http://www.cnr.it/ontology/cnr/individuo/prodotto/ID170185
Triphasic helical CT in Budd-Chiari sindrome: patterns of enhancement in acute, subacute and chronic disease (Articolo in rivista)
- Type
- Label
- Triphasic helical CT in Budd-Chiari sindrome: patterns of enhancement in acute, subacute and chronic disease (Articolo in rivista) (literal)
- Anno
- 2006-01-01T00:00:00+01:00 (literal)
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- Camera L; Mainenti PP; Di Giacomo A.; Romano M; Rispo F; Alfinito F; Imbriaco M; Soscia E; Salvatore M. (literal)
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- Pagina fine
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- Rivista
- Note
- PubMed (literal)
- ISI Web of Science (WOS) (literal)
- Google Scholar (literal)
- Http://www.cnr.it/ontology/cnr/pubblicazioni.owl#affiliazioni
- aDepartment of Radiology, bInstitute of Bio-imaging and Bio-structures, National Research Council,
cDepartments of Hepatology, and dHaematology, University \"Federico II\", Naples, Italy (literal)
- Titolo
- Triphasic helical CT in Budd-Chiari sindrome: patterns of enhancement in acute, subacute and chronic disease (literal)
- Abstract
- AIM: To retrospectively evaluate helical computed tomography (CT) findings in a series of consecutive patients with
Budd-Chiari syndrome.
METHODS: Patterns of enhancement observed at contrast-enhanced helical CT in 10 consecutive patients (six women,
four men; aged 27-51 years) with either acute, subacute or chronic Budd-Chiari syndrome were retrospectively
evaluated along with the status of the hepatic veins. All patients underwent triphasic helical CT (10 mm beam
collimation, 7 mm rec. intervals, 120 kV, 200-250 mA, pitchZ1.0) performed at 20-25, 70-75 and 300 s after i.v. bolus
(3 ml/s) injection of 150 ml iodinated non-ionic contrast media.
RESULTS: Abnormal patterns of enhancement were identified in eight patients. In all patients with acute Budd-Chiari
disease (3/3) abnormal arterial enhancement of the caudate lobe, the so-called \"fan-shaped pattern\" was observed,
whereas visible venous thrombosis was only depicted in two. Conversely, a \"patchy pattern\" of enhancement was
observed in five out of seven patients with either sub-acute (2) or chronic Budd-Chiari disease (5) along with a strip-like
appearance or lack of visualization of hepatic veins.
CONCLUSIONS: The \"fan-shaped\" pattern of enhancement represent a characteristic finding of acute Budd-Chiari
disease, and it may help to suggest the correct diagnosis even in absence of visible venous thrombosis. (literal)
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