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June 10, 1968

Two-Dimensional Ultrasounds in Liver Diseases

Author Affiliations

From the Institute of Radiology, University of Milan, and the National Cancer Institute of Milan (Italy).

JAMA. 1968;204(11):963-968. doi:10.1001/jama.1968.03140240019006

A modified two-dimensional ultrasonic pulse-echo technique was used in the diagnosis of liver disease. In all 36 patients studied an abnormal echo pattern was found. In this selected case material there was a good correlation between the clinical, laboratory, isotopic (gold 198), histologic, and ultrasonographic findings. Because of deficiencies in the present equipment and examining techniques, echography cannot yet give a verdict on the nature of a lesion, but it can distinguish between a solid and a cystic lesion. Ultrasonic examination is a useful screening procedure for liver disease, but it must always be used in conjunction with clinical, x-ray, and laboratory data. This simple, rapid, and safe diagnostic tool deserves more extensive study.