Liver remnant regeneration in donors after living donor liver transplantation: long-term follow-up using CT and MR imaging.
Identifieur interne : 000361 ( PubMed/Corpus ); précédent : 000360; suivant : 000362Liver remnant regeneration in donors after living donor liver transplantation: long-term follow-up using CT and MR imaging.
Auteurs : T. Klink ; P. Simon ; C. Knopp ; H. Ittrich ; L. Fischer ; G. Adam ; A. KoopsSource :
- RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin [ 1438-9010 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Female, Follow-Up Studies, Humans, Liver (pathology), Liver Regeneration (physiology), Liver Transplantation, Living Donors, Magnetic Resonance Imaging, Male, Middle Aged, Organ Size (physiology), Patient Safety, Postoperative Complications (diagnosis), Tomography, X-Ray Computed, Young Adult.
- MESH :
- diagnosis : Postoperative Complications.
- pathology : Liver.
- physiology : Liver Regeneration, Organ Size.
- Adult, Female, Follow-Up Studies, Humans, Liver Transplantation, Living Donors, Magnetic Resonance Imaging, Male, Middle Aged, Patient Safety, Tomography, X-Ray Computed, Young Adult.
Abstract
To assess liver remnant volume regeneration and maintenance, and complications in the long-time follow-up of donors after living donor liver transplantation using CT and MRI.
DOI: 10.1055/s-0033-1355894
PubMed: 24347356
Links to Exploration step
pubmed:24347356Le document en format XML
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<author><name sortKey="Klink, T" sort="Klink, T" uniqKey="Klink T" first="T" last="Klink">T. Klink</name>
<affiliation><nlm:affiliation>Diagnostic, Interventional, and Pediatric Radiology, INSELSPITAL - Bern University Hospital, Bern.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Simon, P" sort="Simon, P" uniqKey="Simon P" first="P" last="Simon">P. Simon</name>
<affiliation><nlm:affiliation>Department of Radiology, Neuroradiology, Sonography and Nuclearmedicine, Merciful Brethren Hospital, Trier.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Knopp, C" sort="Knopp, C" uniqKey="Knopp C" first="C" last="Knopp">C. Knopp</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
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<author><name sortKey="Ittrich, H" sort="Ittrich, H" uniqKey="Ittrich H" first="H" last="Ittrich">H. Ittrich</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
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<author><name sortKey="Fischer, L" sort="Fischer, L" uniqKey="Fischer L" first="L" last="Fischer">L. Fischer</name>
<affiliation><nlm:affiliation>Department of Hepatobiliary Surgery und Transplant Surgery, University Medical Center Hamburg-Eppendorf, Hamburg.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Adam, G" sort="Adam, G" uniqKey="Adam G" first="G" last="Adam">G. Adam</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
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<author><name sortKey="Koops, A" sort="Koops, A" uniqKey="Koops A" first="A" last="Koops">A. Koops</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Liver remnant regeneration in donors after living donor liver transplantation: long-term follow-up using CT and MR imaging.</title>
<author><name sortKey="Klink, T" sort="Klink, T" uniqKey="Klink T" first="T" last="Klink">T. Klink</name>
<affiliation><nlm:affiliation>Diagnostic, Interventional, and Pediatric Radiology, INSELSPITAL - Bern University Hospital, Bern.</nlm:affiliation>
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<author><name sortKey="Simon, P" sort="Simon, P" uniqKey="Simon P" first="P" last="Simon">P. Simon</name>
<affiliation><nlm:affiliation>Department of Radiology, Neuroradiology, Sonography and Nuclearmedicine, Merciful Brethren Hospital, Trier.</nlm:affiliation>
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<author><name sortKey="Knopp, C" sort="Knopp, C" uniqKey="Knopp C" first="C" last="Knopp">C. Knopp</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
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<author><name sortKey="Ittrich, H" sort="Ittrich, H" uniqKey="Ittrich H" first="H" last="Ittrich">H. Ittrich</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Fischer, L" sort="Fischer, L" uniqKey="Fischer L" first="L" last="Fischer">L. Fischer</name>
<affiliation><nlm:affiliation>Department of Hepatobiliary Surgery und Transplant Surgery, University Medical Center Hamburg-Eppendorf, Hamburg.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Adam, G" sort="Adam, G" uniqKey="Adam G" first="G" last="Adam">G. Adam</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Koops, A" sort="Koops, A" uniqKey="Koops A" first="A" last="Koops">A. Koops</name>
<affiliation><nlm:affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</nlm:affiliation>
</affiliation>
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<series><title level="j">RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin</title>
<idno type="eISSN">1438-9010</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Liver (pathology)</term>
<term>Liver Regeneration (physiology)</term>
<term>Liver Transplantation</term>
<term>Living Donors</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Organ Size (physiology)</term>
<term>Patient Safety</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Tomography, X-Ray Computed</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Liver</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Liver Regeneration</term>
<term>Organ Size</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Liver Transplantation</term>
<term>Living Donors</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Safety</term>
