Imaging Assessment for Perioperative Period of Liver Transplantation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Xijiao , SONG Bin , CHEN Guangwen.

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaCorresponding Author: SONG Bin, E-mail: ajr.songbin@vip.163.com;

Corresponding author：

Keywords：

Liver transplantation; Perioperative period; Radiology

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Objective 　To review the value of imaging assessment for perioperative period of liver transplantation.
Methods 　The related literatures in recent years were reviewed, and the applications of various kinds of radiological techniques in perioperative period of liver transplantation and radiological strategies of major complications after liver transplantation were summarized.
Results　 Transplantation has become an effective option for treatment of patients with irreversible severe liver dysfunction. Radiological assessment supplies prompt and accurate information for clinic to increase the success rate and reduce the complications. So it plays an irreplaceable role.
Conclusions　Radiology assessment is important for screening donors and recipients before liver transplantation， following up and monitoring the complications. The doctor of imaging department could grasp the different imaging appearance in perioperative period of liver transplantation.

Citation： LIU Xijiao,SONG Bin,CHEN Guangwen.. Imaging Assessment for Perioperative Period of Liver Transplantation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(10): 1102-1105. doi: Copy

1.	Starzl TE, Marchioro TL, Vonkaulla KN, et al. Homotransplantation of the liver in humans [J]. Surg Gynecol Obstet, 1963; 117: 659-676.
2.	Uzochukwu LN, Bluth EI, Smetherman DH, et al. Early postoperative hepatic sonography as a predictor of vascular and biliary complications in adult orthotopic liver transplant patients [J]. AJR Am J Roentgenol, 2005; 185(6): 1558-1570.
3.	Singh AK, Nachiappan AC, Verma HA, et al. Postoperative imaging in liver transplantation: what radiologists should know [J]. Radiographics, 2010; 30(2): 339-351.
4.	Berrocal T, Parrón M, Alvarez-Luque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006; 26(4): 1187-1209.
5.	夏穗生, 于立新, 夏求明. 器官移植学　[M]. 第2版. 上海: 上海科学技术出版社， 2009: 404-490.〖ZK）〗.
6.	Baranski A. Surgical technique of the abdominal organ procurement. http://www.springer.com/medicine/surgery/book/978-1-84800-250-0.
7.	Stell D, Downey D, Marotta P, et al. Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation [J]. Liver Transpl, 2004; 10(9): 1183-1188.
8.	Chong WK. Ultrasound evaluation of liver transplants [J]. Abdom Imaging, 2004; 29(2): 180-188.
9.	Hom BK, Shrestha R, Palmer SL, et al. Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast-enhanced US [J]. Radiology, 2006; 241(1): 267-274.
10.	Basaran C, Agildere AM, Donmez FY, et al. MR cholangiopancreatography with T2-weighted prospective acquisition correction turbo spin-echo sequence of the biliary anatomy of potential living liver transplant donors [J]. AJR Am J Roentgenol, 2008; 190(6): 1527-1533.
11.	Fulcher AS, Turner MA. Orthotopic liver transplantation: evaluation with MR cholangiography [J]. Radiology, 1999; 211(3): 715-722.
12.	Lee DH, Kim SH, Lee JM, et al. Diagnostic performance of multidetector row computed tomography, superparamagnetic iron oxide-enhanced magnetic resonance imaging, and dual-contrast magnetic resonance imaging in predicting the appropriateness of a transplant recipient based on milan criteria: correlation with histopathological findings [J]. Invest 　Radiol, 2009; 44(6): 311-321.
