Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Abdominal Radiology
Erschienen in: Abdominal Radiology 10/2017

04.05.2017

Evaluation of biliary ductal anatomy in potential living liver donors: comparison between MRCP and Gd-EOB-DTPA-enhanced MRI

verfasst von: D. Santosh, A. Goel, I. W. Birchall, A. Kumar, K. H. Lee, V. H. Patel, G. Low

Erschienen in: Abdominal Radiology | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To compare magnetic resonance cholangiopancreatography (MRCP) and Gd-EOB-DTPA-enhanced MRI in the evaluation of the biliary anatomy in potential living liver donors (LLDs).

Methods

A retrospective study was conducted in a tertiary care liver transplant center after obtaining ethics and institutional approvals. A total of 42 potential LLD MRI examinations were performed between November 2013 and March 2016. All patients underwent a standard MRI protocol which included MRCP and Gd-EOB-DTPA-enhanced MRI sequences in a single session. Three abdominal MR radiologists independently reviewed the studies and completed a customized data collection sheet for each MR sequence. The readers subjectively scored the bile duct visualization on each MR sequence on a Likert scale and classified the biliary anatomic configuration. Statistical analysis was performed using intraclass correlation coefficient and the McNemar Chi-square (χ 2) test.

Results

The 42 potential LLDs included 22 males and 20 females with an age range of 18–60 years. There was ‘good’ or ‘excellent’ inter-reader agreement on either MRI examination for the visualization of the first- and second-order ducts and the majority of third-order ducts. ‘Good’ inter-reader agreement on Gd-EOB-DTPA-enhanced MRI and ‘fair’ inter-reader agreement on MRCP was noted for the left third-order medial duct. There was significantly better visualization of the cystic duct, left hepatic duct, and right second-order ducts on Gd-EOB-DTPA-enhanced MRI compared with MRCP. A 12.6% improvement in classifying the biliary branch pattern was also observed on Gd-EOB-DTPA-enhanced MRI compared with MRCP (P = 0.03).

