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4D 流动磁共振成像反映生理血流动力学用于门体分流的诊断与管理。

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

作者信息

Higaki Atsushi, Yamamoto Akira, Okada Toshimasa, Ueno Tomio, Tomiyama Yasuyuki, Ito Kosuke, Tamada Tsutomu

机构信息

Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan.

Department of Digestive Surgery, Kawasaki Medical School, Kurashiki, Okayama, Japan.

出版信息

Magn Reson Med Sci. 2025 Apr 1;24(2):149-154. doi: 10.2463/mrms.ici.2023-0161. Epub 2024 May 29.

DOI:10.2463/mrms.ici.2023-0161
PMID:38417875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11996251/
Abstract

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.

摘要

一名患有门体分流和肝性脑病的60多岁女性接受了开放性肠系膜静脉结扎术，结果门静脉血流和血氨水平得到改善。在该病例中，四维血流磁共振成像（4D flow MRI）是一种有价值的诊断和随访工具，可对生理性门静脉血流动力学进行可视化和量化，其特征与对比增强CT和数字减影血管造影不同。我们的病例研究强调了4D flow MRI在门体分流管理中的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/b6a13e6e033b/mrms-24-149-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/98ccd0350a67/mrms-24-149-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/dea61bfbe7aa/mrms-24-149-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/b6a13e6e033b/mrms-24-149-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/98ccd0350a67/mrms-24-149-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/dea61bfbe7aa/mrms-24-149-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb8a/11996251/b6a13e6e033b/mrms-24-149-g3.jpg

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Radiology. 2023 Sep;308(3):e230709. doi: 10.1148/radiol.230709.
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Liver cirrhosis: relationship between fibrosis-associated hepatic morphological changes and portal hemodynamics using four-dimensional flow magnetic resonance imaging.肝硬化：应用四维血流磁共振成像研究纤维化相关肝形态变化与门脉血流动力学的关系
Jpn J Radiol. 2023 Jun;41(6):625-636. doi: 10.1007/s11604-023-01388-0. Epub 2023 Jan 19.
3
4D Flow MRI in the portal venous system: imaging and analysis methods, and clinical applications.
4D Flow MRI 在门静脉系统中的应用：成像与分析方法及临床应用
Radiol Med. 2022 Nov;127(11):1181-1198. doi: 10.1007/s11547-022-01553-x. Epub 2022 Sep 19.
4
Baveno VII - Renewing consensus in portal hypertension.《巴韦诺 VII 共识：门静脉高压领域的新共识》
J Hepatol. 2022 Apr;76(4):959-974. doi: 10.1016/j.jhep.2021.12.022. Epub 2021 Dec 30.
5
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Magn Reson Med Sci. 2022 Mar 1;21(2):340-353. doi: 10.2463/mrms.rev.2021-0105. Epub 2022 Jan 25.
6
Assessing the Complicated Venous Hemodynamics and Therapeutic Outcomes of Budd-Chiari Syndrome with Respiratory-gated 4D Flow MR Imaging During the Expiratory and Inspiratory Phases.评估呼吸门控 4D 流 MR 成像在呼气相和吸气相时布加氏综合征复杂静脉血液动力学和治疗结果。
Magn Reson Med Sci. 2023 Jan 1;22(1):1-6. doi: 10.2463/mrms.ici.2021-0110. Epub 2021 Dec 9.
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