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Semin Liver Dis 2001; 21(2): 271-282
DOI: 10.1055/s-2001-15399
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Imaging for Right Lobe Living Donor Liver Transplantation

Ihab R. Kamel1,2 , Jonathan B. Kruskal1 , Vassilios Raptopoulos1
  • 1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
  • 2Dr. Ihab R. Kamel is currently at Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, Baltimore, Maryland
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Publication History

Publication Date:
31 December 2001 (online)

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ABSTRACT

The authors describe their experience using multidetector, multiphase computed tomography (CT) for the preoperative evaluation of donors undergoing adult right lobe liver transplantation. The marked improvement in image resolution has been extremely valuable in delineating small hepatic arterial structures, including accessory and replaced vessels. Assessment of liver parenchyma is valuable in determining the presence of steatosis or other unexpected abnormalities. Measurement of total liver volume is highly accurate and reproducible. Virtual hepatectomy can be performed in an avascular plane between the right and left lobes, to the right of the middle hepatic vein. Knowledge of the resultant right and left lobe volumes is critical in patient selection. Multidetector, multiphase CT, as a single imaging modality, provides a minimally invasive comprehensive preoperative evaluation that can be expected to have a major impact on patient selection and surgical planning.

KEYWORD

Blood supply - computed tomography (CT) - image processing - liver transplantation

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