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Published on: June 11, 2019
Spiral computed tomography and magnetic resonance angiography evaluation in Budd-Chiari syndrome
Ioana Gabriela Lupescu1, Cristina Dobromir, Gelu A Popa
1Fundeni Hospital, Radiology Department, Fundeni street no. 258, Bucharest, Romania. ilupescu@gmail.com
Insights
Budd-Chiari syndrome, a hepatic venous outflow obstruction, has high mortality if untreated. Advanced imaging like CT and MR angiography are crucial for diagnosis and assessing liver changes.
Area of Science:
- Radiology
- Hepatology
- Vascular Medicine
Background:
- Budd-Chiari syndrome involves hepatic venous outflow obstruction.
- Untreated cases have a high mortality rate.
- Nonspecific clinical presentation necessitates imaging for diagnosis.
Purpose of the Study:
- To review the spectrum of abnormalities in Budd-Chiari syndrome.
- To highlight the role of advanced imaging in diagnosis and assessment.
Main Methods:
- Review of multiphase contrast-enhanced spiral computed tomography (CT) findings.
- Review of magnetic resonance (MR) angiography findings.
- Correlation of imaging findings with Budd-Chiari syndrome pathology.
Main Results:
- Multiphase contrast-enhanced spiral CT and MR angiography enable detailed morphologic and functional assessment.
- Imaging reveals characteristic vascular and parenchymal liver abnormalities.
- These techniques are vital for diagnosing Budd-Chiari syndrome.
Conclusions:
- Multiphase contrast-enhanced spiral CT and MR angiography are essential for diagnosing Budd-Chiari syndrome.
- These imaging modalities provide comprehensive evaluation of hepatic vascular and parenchymal changes.
- Early and accurate diagnosis through imaging improves patient outcomes.
Abstract:
Budd-Chiari syndrome is caused by the obstruction of the hepatic venous outflow at the level of the hepatic venules, large hepatic veins, and inferior vena cava up to the confluence with the right atrium. When it is untreated, the mortality rate for patients is high. Because the clinical presentation of this syndrome is nonspecific, imaging investigation--computed tomography and magnetic resonance--are important diagnostic steps. Contrast-enhanced multiphase spiral computed tomography (CT) and magnetic resonance (MR) angiography permits morphologic and functional assessment of parenchymatous liver changes in this particular entity. In this review, we present the spectrum of vascular and hepatic parenchymal abnormalities in Budd-Chiari syndrome observed on multiphase contrast enhanced spiral CT and MR angiography.
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