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Liver Transplantation

  • Olga Tucker
  • Nigel Heaton
  • Giulia A. Zamboni
  • Ivan Pedrosa
  • Jonathan B. Kruskal
  • Vassilios Raptopoulos
Chapter
  • 876 Downloads
Part of the Medical Radiology book series (MEDRAD)

Abstract

Liver transplantation is an established, effective and often lifesaving treatment for acute and chronic endstage liver disease. Over the last four decades major advances in diagnosis, preoperative patient assessment, donor organ preservation, immunosuppressive therapy, surgical, anaesthetic and intensive care techniques, and improved assessment and management of postoperative complications have resulted in increased patient and graft survival. Currently patients with chronic liver disease undergoing liver transplantation have a 1-year survival of 85–96%, and a 5-year survival of greater than 70% (Busuttil and Lake 2004).

Keywords

Portal Vein Hepatic Artery Inferior Vena Cava Hepatic Vein Portal Vein Thrombosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Abdalla EK, Denys A, Chevalier P, Nemr RA, Vauthey JN (2004) Total and segmental liver volume variations: implications for liver surgery. Surgery 135:404–410PubMedCrossRefGoogle Scholar
  2. Busuttil RW, Lake JR (2004) Role of tacrolimus in the evolution of liver transplantation. Transplantation 77: S44–S51PubMedCrossRefGoogle Scholar
  3. Falchetti D, de Carvalho FB, Clapuyt P, de Ville de Goyet, de Hemptinne B, Claus D, Otte JB (1991) Liver transplantation in children with biliary atresia and polysplenia syndrome. J Pediatr Surg 5:528–531CrossRefGoogle Scholar
  4. Graziadei IW, Wiesner RH, Batts KP, Marotta PJ, LaRusso NF, Porayko MK, Hay E, Gores GJ, Charlton MR, Ludwig J, Poterucha JJ, Steers JL, Krom RAF (1999) Recurrence of primary sclerosing cholangitis following liver transplantation. Hepatology 29:1050–1056PubMedCrossRefGoogle Scholar
  5. Hesselink EJ, Slooff MJH, Schuur KH, Bijleveld CH, Gips CH (1987) Consequences of hepatic artery pathology after orthotopic liver transplantation. Transplant Proc 19:2476–2477PubMedGoogle Scholar
  6. Higashiyama H, Yamaguchi T, Mori K, Nakano Y, Yokoyama T, Takeuchi T, Yamamoto N, Yamaoka Y, Tanaka K, Kumada K (1993) Graft size assessment by preoperative computed tomography in living related partial liver transplantation. Br J Surg 80:489–492PubMedCrossRefGoogle Scholar
  7. Kawasaki S, Makuuchi M, Matsunami H, Hashikura Y, Ikegami T, Nakazawa Y, Chisuwa H, Terada M, Miyagawa S (1998) Living related liver transplantation in adults. Ann Surg 227:269–274PubMedCrossRefGoogle Scholar
  8. Langnas AN, Marujo W, Stratta RJ, Wood RP, Shaw BW Jr (1991) Vascular complications after orthotopic liver transplantation. Am J Surg 161:76–82PubMedCrossRefGoogle Scholar
  9. Llovet JM, Schwartz M, Mazzaferro V (2005) Resection and liver transplantation for hepatocellular carcinoma. Semin Liver Dis 25(2):181–200PubMedCrossRefGoogle Scholar
  10. Lo CM, Fan ST, Liu CL, Chan JK, Lam BK, Lau GK, Wei WI, Wong J (1999) Minimum graft size for successful living donor liver transplantation. Transplantation 68:1112–1116PubMedCrossRefGoogle Scholar
  11. Mazzaferro V, Regalia E, Doci R, Andreola S, Pulvirenti A, Bozzetti F, Montalto F, Ammatuna M, Morabito A, Gennari L (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334(ll):693–699PubMedCrossRefGoogle Scholar
  12. Pugh RNH, Murray-Lyon IM, Dawson JL et al (1973) Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 60:646–649PubMedCrossRefGoogle Scholar
  13. Starzl TE, Marchioro TL, Von Kaulla K et al (1963) Homotransplantation of the liver in humans. Surg Gynecol Obstet 117:659–676PubMedGoogle Scholar
