A case of Budd-Chiari syndrome: Gd-EOB-DTPA-enhanced MR findings

Kazuhiro Kitajima, Takeshi Yoshikawa, Yasushi Seo, Yoshiharu Ohno, Yoshihiko Yano, Akira Miki, Tomonori Kanda, Naoki Kanata, Takeshi Azuma, Kazuro Sugimura

研究成果: Article査読

6 被引用数 (Scopus)

抄録

Budd-Chiari syndrome (BCS) is a rare disorder caused by the obstruction of hepatic venous outflow, leading to sinusoidal congestion, ischemic injury to liver cells and portal hypertension. Long-term survival largely depends on whether hepatocellular carcinoma occurs. A recently available liver-specific contrast medium, gadolinium-ethoxybenzyl-diethylenetriamine penta-acetic acid (Gd-EOB-DTPA), reportedly has high diagnostic capability for detection of malignant liver tumors. However, there has been no report of the sue of Gd-EOB-DTPA-enhanced magnetic resonance imaging (MRI) for BCS. We present a case of chronic BCS who underwent both gadopentetate dimeglumine (Gd-DTPA) and Gd-EOB-DTPA-enhanced MRI. Hepatic congestion and edema were seen as slightly hypointense areas on Gd-EOB-DTPA-enhanced hepatobiliary-phase images, although these areas were observed as slightly hyperintense on previously obtained Gd-DTPA-enhanced delayed-phase image. Reduced uptake of Gd-EOB-DTPA by hepatocytes in the region of congestion or edema may account for this difference, which should be recognized in image interpretations.

本文言語English
ページ(範囲)579-583
ページ数5
ジャーナルMagnetic Resonance Imaging
29
4
DOI
出版ステータスPublished - 05-2011
外部発表はい

All Science Journal Classification (ASJC) codes

  • 生物理学
  • 生体医工学
  • 放射線学、核医学およびイメージング

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