13.	Takahashi S, Murakami T, Takamura M, et al. Multi-detector row helical CT angiography of hepatic vessels: depiction with dual-arterial phase acquisition during single breath hold [J]. Radiology, 2002; 222(1): 81-88.
14.	Caiado AH, Blasbalg R, Marcelino AS, et al. Complications of liver transplantation: multimodality imaging approach [J]. Radiographics, 2007; 27(5): 1401-1417.
15.	Erbay N, Raptopoulos V, Pomfret EA, et al. Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients [J]. AJR Am J Roentgenol, 2003; 181(1): 109-114.
16.	Zhang LJ, Yang GF, Jiang B, et al. Cavernous transformation of portal vein: 16-slice CT portography and correlation with surgical procedure of orthotopic liver transplantation [J]. Abdom Imaging, 2008; 33(5): 529-535.
17.	Schroeder T, Radtke A, Kuehl H, et al. Evaluation of living liver donors with an all-inclusive 3D multi-detector row CT protocol [J]. Radiology, 2006; 238(3): 900-910.
18.	赵廷强, 潘晶晶, 钟燕, 等. 磁共振胰胆管成像与钆贝葡胺增强胆道成像在3T MR上的比较 [J]. 中国医学影像学杂志, 2001; 18(4): 359-362.
19.	唐鹤菡, 刘荣波, 夏春潮, 等. MRCP的3D FRFSE与2D SSFSE成像在3T MRI上的比较 [J]. 华西医学, 2008； 23(5): 1000-1001.
20.	徐鹏举，严福华, 王建华，等. 原位肝移植术前受体血管和肝实质的一次性MRI评价 [J]. 中国医学计算机成像杂志, 2009; 15(1): 46-51.
21.	吴苾, 宋彬. 肝硬变结节性病变的影像学和相关病理学表现 [J]. 中国普外基础与临床杂志, 2003; 10(5): 288-294.
22.	Ametani F, Itoh K, Shibata T, et al. Spectrum of CT findings in pediatric patients after partial liver transplantation [J]. Radiographics, 2001; 21(1): 53-63.
23.	Lorenz JM, Funaki B, Leef JA, et al. Percutaneous transhepatic cholangiography and biliary drainage in pediatric liver transplant patients [J]. AJR Am J Roentgenol, 2001; 176(3): 761-765.
24.	Vaidya S, Dighe M, Kolokythas O, et al. Liver transplantation: vascular complications [J]. Ultrasound Q, 2007; 23(4): 239-253.
25.	Ishigami K, Zhang Y, Rayhill S, et al. Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? [J]. AJR Am J Roentgenol, 2004; 183(6): 1577-1584.
26.	Chong WK, Beland JC, Weeks SM. Sonographic evaluation of venous obstruction in liver transplants [J]. AJR Am J Roentgenol, 2007; 188(6): W515-W521.
27.	Glockner JF, Forauer AR. Vascular or ischemic complications after liver transplantation [J]. AJR Am J Roentgenol, 1999; 173(4): 1055-1059.
28.	García-Criado A, Gilabert R, Bargalló X, et al. Radiology in liver transplantation [J]. Semin Ultrasound CT MR, 2002; 23(1): 114-129.
29.	Berrocal T, Parrón M, Alvarez-Luque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006; 26(4): 1187-1209.
30.	Kinner S, Dechêne A, Ladd SC, et al. Comparison of different MRCP techniques for the depiction of biliary complications after liver transplantation [J]. Eur Radiol, 2010; 20(7): 1749-1756.
31.	Aseni P, Vertemati M, De Carlis L, et al. De novo cancers and post-transplant lymphoproliferative disorder in adult liver transplantation [J]. Pathol Int, 2006; 56(11): 712-715.
32.	Ito K, Siegelman ES, Stolpen AH, et al. MR imaging of complications after liver transplantation [J]. AJR Am J Roentgenol, 2000; 175(4): 1145-1149.
33.	Ronzoni A, Artioli D, Scardina R, et al. Role of MDCT in the diagnosis of hepatocellular carcinoma in patients with cirrhosis undergoing orthotopic liver transplantation [J]. AJR Am J Roentgenol, 2007; 189(4): 792-798.
34.	Friedewald SM, Molmenti EP, DeJong MR, et al. Vascular and nonvascular complications of liver transplants: sonographic evaluation and correlation with other imaging modalities and findings at surgery and pathology [J]. Ultrasound Q, 2003; 19(2): 71-85.
35.	Singh AK, Nachiappan AC, Verma HA, et al. Postoperative imaging in liver transplantation: what radiologists should know [J]. Radiographics, 2010; 30(2): 339-351.

