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The diagnostic value of Doppler Resistive Index in the differential diagnosis of focal liver lesions

Yi Dong
Yi Dong
, 
Wen-Ping Wang
Wen-Ping Wang
, 
Andre Ignee
Andre Ignee
, 
Dan Zuo
Dan Zuo
, 
Yi-Jie Qiu
Yi-Jie Qiu
, 
Qi Zhang
Qi Zhang
, 
Xiu-Yun Lu
Xiu-Yun Lu
, 
Sheng Chen
Sheng Chen
 oraz 
Christoph Frank Dietrich
Christoph Frank Dietrich
   | 11 maj 2023
Journal of Ultrasonography's Cover Image
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Article Category: Research paper
Data publikacji: 11 maj 2023
Zakres stron: e45 - e52
Otrzymano: 09 paź 2022
Przyjęty: 03 sty 2023
DOI: https://doi.org/10.15557/jou.2023.0010
Słowa kluczowe
© 2023 Yi Dong et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Fig. 1.

The histogram of resistance index (RI) value of different focal liver lesions
The histogram of resistance index (RI) value of different focal liver lesions

Fig. 2.

A 49-year-old man was diagnosed with colorectal adenocarcinoma with multiple liver metastases lesions. On B-mode ultrasound (BMUS), a 66 × 38 mm heterogeneously hypoechoic lesion was detected in the left lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.68 (C)
A 49-year-old man was diagnosed with colorectal adenocarcinoma with multiple liver metastases lesions. On B-mode ultrasound (BMUS), a 66 × 38 mm heterogeneously hypoechoic lesion was detected in the left lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.68 (C)

Fig. 3.

A 29-year-old woman was diagnosed with focal nodular hyperplasia (FNH). On B-mode ultrasound (BMUS), a 70 × 62 mm heterogeneously hypoechoic lesion was detected in the right lobe of the liver (A). Color blood signals were detected within lesion (B) with resistance index (RI) of 0.41 (C)
A 29-year-old woman was diagnosed with focal nodular hyperplasia (FNH). On B-mode ultrasound (BMUS), a 70 × 62 mm heterogeneously hypoechoic lesion was detected in the right lobe of the liver (A). Color blood signals were detected within lesion (B) with resistance index (RI) of 0.41 (C)

Fig. 4.

A 52-year-old woman was diagnosed with intrahepatic cholangiocarcinoma (ICC). On B-mode ultrasound (BMUS), a 42 × 39 mm heterogeneously hypoechoic lesion was detected in the right lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.56 (C)
A 52-year-old woman was diagnosed with intrahepatic cholangiocarcinoma (ICC). On B-mode ultrasound (BMUS), a 42 × 39 mm heterogeneously hypoechoic lesion was detected in the right lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.56 (C)

Fig. 5.

A 66-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 20 × 17 mm slightly hyperechoic lesion was detected in the right lobe of the liver (yellow arrow), under the background of liver cirrhosis (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.71 (C)
A 66-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 20 × 17 mm slightly hyperechoic lesion was detected in the right lobe of the liver (yellow arrow), under the background of liver cirrhosis (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.71 (C)

Fig. 6.

A 54-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 42 × 40 mm mixed echoic lesion was detected in the left lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.70 (C)
A 54-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 42 × 40 mm mixed echoic lesion was detected in the left lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.70 (C)

Fig. 7.

A 71-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 72 × 62 mm mixed echoic lesion was detected in the right lobe of the liver, with ill-defined margin (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.63 (C)
A 71-year-old man was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a 72 × 62 mm mixed echoic lesion was detected in the right lobe of the liver, with ill-defined margin (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.63 (C)

Fig. 8.

A 48-year-old woman was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a huge hyperechoic mass was detected in the right lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.67 (C)
A 48-year-old woman was diagnosed with hepatocellular carcinoma (HCC). On B-mode ultrasound (BMUS), a huge hyperechoic mass was detected in the right lobe of the liver (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.67 (C)

Fig. 9.

A 45-year-old man was diagnosed as with hemangioma. On B-mode ultrasound (BMUS), a 45 × 35 mm mixed echoic mass was detected in the right lobe of the liver, with an ill-defined margin (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.51 (C)
A 45-year-old man was diagnosed as with hemangioma. On B-mode ultrasound (BMUS), a 45 × 35 mm mixed echoic mass was detected in the right lobe of the liver, with an ill-defined margin (A). Color blood signals were detected within the lesion (B) with resistance index (RI) of 0.51 (C)

Comparison of resistance index in hepatocellular carcinoma in different liver background

Group Background Number RI (mean ± SD)
1* normal 82 0.69 ± 0.12
2 Fatty liver 16 0.75 ± 0.11
3* cirrhosis 156 0.73 ± 0.12

Comparison of resistance index in focal nodular hyperplasia lesions (FNH)

Group Number Size of FNH (cm) RI (mean ± SD)
1 3 <2 0.47 ± 0.05
2 28 2–5 0.56 ± 0.07
3 16 5–10 0.54 ± 0.08
4 1 >10 0.49

RIs for different focal liver lesions

Pathological diagnosis Proportion n/all (%) RI (range) RI (mean ± SD)
Malignant lesions 332/458 (72.5%) 0.43–1.00 0.71 ± 0.12
        Hepatocellular carcinoma 254/347 (73.2%) 0.43–1.00 0.72 ± 0.12
        Liver metastasis 30/51 (58.82%) 0.52–1.00 0.70 ± 0.10
        Intrahepatic cholangiocarcinoma 35/44 (79.5%) 0.51–1.00 0.68 ± 0.10
        Mixed hepatocellular Cholangiocarcinoma 3/5 (60%) 0.68–0.82 0.73 ± 0.08
        Sarcomatoid carcinoma 3/4 (72.5%) 0.69–0.72 0.71 ± 0.02
        Epithelioid cell tumor 3/3 (100%) 0.45–0.59 0.51 ± 0.07
Benign lesions 100/118 (84.7%) 0.35 – 0.84 0.54 ± 0.10
        Focal nodular hyperplasia 48/52 (92.3%) 0.40–0.69 0.54 ± 0.08
        Angiomyolipoma 15/16 (93.8%) 0.35–0.72 0.51 ± 0.09
        Hemangioma 14/23 (60.9%) 0.35–0.66 0.51 ± 0.09
        Hepatocellular adenoma 8/9 (88.9%) 0.42–0.66 0.51 ± 0.08
        Inflammatory pseudotumors 4/5 (80%) 0.58–0.84 0.68 ± 0.12

Comparison of resistance index in hepatocellular carcinoma (HCC)

Group Number Size of HCC (cm) RI (mean ± SD)
1* 63 < 2 0.73 ± 0.12
2# 113 2–5 0.75 ± 0.12
3 63 5–10 0.70 ± 0.11
4*, # 15 >10 0.61 ± 0.13
eISSN:
2451-070X
Język:
Angielski
Częstotliwość wydawania:
4 razy w roku
Dziedziny czasopisma:
Medicine, Basic Medical Science, other
Kanał RSS czasopisma