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MASSIMO MIDIRI

The cheating liver: imaging of focal steatosis and fatty sparing

  • Authors: Dioguardi Burgio, M.; Bruno, O.; Agnello, F.; Torrisi, C.; Vernuccio, F.; Cabibbo, G.; Soresi, M.; Petta, S.; Calamia, M.; Papia, G.; Gambino, A.; Ricceri, V.; Midiri, M.; Lagalla, R.; Brancatelli, G.
  • Publication year: 2016
  • Type: Articolo in rivista (Articolo in rivista)
  • Key words: CT; fatty sparing; Focal steatosis; liver; MRI; Adipose Tissue; Adult; Aged; Fatty Liver, Alcoholic; Female; Humans; Liver; Male; Middle Aged; Non-alcoholic Fatty Liver Disease; Predictive Value of Tests; Prognosis; Risk Factors; Computed Tomography Angiography; Magnetic Resonance Imaging; Hepatology; Gastroenterology
  • OA Link: http://hdl.handle.net/10447/225727

Abstract

ABSTRACT: Focal steatosis and fatty sparing are a frequent finding in liver imaging, and can mimic solid lesions. Liver regional variations in the degree of fat accumulation can be related to vascular anomalies, metabolic disorders, use of certain drugs or coexistence of hepatic masses. CT and MRI are the modalities of choice for the noninvasive diagnosis of hepatic steatosis. Knowledge of CT and MRI appearance of focal steatosis and fatty sparing is crucial for an accurate diagnosis, and to rule-out other pathologic processes. This paper will review the CT and MRI techniques for the diagnosis of hepatic steatosis and the CT and MRI features of common and uncommon causes of focal steatosis and fatty sparing.