Skip to main content

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 216 Accesses

Abstract

Before a patient is placed on the waiting list for liver transplantation, a variety of screening procedures are performed, including laboratory tests and radiological procedures. One goal is to search for abnormalities that preclude liver transplantation. Another is to detect abnormalities that in some way will affect the operative procedure. The individual periopera- tive risk is evaluated by searching for pulmonary, cardiac, and renal changes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abelman WH, Frank NR, Gaensler EA, Cugell DN (1954) Effects of abdominal distention by ascites on lung volumes and ventilation. Arch Intern Med 93:528–540

    Article  Google Scholar 

  • Ayalon A, Wiesner R, Perkins J et al (1988) Splenic artery aneurysms in liver transplant patients. Transplantation 45:386–389

    Article  PubMed  CAS  Google Scholar 

  • Bank ER, Thrall JH, Dantzker DR (1983) Radionuclide demonstration of intrapulmonary shunting in cirrhosis. AJR 140:967–969

    PubMed  CAS  Google Scholar 

  • Ba-Ssalamah A, Heinz-Peer G, Schima W et al (2000) Detection of focal hepatic lesions: comparison of unenhanced and SHU555A-enhanced MR imaging versus biphasic helical CTAP. J Magn Reson Imag 11:665–672

    Article  CAS  Google Scholar 

  • Born M, Layer G, Kreft B et al (1998) MRT, CT und CTAP in der Diagnostik maligner Lebertumoren bei Leberzirrhose. Fortschr Rontgenstr 168:567–572

    Article  CAS  Google Scholar 

  • Brancatelli G, Federle MP, Pealer K, Geller DA (2001) Portal venous thrombosis or sclerosis in liver transplantation candidates: preoperative CT findings and correlation with surgical procedure. Radiology 220:321–328

    PubMed  CAS  Google Scholar 

  • Choi D, Kim SH, Lim JH et al (2001) Preoperative detection of hepatocellular carcinoma: ferumoxides-enhanced MR imaging versus combined helical CT during arterial portography and CT hepatic arteriography. AJR 176:475–482

    PubMed  CAS  Google Scholar 

  • Dodd GD, Baron RL, Oliver JH et al (1997) Enlarged abdominal lymph nodes in end-stage cirrhosis: CT-histopatho-logic correlation in 507 patients. Radiology 203:127–130

    PubMed  Google Scholar 

  • Glauser FL (1990) Systemic hemodynamic and cardiac function changes in patients undergoing orthotopic liver transplantation. Chest 98:1210–1215

    Article  PubMed  CAS  Google Scholar 

  • Hayashi M, Matsui O, Ueda K et al (1999) Correlation between the blood supply and grade af malignancy of hepatocellular nodules associated with liver cirrhosis: evaluation by CT during intraarterial injection of contrast medium. AJR 172:969–976

    PubMed  CAS  Google Scholar 

  • Hidajat N, Vogl TJ, Möller M et al (1996) Intravenöse Spiral-CT-Angiographie zur Evaluation vor orthotoper Lebertransplantation: Vergleiche zwischen Schnittbilddarstellung, MIP, dreidimensionaler Oberflächendarstellung und intraarterieller DSA. Fortschr Rontgenstr 165:445–451

    Article  CAS  Google Scholar 

  • Jang HJ, Lim JH, Park CK et al (2000) Hepatocellular carcinoma: Are combined CT during arterial portography and CT during hepatic arteriography in addition to triple-phase helical CT all necessary for preoperative evaluation? Radiology 215:373–380

    PubMed  CAS  Google Scholar 

  • Jurim O, Shaked A, Kiai K et al (1993) Celiac compression syndrome and liver transplantation. Ann Surg 218:10–12

    Article  PubMed  CAS  Google Scholar 

  • Kanematsu M, Oliver JH, Carr B, Baron RL (1997) Hepatocellular carcinoma: the role of helical biphasic contrast-enhanced CT versus CT during arterial portography. Radiology 205:75–80

    PubMed  CAS  Google Scholar 

  • Katyal S, Oliver JH, Peterssson MS et al (2000) Extrahepatic metastases of hepatocellular carcinoma. Radiology 216:698–703

    PubMed  CAS  Google Scholar 

  • Kondo H, Kanematsu M, Hoshi H et al (2000) Preoperative detection of malignant hepatic tumors: comparison of combined methods of MR imaging with combined methods of CT. AJR 174:947–954

    PubMed  CAS  Google Scholar 

  • Kopka L, Vosshenrich R, Rodenwaldt J, Grabbe E (1998) Differences in injection rates on contrast-enhanced breath-hold three-dimensional MR angiography. AJR 170:345–348

    PubMed  CAS  Google Scholar 

  • Kopka L, Rodenwaldt J, Vosshenrich R et al (1999) Hepatic arterial blood supply: comparison of optimized dual phase contrast-enhanced three-dimensional MR angiography and digital subtraction angiography. Radiology 211:51–58

    PubMed  CAS  Google Scholar 

  • Kreft B, Strunk H, Flacke S et al (2000) Detection of thrombosis in the portal venous system: comparison of contrast-enhanced MR angiography with intraarterial digital subtraction angiography. Radiology 216:86–92

    PubMed  CAS  Google Scholar 

  • Krowka MJ, Cortese DA (1985) Pulmonary aspects of chronic liver disease and liver transplantation. Mayo Clin Proc 60:407–418

    Article  PubMed  CAS  Google Scholar 

  • Langer R, Langer M, Neuhaus P et al (1990) Angiographische Diagnostik bei Lebertransplantation. Evaluation vor Transplantation. Digit Bilddiagn 10:62–66

