Imaging in Vascular Liver Diseases
Vascular liver diseases (VLDs) include different pathological conditions that affect the liver vasculature at the level of the portal venous system, hepatic artery, or venous outflow system. Although serological investigations and sometimes histology might be required to clarify the underlying diagn...
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MDPI AG
2024-11-01
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| author | Matteo Rosselli Alina Popescu Felix Bende Antonella Al Refaie Adrian Lim |
| author_facet | Matteo Rosselli Alina Popescu Felix Bende Antonella Al Refaie Adrian Lim |
| author_sort | Matteo Rosselli |
| collection | DOAJ |
| description | Vascular liver diseases (VLDs) include different pathological conditions that affect the liver vasculature at the level of the portal venous system, hepatic artery, or venous outflow system. Although serological investigations and sometimes histology might be required to clarify the underlying diagnosis, imaging has a crucial role in highlighting liver inflow or outflow obstructions and their potential causes. Cross-sectional imaging provides a panoramic view of liver vascular anatomy and parenchymal patterns of enhancement, making it extremely useful for the diagnosis and follow-up of VLDs. Nevertheless, multiparametric ultrasound analysis provides information useful for differentiating acute from chronic portal vein thrombosis, distinguishing neoplastic invasion of the portal vein from bland thrombus, and clarifying the causes of venous outflow obstruction. Color Doppler analysis measures blood flow velocity and direction, which are very important in the assessment of VLDs. Finally, liver and spleen elastography complete the assessment by providing intrahepatic and intrasplenic stiffness measurements, offering further diagnostic information. |
| format | Article |
| id | doaj-art-89b49fab4d6f40768fc92d8e7ce5df35 |
| institution | OA Journals |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-89b49fab4d6f40768fc92d8e7ce5df352025-08-20T02:00:43ZengMDPI AGMedicina1010-660X1648-91442024-11-016012195510.3390/medicina60121955Imaging in Vascular Liver DiseasesMatteo Rosselli0Alina Popescu1Felix Bende2Antonella Al Refaie3Adrian Lim4Department of Internal Medicine, San Giuseppe Hospital, USL Toscana Centro, 50053 Empoli, ItalyDepartment of Gastroenterology and Hepatology, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaDepartment of Gastroenterology and Hepatology, “Victor Babeș” University of Medicine and Pharmacy Timișoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaDepartment of Internal Medicine, San Giuseppe Hospital, USL Toscana Centro, 50053 Empoli, ItalyImperial College London and Healthcare NHS Trust, London SW 2AZ, UKVascular liver diseases (VLDs) include different pathological conditions that affect the liver vasculature at the level of the portal venous system, hepatic artery, or venous outflow system. Although serological investigations and sometimes histology might be required to clarify the underlying diagnosis, imaging has a crucial role in highlighting liver inflow or outflow obstructions and their potential causes. Cross-sectional imaging provides a panoramic view of liver vascular anatomy and parenchymal patterns of enhancement, making it extremely useful for the diagnosis and follow-up of VLDs. Nevertheless, multiparametric ultrasound analysis provides information useful for differentiating acute from chronic portal vein thrombosis, distinguishing neoplastic invasion of the portal vein from bland thrombus, and clarifying the causes of venous outflow obstruction. Color Doppler analysis measures blood flow velocity and direction, which are very important in the assessment of VLDs. Finally, liver and spleen elastography complete the assessment by providing intrahepatic and intrasplenic stiffness measurements, offering further diagnostic information.https://www.mdpi.com/1648-9144/60/12/1955vascular liver diseasesportal vein thrombosisoutflow obstruction syndromeporto-sinusoidal vascular disordervascular malformationsOsler–Weber–Rendu disease |
| spellingShingle | Matteo Rosselli Alina Popescu Felix Bende Antonella Al Refaie Adrian Lim Imaging in Vascular Liver Diseases Medicina vascular liver diseases portal vein thrombosis outflow obstruction syndrome porto-sinusoidal vascular disorder vascular malformations Osler–Weber–Rendu disease |
| title | Imaging in Vascular Liver Diseases |
| title_full | Imaging in Vascular Liver Diseases |
| title_fullStr | Imaging in Vascular Liver Diseases |
| title_full_unstemmed | Imaging in Vascular Liver Diseases |
| title_short | Imaging in Vascular Liver Diseases |
| title_sort | imaging in vascular liver diseases |
| topic | vascular liver diseases portal vein thrombosis outflow obstruction syndrome porto-sinusoidal vascular disorder vascular malformations Osler–Weber–Rendu disease |
| url | https://www.mdpi.com/1648-9144/60/12/1955 |
| work_keys_str_mv | AT matteorosselli imaginginvascularliverdiseases AT alinapopescu imaginginvascularliverdiseases AT felixbende imaginginvascularliverdiseases AT antonellaalrefaie imaginginvascularliverdiseases AT adrianlim imaginginvascularliverdiseases |