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Updated: Jun 3, 2025

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Imaging in Vascular Liver Diseases.

Matteo Rosselli1,2, Alina Popescu3, Felix Bende3

  • 1Department of Internal Medicine, San Giuseppe Hospital, USL Toscana Centro, 50053 Empoli, Italy.

Medicina (Kaunas, Lithuania)
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Summary

Imaging is crucial for diagnosing vascular liver diseases (VLDs), which affect liver blood vessels. Advanced ultrasound techniques, including Doppler and elastography, help identify causes of liver inflow and outflow obstruction.

Keywords:
Osler–Weber–Rendu diseaseoutflow obstruction syndromeportal vein thrombosisporto-sinusoidal vascular disordervascular liver diseasesvascular malformations

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Area of Science:

  • Radiology
  • Hepatology
  • Vascular Medicine

Background:

  • Vascular liver diseases (VLDs) encompass diverse conditions affecting hepatic vasculature.
  • Diagnosis often requires a combination of serology, histology, and advanced imaging.
  • Imaging plays a pivotal role in identifying liver inflow and outflow obstructions.

Purpose of the Study:

  • To highlight the crucial role of imaging in diagnosing and managing VLDs.
  • To detail the utility of various imaging modalities in assessing liver vascular conditions.
  • To emphasize the diagnostic value of multiparametric ultrasound and elastography.

Main Methods:

  • Cross-sectional imaging for panoramic anatomical and enhancement pattern assessment.
  • Multiparametric ultrasound for differentiating thrombosis and neoplastic invasion.
  • Color Doppler analysis for evaluating blood flow velocity and direction.
  • Liver and spleen elastography for assessing intrahepatic and intrasplenic stiffness.

Main Results:

  • Cross-sectional imaging offers comprehensive visualization of liver vascularity and parenchyma.
  • Multiparametric ultrasound effectively distinguishes acute from chronic portal vein thrombosis and neoplastic invasion.
  • Color Doppler provides critical hemodynamic information for VLD assessment.
  • Elastography offers supplementary data on liver and spleen stiffness.

Conclusions:

  • Imaging, particularly advanced ultrasound techniques, is indispensable for diagnosing and monitoring VLDs.
  • Multiparametric ultrasound, Doppler, and elastography provide complementary information for precise diagnosis.
  • These imaging modalities aid in clarifying causes of obstruction and differentiating benign from malignant conditions.