Skip to main content
Log in

“Skip areas” in hepatic steatosis: A sonographic-angiographic study

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

“Skip areas” in focal steatosis describes a newly proposed “subsegmental type” of focal steatosis, which differs in both extent and topography from the more classic “lobar or segmental type” of focal steatosis.

In the subsegmental type of steatosis, fatty infiltration can be considered homogeneous through-out the liver, with the exception of small flattened portions of less affected parenchyma, called “ skip areas.” These regions are mainly located in the subcapsular areas or along the interlobar fissures or the gallbladder bed.

Observations using ultrasound in vivo, as well as on postmortem in vitro angiograms, suggest that both the extent and topography of these skip areas can be explained by local differences in vascular anatomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Scatarige JC, Scott WW, Donovan PJ, Siegelman SS, Sanders RC: Fatty infiltration of the liver: ultrasonographic and computed tomographic correlation.J Ultrasound Med 3:9–14, 1984

    PubMed  Google Scholar 

  2. Scott WW, Sanders RC, Siegelman SS: Irregular fatty infiltration of the liver. Diagnostic dilemmas.AJR 135:67–71, 1980

    PubMed  Google Scholar 

  3. Halvorsem RA, Korobkin M, Ram PC, Thompson W: CT appearance of focal fatty infiltration of the liver.AJR 139:277–281, 1982

    PubMed  Google Scholar 

  4. Lewis E, Bernardino ME, Barnes PA, Parvey HR, Soo C, Chuang VP: The fatty liver: pitfalls in the CT and angiographic evaluation of metastatic disease.J Comput Assist Tomogr 7(2):235–241, 1983

    PubMed  Google Scholar 

  5. Hishikawa J, Itai Y, Tasaka A: Lobar attenuation difference of the liver on computed tomography.Radiology 141:725–728, 1981

    PubMed  Google Scholar 

  6. Taylor KW, Gorelick FS, Rosenfield AT, Riely CA: Ultrasonography of alcoholic liver disease with histological correlation.Radiology 141:157–161, 1981

    PubMed  Google Scholar 

  7. Marchal G, Tshibwabwa-Tumba E, Oyen R, Pylyser K, Goddeeris P: Correlation of sonographic patterns in liver metastases with histology and microangiography.Invest Radiol 20:279–284, 1985

    Google Scholar 

  8. Marchal G, Van Holsbeeck M, Tshibwabwa-Tumba E, Goddeeris P, Fevery J, Oyen R, Adisoejoso B, Baert AL, Van Steenbergen W: Dilatation of the cystic veins in portal hypertension: sonographic demonstration.Radiology 154:187–189, 1985

    PubMed  Google Scholar 

  9. Alpen DH, Sabesin S: Fatty liver: biochemical and clinical aspects. In Schiff L Schiff ER (eds):Disease of the Liver. Philadelphia: JB Lippincott, 1982, pp 813–815

    Google Scholar 

  10. Ducommun J, Goldberg HI, Korobkin M, Moss AA, Kressel HY: The relation of liver fat to computed tomography numbers: a preliminary experimental study in rabbits.Radiology 130:511–513, 1979

    PubMed  Google Scholar 

  11. Kawata R, Sakata K, Kunieda T, Saji S, Doi H, Nozawa Y: Quantitative evaluation of fatty liver by computed tomography in rabbits.AJR 142:741–746, 1984

    PubMed  Google Scholar 

  12. Foster KJ, Dewburg KC, Griffith AH, Wright R: The accuracy of ultrasound in the detection of fatty infiltration of the liver.Br J Radiol 53:440–442, 1980

    PubMed  Google Scholar 

  13. Gale ME, Gerzof SG, Robbins AH: Portal architecture: a differential guide to fatty infiltration of the liver on computed tomography.Gastrointest Radiol 8:231–236, 1983

    PubMed  Google Scholar 

  14. Patel S, Sandier CM, Rauschkolb EN, McConnell BJ:133Xe uptake in focal hepatic fat accumulation: CT correlation.AJR 138:541–544, 1982

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marchal, G., Tshibwabwa-Tumba, E., Verbeken, E. et al. “Skip areas” in hepatic steatosis: A sonographic-angiographic study. Gastrointest Radiol 11, 151–157 (1986). https://doi.org/10.1007/BF02035058

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02035058

Key words

Navigation