New PDF release: MDCT and MRI of the Liver, Bile Ducts and Pancreas

By Giulia Zamboni, Sofia Gourtsoyianni

This instruction manual is a concise sensible consultant for citizens and basic radiologists that might provide trustworthy information through the functionality and reporting of multidetector row computed tomography and magnetic resonance imaging in sufferers with Liver Bile Ducts and Pancreas stipulations. it truly is geared up alphabetically, basically in accordance with affliction or situation, allowing effortless and speedy session. Entries quite often comprise a quick description of pathological and scientific features, suggestions on choice of the main applicable imaging process, a schematic evaluation of power diagnostic clues, and important suggestions and methods. a few necessary illustrations and schemes also are integrated. The publication is the fourth within the new Springer guide sequence, A-Z Notes in Radiological perform and Reporting.

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Additional info for MDCT and MRI of the Liver, Bile Ducts and Pancreas

Example text

A thickened bile duct wall >5 mm is considered suspicious. Cholangitis Acute cholangitis occurs due to bacterial infection of the obstructed biliary tree from the GI tract or the portal venous system. Cholangitis is a life-threatening condition if untreated which may also lead to hepatic abscess formation. Typical imaging findings are thickening of biliary ducts, presenting with mural enhancement as well as irregularity and beading of intrahepatic bile ducts. Bile duct stenosis may cause chronic or recurrent cholangitis with cholestasis.

In most cases it is symptomatic. MRCP examination is considered the non-invasive examination of choice to rule out the presence of bile duct calculi, which are identified as filling defects within the high T2-w signal intensity bile content of the duct. Chronic Pancreatitis Chronic pancreatitis is a continuing inflammatory process of the pancreas characterised by progressive parenchyma destruction with exocrine and endocrine insufficiency. 24 C The most easily identified findings are atrophy and alterations in size, which occur in the advanced stages of the disease.

Cavernous Transformation of the Portal Vein Cavernous transformation of the portal vein consists of the formation of venous channels within and around a previously stenosed or occluded portal vein that act as porto-portal collateral vessels. Chemoembolisation 19 This cavernous transformation can occur as soon as 6–20 days after the thrombotic event, even if the thrombus is partially recanalised. g. in patients with cirrhosis or chronic liver disease), the collateral paracholedochal veins dilate and become serpiginous.

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