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European Radiology

, Volume 4, Issue 3, pp 238–242 | Cite as

Computed tomography after Lipiodol chemoembolization in hepatocellular carcinoma

  • Carlos Valls
  • Joan-Josep Pamies
  • Concha Sancho
  • Carmen Benasco
  • Joan Figueras
  • Joan Dominguez
  • Eduardo Jaurrieta
  • Xavier Montaña
Original Articles Gastrointestinal Radiology

Abstract

In order to ascertain the patterns of Lipiodol uptake and the diagnostic value of Lipiodol-CT in hepatocellular carcinoma (HCC), we present a retrospective analysis of CT and histological findings after Lipiodol chemoembolization. After chemoembolization 22 consecutive patients with H HCC wer studied with CT and pathological cor relat ion was available in all cases. Two patterns of Lipiodol uptake were defined: nodular (with complete or incomplete Lipiodol retention) and diffuse pattern. Lipiodol-CT demonstrated all principal tumors and 7 satellite CT lesions in 16 cases of nodular pattern, while 13 satellite lesions were not detected. Significant tumor necrosis (mean necrotic rate >90 %) was detected in 13cases of nodular pattern with complete Lipiodol retention. No significant necrosis was present in nodular pattern with incomplete retention, nor in diffuse pattern. Lipiodol-CT remain, an important diagnostic cool in presurgical evaluation of HCC, although some satellite lesions remain undetected. Nodular pattern correlates well with significant necrosis, but diffuse pattern does not.

Key words

Computed tomography (CT) Liver neoplasms Contrast media Lipiodol 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Carlos Valls
    • 1
  • Joan-Josep Pamies
    • 2
  • Concha Sancho
    • 1
  • Carmen Benasco
    • 3
  • Joan Figueras
    • 2
  • Joan Dominguez
    • 1
  • Eduardo Jaurrieta
    • 2
  • Xavier Montaña
    • 1
  1. 1.Department of Diagnostic RadiologyHospital de BellvitgeBarcelonaSpain
  2. 2.Department of SurgeryHospital de BellvitgeBarcelonaSpain
  3. 3.Department of PathologyHospital de BellvitgeBarcelonaSpain

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