Limitations of angiographic differential diagnosis in major hepatic processes

O. H. Gutierrez, J. Roesch

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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)
Pages (from-to)1-8
Number of pages8
JournalFortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin
Volume127
Issue number1
DOIs
StatePublished - Jan 1 1977

ASJC Scopus subject areas

  • Medicine(all)

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