Ex vivo MRI in extracorporeal liver surgery.
Extracorporeal resection of hepatic tumors that were considered inoperable in the past is now possible in selected cases. Such procedures require high-quality preoperative images for the exact delineation of the tumor extent and for an optimal planning of the line of parenchymal division. In-vivo CT and MRI can not always depict the tumor adequately. In such cases, ex-vivo MRI may be a useful additional technique. It combines a high spatial resolution with the best possible soft tissue contrast, as was learned from previous studies on donor livers destined for transplantation. Ex-vivo MRI favours both a sufficiently radical resection as well as sufficient hepatic functional reserve to be present for reimplantation. A case history is reported together with details on the technical procedure.
Wolf
R F
RF
Department of Radiology, University Hospital, Groningen, The Netherlands.
Slooff
M J
MJ
Peeters
P M
PM
de Jong
K P
KP
Kamman
R L
RL
Mooyaart
E L
EL
D000230:Adenocarcinoma / Q000473:pathology* / Q000556:secondary / Q000601:surgery*; D000328:Adult; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008099:Liver / Q000473:pathology*; D008113:Liver Neoplasms / Q000473:pathology* / Q000556:secondary / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D014057:Tomography, X-Ray Computed