Aim

To determine the role of multi-detectors CT perfusion in differentiating hepatocellular carcinoma from hemangiomas.

Material and Methods

This prospective study included 42 patients underwent multi-detectors computed tomography perfusion (MDCT-P) with detected hepatic focal lesions by MDCT. They are divided into 2 groups: Group I Hepatocellular carcinoma (22 cases, 13 males and 9 females). Group IIHemangiomas (20 patients, 2 males and 18 females).

Results

In group I (Hepatocellular carcinoma) the BF show significant increase (near four times)(mean: 281.9 mm/min/100g) compared with the BF of background liver (72.8 mm/min/100g) with significant P value (0.009). While MTT show significant decrease in HCC (mean was 8.7 sec.) in compared with liver which was (21.5 sec) with 0.001 P value. The PS and BV show no significant changes. In group II (Hemangioma) significant reduction in BV …