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Value of MR cholangiography in the evaluation of postoperative biliary complications following orthotopic liver transplantation

VALERIE MEERSSCHAUT, KJ Mortelé, Roberto Troisi UGent, Hans Van Vlierberghe UGent, Martine De Vos UGent, Luc Defreyne UGent, Bernard de Hemptinne and Marc Kunnen (2000) EUROPEAN RADIOLOGY. 10(10). p.1576-1581
abstract
The aim of this study was to describe the spectrum of abnormal biliary findings as Seen with,magnetic resonance cholangiography (MRC) in symptomatic patients after orthotopic liver transplantation (OLT). In our study ave included 12 consecutive patients post-OLT who presented with clinical and/or biochemical suspicion of biliary complications. In all patients MRC was performed on a 1.0-T whole-body magnet and breathhold half-Fourier acquired single-shot turbo spin echo and rapid acquisition with relaxation enhancement sequences were used. Diagnostic confirmation was obtained with percutaneous transhepatic cholangiography (PTC; n = 3 patients), endoscopic retrograde cholangiography (ERC; n = 3 patients), or clinical follow-up. A vast array of biliary abnormalities were detected in 11 of 12 patients: high-grade, obstructive, anastomotic stricture was the most common unique abnormality. Findings consistent with bile duct necrosis, the second most common abnormality, were accompanied by arterial abnormalities in 2 of 5 patients on subsequent MR- and digital subtraction angiography. Compared with the findings obtained with direct cholangiography (n = 5 patients), MRC was highly accurate for the detection and characterization of postoperative biliary complications. Compared with the final diagnosis, which was based on PTC-ERC findings and/or all available clinical data, MRC imaging alone was able to provide a specific diagnosis in 9 of 12 patients. Magnetic resonance cholangiography is an accurate, time-saving, and non-invasive Imaging modality in the evaluation of post-OLT patients in whom suspicion of biliary complications exists. Although the precise value of MRA in this patient group requires larger dedicated studies, single session "all-in-one" MR evaluation of both biliary and arterial system in our series proved to be a substantial benefit in obtaining an accurate and complete diagnosis.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
biliary complications, orthotopic liver transplantation, MR cholangiography, cholangiography, MANAGEMENT
journal title
EUROPEAN RADIOLOGY
Eur. Radiol.
volume
10
issue
10
pages
1576 - 1581
Web of Science type
Article
Web of Science id
000089606600009
ISSN
0938-7994
DOI
10.1007/s003300000379
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
126546
handle
http://hdl.handle.net/1854/LU-126546
date created
2004-01-14 13:36:00
date last changed
2016-12-19 15:38:51
@article{126546,
  abstract     = {The aim of this study was to describe the spectrum of abnormal biliary findings as Seen with,magnetic resonance cholangiography (MRC) in symptomatic patients after orthotopic liver transplantation (OLT). In our study ave included 12 consecutive patients post-OLT who presented with clinical and/or biochemical suspicion of biliary complications. In all patients MRC was performed on a 1.0-T whole-body magnet and breathhold half-Fourier acquired single-shot turbo spin echo and rapid acquisition with relaxation enhancement sequences were used. Diagnostic confirmation was obtained with percutaneous transhepatic cholangiography (PTC; n = 3 patients), endoscopic retrograde cholangiography (ERC; n = 3 patients), or clinical follow-up. A vast array of biliary abnormalities were detected in 11 of 12 patients: high-grade, obstructive, anastomotic stricture was the most common unique abnormality. Findings consistent with bile duct necrosis, the second most common abnormality, were accompanied by arterial abnormalities in 2 of 5 patients on subsequent MR- and digital subtraction angiography. Compared with the findings obtained with direct cholangiography (n = 5 patients), MRC was highly accurate for the detection and characterization of postoperative biliary complications. Compared with the final diagnosis, which was based on PTC-ERC findings and/or all available clinical data, MRC imaging alone was able to provide a specific diagnosis in 9 of 12 patients. Magnetic resonance cholangiography is an accurate, time-saving, and non-invasive Imaging modality in the evaluation of post-OLT patients in whom suspicion of biliary complications exists. Although the precise value of MRA in this patient group requires larger dedicated studies, single session {\textacutedbl}all-in-one{\textacutedbl} MR evaluation of both biliary and arterial system in our series proved to be a substantial benefit in obtaining an accurate and complete diagnosis.},
  author       = {MEERSSCHAUT, VALERIE and Mortel{\'e}, KJ and Troisi, Roberto and Van Vlierberghe, Hans and De Vos, Martine and Defreyne, Luc and de Hemptinne, Bernard and Kunnen, Marc},
  issn         = {0938-7994},
  journal      = {EUROPEAN RADIOLOGY},
  keyword      = {biliary complications,orthotopic liver transplantation,MR cholangiography,cholangiography,MANAGEMENT},
  language     = {eng},
  number       = {10},
  pages        = {1576--1581},
  title        = {Value of MR cholangiography in the evaluation of postoperative biliary complications following orthotopic liver transplantation},
  url          = {http://dx.doi.org/10.1007/s003300000379},
  volume       = {10},
  year         = {2000},
}

Chicago
MEERSSCHAUT, VALERIE, KJ Mortelé, Roberto Troisi, Hans Van Vlierberghe, Martine De Vos, Luc Defreyne, Bernard de Hemptinne, and Marc Kunnen. 2000. “Value of MR Cholangiography in the Evaluation of Postoperative Biliary Complications Following Orthotopic Liver Transplantation.” European Radiology 10 (10): 1576–1581.
APA
MEERSSCHAUT, VALERIE, Mortelé, K., Troisi, R., Van Vlierberghe, H., De Vos, M., Defreyne, L., de Hemptinne, B., et al. (2000). Value of MR cholangiography in the evaluation of postoperative biliary complications following orthotopic liver transplantation. EUROPEAN RADIOLOGY, 10(10), 1576–1581.
Vancouver
1.
MEERSSCHAUT V, Mortelé K, Troisi R, Van Vlierberghe H, De Vos M, Defreyne L, et al. Value of MR cholangiography in the evaluation of postoperative biliary complications following orthotopic liver transplantation. EUROPEAN RADIOLOGY. 2000;10(10):1576–81.
MLA
MEERSSCHAUT, VALERIE, KJ Mortelé, Roberto Troisi, et al. “Value of MR Cholangiography in the Evaluation of Postoperative Biliary Complications Following Orthotopic Liver Transplantation.” EUROPEAN RADIOLOGY 10.10 (2000): 1576–1581. Print.