Imaging Evaluation of Portosystemic Collateral Vessels of Liver Cirrhosis by MultiDetector Row Spiral CT Portal Venography_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WU Bi , SONG Bin.

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Liver cirrhosisPortal hypertensionPortosystemic shuntCollateral vesselMultidetector row spiral CT

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ObjectiveTo introduce the technique of threedimensional portal venography of multidetector row spiral CT and its clinical application in the evaluation of the portosystemic collateral shunts of liver cirrhosis. MethodsAll relevant literatures were retrospectively reviewed on the application of twodimensional and threedimensional reconstruction techniques such as MIP, SSD, VRT of multidetector row spiral CT to demonstrate the collateral vessels of liver cirrhosis.ResultsThe distribution, pathway and anatomy of portosystemic collateral vessels were well shown by multidetector row spiral CT portal venography. Conclusion Multidetector row spiral CT portal venography provides excellent depiction of the anatomic characteristics of the collateral shunts and enables the continuous tracing of vascular structures, thus it is very helpful in the imaging evaluation of the collateral vessels of liver cirrhosis.

Citation： WU Bi,SONG Bin.. Imaging Evaluation of Portosystemic Collateral Vessels of Liver Cirrhosis by MultiDetector Row Spiral CT Portal Venography. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 260-262. doi: Copy

1.	Kang HK, Jeong YY, Choi JH, et al. Threedimensional multidetector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis [J]. Radiographics, 2002; 22(5)∶1053.
2.	许崇永, 周翔平, 邓开鸿, 等. 门静脉高压侧支循环CT表现 [J]. 临床放射学杂志, 1999; 18(5)∶280.
3.	Madrazo B, Jafri SZ, Shirkdoa A, et al. Portosystemic collaterals: evaluation with colour Doppler imaging and correlation with CT and MRI [J]. Semin Intervent Radiol, 1990; 7(1)∶169.
4.	Shirkhoda A, Konez O, Shetty AN, et al. Contrastenhanced MR angiography of the mesenteric circulation: a pictorial essay [J]. Radiographics, 1998; 18(4)∶851.
5.	Rydberg J, Buckwalter KA, Caldemeyer KS, et al. Multisection CT: scanning techniques and clinical applications [J]. Radiographics, 2000; 20(6)∶1787.
6.	Fishman EK. From the RSNA refresher courses: CT angiography: clinical applications in the abdomen [J]. Radiographics, 2001; Spec No∶S3.
7.	武洪林, 卢光明. 三维螺旋CT血管成像的临床应用 [J]. 中国医学影像技术, 1996; 12(2)∶150.
8.	李晓兵, 田建明, 王培军. 多层螺旋CT门静脉容积显示技术三维成像 [J]. 中国医学计算机成像杂志, 2002; 8 (1)∶28.
9.	Rubin GD, Dake MD, Napel SA, et al. Threedimensional spiral CT angiography of the abdomen: initial clinical experience [J]. Radiology, 1993; 186(1)∶147.
10.	Calhoun PS, Kuszyk BS, Heath DG, et al. Threedimensional volume rendering of spiral CT data: theory and method [J]. Radiographics, 1999; 19(3)∶745.
11.	Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
12.	Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
13.	Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
14.	Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
15.	Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
16.	Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
17.	Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
18.	Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
19.	Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.

1. Kang HK, Jeong YY, Choi JH, et al. Threedimensional multidetector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis [J]. Radiographics, 2002; 22(5)∶1053.
2. 许崇永, 周翔平, 邓开鸿, 等. 门静脉高压侧支循环CT表现 [J]. 临床放射学杂志, 1999; 18(5)∶280.
3. Madrazo B, Jafri SZ, Shirkdoa A, et al. Portosystemic collaterals: evaluation with colour Doppler imaging and correlation with CT and MRI [J]. Semin Intervent Radiol, 1990; 7(1)∶169.
4. Shirkhoda A, Konez O, Shetty AN, et al. Contrastenhanced MR angiography of the mesenteric circulation: a pictorial essay [J]. Radiographics, 1998; 18(4)∶851.
5. Rydberg J, Buckwalter KA, Caldemeyer KS, et al. Multisection CT: scanning techniques and clinical applications [J]. Radiographics, 2000; 20(6)∶1787.
6. Fishman EK. From the RSNA refresher courses: CT angiography: clinical applications in the abdomen [J]. Radiographics, 2001; Spec No∶S3.
7. 武洪林, 卢光明. 三维螺旋CT血管成像的临床应用 [J]. 中国医学影像技术, 1996; 12(2)∶150.
8. 李晓兵, 田建明, 王培军. 多层螺旋CT门静脉容积显示技术三维成像 [J]. 中国医学计算机成像杂志, 2002; 8 (1)∶28.
9. Rubin GD, Dake MD, Napel SA, et al. Threedimensional spiral CT angiography of the abdomen: initial clinical experience [J]. Radiology, 1993; 186(1)∶147.
10. Calhoun PS, Kuszyk BS, Heath DG, et al. Threedimensional volume rendering of spiral CT data: theory and method [J]. Radiographics, 1999; 19(3)∶745.
11. Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
12. Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
13. Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
14. Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
15. Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
16. Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
17. Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
18. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
19. Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Imaging Evaluation of Portosystemic Collateral Vessels of Liver Cirrhosis by MultiDetector Row Spiral CT Portal Venography

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