Original Articles
Utility Of CT Scan In Evaluation Of Hepatic Masses | |
Dr. Sunil Kumar Agrawal | |
Background: In middle age, hepatic masses are frequently seen. The present study assessed hepatic masses using CT scan. Materials & Methods: 88 adult patients in age ranges 20- 60 years of either gender were subjected to CT scan. CT images were taken using Siemens 3rd generation spiral CT scan machine. A Triphasic liver CT scan was performed. Serial CT slices was taken at an interval of 5 mm. Results: The age group 20- 30 years had 16 patients, 30- 40 years had 30, 40- 50 years had 32 and 50-60 years had 10. The difference was non- significant (P> 0.05). Common hepatic masses were cholangio carcinoma in 5%, metastasis in 7%, liver abscess in 30%, hemangiomas in 5%, focal nodular hyperplasia in 13%, simple cysts in 24%, hepatocellular carcinoma in 9% and hydatid cysts in 7% cases. The difference was significant (P< 0.05). The sensitivity of CT in detecting hepatic masses found to be 96%, specificity was 94.3%, positive predictive value (PPV) was 98.5% and negative predictive value (NPV)1 was 100%. Conclusion: The study clearly showed that CT is a highly valuable diagnostic tool for the diagnosis of hepatic masses. |
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