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[Liver and vascular abnormalities]
V Vilgrain1, Mp Vullierme, M Djabbari
1Service de Radiologie Hôpital Beaujon 100 boulevard du Général Leclerc 92118 CLICHY Cedex, France. valerie.vilgrain@bjn.ap-hop-paris.fr
Insights
This chapter explores liver vascular abnormalities, focusing on how changes in portal vein and hepatic artery blood flow impact the liver. It highlights key CT imaging findings for diagnosing these conditions.
Area of Science:
- Hepatology
- Vascular Biology
- Radiology
Background:
- The liver parenchyma is supplied by two main inflow vessels: the portal vein and the hepatic artery.
- Hepatic veins form the sole outflow system for the liver.
- Vascular abnormalities can significantly affect liver function and health.
Observation:
- This chapter details various abnormalities affecting the liver's inflow and outflow vessels.
- It examines the consequences of both decreased and increased blood flow in these vessels.
- Emphasis is placed on diagnostic imaging, particularly computed tomography (CT).
Findings:
- The chapter will present numerous illustrations to clarify complex vascular structures and pathologies.
- Specific attention is given to multiphasic CT images for enhanced visualization.
- Abnormalities in portal vein and hepatic artery flow will be correlated with their clinical impact.
Implications:
- Understanding these vascular abnormalities is crucial for accurate diagnosis and patient management.
- CT imaging, especially multiphasic scans, is vital for identifying and characterizing liver vascular diseases.
- This knowledge aids in predicting and mitigating the consequences of altered hepatic blood flow.
Abstract:
The liver is a parenchyma which contains many vessels. They are composed of two inflow vessels: the portal vein and the hepatic artery, and one outflow system represented by the hepatic veins. We will see in the chapter most of the abnormalities and their consequences due to decrease or an increase of the blood flow of these vessels. Many illustrations will be provided with a special focus on CT findings with multiphasic images.