Biliary complications following orthotopic liver transplantation: May contrast-enhanced MR Cholangiography provide additional information? Piero Boraschi,

Slides:

Advertisements

Similar presentations

Intraductal Papillary Neoplasm of the Bile Duct: Multimodality Imaging Appearances and Pathological Correlation Csilla Egri, BSc, MSc, Wan Wan Yap, MBChB,

Advertisements

Pancreaticobiliary duct changes of periampullary carcinomas: Quantitative analysis at MR imaging Dong Sheng Wu, Wei Xia Chen, Xiao Dong Wang, Riwaz Acharya,

Pancreatic Tumors: Diagnostic Patterns by 3D Gradient-Echo Post Contrast Magnetic Resonance Imaging with Pathologic Correlation Khaled M. Elsayes, MD,

MR Enterography in Crohn’s disease complicated with enteroenteric fistula Ayşe Erden, Sena Ünal, Habip Eser Akkaya, Mehmet Onay, Murat Törüner, Zeynep.

Successful Treatment of Isolated Draining Intrahepatic Biliary Ducts in a Pediatric Liver Transplant Recipient Using Alcohol Sclerotherapy Darice Liu,

Current Problems in Diagnostic Radiology

Endoscopic treatment of bilhaemia following percutaneous liver biopsy

Intraoperative air leak test was useful for the detection of a small biliary fistula: A rare case of non-parasitic hepatic cysts with biliary communication

Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation Ju Sang Park, MD,

Fig. 7. Recurrent pyogenic cholangitis with Clonorchis sinensis infestation in 62-year-old male. A. Contrast-enhanced CT image shows diffuse dilatation.

Mesial temporal lobe epilepsy associated with KCNT1 mutation

Magnetic resonance imaging of less common pancreatic malignancies and pancreatic tumors with malignant potential D. Franz, I. Esposito, A.-C. Kapp, J.

Nonvascular Pediatric Interventional Radiology

Invasive intraductal papillary carcinoma of the bile duct masquerading as a common hepatic duct stone Zachary L. Smith, DO, Kimberly E. Daniel, MD VideoGIE

Preoperative decompression and diagnosis of pancreatic head adenocarcinoma in a patient with Roux-en-Y gastric bypass by means of EUS-guided gastric pouch.

Volume 3, Issue 9, Pages (September 2018)

Multidisciplinary Approach to Diagnosis and Management of Intraductal Papillary Mucinous Neoplasms of the Pancreas Dushyant V. Sahani, Dana J. Lin, Aradhana.

Imaging features of neurotoxoplasmosis: A multiparametric approach, with emphasis on susceptibility-weighted imaging John C. Benson, Gustavo Cervantes,

Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos,

Locally advanced rectal cancer: Qualitative and quantitative evaluation of diffusion- weighted MR imaging in the response assessment after neoadjuvant.

Saccular Kommerell aneurysm, a potential pitfall on MDCT imaging – A review of imaging features and potential mimics Hui Lin Wong, Charlene Jin Yee Liew,

Shenil S. Shah, MD, Ryan R. Gaffney, DO, Thomas M

Sarah E. Rowan, Marilyn E. Levi, Jean M

Biliary imaging: a review1

Biliary Stricture and Negative Cytology: What Next?

Excavation of a fossilized biliary stent: demonstration of extraction methods for migrated biliary stent Andrew K. Nguyen, MD, MBA, Agathon Girgis, MD

Differential Diagnosis and Treatment of Biliary Strictures

Living donor liver transplantation: is the hype over?

Terry L. Jue, MD Gastrointestinal Endoscopy

MR urography (MRU) of non-dilated ureter with diuretic administration: Static fluid 2D FSE T2-weighted versus 3D gadolinium T1-weighted GE excretory MR

Volume 44, Issue 6, Pages (June 2006)

The accuracy and sensitivity of diffusion-weighted magnetic resonance imaging with Apparent Diffusion Coefficients in diagnosis of recurrent cholesteatoma

Staging of pelvic lymph nodes in patients with prostate cancer: Usefulness of multiple b value SE-EPI diffusion-weighted imaging on a 3.0T MR system

Role of dual energy spectral computed tomography in characterization of hepatocellular carcinoma: Initial experience from a tertiary liver care institute

A case of hemobilia secondary to cancer of the gallbladder confirmed by cholangioscopy and treated with a fully covered self-expanding metal stent Linda.