Conclusion

Gd-EOB-DTPA-enhanced MRI provides additional diagnostic confidence over MRCP in the evaluation of the biliary ductal anatomy in potential LLDs.
Literatur
1.
2.
Lee VS, Morgan GR, Teperman LW, et al. (2001) MR imaging as the sole preoperative imaging modality for right hepatectomy: a prospective study of living adult-to-adult liver donor candidates. AJR Am J Roentgenol 176(6):1475–1482CrossRefPubMed
3.
Kinner S, Steinweg V, Maderwald S, et al. (2014) Bile duct evaluation of potential living liver donors with Gd-EOB-DTPA enhanced MR cholangiography: single-dose, double dose or half-dose contrast enhanced imaging. Eur J Radiol 83(5):763–767CrossRefPubMed
4.
Kim WR, Stock PG, Smith JM, et al. (2013) OPTN/SRTR 2011 annual data report: liver. Am J Transplant 13(1):73–102CrossRefPubMed
5.
6.
Xu X, Wei X, Ling Q, et al. (2012) Inaccurate preoperative imaging assessment on biliary anatomy not increases biliary complications after living donor liver transplantation. Eur J Radiol 81(4):e457–e460CrossRefPubMed
7.
Catalano OA, Singh AH, Uppot RN, et al. (2008) Vascular and biliary variants in the liver: implications for liver surgery. Radiographics 28(2):359–378CrossRefPubMed
8.
Mangold S, Bretschneider C, Fenchel M, et al. (2012) MRI for evaluation of potential living liver donors: a new approach including contrast-enhanced magnetic resonance cholangiography. Abdominal imaging. 37(2):244–251CrossRefPubMed
9.
Tsang LL, Chen CL, Huang TL, et al. (2008) Preoperative imaging evaluation of potential living liver donors: reasons for exclusion from donation in adult living donor liver transplantation. Transplant Proc 40(8):2460–2462CrossRefPubMed
10.
Lee NK, Kim S, Lee JW, et al. (2009) Biliary MR imaging with Gd-EOB-DTPA and its clinical applications. Radiographics 29(6):1707–1724CrossRefPubMed
11.
Hyodo T, Kumano S, Kushihata F, et al. (1015) CT and MR cholangiography: advantages and pitfalls in perioperative evaluation of biliary tree. Br J Radiol 2012(85):887–896
12.
Limanond P, Raman SS, Ghobrial RM, Busuttil RW, Lu DS (2004) The utility of MRCP in preoperative mapping of biliary anatomy in adult-to-adult living related liver transplant donors. J Magn Reson Imaging 19(2):209–215CrossRefPubMed
13.
Van Beers BE, Pastor CM, Hussain HK (2012) Primovist, Eovist: what to expect? J Hepatol 57(2):421–429CrossRefPubMed
14.
Ringe KI, Husarik DB, Sirlin CB, Merkle EM (2010) Gadoxetate disodium-enhanced MRI of the liver: part 1, protocol optimization and lesion appearance in the noncirrhotic liver. AJR Am J Roentgenol 195(1):13–28CrossRefPubMed
15.
Melamud K, LeBedis CA, Anderson SW, Soto JA (2014) Biliary imaging: multimodality approach to imaging of biliary injuries and their complications. Radiographics 34(3):613–623CrossRefPubMed
16.
Choi JW, Kim TK, Kim KW, et al. (2003) Anatomic variation in intrahepatic bile ducts: an analysis of intraoperative cholangiograms in 300 consecutive donors for living donor liver transplantation. Korean J Radiol 4(2):85–90CrossRefPubMedPubMedCentral
17.
Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess. 6(4):284–290CrossRef
18.
Girometti R, Baccarani U (2013) Magnetic resonance cholangiopancreatography in assessing living liver donors biliary anatomy: opportunities and challenges. Hepat Surg Nutr 2(3):165–167
19.
20.
Gazelle GS, Lee MJ, Mueller PR (1994) Cholangiographic segmental anatomy of the liver. Radiographics 14(5):1005–1013CrossRefPubMed
21.
Puente SG, Bannura GC (1983) Radiological anatomy of the biliary tract: variations and congenital abnormalities. World J Surg 7(2):271–276CrossRefPubMed
22.
23.
Willinek WA, Schild HH (2008) Clinical advantages of 3.0 T MRI over 1.5 T. Eur J Radiol 65(1):2–14CrossRefPubMed
24.
Mo YH, Liang PC, Ho MC, et al. (2009) Morphine- and glucagon-augmented magnetic resonance cholangiopancreatography to evaluate living liver donors. Liver Transplant 15(9):1021–1027CrossRef
Metadaten
Titel
Evaluation of biliary ductal anatomy in potential living liver donors: comparison between MRCP and Gd-EOB-DTPA-enhanced MRI
verfasst von
D. Santosh
A. Goel
I. W. Birchall
A. Kumar
K. H. Lee
V. H. Patel
G. Low
Publikationsdatum
04.05.2017
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 10/2017
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-017-1157-9

Weitere Artikel der Ausgabe 10/2017

Abdominal Radiology 10/2017 Zur Ausgabe

OriginalPaper

Novel contrast-injection protocol for high-resolution abdominal CT-angiography: vascular visualization improvement with vasodilator

OriginalPaper

MDCT of the liver in obese patients: evaluation of a different method to optimize iodine dose

OriginalPaper

Transient severe motion in the arterial phase during gadoxetate disodium-enhanced MR imaging: evaluation of patients with multiple MR examinations

OriginalPaper

Low-dose attenuation correction in diagnosis of non-alcoholic fatty liver disease

OriginalPaper

Imaging evaluation of ablative margin and index tumor immediately after radiofrequency ablation for hepatocellular carcinoma: comparison between multidetector-row CT and MR imaging

OriginalPaper

Systematic radiation dose optimization of abdominal dual-energy CT on a second-generation dual-source CT scanner: assessment of the accuracy of iodine uptake measurement and image quality in an in vitro and in vivo investigations

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

08.04.2024 | Andrologie | Nachrichten

Wie toxische Männlichkeit der Gesundheit von Männern schadet

29.03.2024 | Diagnostische Radiologie | Nachrichten

Studie bestätigt Potenzial von KI in der Radiologie

26.03.2024 | Koronare Herzerkrankung | Nachrichten

Quantitative Angiografie könnte IVUS-Alternative darstellen
weitere anzeigen

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen