4D Flow MRI Reflects Physiological Hemodynamics for the Diagnosis and Management of Portosystemic Shunts

  • Higaki Atsushi
    Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Yamamoto Akira
    Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Okada Toshimasa
    Department of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Ueno Tomio
    Department of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Tomiyama Yasuyuki
    Department of Nutrition, Kurashiki Sakuyo University, Kurashiki, Okayama, Japan Department of Gastroenterology and Hepatology, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Ito Kosuke
    Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan
  • Tamada Tsutomu
    Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan

抄録

<p>A woman in her sixties with portosystemic shunt and hepatic encephalopathy underwent open mesenteric vein ligation, resulting in improved portal flow and blood ammonia. In this case, 4D flow MRI was a valuable diagnostic and follow-up tool, visualizing and quantifying physiological portal hemodynamics with features distinct from those of contrast-enhanced CT and digital subtraction angiography. Our case study highlights the value of 4D flow MRI for managing portosystemic shunts.</p>

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