  14. Sutcliffe R, Maguire D, Mroz A, Portmann B, O’Grady J, Bowles M, Muiesan P, Rela M, Heaton N (2004) Bile duct strictures after adult liver transplantation: a role for biliary reconstructive surgery? Liver Transpl 10(7):928–934PubMedCrossRefGoogle Scholar
  15. Tucker ON, Heaton N (2005) The“small for size”liver syndrome. Curr Opin Crit Care 11(2):150–155PubMedCrossRefGoogle Scholar
  16. Vauthey JN, Chaoui A, Do KA, Bilimoria MM, Fenstermacher MJ, Charnsangavej C, Hicks M, Alsfasser G, Lauwers G, Hawkins IF, Caridi J (2000) Standardized measurement of the future liver remnant prior to extended liver resection: methodology and clinical associations. Surgery 127:512–519PubMedCrossRefGoogle Scholar
  17. Yao FY, Ferrell L, Bass NM, Watson JJ, Bacchetti P, Venook A, Ascher NL, Roberts JP (2001) Liver transplantation for hepatocellular carcinoma: expansion of the tumor size limits does not adversely impact survival. Hepatology 33(6):1394–1403PubMedCrossRefGoogle Scholar
  18. Yao FY, Ferrell L, Bass NM, Bacchetti P, Ascher NL, Roberts JP (2002) Liver transplantation for hepatocellular carcinoma: comparison of the proposed UCSF criteria with the Milan criteria and the Pittsburgh modified TNM criteria. Liver Transpl 8(9):765–774PubMedCrossRefGoogle Scholar
  19. Zajko AB, Campbell WL, Logsdon GA, Bron KM, Tzakis A, Esquivel CO, Starzl TE (1987) Cholangiographic findings in hepatic artery occlusion after liver transplantation. AJR Am J Roentgenol 149(3):485–489PubMedGoogle Scholar

References

  1. Alonso-Torres A, Fernandez-Cuadrado J, Pinilla I et al (2005) Multidetector CT in the evaluation of potential living donors for liver transplantation. Radiographies 25(4):1017–1030CrossRefGoogle Scholar
  2. Bassignani MJ, Fulcher AS, Szucs RA et al (2001) Use of imaging for living donor liver transplantation. Radiographics 21(l):39–52PubMedGoogle Scholar
  3. Ben-Ari Z, Amlot P, Lachmanan SR et al (1999) Posttransplantation lymphoproliferative disorder in liver recipients: characteristics, management, and outcome. Liver Transpl Surg 5(3):184–191PubMedCrossRefGoogle Scholar
  4. Berry JD, Sidhu PS (2004) Microbubble contrast-enhanced ultrasound in liver transplantation. Eur Radiol 14[Suppl 8]:P96–P103PubMedGoogle Scholar
  5. Boraschi P, Donati F, Gigoni R et al (2004) Ischemic-type biliary lesions in liver transplant recipients: evaluation with magnetic resonance cholangiography. Transplant Proc 36:2744–2747PubMedCrossRefGoogle Scholar
  6. Brancatelli G, Katyal S, Federle MP et al (2002) Three-dimensional multislice helical computed tomography with the volume rendering technique in the detection of vascular complications after liver transplantation. Transplantation 27;73(2):237–242CrossRefGoogle Scholar
  7. Cheng YF, Chen CL, Huang TL et al (2004) 3DCT angiography for detection of vascular complications in pediatric liver transplantation. Liver Transpl 10(2):248–252PubMedCrossRefGoogle Scholar
  8. Cho JY, Suh KS, Kwon CH et al (2006) Outcome of donors with a remnant liver volume of less than 35% after right hepatectomy. Liver Transpl 12(2):201–206PubMedCrossRefGoogle Scholar
  9. Cho KC, Patel YD, Wachsberg RH et al (1995) Varices in portal hypertension: evaluation with CT. Radiographics 15(3):609–622PubMedGoogle Scholar
  10. Chong WK (2004) Ultrasound evaluat ion of liver transplants. Abdom Imaging 29(2):180–188PubMedCrossRefGoogle Scholar
  11. Chu WC, Yeung DT, Lee KH et al (2005) Feasibility of morphologic assessment of vascular and biliary anatomy in pediatric liver transplantation: all-in-one protocol with breath-hold magnetic resonance. J Pediatr Surg 40:1605–1611PubMedCrossRefGoogle Scholar
