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Radiology in Liver Transplantation

  • Reference work entry
  • First Online:
Contemporary Liver Transplantation

Part of the book series: Organ and Tissue Transplantation ((OTT))

  • 1536 Accesses

Abstract

Radiology plays a major role in the care throughout the life cycle of the liver transplant candidate and recipient. Key diagnostic imaging modalities include ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) used for surveillance for the liver transplant candidate and for identifying and managing procedural complications related to tumor ablative techniques and transplantation. US generally serves as a screening modality and provides anatomic, or gray-scale, images to assess anatomic structures and Doppler images to evaluate blood flow in structures such as the hepatic artery and portal vein. CT and MRI provide an anatomic overview and are optimally performed with dynamic contrast-enhanced technique to evaluate the liver. While US is the usual screening modality in the pretransplant setting, CT and MRI are favored at some centers and fulfill problem-solving roles. Additionally, US and CT provide guidance for targeted procedures, including biopsy, ablation, and drainage. Catheter-directed therapy is also an important component of the pretransplant care program and includes the targeted delivery of therapeutic agents, such as chemotherapeutic agents and radiopharmaceuticals. Imaging plays a pivotal role in detecting posttransplant complications and determining the cause of graft failure, and understanding the modality-specific limitations and capabilities is critical to optimizing outcomes.

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Authors and Affiliations

  1. Thomas Jefferson University Hospital, Philadelphia, PA, USA

    Christopher G. Roth, Flavius G. Guglielmo, Sandeep P. Deshmukh & Donald G. Mitchell

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  1. Christopher G. Roth
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  2. Flavius G. Guglielmo
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  3. Sandeep P. Deshmukh
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  4. Donald G. Mitchell
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Correspondence to Christopher G. Roth .

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Editors and Affiliations

  1. Nicoletti Family Professor of Transplant Surgery, Director, Jefferson Transplant Institute, Director, Division of Transplantation, Surgical Director, Kimmel Cancer Center – Jefferson Liver Tumor Center, Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA

    Cataldo Doria

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Roth, C.G., Guglielmo, F.G., Deshmukh, S.P., Mitchell, D.G. (2017). Radiology in Liver Transplantation. In: Doria, C. (eds) Contemporary Liver Transplantation. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-07209-8_22

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  • DOI: https://doi.org/10.1007/978-3-319-07209-8_22

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  • Online ISBN: 978-3-319-07209-8

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