The infected liver: radiologic-pathologic correlation. Radiographics : a review publication of the Radiological Society of North America, Inc. [Radiographics] Journal article | | Title | The infected liver: radiologic-pathologic correlation. | | Author(s) | Mortelé KJ, Segatto E, Ros PR | | Institution | Division of Abdominal Imaging and Intervention, Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA. kmortele@partners.org | | Source | Radiographics 2004 Jul-Aug; 24(4):937-55. | | MeSH | Angiomatosis, Bacillary
Animals
Candidiasis
Cat-Scratch Disease
Echinococcosis, Hepatic
Granuloma
HIV Infections
Hepatitis
Hepatitis, Viral, Human
Humans
Liver Abscess
Liver Abscess, Amebic
Magnetic Resonance Imaging
Schistosomiasis
Tomography, X-Ray Computed
Tuberculoma
Tuberculosis, Hepatic
| | Abstract | Recent technologic advances have significantly enhanced the role of imaging in the detection, characterization, and management of infectious diseases involving the liver. In addition, imaging-guided percutaneous drainage has greatly improved the clinical treatment of patients with focal liver abscess. Infectious liver diseases can be accurately evaluated with ultrasonography (US), computed tomography (CT), and magnetic resonance (MR) imaging. Characteristic changes in US echogenicity, CT attenuation, or MR imaging signal intensity and typical enhancement patterns can contribute to the diagnosis of specific infectious diseases, including abscesses, parasitic diseases, fungal diseases, granulomatous diseases, viral hepatitis, and other less common infections. CT is particularly helpful in revealing the presence of calcifications and gas and in detailing the enhancement pattern. The multiplanar capability of MR imaging and its sensitivity to small differences in tissue composition increase its specificity for certain hepatic infections, including hydatid cyst and candidiasis. Radiologic findings may be sufficient to obviate aspiration or histologic examination, although in most instances they are less specific. Nevertheless, imaging findings taken together with appropriate clinical information may provide the most likely diagnosis, even if biopsy is sometimes required for confirmation. | | Language | eng | | Pub Type(s) | Journal Article
Review
| | PubMed ID | 15256619 |
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