European Journal of Radiology
Volume 64, Issue 3 , Pages 447-455 , December 2007

Centrifugal (inside-out) enhancement of liver hemangiomas: A possible atypical appearance on contrast-enhanced US

  • Tommaso Vincenzo Bartolotta

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +39 091 6552330; fax: +39 091 6552337.
    • ,
  • Adele Taibbi

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Tel.: +39 091 6552330; fax: +39 091 6552337.
    • ,
  • Massimo Galia

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Tel.: +39 091 6552330; fax: +39 091 6552337.
    • ,
  • Giuseppe Lo Re

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Tel.: +39 091 6552330; fax: +39 091 6552337.
    • ,
  • Ludovico La Grutta

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Tel.: +39 091 6552330; fax: +39 091 6552337.
    • ,
  • Roberto Grassi

      Affiliations

    • Institute of Radiology, Second University of Naples, Piazza Miraglia, 80138 Naples, Italy
    • ,
  • Massimo Midiri

      Affiliations

    • Department of Radiology, University of Palermo, Via Del Vespro 127, 90127 Palermo, Italy
    • Tel.: +39 091 6552330; fax: +39 091 6552337.

Received 12 December 2006 ,Revised 26 February 2007 ,Accepted 28 February 2007.

References 

  1. Vilgrain V, Boulos L, Vullierme MP, et al. Imaging of atypical hemangiomas of the liver with pathological correlation. Radiographics. 2000;20(2):379–397
  2. Jang HJ, Kim TK, Lim HK, et al. Hepatic hemangioma: atypical appearances on CT, MR imaging and sonography. AJR. 2003;180(1):135–141
  3. Bartolotta TV, Midiri M, Quaia E, et al. Benign focal liver lesions: spectrum of findings on SonoVue-enhanced pulse-inversion ultrasonography. Eur Radiol. 2005;15(8):1643–1649
  4. Dietrich CF. Characterisation of focal liver lesions with contrast enhanced ultrasonography. Eur J Radiol. 2004;51(Suppl):S9–S17
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  6. Hohmann J, Albrecht T, Hoffmann CW, Wolf KJ. Ultrasonographic detection of focal liver lesions: increased sensitivity and specificity with microbubble contrast agents. Eur J Radiol. 2003;46(2):147–159
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  8. Basilico R, Blomley MJ, Harvey CJ, et al. Which continuous US scanning mode is optimal for the detection of vascularity in liver lesions when enhanced with a second generation contrast agent?. Eur J Radiol. 2002;41(3):184–191
  9. Bartolotta TV, Midiri M, Galia M, et al. Liver haemangiomas undetermined at grey-scale ultrasound: contrast-enhancement patterns with SonoVue and pulse-inversion US. Eur Radiol. 2005;15(4):685–693
  10. Kim S, Chung JJ, Kim MJ, et al. Atypical inside-out pattern of hepatic hemangiomas. AJR. 2000;174(6):1571–1574
  11. Quaia E, Calliada F, Bertolotto M, et al. Characterization of focal liver lesions with contrast-specific US modes and a sulfur hexafluoride-filled microbubble contrast agent: diagnostic performance and confidence. Radiology. 2004;232(2):420–430
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  13. Takayasu K, Moriyama N, Shima Y, et al. Atypical radiographic findings in hepatic cavernous hemangioma: correlation with histologic features. AJR. 1986;146(6):1149–1153
  14. Yu JS, Kim MJ, Kim KW, et al. Hepatic cavernous hemangioma: sonographic patterns and speed of contrast enhancement on multiphase dynamic MR imaging. AJR. 1998;171(4):1021–1025
  15. Yamashita Y, Ogata I, Urata J, et al. Cavernous hemangioma of the liver: pathologic correlation with dynamic CT findings. Radiology. 1997;203(1):121–125
  16. Peterson MS, Baron RL, Rankin SC. Hepatic angiosarcoma: findings on multiphasic contrast-enhanced helical CT do not mimic hepatic hemangioma. AJR. 2000;175(1):165–170
  17. Nicolau C, Vilana R, Catala V, et al. Importance of evaluating all vascular phases on contrast-enhanced sonography in the differentiation of benign from malignant focal liver lesions. AJR. 2006;186(1):158–167
  18. von Herbay A, Vogt C, Haussinger D. Pulse Inversion sonography in the early phase of the sonographic contrast agent Levovist: differentiation between benign and malignant focal liver lesions. J Ultrasound Med. 2002;21(11):1191–2000
  19. Bartolotta TV, Midiri M, Scialpi M, Sciarrino E, Galia M, Lagalla R. Focal nodular hyperplasia in normal and fatty liver: a qualitative and quantitative evaluation with contrast-enhanced ultrasound. Eur Radiol. 2004;14(4):583–591

PII: S0720-048X(07)00132-5

doi: 10.1016/j.ejrad.2007.02.038

European Journal of Radiology
Volume 64, Issue 3 , Pages 447-455 , December 2007

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