@article{oai:air.repo.nii.ac.jp:00002573,
 author = {CHIBA, Mitsuru and GOTO, Takashi and OHSHIMA, Shigetoshi and MIURA, Kouichi and SHIBUYA, Tomomi and SATO, Wataru and DOHMEN, Takahiro and SEKINE, Masanari and KANATA, Ryo and SAKAI, Toshitaka and MINAMI, Shinichiro and FUJITA, Akashi and OHNISHI, Hirohide},
 issue = {1},
 journal = {秋田医学},
 month = {Jun},
 note = {Objective : Acoustic radiation force impulse (ARFI) technology can measure the elasticity of tissue
and tumor. The aim of this study was to evaluate whether the ARFI technology can differentiate
cavernous hemangioma, hepatocellular carcinoma (HCC) and metastatic liver tumors in
patients with liver dysfunction.
Materials and Methods : Forty patients with liver dysfunction and liver tumors were enrolled
in the study. The shear wave velocities (SWVs) in the tumors and background liver were examined
by ARFI elastography under ultrasonography (US).
Results : The SWVs in livers bearing HCCs were significantly higher than those of livers bearing
cavernous hemangiomas. The SWVs in HCCs and metastatic liver tumors were significantly
higher than those in cavernous hemangiomas. The SWVs in metastatic liver tumors were significantly
higher than those in HCCs. The SWV ratio of metastatic liver tumor/parenchyma was
significantly higher than that of cavernous hemangioma/parenchyma and HCC/parenchyma.
There was a significant correlation between the tumor sizes and the SWVs in metastatic
liver tumors.
Conclusions : We herein demonstrated that ARFI elastography could noninvasively provide helpful
information, without the need for biopsy, that could be used for the differential diagnosis among
cavernous hemangiomas, HCCs and metastatic liver tumors in patients with liver dysfunction.},
 pages = {19--27},
 title = {ACOUSTIC RADIATION FORCE IMPULSE ELASTOGRAPHY FOR THE DIFFERENTIAL DIAGNOSIS OF LIVER TUMORS IN PATIENTS WITH LIVER DYSFUNCTION},
 volume = {42},
 year = {2015}
}