Frequency-selective non-linear blending for the computed tomography diagnosis of acute gangrenous cholecystitis: Pilot retrospective evaluation R. Schwarz,

Innovations in macroscopic evaluation of pancreatic specimens and radiologic correlation Charikleia Triantopoulou, Kleo Papaparaskeva, Christos Agalianos,

Longitudinal stress fracture of the femur: A rare presentation

Role of 3T multiparametric-MRI with BOLD hypoxia imaging for diagnosis and post therapy response evaluation of postoperative recurrent cervical cancers

Volume 59, Issue 1, Pages (July 2013)

Isil Yildiz European Journal of Radiology Open

Crohn’s disease Activity: Abdominal Computed Tomography Histopathology Correlation N. Paquet, J.N. Glickman, S.M. Erturk, P.R. Ros, J.T. Heverhagen, M.A.

MR-PET of the body: Early experience and insights

Francisco Pereira da Silva, MD, Ph. D. , Paulo Donato, MD, Ph. D

EUS-guided biliary drainage

Endoscopic management of postoperative biliary complications in donors for living donor liver transplantation Kazunori Hasegawa*, Shujiro Yazumi*, Hiroto.

Vikram A. Sahni, Koenraad J. Mortele

Volume 2, Issue 1, Pages (January 2017)

Perfusion magnetic resonance imaging provides additional information as compared to anatomical imaging for decision-making in vestibular schwannoma M.C.

Focal transitional mastitis in MR-Mammography: Preliminary findings

MRI rare finding: Absence of the left liver lobe

Reconstruction of white matter fibre tracts using diffusion kurtosis tensor imaging at 1.5T: Pre-surgical planning in patients with gliomas Joao Leote,

Hypovolemic Shock Complex in the Trauma Setting: A Pictorial Review

Volume 3, Issue 1, Pages (January 2018)

IVIM diffusion-weighted imaging of the liver at 3

Volume 146, Issue 2, Pages (February 2014)

Contrast-enhanced ultrasound versus color duplex ultrasound imaging in the follow-up of patients after endovascular abdominal aortic aneurysm repair

Chronic extradural spinal hematoma after previous trauma

Hepatocellular carcinoma: IVIM diffusion quantification for prediction of tumor necrosis compared to enhancement ratios Suguru Kakite, Hadrien A. Dyvorne,

Visual assessment of biliary excretion of Gd-EOB-DTPA in patients with suspected diffuse liver disease – A biopsy-verified prospective study Bengt Norén,

Strategy for the treatment of spontaneous isolated visceral artery dissection Hidenori Yamaguchi, Satoru Murata, Shiro Onozawa, Fumie Sugihara, Hiromitsu.

Diffusion-weighted MR imaging of non-complicated hepatic cysts: Value of 3T computed diffusion-weighted imaging Yuko Nakamura, Toru Higaki, Yuji Akiyama,

Multiple liver pseudotumors due to hepatic steatosis and fatty sparing: A non-invasive imaging approach Andrea Delli pizzi, Domenico Mastrodicasa, Barbara.

Sulcal FLAIR hyperintensity after CSF removal in two patients with intracranial hypertension Milad Yazdani, Seth T. Stalcup, Arindam R. Chatterjee, Maria.

