TITLE:
CT Study of Liver Pathologies: About a Review of the Literature and Frequency at the Rock Medical Imaging Center (CIMR) in Kinshasa
AUTHORS:
Bibiche Dongo Nekanda, Christian Wa Kabuya Kabongo, Tacite Mazoba Kpanya, Jean-Pierre Muteleshi Tshungu, Michel Tshikwela Lelo, Antoine Aundu Molua, Jean Tshibola Mukaya
KEYWORDS:
CT, Liver Pathologies, Solid Masses, Fluid Masses
JOURNAL NAME:
Voice of the Publisher,
Vol.9 No.4,
December
29,
2023
ABSTRACT: Context and objective: The prevalence of liver pathologies has been increasing since the advent of more sophisticated medical imaging methods. Our objective was to describe the CT aspects of liver pathologies observed at CIMR. Methods: This was a descriptive observational study of a retrospective series of 304 cases received at the ROCHER Medical Imaging Center (CIMR) in Kinshasa over a period of 24 months, going from January 2020 to January 2022. The parameters of the interests were sociodemographic, clinical and CT. Results: The incidence of liver disease in this population was therefore 12.8%. The average age was 55.42 ± 16.6 years with the range from 35 to 71 years with a F/M sex ratio of 1.3. The characterization of a mass and the exploration of cholestasis represented the most frequent indications. Solid lesions classified as LI-RADS 5 were found the most (26.1%) and LI-RADS 4 (18%). Biliary cysts were the fluid masses most frequently found in (42.9%) followed by abscesses (37.1%). Female subjects were in the majority in solid (54%) and fluid (65.7%) masses with a statistically significant difference compared to male subjects (p = 0.001). Furthermore, the average age of patients with solid masses (57.2 ± 9.9 years) was statistically higher (p = 0.031) compared to the average age of patients with fluid masses (49.7 ± 9.8 years). Bile duct dilatations were accompanied by detectable masses in 88.2%. The same observation was made in the dilatations of VBIH and normal VBP (n = 35) which were accompanied by tumor lesion in 88.6%. Out of a total of 146 cases of diffuse pathologies observed, cirrhosis was found in 85% compared to 15% of cases for fatty liver. Conclusion: CT makes it possible to highlight liver pathologies in a certain frequency. Solid lesions classified LI-RADS 5 and LI-RADS 4 are the most common (18%). While biliary cysts and abscesses are the most commonly found fluid masses.