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Open AccessJournal ArticleDOI

Hepatic vascular flow measurements by phase contrast MRI and doppler echography: A comparative and reproducibility study

TLDR
To directly compare and study the variability of parameters related to hepatic blood flow measurements using 3 T phase‐contrast magnetic resonance imaging (PC‐MRI) and Doppler ultrasound (US).
Abstract
Purpose: To directly compare and study the variability of parameters related to hepatic blood flow measurements using 3 T phase-contrast magnetic resonance imaging (PC-MRI) and Doppler ultrasound (US). Materials and Methods: Nine healthy subjects were studied. Blood velocities and flow rate measurements were performed in the portal vein and the proper hepatic artery. MR studies were performed using a 3 T imager. Gradient-echo fast phase contrast sequences were used with both cardiac and respiratory gating. MR and Doppler flow parameters were extracted and compared. Two methods of calculation were used for Doppler flow rate analysis. Results: Compared to Doppler US, PC-MRI largely underestimated hepatic flow data with lower variability and higher reproducibility. This reproducibility was more pronounced in the portal vein than in the proper hepatic artery associated with poorer velocity correlations. Total hepatic flow values were 1239 ± 223 mL/min and 1595 ± 521 mL/min for PC-MRI and Doppler US, respectively. Conclusion: Free-breathing PC-MRI can provide reliable noninvasive measurement of hepatic flow parameters compared to Doppler US. The MR technique could help to improve Doppler flow calculations, thereby allowing standardization of protocols, particularly for applications in disease. J. Magn. Reson. Imaging 2010;31:579–588. © 2010 Wiley-Liss, Inc.

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4D flow imaging with MRI

TL;DR: The purpose of this review is to describe the methods used for 4D flow MRI acquisition, post-processing and data analysis and provide an overview of the clinical applications of 4D Flow MRI, which includes a review of applications in the heart, thoracic aorta and hepatic system.
Journal ArticleDOI

Anatomical, physiological and metabolic changes with gestational age during normal pregnancy: A database for parameters required in physiologically based pharmacokinetic modelling

TL;DR: The collected data presented in this paper provide a potentially useful singular resource for key parameters needed for PBPK modelling in pregnancy, which facilitates the risk assessment of environmental chemicals and therapeutic drug dose adjustments in the pregnant population.
Journal ArticleDOI

Transporter-mediated drug-drug interactions.

TL;DR: This article focuses on probe drugs lacking significant metabolism to highlight mechanisms of interactions of selected intestinal, hepatic and renal drug transporters and Genotype-dependent drug-drug interactions are discussed.
Journal ArticleDOI

Non-invasive assessment of portal hypertension using quantitative magnetic resonance imaging

TL;DR: In this article, the authors evaluated the use of non-contrast quantitative magnetic resonance imaging (MRI) as a surrogate measure of portal pressure, and the correlation of all non-invasive parameters with HVPG was evaluated.
Journal ArticleDOI

Normal and altered three-dimensional portal venous hemodynamics in patients with liver cirrhosis.

TL;DR: Flow-sensitive 4D MR imaging may constitute a promising, alternative technique to Doppler US for evaluating hemodynamics in the portal venous system of patients with liver cirrhosis and may be a means of assessing pathologic changes in flow characteristics.
References
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Journal ArticleDOI

Value of portal hemodynamics and hypersplenism in cirrhosis staging.

TL;DR: An optimal system that includes parameters representing the portal hemodynamics and spleen function should be proposed for cirrhosis staging.
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Portal venous blood flow while breath-holding after inspiration or expiration and during normal respiration in controls and cirrhotics.

TL;DR: Portal blood flow measurements made during normal respiration using MR imaging closely reflect nearly physiologic conditions, and the respiration-induced hemodynamic variation in portal blood flow was less in cirrhotics than in the healthy controls.
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Ultrasonographic investigation of respiratory influence on diameters of portal vessels in normal subjects.

TL;DR: The diameters alone of the portal vessels can probably not be used reliably as an indicator of portal hypertension while a respiratory variation of less than 30 per cent in the splenic vein should be considered pathologic and lead to further investigations.
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Clinical evaluation of magnetic resonance imaging flowmetry of portal and hepatic veins in patients following hepatectomy

TL;DR: Hematic blood flow was associated with degree of hepatic damage and the utility of magnetic resonance imaging flowmetry in portal and hepatic veins was assessed.
Journal ArticleDOI

Estimation of total hepatic blood flow by duplex ultrasound.

TL;DR: Treating ulcers with drugs strengthening mucosal defences (irrespective of which gastroprotective drug is used and regardless of H pylon) results in longer lasting healing than after treatment with gastric acid inhibitors.
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