Biliary tree necrosis in transplanted liver detected by spiral CT with three-dimensional reconstruction.
We present a case where spiral computed tomography (CT) with three dimensional reconstruction was able to generate cholangiographic images demonstrating biliary tree necrosis in a transplanted liver. Volumetric CT as a one step diagnostic solution to establish a diagnosis in patients after liver transplantation can expedite appropriate therapy and reduce the number of invasive studies. By the integration of volumetric CT techniques and rapid three-dimensional display of biliary structures, volumetric cholangiography may become practical. Though spatial resolution may prove to be a limiting factor in replacing cholangiography for subtle mural disease, volumetric CT can yield clinically useful information.
Tello
R
R
Harvard Medical School Department of Radiological Sciences, Deaconess Hospital, Boston, Massachusetts 02215, USA.
Jenkins
R
R
McGinnes
A
A
Costello
P
P
Lewis
W D
WD
D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D016031:Liver Transplantation / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D014057:Tomography, X-Ray Computed / Q000379:methods*