Limitations of angiographic differential diagnosis in major hepatic processes

O. H. Gutierrez, Josef Rosch

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)

Abstract

In 11 instances (6%) of 183 consecutive hepatic angiograms done for subsequently proven pathologic hepatic processes, either the diagnosis was incorrect (4 patients) or a satisfactory differential diagnosis was not established (7 patients), despite obvious angiographic abnormalities. Incorrect diagnoses were made in patients with suppurative hepatocarcinoma and liver cyst, macronodular regenerative cirrhosis, and multiple intrahepatic abscesses. Satisfactory differential diagnoses could not be established in patients with enlarged intrahepatic ducts, acute viral hepatitis, recurrent cirrhosis and acute liver necrosis. On analysis, means for minimizing diagnostic failure include the use of enhancement techniques such as infusion angiography and pharmacoangiography and an unbiased, detailed analysis of the angiographic findings. Changes secondary to the pathologic process and the coexistence of multiple processes, however, can occasionally prevent an accurate diagnosis.

Original languageEnglish (US)
Title of host publicationFortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin
Pages1-8
Number of pages8
Volume127
Edition1
StatePublished - 1977

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Differential Diagnosis
Liver
Pathologic Processes
Angiography
Liver Cirrhosis
Abscess
Hepatitis
Cysts
Fibrosis
Necrosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Gutierrez, O. H., & Rosch, J. (1977). Limitations of angiographic differential diagnosis in major hepatic processes. In Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin (1 ed., Vol. 127, pp. 1-8)

Limitations of angiographic differential diagnosis in major hepatic processes. / Gutierrez, O. H.; Rosch, Josef.

Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin. Vol. 127 1. ed. 1977. p. 1-8.

Research output: Chapter in Book/Report/Conference proceedingChapter

Gutierrez, OH & Rosch, J 1977, Limitations of angiographic differential diagnosis in major hepatic processes. in Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin. 1 edn, vol. 127, pp. 1-8.
Gutierrez OH, Rosch J. Limitations of angiographic differential diagnosis in major hepatic processes. In Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin. 1 ed. Vol. 127. 1977. p. 1-8
Gutierrez, O. H. ; Rosch, Josef. / Limitations of angiographic differential diagnosis in major hepatic processes. Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin. Vol. 127 1. ed. 1977. pp. 1-8
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