  12. Cochat P, Gaulier JM, Koch Nogueira PC et al (1999) Combined liver-kidney transplantation in primary hyperoxaluria type 1. Eur J Pediatr 158[Suppl 2]:S75–S80PubMedCrossRefGoogle Scholar
  13. Crossin JD, Muradali D, Wilson SR (2003) US of livertransplants: normal and abnormal. Radiographies 23(5):1093–1114CrossRefGoogle Scholar
  14. Deshpande RR, Heaton ND, Rela M (2002) Surgical anatomy of segmental liver transplantation. Br J Surg 89(9):1078–1088PubMedCrossRefGoogle Scholar
  15. Erbay N, Raptopoulos V, Pomfret EA et al (2003) Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients. AJR Am J Roentgenol 181(l):109–114PubMedGoogle Scholar
  16. Eubank WB, Wherry KL, Maki JH et al (2002) Preoperative evaluation of patients awaiting liver transplantation: comparison of multiphasic contrast-enhanced 3D magnetic resonance to helical computed tomography examinations. J Magn Reson Imaging 16:565–575PubMedCrossRefGoogle Scholar
  17. Federle MP, Kapoor V (2003) Complications of liver transplantation: imaging and intervention. Radiol Clin North Am 41(6):1289–1305PubMedCrossRefGoogle Scholar
  18. Finn JP, Edelman RR, Jenkins R Let al (1991) Liver transplantation: MR angiography with surgical validation. Radiology 179:265–269PubMedGoogle Scholar
  19. Fulcher AS, Szucs RA, Bassignani MJ et al (2001) Right lobe living donor liver transplantation: preoperative evaluation of the donor with MR imaging. AJR Am J Roentgenol 176(6):1483–1491PubMedGoogle Scholar
  20. Gemmete JJ, Mueller GC, Carlos RC (2006) Liver transplantation in adults: postoperative imaging evaluation and interventional management of complications. Semin Roentgenol 41(l):36–44PubMedCrossRefGoogle Scholar
  21. Goyen M, Barkhausen J, Debatin JF et al (2002). Right-lobe living related liver transplantation: evaluation of a comprehensive magnetic resonance imaging protocol for assessing potential donors. Liver Transpl 8:241–250PubMedCrossRefGoogle Scholar
  22. Guiney MJ, Kruskal JB, Sosna J et al (2003) Multi-detector row CT of relevant vascular anatomy of the surgical plane in split-liver transplantation. Radiology 229(2):401–407PubMedCrossRefGoogle Scholar
  23. Haustein J, Niendorf HP, Krestin G et al (1992) Renal tolerance of gadolinium-DTPA/dimeglumine in patients with chronic renal failure. Invest Radiol 27:153–156PubMedCrossRefGoogle Scholar
  24. Holland AE, Hecht EM, Hahn WY et al (2005) Importance of small (<-20-mm) enhancing lesions seen only during the hepatic arterial phase at MR imaging of the cirrhotic liver: evaluation and comparison with whole explanted liver. Radiology 237:938–944PubMedCrossRefGoogle Scholar
  25. Inomata Y, Uemoto S, Asonuma K et al (2000) Right lobe graft in living donor liver transplantation. Transplantation 69(2):258–264PubMedCrossRefGoogle Scholar
  26. Ishifuro M, Horiguchi J, Nakashige A et al (2002) Use of multidetector row CT with volume renderings in right lobe living liver transplantation. Eur Radiol 12(10):2477–2483PubMedGoogle Scholar
  27. Jang HJ, Lim JH, Lee SJ et al (2000) Hepatocellular carcinoma: are combined CT during arterial portography and CT hepatic arteriography in addition to triple-phase helical CT all necessary for preoperative evaluation? Radiology 15(2):373–380Google Scholar
  28. Kamel IR, Raptopoulos V, Pomfret EA et al (2000) Living adult right lobe liver transplantation: imaging before surgery with multidetector multiphase CT. AJR Am J Roentgenol 175(4):1141–1143PubMedGoogle Scholar
  29. Kamel IR, Kruskal JB, Keogan MT et al (2001a) Multidetector CT of potential right-lobe liver donors. AJR Am J Roentgenol 177(3):645–651PubMedGoogle Scholar
