By Steffen Rickes
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Extra resources for Advanced Imaging Modalities
Am J Gastroenterol 2000;95:1926–1931. Endoscopic Ultrasound in Solid Pancreatic Masses 23 Mertz HR, Sechopoulos P, Delbeke D, Leach SD: EUS, PET, and CT scanning for evaluation of pancreatic adenocarcinoma. Gastrointest Endosc 2000;52:367–371. 24 Midwinter MJ, Beveridge CJ, Wilsdon JB, Bennett MK, Baudouin CJ, Charnley RM: Correlation between spiral computed tomography, endoscopic ultrasonography and findings at operation in pancreatic and ampullary tumours. Br J Surg 1999;86:189–193. 25 Legmann P, Vignaux O, Dousset B, Baraza AJ, Palazzo L, Dumontier I, Coste J, Louvel A, Roseau G, Couturier D, Bonnin A: Pancreatic tumors: comparison of dual-phase helical CT and endoscopic sonography.
12 Rickes S, Ocran K, Schulze S, Wermke W: Evaluation of Doppler sonographic criteria for the differentiation of hepatocellular carcinomas and regenerative nodules in patients with liver cirrhosis. Ultraschall Med 2002;23:83– 90. 38 Dig Dis 2004;22:32–38 13 Rickes S, Schulze S, Neye H, Ocran KW, Wermke W: Improved diagnosing of small hepatocellular carcinomas by echo-enhanced power Doppler sonography in patients with cirrhosis. Eur J Gastroenterol Hepatol 2003;15: 893–900. 14 Strobel D, Hoefer A, Martus P, Hahn EG, Becker D: Dynamic contrast-enhanced power Doppler sonography improves the differential diagnosis of liver lesions.
2g), reflecting decreased uptake of SPIO due to decreased Kupffer cells in the tumor. However, many of well-differentiated HCCs show isoin- Dig Dis 2004;22:39–55 41 Fig. 1. HCC in a 64-year-old woman. Unenhanced (a), arterial phase (b), portal venous phase (c), and equilibrium phase (d) images of dynamic helical CT with intravenous contrast medium injection show a hypervascular tumor. The tumor is enhanced during the arterial phase in comparison with the surrounding hepatic parenchyma (arrow). In the equilibrium phase, the tumor shows washout of contrast material and hypoattenuation compared with the surrounding hepatic parenchyma (arrowhead).
Advanced Imaging Modalities by Steffen Rickes