在肝移植后进行成像ACR适当性标准®
, Shaun A Wahab1, Abhinav Vij2
1Vanderbilt University Medical Center, Nashville, Tennessee.
Journal of the American College of Radiology : JACR
|February 17, 2026
概括
这项研究提供了基于证据的指导方针,用于选择肝移植后适当的成像,以检测并发症. 它有助于临床医生选择最佳的成像测试,用于移植后的患者监测和管理.
科学领域:
- 移植手术 移植手术
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 肝移植是末期肝病的主要治疗方法.
- 移植后的并发症,包括血管,胆道,传染病,排斥和恶性瘤问题,可能导致移植失败或患者死亡.
- 有效的成像对于早期发现和管理这些并发症至关重要.
研究的目的:
- 总结关于在肝移植后选择适当的成像方法的文献.
- 为各种临床情景提供指导,包括立即术后护理,疑似血管或胆道并发症以及长期监测.
- 建立基于证据的建议,用于肝移植后的成像.
主要方法:
- 对同行评审的医学文献进行系统审查.
- 美国放射学学院适用性标准方法的应用.
- 使用RAND/UCLA适当性方法进行证据评估.
- 在文献有限或模两可的情况下,纳入专家意见.
主要成果:
- 该文件概述了用于立即术后评估的成像选择标准.
- 为诊断移植后疑似血管和胆道并发症提供了指导方针.
- 这些建议涵盖了肝移植接受者的成像监测协议.
结论:
- 适当的成像选择对于管理肝移植患者和改善结果至关重要.
- 这些指南支持临床医生优化移植后护理的诊断策略.
- 这些建议旨在加强肝脏全移植并发症的检测和管理.
相关概念视频
Radiological Investigation I: X-ray and CT
1.2K
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
1.2K
Kidney Transplant I: Introduction
534
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
534
Kidney Transplant II: Surgical Procedure
487
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
487
Imaging Studies for Cardiovascular System V: CT
400
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...
400
Imaging Studies VII: Vascular Imaging
394
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...
394
Imaging Studies III: Computed Tomography
425
DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
425


