CoimbraCoimbraPortugal
  2. 2.Department of Diagnostic RadiologyUniversity of Rio de Janeiro 2and Labs-D’Or HospitalRio de JaneiroBrazil
  3. 3.Serviço de Anatomia PatológicaHospitais da Universidade de CoimbraCoimbraPortugal
  4. 4.Centre de RadiologieAix en ProvenceFrance

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