Salzburg Weill Cornell Seminar in Diagnostic Imaging Hepatic tumors 9 – 15 October 2011, Salzburg, Austria Siarhei Kharuzhyk, M.D., Ph.D. N.N. Alexandrov.

Slides:

Advertisements

Similar presentations

Joint Hospital Surgical Grand Round

Advertisements

SYSTEMIC HEMANGIOMATOSIS WITH ATYPICAL LIVER HEMANGIOMAS AND DIAPHRAGM INVOLVEMENT Serguey A. Khoruzhik, MD Computed Tomography, Grodno Regional Clinical.

IVC What is this contrast containing structure posterior to the liver? The right, middle and left hepatic veins What are these contrast containing.

Ayman Abdo MD, AmBIM, FRCPC

Tumors of the bile ducts

Maarten van Leeuwen, Joost Nederend and Robin Smithuis

MedPix Medical Image Database COW - Case of the Week Case Contributor: Brittany Ritchie Affiliation: National Capital Consortium.

Consultant Radiologist Prince Sultan Military Medical City

MedPix Medical Image Database COW - Case of the Week Case Contributor: Jason Rexroad Affiliation: Civilian Medical Center.

detection & characterization

Case Report Patient PP Submitted by:Matthew Clower, MSIV Faculty:Sandra Oldham, MD Date:29 August 2007 Radiological Category:Principal Modality (1): Principal.

Gallbladder & bile duct Carcinoma Dr. m. h.khosravi.

Case Report # 1 Submitted by:James Korf, MS4 Faculty reviewer:Sandra Oldham, MD Date accepted:27 August 2014 Radiological Category:Principal Modality (1):

Liver Imaging Reporting and Data System with MR Imaging: Evaluation in Nodules 20 mm or Smaller Detected in Cirrhosis at Screening US Radiology 2015; 275:

Revision Dr Mohamed El Safwany, MD.. Liver CT Blood circulation in the liver comprises two major components: the hepatic artery and the portal vein. After.

Hamid Tavakkoli, MD Associate Prof. of Gastroenterology.

HCC (Hepatocellular carcinoma ) Right Lobe 一塊區域亮起來 Wedge 呈現約在於 S8 應是動靜脈有 shunting 導致在 A-phase 時,S8 的正常 parenchyma 提早 enhancement.

Pancreatic cancer.

SYB Case #2 Jordan Torok Class of 2010 December 11 th, 2008.

Hepatobiliary system structure

Clinical History Patient presents with a palpable upper abdominal mass Patient states possible clinical history of abdominal hernia.

Digestive system Diagnostic imaging department of xuzhou medical college of xuzhou medical college.

 Macroscopic anatomy › External view › The quadrate lobe belongs anatomically to the right lobe and functionally to the left

Hamid Tavakkoli, MD Associate Prof. of Gastroenterology.

Bile ducts Caroli disease  Congenital  Dysplasia with focal dialatations.

Imaging of Focal Nodular Hyperplasia: A Review

Michael J. Campbell, MD Virginia Mason Medical Center Seattle, Washington.

MR of Liver imaging :How I do it? AFIIM -ISRA 2016 MR of Liver imaging: How I do it? Laurence BARANES, Pierre ZERBIB, Frédéric PIGNEUR, Alain LUCIANI,

Liver mass Mazen Hassanain. Radiology Arterial enhancement: adenoma, FNH, hemangioma, HCC, NET mets Portal enhancement: CRC liver mets.

Differential Diagnosis

Benign Liver Masses in HIV Patient

Head and Neck case.

Journal Reading Intern 陳盈元.

CT and PET imaging in non-small cell lung cancer

Radiology of hepatobiliary diseases

Chemotherapy for Liver Metastasis Originating from Colorectal Cancer with Portal Vein Tumor Thrombosis: A Case Report Case Rep Oncol 2013;6:

Fig. 1. Images of preoperative CT showing multiple neck lymph node metastases. Contrast-enhanced CT images showing multiple hyper-enhancing lymph nodes.

FDG PET-CT of Genitourinary and Gynecologic Tumors: Overcoming the Challenges of Evaluating the Abdomen and Pelvis Leslie K. Lee, MD, Aoife Kilcoyne,

TRIBHUVAN UNIVERSITY TEACHING HOSPITAL

Radiologic Findings CT US MR

Interventional Case 2.

Fig year-old man without underlying disease (patient #8). A, B

Early diagnosis and therapeutic choice of Klebsiella pneumoniae liver abscess Jing LI;Ying FU;Ji-Yao WANG;Chuan-Tao TU;Xi-Zhong SHEN;Lei LI;Wei JIANG.

Dig a Little Deeper: Adrenal

Exophytic focal nodular hyperplasia torsion: A rare cause of sudden-onset epigastric pediatric abdominal pain Justin Lee, Mark Molitor, Mouied Alashari,

LIVER MRI Kyung Hee University Hospital Hyoung Jung Kim

Image Challenge Q: What is the diagnosis? 1. Cryptorchidism

CT of the abdomen.

