Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Ultrasound of Living Donor Liver Transplantation

Leong, L., (2006) Ultrasound of Living Donor Liver Transplantation. Biomedical Imaging and Intervention Journal, 2 (2).

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
1920Kb

Official URL: http://www.biij.org/2006/2/e17/e17.pdf

Affiliations

Queen Mary Hospital, Hong Kong. Dept. of Radiology

Abstract

Liver transplantation is the most effective treatment for various end-stage liver diseases. Living donor liver transplantation (LDLT) was first developed in Asia due to the severe lack of cadaveric graft in this region. The Liver Transplant Service at Queen Mary Hospital (QMH), Hong Kong, has pioneered the application of LDLT to patients using both left lobe and right lobe grafts. The QMH liver transplant programme is the largest of its kind in China and Southeast Asia. Ultrasound (US) is often employed in the initial work-up of potential donor and recipient of LDLT. It is the imaging technique of choice to assess the early and late complications of LDLT, with colour Doppler ultrasound being the most useful in the evaluation of post-LDLT vascular complications. The use of ultrasound contrast agents improves the visualisation of the hepatic vasculature, possibly delaying or removing the need for more invasive investigations. Intraoperative ultrasound facilitates the determination of the resection plane during donor hepactectomy. Computed tomography (CT) or magnetic resonance imaging (MRI) can be used as the single imaging modality in the evaluation of LDLT candidates. Ultrasound is most useful as the initial screening test in detecting hepatic parenchymal abnormalities, while CT or MRI is the modality of choice in the demonstration of vascular and biliary anatomy of the potential liver donor. Biliary complications are more common in LDLT than in cadaveric liver transplantation. The ductal dilatation, resulting from biliary stricture, is clearly demonstrated by ultrasound. Bilomas can be aspirated under ultrasound guidance to confirm the diagnosis and to promote healing. Perihepatic fluid collections and abscesses are also common after LDLT. Intra-hepatic collections may represent seromas, haematomas or infarction. Ultrasound is a sensitive means of detecting these collections and can be employed to guide drainage in suitable patients. Transplant-related malignancies include recurrent neoplasia and post-transplant lymphoproliferative disease (PTLD). Ultrasound can be used to screen for recurrent disease and to detect PTLD in the transplanted liver.

Item Type:Journal
Keywords:Ultrasound, Living Donor, Liver, Transplantation
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:4452

1. Chen CL, Fan ST, Lee SG, et al. Living-donor liver transplantation: 12 years of experience in Asia. Transplantation 2003;75:S6-S11.

2. Tchelepi H, Ralls PW, Radin R, et al. Sonography of diffuse liver disease. J Ultrasound Med 2002; 21:1023-1032.

3. Llovet JM, Schwartz M, Mazzaferro V. Resection and liver transplantation for hepatocellular carcinoma. Semin Liver Dis 2005;25:181-200.

4. Hwang S, Lee SG, Joh JW. Liver transplantation for adult patients with hepatocellular carcinoma in Korea: Comparison between cadaveric donor and living donor liver transplantation. Liver Transpl 2005;11:1265-1272.

5. Nicolau C, Vilana R, Bru C. The use of contrast-enhanced ultrasound in the management of the cirrhotic patient and for the detection of HCC. Eur Radiol 2004;14:S63-S71.

6. Rode A, Bancel B, Douek P, et al. Small nodule detection in cirrhotic livers: Evaluation with US, spiral CT, and MRI and correlation with pathologic examination of explanted liver. J Comput Assist Tomogr 2001;25:327-336.

7. Low RN, Semelka RC, Worawattanakul S, et al. Extrahepatic abdominal imaging in patients with malignancy: Comparison of MR imaging and helical CT in 164 patients. J Magn Reson Imaging 2000;12:269-277.

8. Lim HK, Lee WJ, Kim SH, et al. Splanchnic arterial stenosis or occlusion: Diagnosis at Doppler US. Radiology 1999;211:405-410.

9. Guven K, Acunas B. Multidetector computed tomography angiography of the abdomen. Eur J Radiol 2004; 52:44-55.

10. Schroeder T, Malago M, Debatin JF, et al. “All-in-one” imaging protocols for the evaluation of potential living liver donors: Comparison of magnetic resonance imaging and multidetector computed tomography. Liver Transpl 2005;11:776-787.

11. Alonso-Torres A, Fernandez-Cuadrado J, Pinilla I, et al. Multidetector CT in the evaluation potential living donors for liver transplantation. Radiographics 2005;25:1017-1030.

12. Sahani D, D’Souza R, Kadavigere R, et al. Evaluation of living liver transplant donors: Method for precise anatomic definition by using a dedicated contrast-enhanced MR imaging protocol. Radiographics 2004;24:957-967.

13. Wang ZJ, Yeh BM, Roberts JP, et al. Living donor candidates for right hepatic lobe transplantation: evaluation at CT cholangiography — initial experience. Radiology 2005;235:899-904.

14. Kim RD, Sakamoto S, Haider MA, et al. Role of magnetic resonance cholangiography in assessing biliary anatomy in right lobe living donors. Transplantation 2005;79:1417-1421.

15. Ayuso JR, Ayuso C, Bombuy E, et al. Preoperative evaluation of biliary anatomy in adult live liver donors with volumetric mangafodipir trisodium enhanced magnetic resonance cholangiography. Liver Transpl 2004;10:1391-1397.

16. Lo CM, Fan ST, Liu CL, et al. Minimum graft size for successful living donor liver transplantation. Transplantation 1999;68:1112-1116.

17. Fan ST, Lo CM, Liu CL, et al. Safety of donors in live donor transplantation using right lobe grafts. Arch Surg 2000;135:336-340

18. Bassignani MJ, Fulcher AS, Szucs RA, et al. Use of imaging for living donor liver transplantation. Radiographics 2001;21:39-52.

