Pretransplantation Imaging Workup of the Liver Donor and Recipient

Radiol Clin North Am. 2016 Mar;54(2):185-97. doi: 10.1016/j.rcl.2015.09.010. Epub 2015 Dec 28.

Abstract

Liver transplantation requires thorough preoperative imaging. Contrast enhanced computed tomography (CT) and MR imaging are the main modalities utilized for this purpose. Radiation-reducing protocols, advanced imaging techniques for evaluation of parenchymal fat and iron content, and 3-dimenionsal and volumetric reformations are routinely used. The helpful diagnostic radiologist has a complete understanding of indications for transplant, the indications for bridging and/or down-staging therapies for hepatocellular carcinoma, and the components of the transplant operation. With this information at hand, the radiologist can craft a thorough, yet succinct report that will help the surgeon plan and execute successful donor and recipient transplant operations.

Keywords: Biliary anatomy and variants; Hepatic artery anatomy and variants; Hepatic vein anatomy and variants; Liver transplantation; Portal vein anatomy and variants; Preliving donor liver transplant imaging.

Publication types

  • Review

MeSH terms

  • Cholangiopancreatography, Magnetic Resonance*
  • Contrast Media
  • Humans
  • Image Enhancement
  • Imaging, Three-Dimensional
  • Liver / diagnostic imaging
  • Liver / pathology
  • Liver / surgery
  • Liver Transplantation*
  • Magnetic Resonance Imaging*
  • Preoperative Care / methods*
  • Tissue Donors*
  • Tomography, X-Ray Computed*

Substances

  • Contrast Media