【Abstract】ObjectiveTo evaluate the role of MRA, IPVG and DUS in the hemodynamics studies of portal hypertension.
MethodsThirtyeight patients with portal hypertension were examined with Philips Gyroscan 1.0 Tesla MR imaging system. 3DDCE MRA and 2DPC MR were used for study of portal venous anatomy and its hemodynamics. The results were compared with those obtained from IPVG and DUS.
Results3DDCE MRA could clearly display the anatomical imaging of portal venous system and its imaging quality was better than that of IPVG. The data of hemodynamics from 2DPC MR including diameter, blood velocity and blood flow were closely correlated to those from DUS.
ConclusionAs a noninvasive technique, MRA can display the anatomy of portal venous system and measure its hemodynamics exactly. It should be applied as the first choice in hemodynamics evaluation for portal hypertension.
Citation:
LIU Hua,CAO Hui,WU Zhiyong.. Application of MRA, IPVG and DUS in Hemodynamics Evaluation for Portal Hypertension. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(2): 201-204. doi:
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- 1. 刘骅, 陈治平, 吴志勇, 等. 磁共振血管造影在门静脉高压症外科中的应用 [J]. 中华普通外科杂志, 2002; 17(5)∶309.
- 2. Schiedermaier P, Layer G, Sauerbruch T. Impact of the continuous infusion of Levovist on color Doppler sonography in portal hypertension [J]. AJR Am J Roentgenol, 2002; 178(1)∶61.
- 3. Waguri N, Suda T, Kamura T, et al. Heterogeneous hepatic enhancement on CT angiography in idiopathic portal hypertension [J]. Liver, 2002; 22(3)∶276.
- 4. Lonjedo E, Ripolles T. Vascular imaging and interventional procedures in hepatic cirrhosis [J]. Semin Ultrasound CT MR, 2002; 23(1)∶130.
- 5. Morrin MM, Pedrosa I, Rofsky NM. Magnetic resonance imaging for disorders of liver vasculature [J]. Top Magn Reson Imaging, 2002; 13(3)∶177.
- 6. Ng WH, Chan YL, Sung JY, et al. Comparison of breathhold 2D phasecontrast with non breathhold cine phasecontrast MRA in the assessment of azygos venous blood flow in portal hypertension [J]. MAGMA, 2004; 16(5)∶211.
- 7. 徐琳, 吴志勇, 陈治平, 等. 门静脉高压症不同术式对门静脉血流动力学影响的研究 [J]. 中华普通外科杂志, 1998; 13(2)∶93.
- 8. Matsuo M, Kanematsu M, Kim T, et al. Esophageal varices: diagnosis with gadoliniumenhanced MR imaging of the liver for patients with chronic liver damage [J]. AJR Am J Roentgenol, 2003; 180(2)∶461.