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http://dx.doi.org/10.5392/JKCA.2015.15.09.411

The Objective Image Analysis for HCC and HH with a Axial Image of Liver CT Scan  

Hwang, In-Gil (부산가톨릭대학교 대학원)
Ko, Seong-Jin (부산가톨릭대학교 방사선학과)
Choi, Seok-Yoon (부산가톨릭대학교 방사선학과)
Publication Information
Abstract
To distinguish between HCC and HH is one of the important test methods in determining the treatment method by determining the treatment method by distinguishing malignant growth and benign tumors in liver CT scan. Currently, the specialist is reading CT images by their subjective judgment. So, the purpose of this study is to treat reading the CT images even more objective way. The test times after injection contrast medium in this study are the before injection phase(Pre.), artery phase(35sec), portal phase(70sec) and delay phase(180sec). The general pattern change of HCC in change of contrast enhancement pattern shows 26.6% matching. And the case of HH shows 16.6% matching. In order to observe the change of HU value between HCC and HH, each average values and standard deviation was confirm and as a result, it shows the lagre difference between artery and portal phase in lesion.(HCC$19.76{\pm}23.52$, HH$60.23{\pm}29.43$). And it shows the 76.6% matching in HCC and 80.0% matching in HH. Thorough this study, to suggest a HU value as objective analysis method and if the anlaysis method was used in clinical will assist in the diagnosis.
Keywords
Computed Tomography; Liver CT Scan; Hepatic Cellular Carcinoma; Hepatic Hemangioma;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 J. M. Llovet and J. Bruix, "Hepatocellular carcinoma", Lancet, Vol.362, pp.1907-1917, 2003.   DOI   ScienceOn
2 고성민, 박중화, 이창만, 김성민, 김익수, 김동진, 홍인수, "나선식 CT를 이용한 삼중시기 스캔상 간종괴의 조영증강 양상", 대한방사선의학회지, 제34권, 제5호, pp.621-627, 1996.
3 김홍원, 김윤환, 정환훈, 조성범, 서보경, 김형래, 강창호, 정규병, 서원혁, "결절성 간세포암의 단일 평면 역동적 간동맥조영 CT 소견", 대한방사선의학회지, 제44권, pp.77-84, 2001.
4 이종석, 권대철, 유병규, "흉부 및 복부에서 AEC 적용에 따른 MDCT의 선량감소 효과", 한국콘텐츠학회논문지, 제9권, 제3호, pp.225-231, 2009.   DOI
5 R. L. Baron, Understanding and optimizing use of contrast material for CT of the liver, AJR Vol.163, pp.323-331, 1994.   DOI   ScienceOn
6 R. C. Semelka and C. M. sofka, "Hepatic hemangiomas", Magn Reson Imaaing Clin N Am, Vol.5, pp.241-253, 1997.
7 T. Hosoki, M. Chatani, and S. Moir, "Dynamic computed tomography of hepatocellular carcinoma", AJR, Vol.139, pp.1099-1106, 1982.   DOI   ScienceOn
8 T. Araki, Y. Itai, S. Furui, and A. Tasaka, "Dynamic CT densitometry of hepatic tumors," AJR, Vol.135, pp.1037-1043, 1980.   DOI   ScienceOn
9 윤대영, 최병민, 한준구, 한만청, 나선식, "CT를 이용한 이중기시 역동스캔에서의 간세포암의 조영 양상", 대한방사선의학회지, 제31권, pp.1101-1106, 1994.
10 H. Honda, T. Matsuura, and H. Onitsuka et al, "Differential diagnosis of hepatic tumor(hepatoma, hemangioma, and metastasis) with CT: value of two-phase incremental imaging", AJR, Vol.159, pp.735-740, 1992.   DOI   ScienceOn
11 P. C. Freeny and W. M. Marks, "Patterns of contrast enhancement of benign and malignant hepatic neoplasma during bolus dynamic and delayed CT", Radiology, Vol.160, pp.613-618, 1986.   DOI
12 T. Yamashita, I. Ogata, J. Urata, M. Takahashi, "Cavernous hemangioma of the liver: pathologic correlation with dynamic CT findings," Radiology, Vol.203, pp.121-125, 1997.   DOI
13 D. F. Leslie, C. D. Johnson, C. M. Johnson, D. M. Ilstrup, and W S. Harmesen, "Distiction between cavernous hemangiomas of the liver and hepatic metastases on CT: value of contrast enhancement patterns", AJR, Vol.164, pp.625-629, 1995.   DOI   ScienceOn
14 김영화, 윤종필, 장유진, 김형환, 이상진, 이혜경, 김일영, "삼중시기 나선형 CT를 이용한 간경변증 환자에서의 결절성 간세포암의 조영증강 양상", 순천향의대논문집, 제2권, 제2호, 1996.