Differentiating biliary cystadenomas from benign hepatic cysts: Preliminary analysis of new predictive imaging features

Abstract

Objective: To identify performance of imaging features in differentiating hepatic cysts from biliary cystadenomas of the liver.

Methods: 25 pathologically confirmed hepatic cystic lesions (hepatic cysts or biliary cystadenomas) were evaluated retrospectively and predetermined imaging features assessed for performance in differentiation.

Results: Any septation which arose from a cyst wall without external indentation had a very high association with biliary cystadenoma, while the presence of a thick septation had only a moderate association.

Conclusions: The relationship between septations and the wall of the cystic lesion performed better than previously reported features including thick septations.

Keywords: Benign hepatic cyst; Biliary cystadenoma; Cystic hepatic lesion; Lobulation; Septation.