Portal vein cavernous transformation of the diagnostic value of multislice spiral CT.doc

 PAGE \* MERGEFORMAT 13 Portal vein cavernous transformation of the diagnostic value of multislice spiral CT Study: Reassessing the Kochi-ling, Ma Jing, Guo Yulin [Abstract] Objective To investigate the portal vein cavernous transformation of the MDSCT performance evaluation MDSCT diagnosis CTPV the clinical value and significance. Methods Retrospective analysis of 35 cases by surgery or US or DSA confirmed CTPV patients MDSCT performance. Results of 35 cases mainly the portal vein normal structure disappeared or disorder, trunk and (or) branch occlusion, porta portal vein or gall bladder around the visible large collateral vein formation, artery of 17 patients had liver perfusion abnormalities, venous phase disappeared. by VR, MIP angiography technology more intuitive display of portal vein thrombosis, collateral cava. Conclusion MDSCT and dynamic contrast-enhanced angiography for the diagnosis and CTPV have important clinical value. [Keywords:] cavernous transformation of portal vein X-ray computed tomography Abstract: Objective To investigate the Multidetector spiral CT (MDSCT) feature of cavernous transformation portal vein and to evaluate the clinical value of MDSCT in diagnosing Cavernous transformation of portal vein (CTPV). Methods The MDSCT finding in 35 patients with cavernous transformation of portal vein comfirmed by pathologically, DSA or US were retrospectively analyzed. Results The characteristic features included losing the normal structure of the portal phase and obliteration and many abnormal enhanced collateral vein around portal vein (cystic vein). On dynamic enhanced MDSCT scans, abnormal hepatic perfusion appeared in arterial phase in 17 cases and disappeared in venous phase. MDSCTA with Maximum intensity projection (MIP) and volume rendering (VR) reconstruction accurately depicted both the tumor thrombus within the portal vein and collateral vessel of CTPV. Conclusion Dynamic enhanced MDSCT and MDSCTA are of great value for th