Abstract
We performed waveform analysis of the efferent signal detected within early hepatocellular carcinomas and borderline lesions, in which portal flow was demonstrated. Continuity of this flow with the surrounding vessels was also analyzed. Nine nodules in 7 patients with early hepatocellular carcinomas and borderline lesions were included in this study. Tumor diameter ranged from 1.2 to 3.5 cm; average, 2.1 cm. Waveform of the efferent flow signal from within these nodules was continuous in 5 nodules and biphasic venous in 4 nodules. Outside the nodules, the waveform of the efferent flow signal was that of a biphasic venous wave. All efferent signals were confirmed to continue in the hepatic vein. These findings thus suggest that the draining vessel in early hepatocellular carcinomas and their borderline lesions is the hepatic vein.
Similar content being viewed by others
References
Nakashima T, Shindai M: Hepatocellular Carcinma, New York, NY: Springer-Verlag; 1986. [in Japanese]
Nakao N, Mitsuura T, Hayashi T, et al: Blood flow and cancer diagnostics: hemodynamics of hepatocellular carcinoma and diagnostic imaging. The Journal of Clinical Science 1986;22: 533–540. [in Japanese]
Tomita S: Textbook of Abdominal Diagnostics with Color Doppler. Tomita S, ed. Tokyo: Bunkodo; 1992. [in Japanese]
Tochio H, Iwasaki N, Hamada K, et al: Ultrasonographic imaging of hepatic blood flow. Kensa to Gijutsu 1996;24: 201–210. [in Japanese]
Tanaka K, Okasaki H, Nakamura S, et al: Color Dopper sonographic features of hepatocellular carcinoma and evaluation of the Effect of transcatheter arterial embolicatin. Japanese Journal of Medical Ultrasonics 1991;18: 429–435. [in Japanese]
Tohara K: Evaluation of the hemodynamics of liver masses by ultrasonic Doppler method. Usefulness in differential diagnosis of tumor. Acta Hepatologica Japanica 1991;32: 843–851. [in Japanese]
Tanaka S, Kitamura T, Fujita M, et al: Small hepatocellular carcinoma: differentiation from adenomatous hyperplastic nodule with color Doppler flow imaging.Radiology 1992;182: 161–165.
Tochio H, Tomita S, Kudo M, et al: Efferent blood flow from various liver tumor. Demonstration by color Dopper imaging. Jpn J Med Ultrasonics 1992;19: 848–856. [in Japanese]
Nimura M, Yamanaka T, Arai Y, et al: Color Doppler angiography in various liver disorders. Acta Hepatologica Japanica 1994;35: 289–296. [in Japanese]
Tochio H, Tomita S, Kudo M, et al: The draining vessel of advanced hepatocellular carcinoma. Assessment of color Doppler findings in comparison with hsitopathological findings. Acta Hepatologica Japanica 1999;40: 243–252.
Tochio H, Kudo M, Tomita S, et al: Color Doppler diagnosis of small nodules associated with chronic liver disease. meaning of affect continuous wave from signals. Jpn J Med Ultrasonics 1997;24: 1025–1033.
Kojiro M, Sugihara S, Nakashima O: Pathomorphologic characteristics of early hepatocellular carcinoma. GANN Monograph onCancer Res 1991;38: 29–37.
Kudo M, Tomita S, Tochio H, et al: Hemodynamic characteristics of early stage hepatocellular carcinoma. in vivo eraluation with vascular images. Acta Hepatologica Japanica 1992;33: 283–291.
Ueda K, Matsui O, Kawamori Y, et al: Hypervascular hepatocellular carcinoma: evaluation of hemodynamics with dynamic CT during hepatic arteriography.Radiology 1998;206: 161–165.
Author information
Authors and Affiliations
About this article
Cite this article
Tochio, H., Tomita, S., Kudo, M. et al. The efferent blood flow of early hepatocellular carcinoma and borderline lesions: Demonstration by color Doppler imaging. J Med Ultrasonics 29, 205–209 (2002). https://doi.org/10.1007/BF02480851
Issue Date:
DOI: https://doi.org/10.1007/BF02480851