Preoperative evaluation of potential living donors for liver transplantation: the role of helical computed tomography-angiography

Chan, Jkf; Tso, WK; Lo, Chung‐Mau; Fan, Sheung Tat; Chan, Kelvin; Tam, Pkh; Wei, William I.; Saing, H; Chau, MT; Leong, Lilian; Chan, Frank

doi:10.1016/s0041-1345(98)00991-9

Cited by 16 publications

(7 citation statements)

References 4 publications

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“…Although the spatial resolution of MRI for the evaluation of hepatic arterial anatomy remains inferior to that of DSA, MRA has, in our experience, proven to be an accurate preoperative test for the definition of the portal and hepatic venous anatomy. Several studies have found that CT or MRI can show the anatomy of the hepatic vasculature of a liver donor before transplantation [23][24][25]. Winter et al [23] and Chan et al [24] showed that in liver transplantation candidates, successful 3D CT arteriography was as accurate as catheter angiography for assessing hepatic arterial anatomy.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have found that CT or MRI can show the anatomy of the hepatic vasculature of a liver donor before transplantation [23][24][25]. Winter et al [23] and Chan et al [24] showed that in liver transplantation candidates, successful 3D CT arteriography was as accurate as catheter angiography for assessing hepatic arterial anatomy. Although the risk of radiation exposure and of a reaction to iodinated contrast material is probably low enough to justify the use of CT for the evaluation of the hepatic vasculature of a living liver donor, the superior safety profile of gadolinium-based agents compared with that of the iodinated contrast agents must be considered one merit of MRI [26,27].…”

Section: Discussionmentioning

confidence: 99%

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Gadobenate Dimeglumine-Enhanced Liver MRI as the Sole Preoperative Imaging Technique: A Prospective Study of Living Liver Donors

Lee²,

Suh³

et al. 2006

American Journal of Roentgenology

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OBJECTIVE. The objective of our study was to determine whether gadobenate dimeglumine-enhanced MRI is practical as the sole preoperative imaging technique for the examination of living liver donors.SUBJECTS AND METHODS. Forty-four consecutive living donor candidates underwent liver MRI on a 1.5-T MR unit. The MR examination included in-and opposed-phase T1-weighted gradient-echo imaging, T2-weighted MR cholangiography, MR angiography (MRA) and parenchymal phase imaging after the administration of gadobenate dimeglumine, and 60-minute delayed T1-weighted MR cholangiography. Two abdominal radiologists analyzed the images regarding the depiction of the biliary duct anatomy and the hepatic vascular anatomy and for the presence of focal or diffuse liver disease. The findings were compared with intraoperative cholangiographic and surgical findings in 24 patients who underwent partial hepatectomy.RESULTS. In the 24 patients who underwent liver harvesting, 10 had biliary anatomic variants confirmed by intraoperative cholangiography. T2-weighted MR cholangiography allowed a correct diagnosis in 75% (n = 18/24) and T1-weighted MR cholangiography in 79% (n = 19/24) of these patients. When we evaluated the bile duct anatomy using the combined findings of T2-and T1-weighted MR cholangiographic images, the diagnostic accuracy increased to 92% (n = 22/24), but the difference was not statistically significant (p > 0.05). MRA showed a diagnostic accuracy of 79% (n = 19/24) for the hepatic arterial anatomy, 100% (n = 24/24) for the portal venous anatomy, and 96% (n = 23/24) for the hepatic venous anatomy.CONCLUSION. Gadobenate dimeglumine-enhanced MRI allows comprehensive assessment of the biliary and hepatic vascular systems and the hepatic parenchyma and can serve as the sole preoperative imaging test for living liver donor candidates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Gadobenate Dimeglumine-Enhanced Liver MRI as the Sole Preoperative Imaging Technique: A Prospective Study of Living Liver Donors

Lee²,

Suh³

et al. 2006

American Journal of Roentgenology

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“…Information about the origin and number of arteries that supply the liver and the presence of any variant anatomy is needed. In these patients, left portal vein resection proximal to the origin of the anterior portal vein would compromise portal perfusion to segments IV, V, and VIII, resulting in segmental ischemia and subsequent atrophy [13][14][15][16]18]. Likewise, in patients considered for an intraarterial chemotherapy pump for liver metastasis, hepatic artery mapping is a prerequisite for accurate placement of the pump [10,11].…”

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confidence: 99%

Using Multidetector CT for Preoperative Vascular Evaluation of Liver Neoplasms: Technique and Results

Sahani

Saini

Peña

et al. 2002

American Journal of Roentgenology

101

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“…For these reasons, and if no contra-indication is present, the preferred modality for the pre-simulation imaging should be angio-CT. Both modalities do offer correct visualization of the liver arterial vasculature [39] but only angio-CT permit to depict the tumor arterial vasculature almost as precisely as the DSA (Figure 3 are produced using iodinated contrast medium by subtracting a 'precontrast image' (mask) from later images, once the contrast medium has been introduced into a structure.…”

Section: Sirt Simulationmentioning

confidence: 99%

New Imaging Techniques for 90Y Microsphere Radioembolization

Vouche¹,

Vanderlinden²,

Delatte³

et al. 2011

J Nucl Med Radiat Ther

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Adequate patient selection and treatment planning is crucial for a safe and cost-effective administration of selective internal radiotherapy (SIRT) of malignant liver disease using 90 Y-labelled microspheres. It requires the implementation of multimodality imaging, integrating metabolic, functional and structural characteristics. A multidisciplinary approach is a prerequisite for SIRT, bringing together the knowhow and expertise of radiologists, nuclear medicine physicians, medical physicists, imaging engineers, and radiotherapists. This review discusses the available radiologic (CT/MRI) and nuclear (SPECT/PET) imaging modalities and their specific utility in the different diagnostic phases related to SIRT: wholebody and intrahepatic pre-treatment disease staging, CT and MRI-based angiography, liver-lung shunt assessment, treatment simulation, predictive dosimetry, post-treatment imaging, and SIRT response assessment.

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Preoperative evaluation of potential living donors for liver transplantation: the role of helical computed tomography-angiography

Cited by 16 publications

References 4 publications

Gadobenate Dimeglumine-Enhanced Liver MRI as the Sole Preoperative Imaging Technique: A Prospective Study of Living Liver Donors

Gadobenate Dimeglumine-Enhanced Liver MRI as the Sole Preoperative Imaging Technique: A Prospective Study of Living Liver Donors

Using Multidetector CT for Preoperative Vascular Evaluation of Liver Neoplasms: Technique and Results

New Imaging Techniques for 90Y Microsphere Radioembolization

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