We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Growth Assessment of Hepatic Venous Malformations—Reply Growth Assessment of Hepatic Venous Malformations

Hani Y. Hasan, MD1; J. Louis Hinshaw, MD2; Emily R. Winslow, MD3
[+] Author Affiliations
1Department of Surgery, Medical College of Wisconsin, Milwaukee
2Department of Radiology, School of Medicine and Public Health, University of Wisconsin, Milwaukee
3Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Milwaukee
JAMA Surg. 2015;150(4):371. doi:10.1001/jamasurg.2014.3933.
Text Size: A A A
Published online


In Reply The letter by Fernandez-Pineda and Sandoval emphasizes the nomenclature of hepatic lesions, focusing on infantile hemangiomas and a perceived discrepancy between the diagnosis of hemangiomas based on radiographic criteria and those diagnoses proposed by the International Society for the Study of Vascular Anomalies. However, our article focuses on a common clinical problem among adults: how to manage patients for whom “hepatic hemangiomas” are identified.1 In clinical practice, there are well-accepted criteria for the diagnosis of hepatic hemangiomas that are universally used and that have been well validated by pathologic diagnosis.2 In fact, studies dating back to the late 1970s and early 1980s have shown that axial imaging with computed tomography and magnetic resonance imaging has been reliable in distinguishing hepatic hemangiomas from other benign and malignant lesions.35 In the interval since that time, imaging technology has improved dramatically, particularly with the introduction of advanced magnetic resonance imaging techniques, and, more recently, reported sensitivities and specificities greater than 90% have been described for computed tomography and magnetic resonance imaging.2,6 Therefore, the radiographic diagnosis of hepatic hemangiomas based on established radiographic criteria should be considered reliable.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





April 1, 2015
Israel Fernandez-Pineda, MD; John A. Sandoval, MD
1Department of Surgery, St Jude Children’s Research Hospital, Memphis, Tennessee
JAMA Surg. 2015;150(4):370-371. doi:10.1001/jamasurg.2014.3930.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...