
Have Hepatic Lesion Which Is Hypoechoic Focus And Vascular. Had Itching On Forearms And Symptoms Of Hypoglycemia. Give The Real Statistics?

MRI statistics in indeterminate liver lesions.
Detailed Answer:
Hello Mr.XXXX,
Thankyou for writing to WWW.WWWW.WW
There is a study done on indeterminate liver lesions published in the year 2007 in the journal HPB : The Official Journal of the International Hepato Pancreato Biliary Association (Oxford). In this research, 124 such lesions in 96 patients were evaluated. The final evaluation was done through MRI and these lesions were classified as indeterminate even on CT scan studies.
In brief, MRI definitely characterized 73 lesions (58%) that were indeterminate on CT. MRI was accurate in 72/73 of these lesions. MRI could not definitely characterize 51 lesions (42%). Ten lesions were not visualized on MRI, and follow-up imaging confirmed that no lesion was present in eight of these cases (pseudolesions).
A benign etiology was verified in 90 lesions by histology (n=31), intra-lesional fluid aspiration and cytology with additional CT follow-up (n=5), tagged red blood cell nuclear scans (n=7), serial cross-sectional imaging (n=41), or clinical follow-up (n=6). Serial cross-sectional imaging was performed with CT (n=16), MRI (n=13), sonography (n=2), a combination of CT and MRI (n=6), or a combination of CT and sonography (n=4).
Blinded readers classified each lesion under 1 of 13 possible diagnoses including cyst, hemangioma, focal nodular hyperplasia (FNH), adenoma, focal fatty infiltration or focal fatty sparing, infection, vascular, traumatic, other benign, HCC, cholangiocarcinoma, metastasis, and other malignant lesions.
The researchers found a relatively large number of hemangiomas (n=34), cysts (n = 18), metastases (n=15), HCC (n=14), and FNH (n=13). They also encountered a relatively high number of pseudolesions (n=8).
The complete article can be found by clicking the following link
WWW.WWWW.WW
Any further queries are welcome.
I hope this helps,
Dr. A Rao Kavoor

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
