When Benign Behaves Badly: Atypical Hemangiomas on Contrast-Enhanced Ultrasonography

Melanie P. Caserta; David T. Fetzer; Jordan K. Swensson; Shuchi K. Rodgers; James H. Boyum

doi:10.1097/RUQ.0000000000000555

When Benign Behaves Badly: Atypical Hemangiomas on Contrast-Enhanced Ultrasonography

Melanie P. Caserta, David T. Fetzer, Jordan K. Swensson, Shuchi K. Rodgers, James H. Boyum

Research output: Contribution to journal › Article › peer-review

Abstract

Hemangioma is the most common benign liver tumor and is frequently encountered as an incidental finding on imaging. The classic enhancement pattern of hemangioma is diagnostic on contrast-enhanced ultrasound (CEUS), and it follows the same pattern of enhancement on computed tomography and magnetic resonance imaging. However, there is a subset of hemangiomas that demonstrate atypical enhancement patterns on CEUS. The ability to recognize the different enhancement patterns and discern when additional imaging or biopsy may be necessary is essential to accurately interpret an atypical hemangioma on CEUS. This article reviews various enhancement patterns of hemangioma on CEUS to avoid pitfalls in characterization of focal liver lesions on CEUS.

Original language	English (US)
Pages (from-to)	133-141
Number of pages	9
Journal	Ultrasound Quarterly
Volume	38
Issue number	2
DOIs	https://doi.org/10.1097/RUQ.0000000000000555
State	Published - Jun 3 2022

Keywords

capillary
cavernous
CEUS
hemangioma
sclerosed
ultrasound
washout

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1097/RUQ.0000000000000555

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title = "When Benign Behaves Badly: Atypical Hemangiomas on Contrast-Enhanced Ultrasonography",

abstract = "Hemangioma is the most common benign liver tumor and is frequently encountered as an incidental finding on imaging. The classic enhancement pattern of hemangioma is diagnostic on contrast-enhanced ultrasound (CEUS), and it follows the same pattern of enhancement on computed tomography and magnetic resonance imaging. However, there is a subset of hemangiomas that demonstrate atypical enhancement patterns on CEUS. The ability to recognize the different enhancement patterns and discern when additional imaging or biopsy may be necessary is essential to accurately interpret an atypical hemangioma on CEUS. This article reviews various enhancement patterns of hemangioma on CEUS to avoid pitfalls in characterization of focal liver lesions on CEUS. ",

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AU - Boyum, James H.

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AB - Hemangioma is the most common benign liver tumor and is frequently encountered as an incidental finding on imaging. The classic enhancement pattern of hemangioma is diagnostic on contrast-enhanced ultrasound (CEUS), and it follows the same pattern of enhancement on computed tomography and magnetic resonance imaging. However, there is a subset of hemangiomas that demonstrate atypical enhancement patterns on CEUS. The ability to recognize the different enhancement patterns and discern when additional imaging or biopsy may be necessary is essential to accurately interpret an atypical hemangioma on CEUS. This article reviews various enhancement patterns of hemangioma on CEUS to avoid pitfalls in characterization of focal liver lesions on CEUS.

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When Benign Behaves Badly: Atypical Hemangiomas on Contrast-Enhanced Ultrasonography

Abstract

Keywords

ASJC Scopus subject areas

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