THE ROLE OF MRI AND DWI IN THE DIFFERENTIAL DIAGNOSTIC DILEMMA - METASTATIC MALIGNANT MELANOMA OR HAEMANGIOMA? Bilal Imsirović, Emir Gušo, Zulejha Merhemić,

An avidly enhancing mass is seen in the left lobe on arterial-phase imaging. It is slightly hyperintense on portal-venous-phase imaging but overall isointense.

Chapter 14 Hepatic Tumors, Malignant 1

Fever of unknown origin with liver lesions

Pancreatic tumors imaging: An update

Liver Masses: A Clinical, Radiologic, and Pathologic Perspective

Oren Shaked, Evan S. Siegelman, Kim Olthoff, K. Rajender Reddy

Intravenous leiomyomatosis presenting as acute Budd-Chiari syndrome

Annalisa K. Becker, MD, FRCPC, David K. Tso, MD, Alison C

Abdominal Hemangiomas: A Pictorial Review of Unusual, Atypical, and Rare Types Vijayanadh Ojili, MD, Sree Harsha Tirumani, MD, Gowthaman Gunabushanam,

MR of liver imaging: How I do it?

Functional imaging in liver tumours

Abdominal Extraosseous Lesions of Multiple Myeloma: Imaging Findings

Example of pretreatment (A and B) and 8-week posttreatment (C and D) PET CT images. Example of pretreatment (A and B) and 8-week posttreatment (C and D)

The Role of Contrast-Enhanced Ultrasound in Guiding Radiofrequency Ablation of Hepatocellular Carcinoma Andy K.W. Chan, MD, FRCPC, Chris Hegarty, MB,

EUS targeting of vascular thrombosis: Risky business?

Kirsten Brukamp, MD, Simin Goral, MD, Raymond R. Townsend, MD, Frank E

Multiple liver pseudotumors due to hepatic steatosis and fatty sparing: A non-invasive imaging approach Andrea Delli pizzi, Domenico Mastrodicasa, Barbara.

CT-SCAN & MRI LIRADS 2018 Dr. NGUYỄN HỒ TRÚC LINH - MRI.

Fig. 1. Typical CEUS features of HCC in 60-year-old man with history of right hemihepatectomy for HCC.On arterial (A) and delayed (B) phases of CT, 2.3-cm.

Fig. 1. A 59-year-old woman with an ampulla of Vater (AOV) neuroendocrine tumor. The enhanced pancreatic phase abdominal CT images show (a) a 1.5 cm mass.

Appearance of Focal Liver Lesions Using Contrast-Enhanced Magnetic Resonance Imaging Using Gadofosveset Trisodium, an Intravascular (Blood-Pool) Contrast.

Presentation transcript:

Salzburg Weill Cornell Seminar in Diagnostic Imaging Hepatic tumors 9 – 15 October 2011, Salzburg, Austria Siarhei Kharuzhyk, M.D., Ph.D. N.N. Alexandrov National Cancer Center, Minsk Region, Belarus

Male, 57 y. o. Liver hemangioma on US for 8 y. Pain in the abdomen for 1 month Patient history

Laboratory tests:  Erythrocyte sedimentation rate – 21 mm/hr (upper normal value 15 mm/hr)  The rest of blood tests were normal Patient was sent to abdominal CT/MRI Diagnostic procedures

Native phase CT Tumor in liver segments 1-4 (density 43 HU) on the background of steatosis

Late arterial phase Tumor density 60 HU max. Portal venous phase 97 HU max. Delayed phase 10 min 84 HU max. Do you see something else???

MRI T2w Two hyperintense tumors, the larger one is heterogeneous

MRI T1w CE Delayed enhancement in both tumors Native25 sec.3 min. 6 min.12 min.25 min.

MRI T1w CE at the lower level Native25 sec.3 min. 6 min.12 min.25 min. Larger tumor enhance heterogeneously, no contrast wash-out at 25 min

What is yours conclusion?

Hemangioma in the right liver lobe (segments 7-8) Cholangiocarcinoma in the left liver lobe (segments 1-4) Correct diagnosis

Hemangioma:  Mostly homogeneous high signal on T2w  Lacunar enhancement  Progressive filling from periphery to center  Complete contrast filling in delayed phases Hints to diagnosis

СhС:  Heterogeneously high signal on T2w  Heterogeneous rimlike or bandlike CE  Concentric but incomplete contrast filling (fibrotic component!) Hints to diagnosis “Lacunar-like” enhancement!

СhС:  Dilated bile ducts (!!!)  Enlarged lymph node (metastasis) Hints to diagnosis

Patient underwent left hemihepatectomy with portal hepatic lymph nodes metastases excision Unfortunately, liver and brain metastases developed 4 months after operation Outcome

Thank you for attention!