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Imaging the hepatic transplant.

J H Oliver1, M P Federle, W L Campbell

  • 1Department of Radiology, University of Pittsburgh Medical Center, Pennsylvania.

Radiologic Clinics of North America
|November 1, 1991
PubMed
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Radiologists assess liver transplant candidates using imaging like CT and ultrasound. They also detect post-transplant complications such as biliary issues and vascular problems to prevent graft dysfunction.

Area of Science:

  • Radiology
  • Transplant Surgery
  • Medical Imaging

Background:

  • Radiologists are crucial for preoperative assessment of liver transplant candidates.
  • Identifying contraindications or surgical modifications is essential for successful transplantation.
  • Imaging modalities are key in evaluating potential recipients and managing post-transplant complications.

Purpose of the Study:

  • To highlight the radiologist's role in preoperative evaluation of liver transplant candidates.
  • To outline the primary imaging techniques used in pre- and post-transplant liver assessment.
  • To emphasize the importance of prompt detection of post-transplant complications.

Main Methods:

  • Preoperative assessment utilizes computed tomography (CT), duplex ultrasound, and magnetic resonance (MR) imaging.

Related Experiment Videos

  • CT during arterial portography may guide decisions between liver transplant and partial resection.
  • Postoperative surveillance employs CT, duplex ultrasonography, and cholangiography.

    • Main Results:

    • Preoperative imaging identifies abnormalities that could preclude transplantation or alter surgical approach.
    • Common postoperative complications include biliary obstruction/leakage, vascular thrombosis/stenosis, hemorrhage, and abscesses.
    • Timely radiologic detection of complications facilitates necessary interventions.

    Conclusions:

    • Radiologists are integral to the multidisciplinary liver transplant team.
    • Accurate preoperative and postoperative imaging interpretation by radiologists is vital for patient outcomes.
    • Early recognition and management of complications through radiologic guidance can prevent graft loss and improve survival.