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K. Okuda, T. Ohtsuki, H. Obata, M. Tomimatsu, N. Okazaki, H. Hasegawa, Y. Nakajima and K. Ohnishi, “Natural History of Hepatocellular Carcinoma and Prognosis in Relation to Treatment. Study of 850 Patients,” Cancer, Vol. 56, No. 4, 1985, pp. 918-928. doi:10.1002/1097-0142(19850815)56:4<918::AID-CNCR2820560437>3.0.CO;2-E

has been cited by the following article:

• TITLE: Multi-Detector-Row CT Diagnosis of Adrenal Incidentaloma in Patients with Hepatocellular Carcinoma

  AUTHORS: Taisuke Harada, Tamotsu Kamishima, Satoshi Terae, Yuya Onodera, Hiroki Shirato

  KEYWORDS: CT; Adrenal Incidentaloma; Hepatocellular Carcinoma; Lipid-Poor Adrenal Adenomas; Metastatic Adrenal Tumors

  JOURNAL NAME: Advances in Computed Tomography, Vol.2 No.1, March 28, 2013

  ABSTRACT: We investigate the diagnostic reliability of differentiating between lipid-poor adrenal adenomas and metastatic adrenal tumors originating from hepatocellular carcinoma (HCC) using a routine dynamic CT protocol for liver imaging. Eighteen metastatic adrenal tumors originating from HCC and 13 lipid-poor adrenal adenomas were identified. Dynamic CT data were analyzed for CT attenuation of adrenal lesions before and after contrast administration. When a cutoff of 36 HU was set for adrenal lesions at pre-contrast attenuation, the sensitivity and specificity for the diagnosis of metastatic lesions were 94.4%and 92.3%, respectively. Attenuation criteria on pre-contrast CT may help optimize the differentiation between these lesions.