14 results found
Article
Malignant biliary tract obstruction (summary)
This is a basic article for medical students and other non-radiologists
Malignant biliary tract obstruction (MBTO) represents a group of conditions that cause obstructive jaundice. While most examples are the result of pancreatic head cancers, other malignancies may be causative.
Reference art...
Article
Cholangiocarcinoma
Cholangiocarcinomas (commonest type of bile duct cancers) are malignant epithelial tumors arising from the biliary tree, excluding the gallbladder or ampulla of Vater. Cholangiocarcinoma is the third most common primary hepatobiliary malignancy after hepatocellular carcinoma (HCC) and gallbladde...
Article
Percutaneous cholecystostomy
Percutaneous cholecystostomy is the image-guided placement of a drainage catheter into the gallbladder lumen. This minimally invasive procedure can aid in patient stabilization in order to enable a more measured surgical approach with time for therapeutic planning.
A 2018 study demonstrated no ...
Article
Hepatocellular carcinoma (staging)
Hepatocellular carcinoma staging classifications supersede the typical TNM staging system seen in most other epithelial cancers, as the TNM staging system has been found to not be as prognostically useful for stratification of patients with hepatocellular carcinoma. Several substitute staging sy...
Article
CT/MRI LI-RADS
CT/MRI Liver Imaging Reporting and Data System (LI-RADS) is an algorithm for diagnosing and staging hepatocellular carcinoma (HCC) (CT/MRI Diagnostic LI-RADS) or assessing the response of HCC to locoregional treatment (CT/MRI Treatment Response LI-RADS) using CT or MRI with extracellular contras...
Article
Liver biopsy (percutaneous)
Percutaneous liver biopsy, utilizing either ultrasound or CT guidance, allows for an accurate and reliable method of acquiring hepatic tissue for histopathological assessment. It is divided into two types:
non-focal or non-targeted liver biopsy (used in the assessment and staging of the parench...
Article
Percutaneous liver tumor ablation
Percutaneous liver tumor ablation techniques are well-established and effective therapeutic alternatives for the treatment of primary and secondary liver tumors. Hepatocellular carcinoma (HCC) and colorectal oligometastatic disease are the most common indications. There are specific indications ...
Article
Sinusoidal obstruction syndrome
Sinusoidal obstruction syndrome (SOS), previously known as hepatic veno-occlusive disease (VOD), is a condition arising from occlusion of hepatic venules.
Clinical presentation
right upper quadrant pain
painful hepatomegaly
ascites
abnormal liver function tests
Pathology
Toxic injury to l...
Article
Percutaneous transhepatic cholangiography
Percutaneous transhepatic cholangiography (PTC) is a radiographic technique employed in the visualization of the biliary tree and can be used as the first step in a number of percutaneous biliary interventions (e.g. percutaneous transhepatic biliary stent placement)
Indications
Purely diagnost...
Article
Bile duct injury
Bile duct injuries are a potentially serious surgical problem associated with high morbidity, mortality, and prolonged hospitalization 1,2. These injuries typically occur infrequently as a complication of technically difficult laparoscopic cholecystectomy procedures or in the setting of hepatobi...
Article
Portal vein embolization
Portal vein embolization (PVE) is a technique used to selectively occlude the blood supply to one of the liver lobes, diverting portal blood flow to the other lobe, the future liver remnant (FLR).
This diversion will increase the size of the post-hepatectomy future liver remnant, which improves...
Article
Revised Atlanta classification of acute pancreatitis
The Revised Atlanta classification of acute pancreatitis from 2012 is an international multidisciplinary classification of the severity of acute pancreatitis, updating the 1992 Atlanta classification.
The worldwide consensus aims for an internationally agreed-upon classification of acute pancre...
Article
CEUS LI-RADS
The Contrast-enhanced Ultrasound Liver Imaging Reporting and Data System (CEUS LI-RADS) is a standardized classification system, algorithm, and terminology for diagnosing hepatocellular carcinoma (HCC) in high-risk patients using CEUS with blood-pool intravenous contrast agents.
The current ver...
Article
Child-Pugh score
The Child-Pugh score is a scoring system to measure the severity of chronic liver disease inclusive of cirrhosis. The intention is to provide a system with which clinicians can objectively communicate about liver function.
The score is composed from several categories:
total bilirubin, μmol/L ...
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