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A new technique for localization of hepatic tumors that are poorly visible with CT fluoroscopy

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Abstract

The purpose of this study was to report a new technique for localization of hepatic tumors that are poorly visible with CT fluoroscopy. Forty-three hepatocellular carcinomas were not visible with CT fluoroscopy. A 22-gauge Chiba end-hole needle was inserted in the approximate location of a lesion estimated on the basis of anatomical landmarks demonstrated on both previous MR and CT images. We injected 3 ml of a mixture of nonionic contrast material and saline solution. Following the first injection, contrast solution filled the hepatic lesion in 29 of 43 cases. In 8 of 43 cases, contrast solution was distributed in the normal surrounding liver. In 7 of these 8 cases, repositioning allowed us to adjust the needle in the tumor. In the other 6 of 43 cases, contrast solution spread within capsule or pseudocapsule (pattern 3). In all 6 cases, repositioning allowed to adjust the needle in the tumor. This new technique allows an accurate localization of hepatic tumors that are poorly visible with CT fluoroscopy.

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Authors and Affiliations

  1. Department of Radiology, Saint-Antoine Hospital, 184 rue du Faubourg Saint-Antoine, 75571, Paris cedex 12, France

    Lionel Arrivé, Louisa Azizi, Laurence Monnier-Cholley, Maïté Lewin & Jean-Michel Tubiana

  2. Department of Hepatology, Saint-Antoine Hospital, 184 rue du Faubourg Saint-Antoine, 75571, Paris cedex 12, France

    Olivier Rosmorduc

  3. Department of Anesthesia and Intensive Care, Saint-Antoine Hospital, 184 rue du Faubourg Saint-Antoine, 75571, Paris cedex 12, France

    Marc Beaussier

Authors
  1. Lionel Arrivé
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  2. Olivier Rosmorduc
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  3. Louisa Azizi
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  4. Laurence Monnier-Cholley
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  5. Maïté Lewin
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  6. Marc Beaussier
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  7. Jean-Michel Tubiana
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Correspondence to Lionel Arrivé.

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Arrivé, L., Rosmorduc, O., Azizi, L. et al. A new technique for localization of hepatic tumors that are poorly visible with CT fluoroscopy. Eur Radiol 16, 2811–2816 (2006). https://doi.org/10.1007/s00330-006-0231-4

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  • DOI: https://doi.org/10.1007/s00330-006-0231-4

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