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Abstract MDCT with advanced imaging processing is a powerful diagnostic non invasive tool that can clearly illustrate the hepatic arterial anatomy and its anatomical variants. CTA by different imaging processing parameters requires proper technique, including adequate scan protocol, optimization of contrast delivery, and selection of appropriate phase of imaging acquisition. MDCT with advanced imaging processing and CTA allow early detection of hepatic tumors, their number, sizes, segmental location, and hypervascularity. In addition, it can easily differentiate between benign and malignant varieties by visualization of feeding arteries, draining veins, central scars and septations. Also, volume display is an important prerequisite before operative tumoral resection as it determines the respectability of the lesions; as well it can select patients with hepatic metastases who would benefit from hepatic arterial chemotherapy pump implantation. Uncommon hypervascular liver lesions that simulate tumors could be clearly delineated by MDCT with advanced imaging processing; This will reduce the false positive diagnosis of hypervascular hepatic tumors. Key words : MULTI-DETECTOR CT - Focal Nodular Hyperplasia |