1. 　Starzl TE, Marchioro TL, Vonkaulla KN, et al. Homotransplantation of the liver in humans [J]. Surg Gynecol Obstet, 1963; 117: 659-676.
2. 　Uzochukwu LN, Bluth EI, Smetherman DH, et al. Early postoperative hepatic sonography as a predictor of vascular and biliary complications in adult orthotopic liver transplant patients [J]. AJR Am J Roentgenol, 2005; 185(6): 1558-1570.
3. 　Singh AK, Nachiappan AC, Verma HA, et al. Postoperative imaging in liver transplantation: what radiologists should know [J]. Radiographics, 2010; 30(2): 339-351.
4. 　Berrocal T, Parrón M, Alvarez-Luque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006; 26(4): 1187-1209.
5. 　夏穗生, 于立新, 夏求明. 器官移植学　[M]. 第2版. 上海: 上海科学技术出版社， 2009: 404-490.〖ZK）〗.
6. 　Baranski A. Surgical technique of the abdominal organ procurement. http://www.springer.com/medicine/surgery/book/978-1-84800-250-0.
7. 　Stell D, Downey D, Marotta P, et al. Prospective evaluation of the role of quantitative Doppler ultrasound surveillance in liver transplantation [J]. Liver Transpl, 2004; 10(9): 1183-1188.
8. 　Chong WK. Ultrasound evaluation of liver transplants [J]. Abdom Imaging, 2004; 29(2): 180-188.
9. 　Hom BK, Shrestha R, Palmer SL, et al. Prospective evaluation of vascular complications after liver transplantation: comparison of conventional and microbubble contrast-enhanced US [J]. Radiology, 2006; 241(1): 267-274.
10. 　Basaran C, Agildere AM, Donmez FY, et al. MR cholangiopancreatography with T2-weighted prospective acquisition correction turbo spin-echo sequence of the biliary anatomy of potential living liver transplant donors [J]. AJR Am J Roentgenol, 2008; 190(6): 1527-1533.
11. 　Fulcher AS, Turner MA. Orthotopic liver transplantation: evaluation with MR cholangiography [J]. Radiology, 1999; 211(3): 715-722.
12. 　Lee DH, Kim SH, Lee JM, et al. Diagnostic performance of multidetector row computed tomography, superparamagnetic iron oxide-enhanced magnetic resonance imaging, and dual-contrast magnetic resonance imaging in predicting the appropriateness of a transplant recipient based on milan criteria: correlation with histopathological findings [J]. Invest 　Radiol, 2009; 44(6): 311-321.
13. 　Takahashi S, Murakami T, Takamura M, et al. Multi-detector row helical CT angiography of hepatic vessels: depiction with dual-arterial phase acquisition during single breath hold [J]. Radiology, 2002; 222(1): 81-88.
14. 　Caiado AH, Blasbalg R, Marcelino AS, et al. Complications of liver transplantation: multimodality imaging approach [J]. Radiographics, 2007; 27(5): 1401-1417.
15. 　Erbay N, Raptopoulos V, Pomfret EA, et al. Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients [J]. AJR Am J Roentgenol, 2003; 181(1): 109-114.
16. 　Zhang LJ, Yang GF, Jiang B, et al. Cavernous transformation of portal vein: 16-slice CT portography and correlation with surgical procedure of orthotopic liver transplantation [J]. Abdom Imaging, 2008; 33(5): 529-535.
17. 　Schroeder T, Radtke A, Kuehl H, et al. Evaluation of living liver donors with an all-inclusive 3D multi-detector row CT protocol [J]. Radiology, 2006; 238(3): 900-910.
