Literature DB >> 22227262

Multi-organ perfusion CT in the abdomen using a 320-detector row CT scanner: preliminary results of perfusion changes in the liver, spleen, and pancreas of cirrhotic patients.

Utaroh Motosugi1, Tomoaki Ichikawa, Hironobu Sou, Hiroyuki Morisaka, Katsuhiro Sano, Tsutomu Araki.   

Abstract

PURPOSE: To utilize 320-detector row CT in perfusion CT of multiple abdominal organs and to compare the tissue perfusion between patients with and without liver cirrhosis.
MATERIALS AND METHODS: This study included 21 patients with cirrhosis and 20 without cirrhosis. The 320-detector row CT scanner enabled multi-organ perfusion CT without requiring the scanner table to be moved. Perfusion was calculated using the maximum slope model for the aorta, the portal vein, the right and left lobes of the liver, the head and body of the pancreas, the spleen, and the corpus and antrum of the stomach. Perfusion in each organ of patients with and without cirrhosis was compared.
RESULTS: Portal venous perfusion of the right and left lobes of the liver in patients with cirrhosis (117 and 100 mL min(-1)100mL(-1), respectively) was significantly less than that in patients without cirrhosis (213 and 174 mL min(-1)100mL(-1), respectively; p=0.0081 and 0.0294, respectively). Arterial perfusion of the spleen (111 mL min(-1)100mL(-1)) and the body of the pancreas (112 mL min(-1)100mL(-1)) in patients with cirrhosis was also significantly decreased compared with that in patients without cirrhosis (spleen, 162 mL min(-1)100mL(-1), p=0.0020; body of pancreas, 133 mL min(-1)100mL(-1), p=0.0405).
CONCLUSION: The results of the perfusion CT suggest that arterial perfusion of the spleen and the body of the pancreas, as well as portal perfusion of the liver, in cirrhotic patients was decreased compared with that in non-cirrhotic patients.
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

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Year:  2012        PMID: 22227262     DOI: 10.1016/j.ejrad.2011.11.054

Source DB:  PubMed          Journal:  Eur J Radiol        ISSN: 0720-048X            Impact factor:   3.528


  16 in total

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Authors:  Jennifer H Johnston; Daniel J Podberesky; Terry T Yoshizumi; Erin Angel; Greta Toncheva; David B Larson; John C Egelhoff; Colin Anderson-Evans; Giao B Nguyen; Alessandra Barelli; Christopher Alsip; Shelia R Salisbury; Donald P Frush
Journal:  Pediatr Radiol       Date:  2013-05-01

2.  Correlation between acoustic radiation force impulse (ARFI)-based tissue elasticity measurements and perfusion parameters acquired by perfusion CT in cirrhotic livers: a proof of principle.

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8.  Assessment of renal function in patients with unilateral ureteral obstruction using whole-organ perfusion imaging with 320-detector row computed tomography.

Authors:  Xiang-Ran Cai; Qing-Chun Zhou; Juan Yu; You-Zhen Feng; Zhao-Hui Xian; Wen-Cai Yang; Xu-Kai Mo
Journal:  PLoS One       Date:  2015-04-15       Impact factor: 3.240

9.  The clinical application of one-stop examination with 640-slice volume CT for Nutcracker syndrome.

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10.  Spleen dynamic contrast-enhanced magnetic resonance imaging as a new method for staging liver fibrosis in a piglet model.

Authors:  Li Zhou; Tian-wu Chen; Xiao-ming Zhang; Cheng-jun Li; Zhen-feng Yang; Nan-lin Zeng; Li-ying Wang; Ting Li; Dan Wang; Jie Li; Chun-ping Li; Li Li; Xian-yong Xie
Journal:  PLoS One       Date:  2013-12-20       Impact factor: 3.240

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