The clinical significance of indeterminate pulmonary nodules in melanoma patients at baseline and during follow-up chest CT Magdy Soliman, Teresa Petrella,

Cholangioscopic forceps-assisted retrieval of a forgotten biliary stent through a distal biliary stricture Behdod Poushanchi, MD, William Hsueh, MD,

Efficacy of endoscopic and percutaneous treatments for biliary complications after cadaveric and living donor liver transplantation Ju Sang Park, MD,

Cystadenoma of the Proximal Common Hepatic Duct: The Use of Abdominal Ultrasonography and Transhepatic Cholangiography in Diagnosis DAVID M. NAGORNEY,

J. Parmar, A. Winterbottom, E. Gordon, A. Kathikesalingam, K. Varty

Cecal fecaloma: A rare cause of right lower quadrant pain

Presentation transcript:

Biliary complications following orthotopic liver transplantation: May contrast-enhanced MR Cholangiography provide additional information? Piero Boraschi, Francescamaria Donati, Roberto Gigoni, Franco Filipponi European Journal of Radiology Open Volume 3, Pages 108-116 (January 2016) DOI: 10.1016/j.ejro.2016.05.003 Copyright © 2016 The Author(s) Terms and Conditions

Fig. 1 (A–D) 52-year-old man with progressive jaundice. Conventional coronal thick-slab single-shot MRC (A) and MIP reconstructions from 3D-T2-weighted images (B) do not visualize the confluence of the hepatic ducts and the common hepatic duct of the graft; slight dilation of the intrahepatic biliary system is well evident. MIP reconstructions obtained from MnDPDP-enhanced 3D T1-weighted MRC (C) better delineate narrowed and irregular donor’s extrahepatic biliary tract, in particular at the level of the right (white arrow) and the common (red arrow) hepatic ducts. Findings of typical ITBL were confirmed at ERC (D) and treated with a biliary stent. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article.). European Journal of Radiology Open 2016 3, 108-116DOI: (10.1016/j.ejro.2016.05.003) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 2 (A–D) 44-year-old man with biochemical parameters of cholestasis. Conventional coronal thick-slab single-shot MRC (A) and MIP reconstructions from 3D T2-weighted images (B) show dilation of donor’s biliary tree; long discontinuity is suggested at anastomotic site. MIP reconstructions obtained from Mn-DPDP-enhanced 3D T1-weighted MRC (C) well exhibit the length and degree of anastomotic stricture (white arrow). ERC (D), obtained in the same patient, confirms the presence of a biliary stricture at the anastomotic site; stricture was endoscopically treated and a biliary stent was placed. European Journal of Radiology Open 2016 3, 108-116DOI: (10.1016/j.ejro.2016.05.003) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 3 (A–F) 62-year-old patient with abnormal liver function tests. Axial T2-weighted image (A) and conventional coronal thick-slab single-shot MRC (B) well exhibit dilation of extrahepatic biliary tree and a signal void in the distal portion of the common bile duct. Axial (C) and coronal (D) Mn-DPDP-enhanced T1-weighted images depict stone as a low signal intensity filling defect in contrast-filled bile ducts (white arrow). 3D MIP reconstruction (E) also demonstrates narrowing of the terminal portion of recipient’s common bile duct. Stone was endoscopically removed as confirmed at post-ERCP direct cholangiography (F). European Journal of Radiology Open 2016 3, 108-116DOI: (10.1016/j.ejro.2016.05.003) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 4 (A–C) 58-year-old woman with abdominal pain. Conventional coronal thick-slab single-shot MRC (A) and MIP reconstructions from 3D-T2-weighted images (B) show an huge sub-hepatic fluid collection partially obscuring the biliary tract. MIP reconstructions obtained from Mn-DPDP-enhanced 3D T1-weighted MRC (C) demonstrate the presence of a leakage at the anastomotic with contrast-enhanced bile filling of the sub-hepatic collection (white arrows). European Journal of Radiology Open 2016 3, 108-116DOI: (10.1016/j.ejro.2016.05.003) Copyright © 2016 The Author(s) Terms and Conditions

Fig. 5 Graph shows ROC analysis of two image sets (conventional T2-weighted MRC image set versus all images set including Mn-DPDP-enhanced MRC) concerning the level of confidence in the diagnosis of biliary adverse events (p=0.001). European Journal of Radiology Open 2016 3, 108-116DOI: (10.1016/j.ejro.2016.05.003) Copyright © 2016 The Author(s) Terms and Conditions