ROLE OF CONTRAST ENHANCED COMPUTED TOMOGRAPHY IN THE EVALUATION OF HEPATIC METASTASES OF GASTROINTESTINAL ORIGIN

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Radiodiagnosis and Intervention, Faculty of Medicine Alexandria University

2 Department of Radiodiagnosis and Intervention Faculty of Medicine Alexandria University

3 Department of Radiodiagnosis and Intervention, Faculty of Medicine, University of Alexandria

Abstract

The liver is a one of the most common sites receiving metastases from many cancers especially those of gastrointestinal origin.
Early diagnosis and differentiation from other hepatic pathologies is crucial as liver metastases are usually asymptomatic and can completely change management protocol.
Many imaging modalities can spot hepatic focal metastases.
Differentiating hepatic metastases from other hepatic focal lesions can be problematic especially when a single liver lesion is discovered in a patient without a known original tumor. So accurate imaging characterization and identification of hepatic metastases is mandatory.
AIM OF THE WORK:
The aim of the study was to evaluate the application of contrast enhanced computed tomography in the characterization of hepatic metastases from GIT origin.
PATIENTS AND METHODS:
Patients:
Our study was conducted on twenty patients known with primary GIT malignancy and having hepatic deposits.
Methods:
• Full history taking.
• Revision of clinical examination.
• Laboratory studies.
• Imaging
 Pelvi-abdominal ultrasound.
 Triphasic CT of the liver: performed using Siemens 64 slices and Philips 16 slices in the twenty patients.
 Triphasic MRI of the liver: performed in one patient.

Keywords