In Search of an Exact and Cheap, Radiation and Intervention-Free Method Diagnosis of HCC and Malignant Tumors of the Liver Doppler Study of HCC and Conclusions

Abstract

Introduction: Nevascularization develops around the HCC and malignant tumours of liver in basket form. This leads to increased blood
supply via hepatic artery. We have tried to do quantification of hepatic artery, basket vessels and feeding vessels wherever it is found. We have
accumulated data of liver tumours (malignant) from 2013 to sep.2021 from our colour Doppler centre. Our centre is located in Punjab province
of Pakistan. Here prevalence of hepatitis C in 6.5% which is very high [1]. China has the highest burden of HCV infection cases. Pakistan has the
second highest burden of HCV positive cases [2] This is a retrospective study.
Objective: The purpose of this study was to establish the peak systolic velocity of hepatic artery of hepatis malignant lesion which are found
hepatitis c and hepatitis B related complication.
Materials and Method: Study comprises of 120 patients with almost equal females & males of age 40 to 70 years. It began in April 2013 and
continues. Verbal consent was taken to include in this study. I have studied liver cancers a specially HCC and I am of the opinion that PSV 80cms/
sec should be a cut off value between benign and malignant tumours. Can we set it a gold standard.
Subjects & Methods: Study comprises of 120 patients with almost equal females & males of age 40 to 70 years. It began in April 2013 and
continues, in our outdoor during their USG consultation, with convex probe. The multifrequency transducer 2.5 to 6.0mHz was used. Hepatic
artery was interrogated (seldom) at the head of pancreas with angle correction or in liver along with portal vein without angle correction (as
at this naturally angle is corrected) in fasting state to keep the measurements uniform as food intake profoundly increases the PSV. Basket or
circumferential vessels and feeding vessels were also studied. Results: The normal PSV in normal subjects is 25 to 40cm/sec. It goes upto 60cm/
sec, he normal PSV in normal subjects is 25 to 40cm/sec. It goes upto 60 cm/sec in cirrhotic, if it goes beyond that, portal vein tumor or HCC
will be suspected.we can take PSV of 80 cms/sec a cut off between benign and malignant tumours. Future and further research and validation is
requested to other colleagues

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