18. 　赵廷强, 潘晶晶, 钟燕, 等. 磁共振胰胆管成像与钆贝葡胺增强胆道成像在3T MR上的比较 [J]. 中国医学影像学杂志, 2001; 18(4): 359-362.
19. 　唐鹤菡, 刘荣波, 夏春潮, 等. MRCP的3D FRFSE与2D SSFSE成像在3T MRI上的比较 [J]. 华西医学, 2008； 23(5): 1000-1001.
20. 　徐鹏举，严福华, 王建华，等. 原位肝移植术前受体血管和肝实质的一次性MRI评价 [J]. 中国医学计算机成像杂志, 2009; 15(1): 46-51.
21. 　吴苾, 宋彬. 肝硬变结节性病变的影像学和相关病理学表现 [J]. 中国普外基础与临床杂志, 2003; 10(5): 288-294.
22. 　Ametani F, Itoh K, Shibata T, et al. Spectrum of CT findings in pediatric patients after partial liver transplantation [J]. Radiographics, 2001; 21(1): 53-63.
23. 　Lorenz JM, Funaki B, Leef JA, et al. Percutaneous transhepatic cholangiography and biliary drainage in pediatric liver transplant patients [J]. AJR Am J Roentgenol, 2001; 176(3): 761-765.
24. 　Vaidya S, Dighe M, Kolokythas O, et al. Liver transplantation: vascular complications [J]. Ultrasound Q, 2007; 23(4): 239-253.
25. 　Ishigami K, Zhang Y, Rayhill S, et al. Does variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation? [J]. AJR Am J Roentgenol, 2004; 183(6): 1577-1584.
26. 　Chong WK, Beland JC, Weeks SM. Sonographic evaluation of venous obstruction in liver transplants [J]. AJR Am J Roentgenol, 2007; 188(6): W515-W521.
27. 　Glockner JF, Forauer AR. Vascular or ischemic complications after liver transplantation [J]. AJR Am J Roentgenol, 1999; 173(4): 1055-1059.
28. 　García-Criado A, Gilabert R, Bargalló X, et al. Radiology in liver transplantation [J]. Semin Ultrasound CT MR, 2002; 23(1): 114-129.
29. 　Berrocal T, Parrón M, Alvarez-Luque A, et al. Pediatric liver transplantation: a pictorial essay of early and late complications [J]. Radiographics, 2006; 26(4): 1187-1209.
30. 　Kinner S, Dechêne A, Ladd SC, et al. Comparison of different MRCP techniques for the depiction of biliary complications after liver transplantation [J]. Eur Radiol, 2010; 20(7): 1749-1756.
31. 　Aseni P, Vertemati M, De Carlis L, et al. De novo cancers and post-transplant lymphoproliferative disorder in adult liver transplantation [J]. Pathol Int, 2006; 56(11): 712-715.
32. 　Ito K, Siegelman ES, Stolpen AH, et al. MR imaging of complications after liver transplantation [J]. AJR Am J Roentgenol, 2000; 175(4): 1145-1149.
33. 　Ronzoni A, Artioli D, Scardina R, et al. Role of MDCT in the diagnosis of hepatocellular carcinoma in patients with cirrhosis undergoing orthotopic liver transplantation [J]. AJR Am J Roentgenol, 2007; 189(4): 792-798.
34. 　Friedewald SM, Molmenti EP, DeJong MR, et al. Vascular and nonvascular complications of liver transplants: sonographic evaluation and correlation with other imaging modalities and findings at surgery and pathology [J]. Ultrasound Q, 2003; 19(2): 71-85.
35. 　Singh AK, Nachiappan AC, Verma HA, et al. Postoperative imaging in liver transplantation: what radiologists should know [J]. Radiographics, 2010; 30(2): 339-351.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Imaging Assessment for Perioperative Period of Liver Transplantation

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