  30. Kamel IR, Kruskal JB, Pomfret EA et al (2001b) Impact of multidetector CT on donor selection and surgical planning before living adult right lobe liver transplantation. AJR Am J Roentgenol 176(l):193–200PubMedGoogle Scholar
  31. Kamel IR, Kruskal JB, Warmbrand G et al (2001c) Accuracy of volumetric measurements after virtual right hepatectomy in potential donors undergoing living adult liver transplantation. AJR Am J Roentgenol 176(2):483–487PubMedGoogle Scholar
  32. Kamel IR, Erbay N, Warmbrand G et al (2003) Liver regeneration after living adult right lobe transplantation. Abdom Imaging 28(l):53–57PubMedCrossRefGoogle Scholar
  33. Kang BK, Lim JH, Kim SH et al (2003) Preoperative depiction of hepatocellular carcinoma: ferumoxides-enhanced MR imaging versus triple-phase helical CT. Radiology 226(l):79–85PubMedCrossRefGoogle Scholar
  34. Keeffe EB (2000) Liver transplantation at the millennium. Past, present, and future. Clin Liver Dis 4(l):241–255PubMedCrossRefGoogle Scholar
  35. Kim BS, Kim TK, Jung DJ et al (2003) Vascular complications after living related liver transplantation: evaluation with gadolinium-enhanced three-dimensional MR angiography. AJR Am J Roentgenol 181:467–474PubMedGoogle Scholar
  36. Kim YK, Kwak HS, Kim CS et al (2006a) Hepatocellular carcinoma in patients with chronic liver disease: comparison of SPIO-enhanced MR imaging and 16-detector row CT. Radiology 238(2):531–541PubMedCrossRefGoogle Scholar
  37. Ko EY, Kim TK, Kim PN et al (2003) Hepatic vein stenosis after living donor liver transplantation: evaluation with Doppler US. Radiology 229(3):806–810PubMedCrossRefGoogle Scholar
  38. Ko GY, Sung KB, Yoon HK et al (2002) Endovascular treatment of hepatic venous outflow obstruction after living-donor liver transplantation. J Vasc Interv Radiol 13(6):591–599PubMedCrossRefGoogle Scholar
  39. Krinsky GA, Lee VS, Theise ND et al (2001) Hepatocellular carcinoma and dysplastic nodules in patients with cirrhosis: prospective diagnosis with MR imaging and explantation correlation. Radiology 219:445–454PubMedGoogle Scholar
  40. Krinsky GA, Lee VS, Theise ND et al (2002) Transplantation for hepatocellular carcinoma and cirrhosis: sensitivity of magnetic resonance imaging. Liver Transpl 8:1156–1164PubMedCrossRefGoogle Scholar
  41. Kruskal JB, Raptopoulos V (2002) How I do it: pre-operative CT scanning for adult living right lobe liver transplantation. Eur Radiol 12(6):1423–1431PubMedCrossRefGoogle Scholar
  42. Laghi A, Pavone P, Catalano C et al (1999) MR cholangiography of late biliary complications after liver transplantation. AJR Am J Roentgenol 172:1541–1546PubMedGoogle Scholar
  43. Langnas AN, Marujo W, Stratta RJ et al (1991) Vascular complications after orthotopic liver transplantation. Am J Surg. 161(l):76–82PubMedCrossRefGoogle Scholar
  44. Lee VS, Morgan GR, Teperman LW et al (2001) MR imaging as the sole preoperative imaging modality for right hepatectomy: a prospective study of living adult-to-adult liver donor candidates. AJR Am J Roentgenol 176:1475–1482PubMedGoogle Scholar
  45. Lee VS, Krinsky GA, Nazzaro CA et al (2004) Defining intrahepatic biliary anatomy in living liver transplant donor candidates at mangafodipir trisodium-enhanced MR cholangiography versus conventional T2-weighted MR cholangiography. Radiology 233:659–666PubMedCrossRefGoogle Scholar
  46. Lemke AJ, Brinkmann MJ, Pascher A et al (2003) [Accuracy of the CT-estimated weight of the right hepatic lobe prior to living related liver donation (LRLD) for predicting the intraoperatively measured weight of the graft.] Rofo 175:1232–1238PubMedGoogle Scholar
