Ultra Sound Evaluation of Patients With Focal Hepatic Mass Lesions

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (293) Last page: (305)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22129

Ultra Sound Evaluation of Patients With Focal Hepatic Mass Lesions
Dipti a Shah1, Vaishali Sanghrajka2
1Professor & Head of Department , 2 3rd year Resident doctor,  Department of Radiodiagnosis, AMC MET Medical College, Sheth L.G.Hospital, Maninagar, Ahmedabad-380008  
Corresponding author email id: vaishalisanghrajka@gmail.com 

Online Published on 02-Jan-2020

ABSTRACT

The aim of this study was to evaluate the role of ultrasound in evaluation of patients  with focal hepatic mass lesions, to study the imaging spectrum of focal hepatic lesions, to study  the relative prevalence of different focal hepatic mass lesions, and to correlate the ultrasound  findings with FNAC and/or CT scan. Methods: The study was prospective and was carried out between December 2018 and April  2019 at the Department of Radiology, AMC MET Medical College and Sheth L.G.Hospital,  Ahmedabad. Total 100 patients having focal hepatic mass lesions diagnosed on ultrasound and  findings confirmed either on CT scan or ultrasound guided aspiration cytology were included in  the study. Confirmation of diagnosis either by CT Scan or ultrasound guided FNAC done prior to  data collection.(Only those patients are included whose ultrasound diagnosis was confirmed  either by ultrasound guided FNAC or CT scan already done.) Results: Out of 100 patients diagnosed by ultrasound, the most common focal hepatic mass  lesions seen in our study were- liver abscess, hemangiomas, hydatid cysts, metastasis, primary  liver tumors and focal areas of contusions/hematoma. Correlating with FNAC and/or CT scan,  ultrasound had an average specificity of 94%, with 100% specificity for common benign lesions  like hemangiomas. Conclusion: Ultrasound is a safe and effective method of detecting focal liver lesion. Its low  cost, easy availability and lack of ionizing radiation and iodinated contrast media makes it most  ideal for imaging the liver. It aids in defining therapeutic decision quickly and allows ultrasound  guided interventions. High degree of specificity of ultrasound diagnosis in the present study  confirms the value of ultrasonographic evaluation of focal liver lesions and suggests that it can  be effectively used in the routine diagnostic work. 

Keywords

focal hepatic mass lesions, liver abscess, metastasis, ultrasound, Fine needle  aspiration cytology (FNAC).