    CAS  Google Scholar 

  • Langer R, Langer M, Scholz A et al (1991) Stellenwert der Angiographie und radiologischen Intervention vor und nach Lebertransplantation. Fortschr Rontgenstr 155:416–422

    Article  CAS  Google Scholar 

  • Lerut J, Tzakis AG, Bron K et al (1986) Complications in venous reconstruction in human orthotopic liver transplantation. Ann Surg 205:404–414

    Article  Google Scholar 

  • Mai ML, Gonwa TA (1996): Pretransplantation evaluation: pulmonary, cardiac and renal. In: Busuttil RW, Klintmalm GB (eds) Transplantation of the liver. Saunders, Philadelphia, pp 307–314

    Google Scholar 

  • Michels NA (1955) Blood supply and anatomy of the upper abdominal organs with a descriptive atlas. Lippencott, Philadelphia

    Google Scholar 

  • Nghiem HV, Dimas CT, Mc Vicar JP et al (1999) Impact of double helical CT and three-dimensional CT arteriography on surgical planning for hepatic transplantation. Abdom Imaging 24:278–284

    Article  PubMed  CAS  Google Scholar 

  • Nunez D Jr, Russell E, Yrizarry J et al (1978) Portosystemic communications studied by transhepatic portography. Radiology 127:75–79

    PubMed  CAS  Google Scholar 

  • Oberholzer K, Kreitner K-F, Kalden P et al (2000) Kontrastverstärkte MR-Angiographie abdomineller Gefäße an einem 1,0 T-System. Fortschr Rontgenstr 172:134–138

    Article  CAS  Google Scholar 

  • Puttini M, Aseri P, Brambilla G et al (1982) Splenic artery aneurysms in portal hypertension. J Cardiovasc Surg 23:490–493

    CAS  Google Scholar 

  • Sano A, Kuroda Y, Moriyasu F et al (1982) Porto-pulmonary venous anastomosis in portal hypertension demonstrated by percutaneous transhepatic cine-portography. Radiology 144:479–484

    PubMed  CAS  Google Scholar 

  • Schoenmackers J, Vieten H (1953) Porto-cavale und porto-pulmonale Anastomosen im postmortalen Portogramm. Fortschr Rontgenstr 79:488–498

    Article  CAS  Google Scholar 

  • Seneterre E, Taourel P, Bouvier Y et al (1996) Detection of hepatic metastases: ferumoxides-enhanced MR imaging versus unenhanced MR imaging and CT during arterial portography. Radiology 200:785–792

    PubMed  CAS  Google Scholar 

  • Settmacher U, Haase R, Heise M et al (1999) Variations of surgical reconstruction in liver transplantation depending on vasculature. Langenbecks Arch Surg 384:378–383

    Article  PubMed  CAS  Google Scholar 

  • Smith PA, Klein SA, Heath DG et al (1998) Dual-phase spiral CT angiography with volumetric 3D rendering for preop-erative liver transplant evaluation: preliminary observations. JCAT 22:868–874

    CAS  Google Scholar 

  • Soyer P (1996) Will ferumoxides-enhanced MR imaging replace CT during arterial portography in the detection of hepatic metastases? Prologue to a promising future. Radiology 200:610–611

    PubMed  CAS  Google Scholar 

  • Stanley J, Fry W (1974) Pathogenesis and clinical significance of splenic artery aneurysms. Surgery 76:898–909

    PubMed  CAS  Google Scholar 

  • Stieber AC, Zetti G, Todo S et al (1991) The spectrum of portal vein thrombosis in liver transplantation. Ann Surg 213:199–206

    Article  PubMed  CAS  Google Scholar 

  • Stone MJ (1996) Transplantation for primary hepatic malignancy. In: Busuttil RW, Klintmalm GB (eds) Transplantation of the liver. Saunders, Philadelphia, pp 120–129

    Google Scholar 

  • Strotzer M, Gmeinwieser J, Schmidt J et al (1997) Diagnosis of liver metastases from colorectal adenocarcinoma. Comparison of spiral CTAP combined with intravenous contrast-enhanced spiral CT and SPIO-enhanced MR combined with plain MR imaging. Acta Radiol 38:986–992

    PubMed  CAS  Google Scholar 

  • Szilagyi D, Ryan RL, Elliot JP, Smith JP (1972) The celiac artery compression syndrome: does it exist? Surgery 72:849–863

    PubMed  CAS  Google Scholar 

  • Verma V, Cronin DC, Dachman AH (2001) Portal and mesen-teric venous calcification in patients with advanced cirrhosis. AJR 176:489–492

    PubMed  CAS  Google Scholar 

  • Wilson MW, Hamilton BH, Dong Q et al (1998) Gadolinium-enhanced magnetic resonance venography of the portal venous system prior to transjugular intrahepatic portosystemic shunts and liver transplantation. Invest Radiol 33:644–652

    Article  PubMed  CAS  Google Scholar 

  • Winter TC, Freeny PC, Nghiem HV et al (1995) Hepatic arterial anatomy in transplantation candidates: evaluation with three-dimensional CT arteriography. Radiology 195:363–370

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Rieker, O. (2003). Radiologic Evaluation of the Transplant Candidate. In: Bücheler, E., Nicolas, V., Broelsch, C.E., Rogiers, X., Krupski, G. (eds) Diagnostic and Interventional Radiology in Liver Transplantation. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55955-6_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55955-6_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62950-1

  • Online ISBN: 978-3-642-55955-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics