Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT)
Objective: To evaluate the efficacy of color Doppler US and tri-phasic CT in discriminating benign from malignant PVT. Patients and methods: This study included 30 patients presented ultrasonically with PVT and referred for color Doppler US and Tri-phasic CT examination for discriminating the benign...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2015-12-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X15002016 |
| _version_ | 1818408714667819008 |
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| author | Atef H. Teama Aly A. Elbarbary Khaled E. Elhawary Wafaa A. Abusekina |
| author_facet | Atef H. Teama Aly A. Elbarbary Khaled E. Elhawary Wafaa A. Abusekina |
| author_sort | Atef H. Teama |
| collection | DOAJ |
| description | Objective: To evaluate the efficacy of color Doppler US and tri-phasic CT in discriminating benign from malignant PVT. Patients and methods: This study included 30 patients presented ultrasonically with PVT and referred for color Doppler US and Tri-phasic CT examination for discriminating the benign from malignant PVT. The color Doppler US and tri-phasic CT results were compared and correlated with available histopathological results in the patients who had FNAC. Results: Those 30 patients were classified according to US, Tri-phasic CT, lab., findings into two groups: G.(A) included 16 patients with malignant PVT and G.(B) included 14 patients with benign PVT. Intrathrombus pulsatile flow was depicted in 12 patients with malignant PVT (12/16) (75%), while non-depicted in 14 patients with benign PVT with 100% specificity. On tri-phasic CT, neovascularity and an early arterial enhancement of PVT were depicted in 14 cases with malignant PVT with 87.5% sensitivity and non-depicted in 14 benign cases with PVT with 100% specificity. Conclusion: Distinguishing benign from malignant PVT in patients with HCC is required to determine the management plan. The color Doppler study of PVT should be an essential step in evaluation of patients with HCC. The combination of Color Doppler US and tri-phasic CT is common and essential for more accurate evaluation and differentiation of benign from malignant PVT. |
| first_indexed | 2024-12-14T09:48:07Z |
| format | Article |
| id | doaj.art-616b32f4642a472e9be405217dad029b |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-14T09:48:07Z |
| publishDate | 2015-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-616b32f4642a472e9be405217dad029b2022-12-21T23:07:35ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2015-12-0146484785710.1016/j.ejrnm.2015.09.002Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT)Atef H. Teama0Aly A. Elbarbary1Khaled E. Elhawary2Wafaa A. Abusekina3Radiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, EgyptRadiodiagnosis & Medical Imaging Department, Faculty of Medicine, Tanta University, EgyptRadiodiagnosis Department, National Liver Institute, Menoufia University, EgyptRadiodiagnosis Department, Shebin-Elkom Teaching Hospital, EgyptObjective: To evaluate the efficacy of color Doppler US and tri-phasic CT in discriminating benign from malignant PVT. Patients and methods: This study included 30 patients presented ultrasonically with PVT and referred for color Doppler US and Tri-phasic CT examination for discriminating the benign from malignant PVT. The color Doppler US and tri-phasic CT results were compared and correlated with available histopathological results in the patients who had FNAC. Results: Those 30 patients were classified according to US, Tri-phasic CT, lab., findings into two groups: G.(A) included 16 patients with malignant PVT and G.(B) included 14 patients with benign PVT. Intrathrombus pulsatile flow was depicted in 12 patients with malignant PVT (12/16) (75%), while non-depicted in 14 patients with benign PVT with 100% specificity. On tri-phasic CT, neovascularity and an early arterial enhancement of PVT were depicted in 14 cases with malignant PVT with 87.5% sensitivity and non-depicted in 14 benign cases with PVT with 100% specificity. Conclusion: Distinguishing benign from malignant PVT in patients with HCC is required to determine the management plan. The color Doppler study of PVT should be an essential step in evaluation of patients with HCC. The combination of Color Doppler US and tri-phasic CT is common and essential for more accurate evaluation and differentiation of benign from malignant PVT.http://www.sciencedirect.com/science/article/pii/S0378603X15002016Portal vein thrombosisColor Doppler USTri-phasic CT |
| spellingShingle | Atef H. Teama Aly A. Elbarbary Khaled E. Elhawary Wafaa A. Abusekina Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) The Egyptian Journal of Radiology and Nuclear Medicine Portal vein thrombosis Color Doppler US Tri-phasic CT |
| title | Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) |
| title_full | Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) |
| title_fullStr | Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) |
| title_full_unstemmed | Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) |
| title_short | Color Doppler US and tri-phasic CT in differentiating benign from malignant portal vein thrombosis (PVT) |
| title_sort | color doppler us and tri phasic ct in differentiating benign from malignant portal vein thrombosis pvt |
| topic | Portal vein thrombosis Color Doppler US Tri-phasic CT |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X15002016 |
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