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Variation in Hepatic Segmental Volume Distribution According to Different Causes of Liver Cirrhosis: CT Volumetric Evaluation

Kim, In MD; Jang, Yun-Jin MD; Ryeom, Hunkyu MD; Lee, So Mi MD; Lee, Hui Joong MD; Kim, Gab Chul MD; Kim, Hye Jung MD

Journal of Computer Assisted Tomography: March/April 2012 - Volume 36 - Issue 2 - p 220–225
doi: 10.1097/RCT.0b013e31824afd86
Abdominal Imaging

Objective To investigate if there is difference in hepatic segmental volume distribution according to causes of liver cirrhosis (LC) using computed tomography volumetric analysis.

Methods On computed tomographic scans, hepatic segmental volumes were measured in 90 patients with LC of 4 different causes (alcohol, hepatitis B virus (HBV), hepatitis C virus (HCV), and cryptogenic cirrhosis). The volumetric indices were compared.

Results The volume proportion of the lateral segment in the liver in patients with HBV was significantly higher than in the patients with HCV (P = 0.038). Hepatic volume distribution in alcoholic LC showed differences: larger caudate lobe volume than HBV- and HCV-induced LC (P = 0.029 and P = 0.031), larger right lobe volume (P = 0.043) and smaller proportion of the lateral segment in the liver (P = 0.003) than in HBV-induced LC.

Conclusions Computed tomography volumetric analysis showed differences in hepatic segmental volume distribution in cirrhotic patients according to causes of LC.

From the Department of Radiology, Kyungpook National University Hospital, Jung-Gu, Daegu, Republic of Korea.

Received for publication December 3, 2011; accepted January 12, 2012.

Reprints: Yun-Jin Jang, MD, Department of Radiology, Kyungpook National University Hospital, 200 Dongduk-Ro, Jung-Gu, Daegu 700–721, Republic of Korea (e-mail: yjjang@knu.ac.kr).

The authors report no conflicts of interest.

© 2012 Lippincott Williams & Wilkins, Inc.