Saba L, Mallarini G
Department of Science of the Images, Policlinico Universitario, Monserrato, Cagliari, Italy.
Clin Radiol. 2008 Mar;63(3):312-21. doi: 10.1016/j.crad.2007.05.023. Epub 2007 Oct 24.
A detailed study of the hepatic arteries is mandatory for several pathological conditions affecting the liver. Multidetector-row CT angiography (MDCTA), using fast patient imaging and thin collimation, generates near-isotropic voxels, producing excellent image quality and detail. In particular pre-surgical planning for patients undergoing hepatic surgery (tumour resection, transplantation) or selective chemotherapy infusion, requires a complete detailed assessment of hepatic vessel anatomy. The purpose of this article is to review the normal hepatic artery anatomy and its variants according to the Michels Classification, describing the post-processing techniques that can be employed to achieve the best results.
对于影响肝脏的多种病理状况,对肝动脉进行详细研究是必不可少的。多排螺旋CT血管造影(MDCTA)利用快速的患者成像和薄层准直,生成近似各向同性的体素,产生优异的图像质量和细节。特别是对于接受肝脏手术(肿瘤切除、移植)或选择性化疗灌注的患者,术前规划需要对肝血管解剖结构进行全面详细的评估。本文的目的是根据米歇尔分类法回顾正常肝动脉解剖结构及其变异,描述可用于获得最佳结果的后处理技术。