Department of Radiology, Duke University Medical Center, Durham, NC, 27710, USA.
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University Hospital of Palermo, Via del Vespro 129, 90127, Palermo, Italy.
Abdom Radiol (NY). 2021 Jan;46(1):17-28. doi: 10.1007/s00261-019-02385-6.
Preoperative cross-sectional imaging evaluation of potential living liver donors allows to exclude donors with an increased risk for morbidity and mortality, and to assure that a suitable graft for the recipient can be obtained, minimizing the risk of complications in both the donor and the recipient. CT is routinely performed to delineate the anatomy of the liver, relevant vasculature, and liver volumes in whole right or left lateral segment donation. MR imaging is the gold standard for the assessment of biliary anatomy and allows a better quantification of hepatic steatosis compared to CT. Knowledge of normal and variant vascular and biliary anatomy and their surgical relevance for liver transplantation is of paramount importance for the radiologist. The purpose of this review is to outline the current role of CT and MR imaging in the assessment of hepatic parenchyma, hepatic vascular anatomy, biliary anatomy, and hepatic volumetry in the potential living liver donor with short notes on acquisition protocols and the relevant reportable findings.
术前横断面成像评估潜在活体肝供者可排除发病率和死亡率增加的供者,并确保获得适合受者的合适移植物,最大限度地降低供者和受者发生并发症的风险。CT 常规用于描绘肝脏、相关血管和整个右或左外侧段捐献的肝体积的解剖结构。MR 成像评估胆道解剖的金标准,与 CT 相比,可更好地量化肝脂肪变性。了解正常和变异的血管和胆道解剖及其对肝移植的手术相关性对放射科医生至关重要。本综述的目的是概述 CT 和 MR 成像在评估潜在活体肝供者的肝实质、肝血管解剖、胆道解剖和肝体积方面的当前作用,并简要介绍采集方案和相关的可报告发现。