Pretransplantation Imaging Workup of the Liver Donor and Recipient

Liver transplantation requires thorough preoperative imaging. Contrast enhanced computed tomography (CT) and MR imaging are the main modalities utilized for this purpose. Radiation-reducing protocols, advanced imaging techniques for evaluation of parenchymal fat and iron content, and 3-dimenionsal and volumetric reformations are routinely used. The helpful diagnostic radiologist has a complete understanding of indications for transplant, the indications for bridging and/or down-staging therapies for hepatocellular carcinoma, and the components of the transplant operation. With this information at hand, the radiologist can craft a thorough, yet succinct report that will help the surgeon plan and execute successful donor and recipient transplant operations.