19. Liu CL, Zhao Y, Lo CM, et al. Hepatic venoplasty in right lobe live donor liver transplantation. Liver Transpl 2003;9:1265-1272.

20. Chong WK. Ultrasound evaluation of liver transplants. Abdom Imaging 2004;29:180-188.

21. Marcos A, Fisher RA, Ham JM, et al. Right lobe living donor liver transplantation. Transplantation 1999;68:798-803.

22. Someda H, Moriyasu F, Fujimoto M, et al. Vascular complications in living related liver transplantation detected with intra-operative and postoperative Doppler US. J Hepatol 1995;22:623-632.

23. Cheng YF, Huang TL, Chen CL, et al. Intraoperative Doppler ultrasound in liver transplantation. Clin Transplant 1998;12:292-299.

24. Crossin JD, Muradali D, Wilson SR. US of liver transplants: normal and abnormal. Radiographics 2003;23:1093-1114.

25. Garcia-Criado A, Gilabert R, Salmeron JM, et al. Significance of and contributing factors for a high resistive index on Doppler sonography of the hepatic artery immediately after surgery: Prognosis implications for liver transplant recipients. Am J Roentgenol 2003;181:831-838.

26. Ho MC, Wu YM, Hu RH, et al. Surgical complications and outcome of living related liver transplantation. Transplant Proc 2004;36:2249-2251.

27. Saing H, Fan ST, Tam PK, et al. Surgical complications and outcome of pediatric liver transplantation in Hong Kong. J Pediatr Surg 2002;37:1673-1677.

28. Quiroga S, Sebastia MC, Margarit C, et al. Complications of orthotopic liver transplantation: spectrum of findings with helical CT. Radiographics 2001;21:1085-1102.

29. Boraschi P, Donati F. Complications of orthotopic liver transplantation: Imaging findings. Abdom Imaging 2004;2:189-202.

30. Dodd III GD, Memel DS, Zajko AB, et al. Hepatic artery stenosis and thrombosis in transplant recipients: Doppler diagnosis with resistive index and systolic acceleration time, Radiology 1994;192:657-661.

31. Berry JD, Sidhu PS. Microbubble contrast-enhanced ultrasound in liver transplantation. Eur Radiol 2004;14:S96-S103

32. Brancatelli G, Katyal S, Federle MP, et al. Three dimensional multi-slice helical computed tomography with the volume rendering technique in the detection of vascular complications after liver transplantation. Transplantation 2002;73:237-242.

33. Kim BS, Kim TK, Jung DJ, et al. Vascular complications after living related liver transplantation: Evaluation with gadoliniumenhanced three-dimensional MRA. Am J Roentgenol 2003;181:467-474.

34. Kaneko J, Sugawara Y, Akamatsu N, et al. Prediction of hepatic artery thrombosis by protocol Doppler ultrasonography in pediatric living donor liver transplantation. Abdom Imaging 2004;29:603-605.

35. Sidhu PS, Marshall MM, Ryan SM et al. Clinical use of Levovist, an ultrasound contrast agent, in the imaging of liver transplantation: assessment of the pre- and post-transplant patient. Eur Radiol 2000;10:1114-1126.

36. Cook GJ, Crofton ME. Hepatic artery thrombosis and infarction: Evolution of the ultrasound appearances in liver transplant recipients. Br J Radiol 1997;70:248-251.

37. Sidhu PS, Ellis SM, Karani JB, et al. Hepatic artery stenosis following liver transplantation: Significance of the tardus parvus waveform and the role of microbubble contrast media in the detection of a focal stenosis. Clin Radiol 2002;57:789-799.

38. Denys AL, Qanadli SD, Durand F, et al. Feasibility and effectiveness of using coronary stents in the treatment of hepatic artery stenosis after orthotopic liver transplantation: Preliminary report. Am J Roentgenol 2002;178:1175-1179.

39. Patel JV, Weston MJ, Kessel DO, et al. Hepatic artery pseudoaneurysm after liver transplantation: Treatment with percutaneous thrombin injection. Transplantation 2003;75:1755-1757.

40. Ko EY, Kim TK, Kim PN, et al. Hepatic vein stenosis after living donor liver transplantation: Evaluation with Doppler US. Radiology 2003;229:806-810

41. Maluf DG, Stravitz RT, Cotterell AH, et al. Adult living donor versus deceased donor liver transplantation: A 6-year single centre experience. Am J Transplant 2005;5:149-156.

42. Boraschi P, Braccini G, Gigoni R, et al. Detection of biliary complications after orthotopic liver transplantation with MR cholangiography. Magn Reson Imaging 2001; 19:1097-1105.

43. Shaw AS, Ryan SM, Beese RC, et al. Ultrasound of non-vascular complications in the post liver transplant patient. Clin Radiol 2003;58:672-680.

44. Bridges MD, May GR, Harnois DM. Diagnosing biliary complications of orthotopic liver transplantation with mangafodipir trisodium-enhanced MR cholangiography: comparison with conventional MR cholangiography. Am J Roentgenol 2004;182:1497-1504.

45. Scarsbrook AF, Warakaulle DR, Dattani M. Post-transplantation lymphoproliferative disorder: The spectrum of imaging appearance. Clin Radiol 2005;60:47-55.

46. Ferris JV, Baron RL, Marsh JW Jr, et al. Recurrent hepatocellular carcinoma after liver transplantation: Spectrum of CT findings and recurrence patterns. Radiology 1996; 198:233-238.

47. Lo CM. Complications and long-term outcome of living liver donors: A survey of 1,508 cases in five Asian centres. Transplantation 2003; 75:S12-15.

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.