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. 2015 Sep 22:21:2845-50.
doi: 10.12659/MSM.894115.

Clinical Value of Contrast-Enhanced Ultrasound in Diagnosis of Hyperechoic Liver Lesions

Junjie Liu  1 , Dan Wang  1 , Hongxue Li  1 , Hang Li  1 , Ting Zhou  1 , Shengfa Zhao  1 , Zhanling Ding  1
Affiliations

Clinical Value of Contrast-Enhanced Ultrasound in Diagnosis of Hyperechoic Liver Lesions

Junjie Liu et al. Med Sci Monit. .

Abstract

Background: The purpose of this study was to investigate the values of contrast-enhanced ultrasound (CEUS) in the diagnosis and differential diagnosis of hyperechoic liver lesions.

Material and methods: The CEUS findings of 102 patients with hyperechoic liver lesions identified by 2-dimensional ultrasound in the Affiliated Tumor Hospital of Guangxi Medical University were reviewed and analyzed.

Results: A total of 135 lesions were analyzed, of which malignant lesions were found in 72 patients and benign lesions in 63, with a CEUS accuracy rate of 91.11%, which was significantly higher than that of conventional ultrasound (74.81%; P<0.05).

Conclusions: CEUS can improve the accuracy rate of ultrasonography in the diagnosis and differential diagnosis of hyperechoic liver lesions.

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Figures

Figure 1
Figure 1
A 52-year-old man with HCC. (A) Gray-scale ultrasound shows a hyperechoic mass (arrow) in the right lobe of the liver. (B, C) Post-operative pathological examination revealed the well-differentiated hepatocellular carcinoma (solid type) with obvious hepatic fatty degeneration, hemorrhage, and necrosis. (D–F) CEUS image shows hypervascularity in the arterial phase and washout in the portal and late phase.
Figure 2
Figure 2
A 50-year-old man with cirrhotic nodules. (A) Gray-scale ultrasound shows a hyperechoic mass (arrow) in the right lobe of the liver. (B, C) Post-operative pathological examination revealed cirrhotic nodules. (D–F) CEUS image shows even enhancement in 3 phases.
See this image and copyright information in PMC

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