  47. Letourneau JG, Castaneda-Zuniga WR (1990) The role of radiology in the diagnosis and treatment of biliary complications after liver transplantation. Cardiovasc Intervent Radiol 13(4):278–282PubMedCrossRefGoogle Scholar
  48. Liebig T, Stoupis C, Ros PR et al (1993) A potentially artifactfree oral contrast agent for gastrointestinal MRI. Magn Reson Med 30:646–649PubMedCrossRefGoogle Scholar
  49. Lim JH, Park CK (2004) Hepatocellular carcinoma in advanced liver cirrhosis: CT detection in transplant patients. Abdom Imaging 29(2):203–207PubMedCrossRefGoogle Scholar
  50. Lim JS, Kim MJ, Kim JH et al (2005a) Preoperative MRI of potential living-donor-related liver transplantation using a single dose of gadobenate dimeglumine. AJR Am J Roentgenol 185(2):424–431PubMedGoogle Scholar
  51. Lim JS, Kim MJ, Jung YY, Kim KW (2005b) Gadobenate dimeglumine as an intrabiliary contrast agent: comparison with mangafodipir trisodium with respect to non-dilated biliary tree depiction. Korean J Radiol 6:229–234PubMedGoogle Scholar
  52. Lo CM, Fan ST, Chan JK et al (1999) Minimum graft volume for successful adult-to-adult living donor liver transplantation for fulminant hepatic failure. Transplantation 62(5):696–698CrossRefGoogle Scholar
  53. Marsman WA, Wiesner RH, Rodriguez L et al (1996) Use of fatty donor liver is associated with diminished early patient and graft survival. Transplantation 62(9):1246–1251PubMedCrossRefGoogle Scholar
  54. Mazzaferro V, Regalia E, Doci R et al (1996) Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. N Engl J Med 334:693–699PubMedCrossRefGoogle Scholar
  55. Michels NA (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 112(3):337–347PubMedCrossRefGoogle Scholar
  56. Mori K, Scheidler J, Helmberger T et al (2002) Detection of malignant hepatic lesions before orthotopic liver transplantation: accuracy of ferumoxides-enhanced MR imaging. AJR Am J Roentgenol 179:1045–1051PubMedGoogle Scholar
  57. Mortele KJ, Cantisani V, Troisi R et al (2003) Preoperative liver donor evaluation: imaging and pitfalls. Liver Transpl 9(9):S6–S14PubMedCrossRefGoogle Scholar
  58. Nicolau C, Vilana R, Bru C (2004) The use of contrast-enhanced ultrasound in the management of the cirrhotic patient and for detection of HCC. Eur Radiol 14[Suppl 8]:P63–P71PubMedGoogle Scholar
  59. Pandharipande PV, Lee VS, Morgan GR et al (2001) Vascular and extravascular complications of liver transplantation: comprehensive evaluation with three-dimensional contrast-enhanced volumetric MR imaging and MR cholangiopancreatography. AJR Am J Roentgenol 177:1101–1107PubMedGoogle Scholar
  60. Petersein J, Spinazzi A, Giovagnoni A et al (2000) Focal liver lesions: evaluation of the efficacy of gadobenate dimeglumine in MR imaging — a multicenter phase III clinical study. Radiology 215:727–736PubMedGoogle Scholar
  61. Pomfret EA, Pomposelli JJ, Lewis WD et al (2001) Live donor adult liver transplantation using right lobe grafts: donor evaluation and surgical outcome. Arch Surg 136(4):425–433PubMedCrossRefGoogle Scholar
  62. Prince MR, Arnoldus C, Frisoli JK (1996) Nephrotoxicity of high-dose gadolinium compared with iodinated contrast. J Magn Reson Imaging 6:162–166PubMedCrossRefGoogle Scholar
  63. Quiroga J, Colina I, Demetris AJ et al (1991) Cause and timing of first allograft failure in orthotopic liver transplantation: a study of 177 consecutive patients. Hepatology 14(6):1054–1062PubMedCrossRefGoogle Scholar
  64. Raptopoulos V, Karellas A, Bernstein et al (1991) Value of dual-energy CT in differentiating focal fatty infiltration of the liver from low-density masses. AJR Am J Roentgenol 157(4):721–725PubMedGoogle Scholar
