Slow Injection Hepatic Angiography

Malignant lesions of the liver, whether primary or metastatic, may be treated by partial hepatectomy or by continuous intraarterial infusion of cytotoxic agents. These methods of treatment, although usually palliative, require knowledge of the vascular anatomy of the liver, and of the site of the tumour within the liver, information that may be obtained by hepatic angiography. Although angiography for detection of hepatic tumours has been used for more than 20 years (BIERMAN et coll, 1951), and numerous reports have been published (BOIJSEN & ABRAMS 1965, BARTLEY et colI. 1969, KAUDE & RIAN 1971, WATSON & BALTAXE 1971, and others), the results for small, hypovascularized tumours still remain unsatisfactory. The size limit for demonstration of metastatic lesions in the liver with selective hepatic angiography is approximately 0.5 to 1 em for highly vascularized

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