| Preoperative imaging evaluation of the hepatic vasculature in biliary atresia patients undergoing LDLT: comparison of MDCT and MRI. | |
| | |
MedLine Citation:
|
PMID: 19032411 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
LT is the definitive treatment option in the management of end-stage liver disease. Preoperative vascular evaluation plays an important role for a safe and successful operation in LDLT. The purpose of this study is to assess the usefulness and accuracy of CTA and MRA in evaluating vascular anomalies in BA patients undergoing LDLT. Images of CTA and MRA for preoperative vascular evaluation in 57 BA patients undergoing LDLT were reviewed with the operative and pathologic findings. All underwent preoperative CTA and MRA. Pathologic PV (n = 20), interruption of the retro-hepatic vena cava (n = 1), aberrant right HA from the SMA (n = 2) were confirmed during the transplant operation. The success rate of CTA and MRA in identifying vascular anomalies was 96% and 82%, respectively (p = 0.01). The IQR scores were 3.25 +/- 0.53 for CTA and 2.91 +/- 0.70 for MRA (p = 0.001). The sensitivity, specificity and accuracy of CTA were 85%, 97% and 93%, respectively; and for MRA, were 65%, 95% and 84%, respectively. CTA is superior than MRA in the preoperative evaluation of the vascular anatomy in pediatric BA LDLT candidates. |
| | |
Authors:
|
Chun-Yen Yu; Chao-Long Chen; Tung-Liang Huang; Tai-Yi Chen; Leo Leung-Chit Tsang; Hsin-You Ou; Allan M Concejero; Chih-Chi Wang; Shih-Ho Wang; Yu-Fan Cheng |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2009-11-18 |
Journal Detail:
|
Title: Pediatric transplantation Volume: 13 ISSN: 1399-3046 ISO Abbreviation: Pediatr Transplant Publication Date: 2009 Dec |
Date Detail:
|
Created Date: 2010-05-17 Completed Date: 2010-09-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9802574 Medline TA: Pediatr Transplant Country: Denmark |
Other Details:
|
Languages: eng Pagination: 984-9 Citation Subset: IM |
Affiliation:
|
Liver Transplantation Program and Department of Diagnostic Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Biliary Atresia
/
surgery* Child Child, Preschool Contrast Media / administration & dosage Female Gadolinium DTPA / administration & dosage Humans Image Interpretation, Computer-Assisted Imaging, Three-Dimensional Infant Liver / blood supply*, pathology, radiography Liver Transplantation* Magnetic Resonance Angiography / methods* Male Preoperative Care Retrospective Studies Sensitivity and Specificity Statistics, Nonparametric Tomography, X-Ray Computed / methods* Triiodobenzoic Acids / administration & dosage |
| Chemical | |
Reg. No./Substance:
|
0/Contrast Media; 0/Triiodobenzoic Acids; 80529-93-7/Gadolinium DTPA; 87771-40-2/ioversol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Outcome of allogeneic hematopoietic stem cell transplantation for children with acute myelogenous le...
Next Document: Evaluating pharmacokinetics and pharmacodynamics of intravenous busulfan in pediatric patients recei...