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. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: Cardiovasc Intervent Radiol. 2021 May 21;44(9):1439–1447. doi: 10.1007/s00270-021-02853-x

Table 1.

Biopsy target and tissue results.

Biopsy # CT targeted Location Targeted tissue based on cytology or histopathology POC Reviewers score (mean± SD) Cytology touch preparation Pathology confirmed diagnosis
1 LIRADS 5 / Hypodense part HCC 2.9 ± 0.2 Atypical hepatocytes, favor for HCC Majority of the section has marked micro to normo-vesicular hepatocellular lipidosis. Multifocal areas of moderate lymphocytic infiltrates are observed. A small focus of slightly enlarged hepatocytes double rowed with dilated sinusoids is observed (suspect adenoma)
2 LIRADS 5 / Hypodense part HCC 2.4 ± 0.5 Atypical hepatocytes, favor for HCC The majority of cells have moderate to marked vesiculation, have mild cell size and nuclear size variation, and a few rare large neoplastic cells are observed (HCC).
3 Left lateral lobe Normal 0 ± 0 Mostly blood and benign-appearing hepatocytes No tissue present
4 Left lateral lobe Normal 0 ± 0 Mostly blood and benign-appearing hepatocytes A small piece of only hemorrhage and necrosis and a section of liver with moderate to marked portal lymphocytic infiltrates, biliary hyperplasia and foci of vacuolated cells adjacent to portal areas are observed (chronic hepatitis).
5 Left lateral lobe Normal - Atypical hepatocytes, favor for HCC Within normal liver limits.
6 LIRADS 5 / Hyperdense part HCC 2.1 ± 0.2 Atypical hepatocytes, favor for HCC Mixture of cells with moderate vesiculation and trabeculae of amphophilic neoplastic cells is observed/
7 * LIRADS 5 / Cranial part; normal iver, quadrate obe HCC 2.2 ± 0.3 Atypical hepatocytes, favor for HCC Both sections have areas of normal hepatocytes, mildly vesiculated hepatocytes, trabecular hepatocytes and multiple bizarre giant cells. A few foci of moderate to marked lymphocytic infiltrates are observed (HCC).
7.1 * 2.0 ± 0
8 LIRADS 5 / Hypodense part Normal/Non-diagnostic 0.2 ± 0.4 Non-diagnostic, mostly blood No tissue present.
9 LIRADS 5 / Hypodense part Normal/Non-diagnostic 0.6 ± 0.5 Non-diagnostic, mostly blood No tissue present.
10 Right lateral lobe posterior Normal/Non-diagnostic 0.5 ± 0.5 Non-diagnostic, mostly blood Skeletal muscle and collagen bundles only - no liver present.
*

For biopsy 7, the tissue was divided into two parts after cytology touch preparation and interpretation. The mean± SD for each core represents the average of the POC scores for the five independent reviewers.