[Diagnostic imaging in liver transplantation. Preoperative evaluation and postoperative complications].
Complimentary to orthotopic liver transplantation (OLT), living donor liver transplantation (LDLT) is increasingly considered a therapeutic option in the therapy of end-stage liver disease. Accurate pre- and postoperative imaging is crucial for the transplantation success and represents an established part of the current evaluation algorithms. This article summarizes the most important requirements and the current imaging standards. Preoperative imaging is important for exclusion of transplantation contraindications in the recipient and for reliable assessment of anatomical variants in the donor. The main purpose of postoperative imaging is the early detection and characterization of complications. In both instances, multislice CT currently represents the most versatile and reliable imaging modality, still superior to MRI. For postoperative follow-up, the imaging modality of first choice is still bedside ultrasound; however, unclear findings usually need to be further assessed by CT.
Schroeder
T
T
Institut für Diagnostische & Interventionelle Radiologie, Universitätsklinikum, Essen. Tobias.Schroeder@uni-essen.de
Ruehm
S G
SG
D015901:Angiography, Digital Subtraction; D001653:Bile Ducts, Intrahepatic / Q000473:pathology / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003287:Contrast Media / Q000008:administration & dosage; D003952:Diagnostic Imaging; D006498:Hepatectomy; D006499:Hepatic Artery / Q000473:pathology / Q000601:surgery; D006801:Humans; D008099:Liver / Q000473:pathology*; D008100:Liver Abscess / Q000175:diagnosis; D017093:Liver Failure / Q000175:diagnosis / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D009929:Organ Size; D011183:Postoperative Complications / Q000175:diagnosis*; D011300:Preoperative Care; D012680:Sensitivity and Specificity; D020858:Tissue and Organ Harvesting; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D003287:Contrast Media