4D Flow MRI Reflects Physiological Hemodynamics for the Diagnosis and Management of Portosystemic Shunts.

Atsushi Higaki, Akira Yamamoto, Toshimasa Okada, Tomio Ueno, Yasuyuki Tomiyama, Kosuke Ito, Tsutomu Tamada
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引用次数: 0

Abstract

A woman in her sixties with portosystemic shunt and hepatic encephalopathy underwent open mesenteric vein ligation, resulting in improved portal flow and blood ammonia. In this case, 4D flow MRI was a valuable diagnostic and follow-up tool, visualizing and quantifying physiological portal hemodynamics with features distinct from those of contrast-enhanced CT and digital subtraction angiography. Our case study highlights the value of 4D flow MRI for managing portosystemic shunts.

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四维血流磁共振成像反映门静脉分流诊断和管理的生理血流动力学。
一位六十多岁的妇女患有门静脉分流和肝性脑病,她接受了肠系膜静脉开放结扎术,结果门静脉血流和血氨得到改善。在这个病例中,四维血流磁共振成像是一种有价值的诊断和随访工具,它可以观察和量化生理性门静脉血流动力学,其特征与对比增强 CT 和数字减影血管造影不同。我们的病例研究凸显了四维血流 MRI 在管理门静脉分流方面的价值。
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