新型多参数MRI检测到双静脉栓塞后未来肝脏残留品质的改善
Senthil Sundaravadanan1, Fenella Ks Welsh1, Pulkit Sethi1
1Department of Hepatobiliary Surgery, Basingstoke and North Hampshire Hospital, Basingstoke, Hampshire, United Kingdom.
概括
双静脉栓塞显著改善了未来肝脏残留物 (FLR) 的体积和质量,通过多参数MRI进行评估. 这种技术在进行重大手术之前改善肝脏健康,降低肝功能衰竭的风险.
科学领域:
- 放射学 放射学是一门学科.
- 肝病学 肝病学是一种肝病学.
- 手术瘤学手术瘤学
背景情况:
- 优化未来的肝脏残留物 (FLR) 对于成功的扩展性肝脏切除至关重要.
- 定量多参数MRI评估干预前后的FLR质量.
研究的目的:
- 用定量多参数MRI评估双静脉栓塞 (DVE) 对FLR体积和质量的影响.
- 评估DVE后肝纤维炎症和脂肪含量的改善情况.
主要方法:
- 10名FLR不足的患者接受了DVE前后的定量多参数MRI (右门脉和肝静脉).
- 测量了FLR体积,为纤维炎症纠正的T1 (cT1) 评分,以及质子密度脂肪分数 (PDFF).
- 统计分析包括威尔科克森签名等级测试.
主要成果:
- 没有并发症的DVE导致FLR健康状况显著改善.
- 中位数cT1得分从790毫秒下降至741毫秒 (p=0.014),PDFF从11%下降至3% (p=0.017).
- 中位数FLR体积显著增加,从33%增加到49% (p=0.002).
结论:
- 非侵入性,可重现的MRI显示DVE后FLR体积和质量得到改善.
- 这代表了在重大肝脏手术后预防肝衰竭的重大进展.
更多相关视频
10:26A Multicenter MRI Protocol for the Evaluation and Quantification of Deep Vein Thrombosis
Published on: June 2, 2015
17.2K
04:09Predicting Treatment Response to Image-Guided Therapies Using Machine Learning: An Example for Trans-Arterial Treatment of Hepatocellular Carcinoma
Published on: October 10, 2018
8.2K
相关概念视频
01:30Radiological Investigation II: MRI and Ventilation Perfusion Scan
Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
01:19Imaging Studies VII: Vascular Imaging
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...