Document Detail

Cavernous transformation of the portal vein: three-dimensional dynamic contrast-enhanced MR angiography.
MedLine Citation:
PMID:  17703273     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To investigate characteristic features of three-dimensional dynamic contrast-enhanced MR angiography (3D DCE-MRA) and validate its clinical significance for the diagnosis of cavernous transformation of the portal vein (CTPV). METHODS: 3D DCE-MRA, along with subsequent data processing using three-dimensional reconstruction, was performed in 33 CTPV patients. We observed 33 emboli in the portal vein, 29 in the left and/or right portal branches, 18 in the superior mesenteric vein, and nine emboli in the splenic vein. RESULTS: The main presentation of CTPV on 3D DCE-MRA was the replacement of the normal configuration of the portal vein by numerous distorted hepatopetal collateral vessels, the presence of arterio-portal venous shunts, and the appearance of hepatofugal collateral vessels in the abdominal cavity and wall. CONCLUSION: 3D DCE-MRA can be used to simultaneously characterize the portal system and collateral vessels, and can improve the diagnosis and clinical treatment of CTPV.
Li Wang; Zhao-shen Li; Jian-ping Lu; Fei Wang; Qi Liu; Jian-ming Tian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Abdominal imaging     Volume:  33     ISSN:  1432-0509     ISO Abbreviation:  Abdom Imaging     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-05-16     Completed Date:  2008-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9303672     Medline TA:  Abdom Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-8     Citation Subset:  IM    
Department of Radiology, Changhai Hospital, Shanghai, 200433, China.
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MeSH Terms
Collateral Circulation
Contrast Media
Gadolinium DTPA / diagnostic use
Hypertension, Portal / diagnosis*,  etiology*
Image Processing, Computer-Assisted
Imaging, Three-Dimensional*
Magnetic Resonance Angiography*
Portal Vein / pathology*
Venous Thrombosis / complications*
Reg. No./Substance:
0/Contrast Media; 80529-93-7/Gadolinium DTPA

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