Three-dimensional multi-detector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis

被引:88
作者
Kang, HK [1 ]
Jeong, YY [1 ]
Choi, JH [1 ]
Choi, S [1 ]
Chung, TW [1 ]
Seo, JJ [1 ]
Kim, JK [1 ]
Yoon, W [1 ]
Park, JG [1 ]
机构
[1] Chonnam Natl Univ, Sch Med, Dept Diagnost Radiol, Dong Ku, Gwang Ju 501757, South Korea
关键词
hypertension; portal; liver; cirrhosis; portal vein; CT; shunts; portosystemic;
D O I
10.1148/radiographics.22.5.g02se011053
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Multi-detector row computed tomography (CT) offers distinct advantages over traditional spiral CT. Multi-detector row CT scanners are faster and allow thinner collimation than single-detector row spiral CT scanners. The use of multi-detector row CT combined with postprocessing of the imaging data with a variety of three-dimensional reformatting techniques (eg, maximum intensity projection, shaded surface display, volume rendering) allows creation of vascular maps whose quality equals or exceeds that of maps created at classic angiography for many applications. Three-dimensional multi-detector row CT portal venography can help determine the extent and location of portosystemic collateral vessels (eg, left gastric vein, short gastric vein, esophageal and paraesophageal varices, splenorenal and gastrorenal shunts, paraumbilical and abdominal wall veins) in patients with liver cirrhosis and is probably the optimal imaging technique in this setting. (C)RSNA, 2002.
引用
收藏
页码:1053 / 1061
页数:9
相关论文
共 27 条
[1]   Portal vein embolism [J].
Abbasakoor, F ;
Singhvi, R ;
Roberts, A ;
Carr, ND .
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 1999, 92 (04) :197-198
[2]   GASTROHEPATIC LIGAMENT - NORMAL AND PATHOLOGIC CT ANATOMY [J].
BALFE, DM ;
MAURO, MA ;
KOEHLER, RE ;
LEE, JKT ;
WEYMAN, PJ ;
PICUS, D ;
PETERSON, RR .
RADIOLOGY, 1984, 150 (02) :485-490
[3]   Three-dimensional volume rendering of spiral CT data: Theory and method [J].
Calhoun, PS ;
Kuszyk, BS ;
Heath, DG ;
Carley, JC ;
Fishman, EK .
RADIOGRAPHICS, 1999, 19 (03) :745-764
[4]   VARICES IN PORTAL-HYPERTENSION - EVALUATION WITH CT [J].
CHO, KC ;
PATEL, YD ;
WACHSBERG, RH ;
SEEFF, J .
RADIOGRAPHICS, 1995, 15 (03) :609-622
[5]   From the RSNA refresher courses - CT angiography: Clinical applications in the abdomen [J].
Fishman, EK .
RADIOGRAPHICS, 2001, 21 :S3-S16
[6]   RETROPERITONEAL VARICES SIMULATING MASSES [J].
GOULD, HR ;
BENJAMIN, S ;
ALTER, AJ ;
CRUMMY, AB ;
ATWELL, DT .
GASTROINTESTINAL RADIOLOGY, 1982, 7 (04) :335-339
[7]   SPIRAL(HELICAL) CT [J].
HEIKEN, JP ;
BRINK, JA ;
VANNIER, MW .
RADIOLOGY, 1993, 189 (03) :647-656
[8]  
HOEVELS J, 1978, ACTA RADIOL DIAGN, V20, P865
[9]   CT of acquired abnormalities of the portal venous system [J].
Ito, K ;
Higuchi, M ;
Kada, T ;
Mitchell, DG ;
Nomura, S ;
Honjo, K ;
Fujita, T ;
Awaya, H ;
Matsumoto, T ;
Matsunaga, N .
RADIOGRAPHICS, 1997, 17 (04) :897-917
[10]   THE RECANALIZED UMBILICAL VEIN IN PORTAL-HYPERTENSION - A MYTH [J].
LAFORTUNE, M ;
CONSTANTIN, A ;
BRETON, G ;
LEGARE, AG ;
LAVOIE, P .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1985, 144 (03) :549-553