  65. Redvanly RD, Nelson RC, Stieber AC et al (1995) Imaging in the preoperative evaluation of adult liver-transplant candidates: goals, merits of various procedures, and recommendations. AJR Am J Roentgenol 164(3):611–617PubMedGoogle Scholar
  66. Renz JF, Busuttil RW (2000) Adult-to-adult living-donor liver transplantation: a critical analysis. Semin Liver Dis 20(4):411–424PubMedCrossRefGoogle Scholar
  67. Rode A, Bancel B, Douek P et al (2001) 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 25:327–336PubMedCrossRefGoogle Scholar
  68. Rofsky NM, Weinreb JC, Bosniak MA et al (1991) Renal lesion characterization with gadolinium-enhanced MR imaging: efficacy and safety in patients with renal insufficiency. Radiology 180:85–89PubMedGoogle Scholar
  69. Sahani D, D’souza R, Kadavigere R et al (2004a) Preoperative hepatic vascular evaluation with CT and MR angiography: implications for surgery. Radiographics 24(5):1367–1380PubMedCrossRefGoogle Scholar
  70. Schroeder T, Malago M, Debatin JF et al (2005) “All-in-one” imaging protocols for the evaluation of potential living liver donors: comparison of magnetic resonance imaging and multidetector computed tomography. Liver Transpl 11:776–787PubMedCrossRefGoogle Scholar
  71. Schroeder T, Radtke A, Kuehl H et al (2006) Evaluation of living liver donors with an all-inclusive 3D multi-detector row CT protocol. Radiology 2006 Jan 26; [Epub ahead of print]Google Scholar
  72. Shellock FG, Kanal E (1999) Safety of magnetic resonance imaging contrast agents. J Magn Reson Imaging 10:477–484PubMedCrossRefGoogle Scholar
  73. Smadja C, Blumgart LH (1994) The biliary tract and the anatomy of biliary exposure. In: Blumgart LH (ed) Surgery of the liver and biliary tract, 2nd edn. Churchill Livingstone, LondonGoogle Scholar
  74. Spinazzi A, Lorusso V, Pirovano G et al (1999) Safety, tolerance, biodistribution, and MR imaging enhancement of the liver with gadobenate dimeglumine: results of clinical pharmacologic and pilot imaging studies in nonpatient and patient volunteers. Acad Radiol 6:282–291PubMedCrossRefGoogle Scholar
  75. Stafford-Johnson DB, Hamilton BH, Dong Q et al (1998) Vascular complications of liver transplantation: evaluation with gadolinium-enhanced MR angiography. Radiology 207:153–160PubMedGoogle Scholar
  76. Taourel P, Bret PM, Reinhold C et al (1996) Anatomic variants of the biliary tree: diagnosis with MR cholangiopancreatography. Radiology 199:521–527PubMedGoogle Scholar
  77. Teefey SA, Hildeboldt CC, Dehdashti F et al (2003) Detection of primary hepatic malignancy in liver transplant candidates: prospective comparison of CT, MR imaging, US, and PET. Radiology 226:533–542PubMedCrossRefGoogle Scholar
  78. Vogl TJ, Pegios W, McMahon C et al (1992) Gadobenate dimeglumine — a new contrast agent for MR imaging: preliminary evaluation in healthy volunteers. AJR Am J Roentgenol 158:887–892PubMedGoogle Scholar
  79. Yeh BM, Breiman RS, Taouli B et al (2004) Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodium-enhanced excretory MR, and multi-detector row CT cholangiography-initial experience. Radiology 230(3):645–651PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Olga Tucker
    • 1
  • Nigel Heaton
    • 1
  • Giulia A. Zamboni
    • 2
  • Ivan Pedrosa
    • 2
  • Jonathan B. Kruskal
    • 2
  • Vassilios Raptopoulos
    • 2
  1. 1.King’s College HospitalInstitute of Liver StudiesLondonUK
  2. 2.Beth Israel Deaconess Medical CenterDepartment of RadiologyBostonUSA

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