Computed tomography of the liver

Academic Article

Abstract

  • After two years of experience with CT and over 1800 patient scans in which the liver was included, the major strengths and weaknesses of the technique are becoming apparent. Current technology, which tends to limit the number of examinatins that can be performed per day, has prevented CT from being used as a screening test in our department. Rather, it has been utilized in a 'problem solving' capacity. With specific reference to the liver, CT is used to confirm the presence and clarify the nature of space-occupying lesions seen with radionuclide imaging, differentiate between medical and surgical forms of cholestatic jaundice, and indicate the level and cause of obstruction in the surgical forms. It has been used less frequently to clarify variations of anatomy, localize suspected hepatic or perihepatic inflammatory disease, and assess hepatic trauma. CT has not been used in the primary evaluation of gallbladder disease. However, cholelithiasis, chronic cholecystitus, and complicatins secondary to inflammatory disease of the gallbladder such as abscess formation have all been identified with CT. Most often these findings have been incidental while evaluating some other organ system.
  • Authors

    Published In

    Author List

  • Stanley RJ; Sagel SS; Levitt RG
  • Start Page

  • 331
  • End Page

  • 348
  • Volume

  • 15
  • Issue

  • 3