Abstract:
PURPOSE:To determine if a tiny enhancing dot is characteristic of small hemangiomas with low attenuation during the hepatic arterial phase (HAP) and portal venous phase (PVP) of two-phase spiral computed tomography (CT). MATERIALS AND METHODS:Among 249 consecutive patients with 377 hemangiomas who underwent two-phase spiral CT (performed 30 and 65 seconds after the start of injection), 34 hemangiomas in 20 patients were less than 2 cm in diameter, had low attenuation during the HAP and PVP, and showed characteristic findings on dynamic contrast material-enhanced magnetic resonance (MR) images. The CT scans were retrospectively reviewed for tiny enhancing dots and correlated with the MR images. RESULTS:Tiny enhancing dots were found in 26 of 34 hemangiomas (76%). The dots were seen during the HAP and PVP in 15 lesions (58%) and during the PVP alone in 11 lesions (42%). The lesions showed a tendency toward slow fill-in at MR imaging (only four lesions completely filled with contrast material within 5 minutes). The dots seen at CT corresponded to the initial enhancing area at MR imaging. CONCLUSION:Small hemangiomas with persistent low attenuation at two-phase spiral CT can be diagnosed with the "bright dot" sign.
journal_name
Radiologyjournal_title
Radiologyauthors
Jang HJ,Choi BI,Kim TK,Yun EJ,Kim KW,Han JK,Han MCdoi
10.1148/radiology.208.2.9680590subject
Has Abstractpub_date
1998-08-01 00:00:00pages
543-8issue
2eissn
0033-8419issn
1527-1315journal_volume
208pub_type
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