Diagnostic Value of MSCT and MRI for Stasis Cirrhosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CHEN Guangwen , SONG Bin , CHEN Litao , ZHAO Liming , YANG Ningjing

Department of Radiology， West China Hospital, Sichuan University，Chengdu 610041， China;

Corresponding author：

Keywords：

Stasis cirrhosis; Tomography／X-ray computed; 　 Magnetic resonance imaging; 　Multi-slice spiral CT; Cardiac cirrhosis

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Objective To investigate multi-slice spiral CT (MSCT) and MRI features of stasis cirrhosis and the diagnostic value of MSCT and MRI. Methods MSCT and MRI findings of 35 patients with stasis cirrhosis were studied. The size of liver and spleen, the diameter of hepatic vein (HV), enhancement pattern of liver parenchyma, contrast medium reflux in inferior vena cava (IVC) and (or) HV, ascites, number of varices and correlated abnormalities were reviewed. Results The volume index of liver and spleen of 35 patients was 4434.95 cm3 and 621.92 cm3 respectively. The mean diameter of HV of 27 patients (77.1%) was 3.61 cm and HV of other 8 patients (22.9%) were too small to show. Number of patients showed waves of borderline, inhomogeneous pattern of parenchymal contrast enhancement, contrast medium reflux in IVC and (or) HV, varices and ascites was 5 (14.3%), 29 (82.9%), 20 (57.1%), 16 (45.7%), and 6 (17.1%), respectively. Correlated abnormalities included cardiac enlargement 〔4 cases (11.4%)〕, pericardium thickening 〔11 cases (31.4%)〕, and pericardial effusion 〔2 cases (5.7%)〕. Conclusions Stasis cirrhosis mainly demonstrate liver enlargement, inhomogeneous pattern of parenchymal contrast enhancement, contrast medium reflux in IVC and (or) HV, and slight portal hypertension. MSCT and MRI play invaluable roles in diagnosis, differential diagnosis and etiological diagnosis of stasis cirrhosis.

Citation： CHEN Guangwen,SONG Bin,CHEN Litao,ZHAO Liming,YANG Ningjing. Diagnostic Value of MSCT and MRI for Stasis Cirrhosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(6): 495-499. doi: Copy

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1. Ito K, Mitchell DG, Hann HW, et al. Progressive viral-induced cirrhosis: serial MR imaging findings and clinical correlation [Ｊ]. Radiology, 1998; 207(3): 729-735.
2. Bayraktar UD, Seren S, Bayraktar Y. Hepatic venous outflow obstruction: three similar syndromes [Ｊ]. World J Gastroenterol, 2007; 13(13): 1912-1927.
3. 纪建松, 章士正, 赵中伟, 等. Budd-Chiari综合征的CT、MRI诊断价值 [Ｊ]. 实用放射学杂志, 2007; 23(9): 1201-1203.
4. Lupescu IG, Dobromir C, Popa GA, et al. Spiral computed tomography and magnetic resonance angiography evaluation in Budd-Chiari syndrome [Ｊ]. J Gastrointestin Liver Dis, 2008; 17(2): 223-226.
5. Brancatelli G, Vilgrain V, Federle MP, et al. Budd-Chiari syndrome: spectrum of imaging findings [Ｊ]. AJR Am J Roentgenol, 2007; 188(2): W168-W176.
6. Aydinli M, Bayraktar Y. Budd-Chiari syndrome: etiology, pathogenesis and diagnosis [Ｊ]. World J Gastroenterol, 2007; 13(19): 2693-2696.
7. 印隆林, 宋彬, 陈卫霞, 等. 多排螺旋CT血管成像技术对门静脉海绵样变性侧支血管的显示 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(6): 547-550.
8. 赵彤, 高树明, 陈勇. 心源性肝淤血多层螺旋CT诊断价值 [Ｊ]. 实用放射学杂志, 2008; 24(12): 1640-1642.
9. 吴苾, 宋彬. 多排螺旋CT门静脉血管成像评价肝硬变门体分流的侧支血管 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(3): 268-272.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnostic Value of MSCT and MRI for Stasis Cirrhosis

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