<term>Tomography, X-Ray Computed</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">To assess liver remnant volume regeneration and maintenance, and complications in the long-time follow-up of donors after living donor liver transplantation using CT and MRI.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24347356</PMID>
<DateCreated><Year>2014</Year>
<Month>05</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>07</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>05</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1438-9010</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>186</Volume>
<Issue>6</Issue>
<PubDate><Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin</Title>
<ISOAbbreviation>Rofo</ISOAbbreviation>
</Journal>
<ArticleTitle>Liver remnant regeneration in donors after living donor liver transplantation: long-term follow-up using CT and MR imaging.</ArticleTitle>
<Pagination><MedlinePgn>598-605</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0033-1355894</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To assess liver remnant volume regeneration and maintenance, and complications in the long-time follow-up of donors after living donor liver transplantation using CT and MRI.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">47 donors with a mean age of 33.5 years who donated liver tissue for transplantation and who were available for follow-up imaging were included in this retrospective study. Contrast-enhanced CT and MR studies were acquired for routine follow-up. Two observers evaluated pre- and postoperative images regarding anatomy and pathological findings. Volumes were manually measured on contrast-enhanced images in the portal venous phase, and potential postoperative complications were documented. Pre- and postoperative liver volumes were compared for evaluating liver remnant regeneration.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">47 preoperative and 89 follow-up studies covered a period of 22.4 months (range: 1 - 84). After right liver lobe (RLL) donation, the mean liver remnant volume was 522.0 ml (± 144.0; 36.1 %; n = 18), after left lateral section (LLS) donation 1,121.7 ml (± 212.8; 79.9 %; n = 24), and after left liver lobe (LLL) donation 1,181.5 ml (± 279.5; 72.0 %; n = 5). Twelve months after donation, the liver remnant volume were 87.3 % (RLL; ± 11.8; n = 11), 95.0 % (LS; ± 11.6; n = 18), and 80.1 % (LLL; ± 2.0; n = 2 LLL) of the preoperative total liver volume. Rapid initial regeneration and maintenance at 80 % of the preoperative liver volume were observed over the total follow-up period. Minor postoperative complications were found early in 4 patients. No severe or late complications or mortality occurred.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Rapid regeneration of liver remnant volumes in all donors and volume maintenance over the long-term follow-up period of up to 84 months without severe or late complications are important observations for assessing the safety of LDLT donors.</AbstractText>
<AbstractText Label="KEY POINTS" NlmCategory="CONCLUSIONS">Liver remnant volumes of LDLT donors rapidly regenerated after donation and volumes were maintained over the long-term follow-up period of up to 84 months without severe or late complications.</AbstractText>
<CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Klink</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Diagnostic, Interventional, and Pediatric Radiology, INSELSPITAL - Bern University Hospital, Bern.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Simon</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Radiology, Neuroradiology, Sonography and Nuclearmedicine, Merciful Brethren Hospital, Trier.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Knopp</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Ittrich</LastName>
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<AffiliationInfo><Affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Fischer</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Hepatobiliary Surgery und Transplant Surgery, University Medical Center Hamburg-Eppendorf, Hamburg.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Adam</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Koops</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Diagnostic and Interventional Radiology, University Medical Center Hamburg Eppendorf, Hamburg.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<Month>12</Month>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Rofo</MedlineTA>
<NlmUniqueID>7507497</NlmUniqueID>
<ISSNLinking>1438-9010</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008099" MajorTopicYN="N">Liver</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D008115" MajorTopicYN="N">Liver Regeneration</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName>
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<MeshHeading><DescriptorName UI="D016031" MajorTopicYN="Y">Liver Transplantation</DescriptorName>
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<MeshHeading><DescriptorName UI="D019520" MajorTopicYN="Y">Living Donors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="Y">Magnetic Resonance Imaging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009929" MajorTopicYN="N">Organ Size</DescriptorName>
<QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D061214" MajorTopicYN="N">Patient Safety</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="Y">Tomography, X-Ray Computed</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<Month>12</Month>
<Day>19</Day>
<Hour>6</Hour>
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