Ferris J V, Marsh J W, Little A F
Department of Radiology, University of Pittsburgh Medical Center, Pennsylvania, USA.
Radiol Clin North Am. 1995 May;33(3):497-520.
Determination of liver transplant candidacy requires an integrated approach contingent upon clinical, surgical, and radiologic evaluation. Imaging patients with end-stage liver disease is a challenging yet fascinating task. Chest radiographs, ultrasound with Doppler, and unenhanced and biphasic contrast CT provide sufficient preoperative information about the majority of patients. Problematic cases, however, may require a multimodality approach, for which chest CT, invasive abdominal CT techniques, MR imaging, cholangiography, angiography, and biopsy have all been useful adjuncts. In addition to providing important information for surgical planning, the radiologist must carefully look for any evidence of malignancy or other conditions that jeopardize successful OLTX and threaten meaningful postoperative survival.
确定肝移植候选资格需要一种基于临床、外科和放射学评估的综合方法。对终末期肝病患者进行影像学检查是一项具有挑战性但又引人入胜的任务。胸部X光片、多普勒超声以及平扫和双期增强CT可为大多数患者提供足够的术前信息。然而，对于一些疑难病例，可能需要采用多模态检查方法，胸部CT、有创腹部CT技术、磁共振成像、胆管造影、血管造影和活检都是有用的辅助手段。除了为手术规划提供重要信息外，放射科医生还必须仔细查找任何恶性肿瘤或其他可能危及肝移植手术成功并威胁术后有效生存期的情况的证据。
