Arterial phase CT for early detection of HCC in cirrhotic patients

Objective: To know the effectiveness of EarlyArterial phase CT in detecting the small focusof HCC in Cirrhotic Patient

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Material andMethods: 135 patient of Cirrhosis werescanned on a Multislice CT scanner with boluschase contrast tracking. All the patient had amass lesion on Ultrasound. Inclusion criterionwas a solitary lesion in the liver. The patientwere scanned in arterial phase, Portal venousphase and delayed phase CT. The scans weredone with an injector using a 100 ml of contrastvolume with the flow rate of 3.5ml / sec

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Findings Total lesions identified on scans were210 on early arterial phase of the imaging. 145in portal venous phase and 142 in delayedphase. 43 patient showed multiple lesions -31.8%. That is to suggest that ultrasoundpicked less lesions as compared to CTMaximum number of 210 lesions wereappreciated in early arterial phase of the CT

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Conclusion: Early Arterial phase CT is betterfor early detection of smaller sized HCC