Diagnosis of hepatocellular carcinoma using tumor Doppler signals

We investigated 67 liver tumors in 56 patients from the body surface and 27 liver tumors in 21 patients from the liver surface (during operation) using a B-mode combined duplex Doppler ultrasonography, and compared the Doppler flow signals with the histologic and angiographic findings. 1) We obtaine...

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Veröffentlicht in:Nippon Shokakibyo Gakkai Zasshi 1988, Vol.85(9), pp.1649-1655
Hauptverfasser: NAKAMURA, Takefumi, MORIYASU, Fuminori, KAWASAKI, Toshihiko, KIMURA, Tohru, YAMASHITA, Yukitaka, BAN, Nobuyuki, TAMADA, Takashi, ONO, Shigeki, NISHIDA, Osamu, UCHINO, Haruto, OZAWA, Kazue
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container_end_page 1655
container_issue 9
container_start_page 1649
container_title Nippon Shokakibyo Gakkai Zasshi
container_volume 85
creator NAKAMURA, Takefumi
MORIYASU, Fuminori
KAWASAKI, Toshihiko
KIMURA, Tohru
YAMASHITA, Yukitaka
BAN, Nobuyuki
TAMADA, Takashi
ONO, Shigeki
NISHIDA, Osamu
UCHINO, Haruto
OZAWA, Kazue
description We investigated 67 liver tumors in 56 patients from the body surface and 27 liver tumors in 21 patients from the liver surface (during operation) using a B-mode combined duplex Doppler ultrasonography, and compared the Doppler flow signals with the histologic and angiographic findings. 1) We obtained three types of Doppler signals from the central and marginal areas of the tumor as follows: pulsatile-arterial (originating from arterial flow), pulsatile-nonarterial (mainly originating from hepatic venous flow), and non-pulsatile (mainly originating from portal venous flow). 2) The more hypervascular the tumor was, the higher the velocity of the signal obtained. 3) We obtained the arterial Doppler signals with a velocity greater than 70cm/sec (high-velocity arterial signals) from 6 out of 6 hepatocellular carcinomas where angiography demonstrated the existence of arterio-portal shunts. These findings indicate that ultrasonic Doppler signals are helpful in diagnosing the type of hepatic tumor, especially hepatocellular carcinoma.
doi_str_mv 10.11405/nisshoshi1964.85.1649
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subjects Carcinoma, Hepatocellular - blood supply
Carcinoma, Hepatocellular - diagnosis
Humans
Liver Neoplasms - blood supply
Liver Neoplasms - diagnosis
Ultrasonography
title Diagnosis of hepatocellular carcinoma using tumor Doppler signals
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