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.

Related Concept Videos

Imaging Studies for Cardiovascular System IV: CMRI01:21

Imaging Studies for Cardiovascular System IV: CMRI

Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...