The greatest achievement of methods allowing
to visualize nidal changes in liver is the development of 3D NLS. H. Leiss et
al., have proven that 3D NLS gives in consecutive studies more precise and
repeatable results of focal hepatic affections changes than 2D NLS and even CT.
It is very important, because an amount of planned treatment depends on a
condition of affected area. As soon as results of 3D NLS are comparable to
results of CT, 3D NLS may be used for dynamic monitoring of patients as an
alternative for CT. 3D NLS may be useful in monitoring of patients with
inoperable tumors or, vice versa, at planning of liver resection amount,
definition of tumor and major hepatic structures topography, volume of healthy
hepatic parenchyma, remaining after resection. Using 3D NLS it is possible to
determine direction of a needle at interventional procedures, including biopsy,
aspiration, injection of therapeutic agents. The method allows not only to
diagnose, but to get accurate evaluation of echinococcus cyst condition, carry
out it aspiration, alcoholisation, and, if necessary after evaluation of
treatment effect, reaspiration.
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