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)
Alternative label
  • Camera L; Mainenti PP; Di Giacomo A.; Romano M; Rispo F; Alfinito F; Imbriaco M; Soscia E; Salvatore M. (2006)
    Triphasic helical CT in Budd-Chiari sindrome: patterns of enhancement in acute, subacute and chronic disease
    in Clinical radiology (Harlow. Print)
    (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)
Pagina inizio
  • 331 (literal)
Pagina fine
  • 337 (literal)
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  • 61 (literal)
Rivista
Note
  • PubMed (literal)
  • ISI Web of Science (WOS) (literal)
  • Google Scholar (literal)
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  • 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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