Post-operative imaging in liver transplantation: State-of-the-art and future perspectives
Identifieur interne : 004892 ( Pmc/Curation ); précédent : 004891; suivant : 004893Post-operative imaging in liver transplantation: State-of-the-art and future perspectives
Auteurs : Rossano Girometti ; Giuseppe Como ; Massimo Bazzocchi ; Chiara ZuianiSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2014.
Abstract
Orthotopic liver transplantation (OLT) represents a major treatment for end-stage chronic liver disease, as well as selected cases of hepatocellular carcinoma and acute liver failure. The ever-increasing development of imaging modalities significantly contributed, over the last decades, to the management of recipients both in the pre-operative and post-operative period, thus impacting on graft and patients survival. When properly used, imaging modalities such as ultrasound, multidetector computed tomography, magnetic resonance imaging (MRI) and procedures of direct cholangiography are capable to provide rapid and reliable recognition and treatment of vascular and biliary complications occurring after OLT. Less defined is the role for imaging in assessing primary graft dysfunction (including rejection) or chronic allograft disease after OLT,
Url:
DOI: 10.3748/wjg.v20.i20.6180
PubMed: 24876739
PubMed Central: 4033456
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<author><name sortKey="Como, Giuseppe" sort="Como, Giuseppe" uniqKey="Como G" first="Giuseppe" last="Como">Giuseppe Como</name>
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<author><name sortKey="Bazzocchi, Massimo" sort="Bazzocchi, Massimo" uniqKey="Bazzocchi M" first="Massimo" last="Bazzocchi">Massimo Bazzocchi</name>
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<author><name sortKey="Bazzocchi, Massimo" sort="Bazzocchi, Massimo" uniqKey="Bazzocchi M" first="Massimo" last="Bazzocchi">Massimo Bazzocchi</name>
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<series><title level="j">World Journal of Gastroenterology : WJG</title>
<idno type="ISSN">1007-9327</idno>
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<front><div type="abstract" xml:lang="en"><p>Orthotopic liver transplantation (OLT) represents a major treatment for end-stage chronic liver disease, as well as selected cases of hepatocellular carcinoma and acute liver failure. The ever-increasing development of imaging modalities significantly contributed, over the last decades, to the management of recipients both in the pre-operative and post-operative period, thus impacting on graft and patients survival. When properly used, imaging modalities such as ultrasound, multidetector computed tomography, magnetic resonance imaging (MRI) and procedures of direct cholangiography are capable to provide rapid and reliable recognition and treatment of vascular and biliary complications occurring after OLT. Less defined is the role for imaging in assessing primary graft dysfunction (including rejection) or chronic allograft disease after OLT, <italic>e.g</italic>
., hepatitis C virus (HCV) recurrence. This paper: (1) describes specific characteristic of the above imaging modalities and the rationale for their use in clinical practice; (2) illustrates main imaging findings related to post-OLT complications in adult patients; and (3) reviews future perspectives emerging in the surveillance of recipients with HCV recurrence, with special emphasis on MRI.</p>
</div>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastroenterol</journal-id>
<journal-id journal-id-type="iso-abbrev">World J. Gastroenterol</journal-id>
<journal-id journal-id-type="publisher-id">WJG</journal-id>
<journal-title-group><journal-title>World Journal of Gastroenterology : WJG</journal-title>
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<issn pub-type="ppub">1007-9327</issn>
<issn pub-type="epub">2219-2840</issn>
<publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name>
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<article-id pub-id-type="doi">10.3748/wjg.v20.i20.6180</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Topic Highlight</subject>
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<title-group><article-title>Post-operative imaging in liver transplantation: State-of-the-art and future perspectives</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Girometti</surname>
<given-names>Rossano</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Como</surname>
<given-names>Giuseppe</given-names>
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<contrib contrib-type="author"><name><surname>Bazzocchi</surname>
<given-names>Massimo</given-names>
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<contrib contrib-type="author"><name><surname>Zuiani</surname>
<given-names>Chiara</given-names>
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<aff>Rossano Girometti, Giuseppe Como, Massimo Bazzocchi, Chiara Zuiani, Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, 33100 Udine, Italy</aff>
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<author-notes><fn><p>Author contributions: Girometti R and Como G wrote the paper; Girometti R, Como G, Bazzocchi M and Zuiani C designed the paper; Como G, Bazzocchi M and Zuiani C performed literature research; all the authors selected and supervised the editing of study images and tables.</p>
<p>Correspondence to: Dr. Rossano Girometti, MD, Department of Medical and Biological Sciences, Institute of Diagnostic Radiology, University of Udine, via Colugna 50, 33100 Udine, Italy. <email>rgirometti@sirm.org</email>
</p>
<p>Telephone: +39-43-2559266 Fax: +39-43-2559867</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><day>28</day>
<month>5</month>
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<volume>20</volume>
<issue>20</issue>
<fpage>6180</fpage>
<lpage>6200</lpage>
<history><date date-type="received"><day>24</day>
<month>10</month>
<year>2013</year>
</date>
<date date-type="rev-recd"><day>14</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>19</day>
<month>1</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>©2014 Baishideng Publishing Group Inc. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>Orthotopic liver transplantation (OLT) represents a major treatment for end-stage chronic liver disease, as well as selected cases of hepatocellular carcinoma and acute liver failure. The ever-increasing development of imaging modalities significantly contributed, over the last decades, to the management of recipients both in the pre-operative and post-operative period, thus impacting on graft and patients survival. When properly used, imaging modalities such as ultrasound, multidetector computed tomography, magnetic resonance imaging (MRI) and procedures of direct cholangiography are capable to provide rapid and reliable recognition and treatment of vascular and biliary complications occurring after OLT. Less defined is the role for imaging in assessing primary graft dysfunction (including rejection) or chronic allograft disease after OLT, <italic>e.g</italic>
., hepatitis C virus (HCV) recurrence. This paper: (1) describes specific characteristic of the above imaging modalities and the rationale for their use in clinical practice; (2) illustrates main imaging findings related to post-OLT complications in adult patients; and (3) reviews future perspectives emerging in the surveillance of recipients with HCV recurrence, with special emphasis on MRI.</p>
</abstract>
<kwd-group><kwd>Orthotopic liver transplantation</kwd>
<kwd>Ultrasound</kwd>
<kwd>Computed tomography</kwd>
<kwd>Magnetic resonance imaging</kwd>
<kwd>T-tube cholangiography</kwd>
<kwd>Endoscopic retrograde cholangiography</kwd>
<kwd>Percutaneous transhepatic cholangiography</kwd>
<kwd>Orthotopic liver transplantation complications</kwd>
<kwd>Human C virus recurrence</kwd>
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