Skip to main content

Hemodynamic and Perfusion-Related Disorders

  • Chapter
  • First Online:
Radiology Illustrated: Hepatobiliary and Pancreatic Radiology

Part of the book series: Radiology Illustrated ((RADILL))

  • 3903 Accesses

Abstract

Hemodynamic and perfusion-related disorders of liver are frequently encountered in the era of advanced dynamic image acquisitions. Radiologists play a pivotal role in the accurate diagnosis of these disorders and potentially identify the only clue to prompt appropriate investigations and timely management. Thus, correct differentiation of incidental perfusion phenomena from clinically significant disorders is critical. The majority of perfusion phenomena are related to alteration of portal venous inflow or hepatic venous outflow at various levels, the presence of third inflow, or certain conditions of hepatic arterial inflow disorders. Chronic perfusion changes from acquired vascular disorders or congenital vascular malformation may result in morphologic changes of the liver and nodular formation. These perceivable abnormalities on imaging, underlying pathophysiology, and differential features will be illustrated in this chapter.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Jang HJ, Khalili K, Yu H, et al. Perfusion and parenchymal changes related to vascular alterations of the liver. Abdom Imaging. 2012;37:404–21.

    Google Scholar 

  • Desser TS. Understanding transient hepatic attenuation differences. Semin Ultrasound CT MRI. 2009;30:408–17.

    Article  Google Scholar 

  • Kobayashi S, Matsui O, Gabata T, et al. Radiological and histopathological manifestations of hepatocellular nodular lesions concomitant with various congenital and acquired hepatic hemodynamic abnormalities. Jpn J Radiol. 2009;27:53–68.

    Article  PubMed  Google Scholar 

  • Breen DJ, Rutherford EE, Stedman B, et al. Intrahepatic arterioportal shunting and anomalous venous drainage: understanding the CT features in the liver. Eur Radiol. 2004;14:2249–60.

    Google Scholar 

  • Sun HY, Lee JM, Shin CI, et al. Gadoxetic acid-enhanced magnetic resonance imaging for differentiating small hepatocellular carcinomas (< or =2 cm in diameter) from arterial enhancing pseudolesions: special emphasis on hepatobiliary phase imaging. Invest Radiol. 2010;45:96–103.

    Article  CAS  PubMed  Google Scholar 

  • Walser EM, Runyan BR, Heckman MG, et al. Extrahepatic portal biliopathy: proposed etiology on the basis of anatomic and clinical features. Radiology. 2011;258:146–53.

    Article  PubMed  Google Scholar 

  • Torabi M, Hosseinzadeh K, Federle MP. CT of nonneoplastic hepatic vascular and perfusion disorders. Radiographics. 2008;28:1967–82.

    Google Scholar 

  • Brancatelli G, Vilgrain V, Federle MP, et al. Budd-Chiari syndrome: spectrum of imaging findings. AJR Am J Roentgenol. 2007;188:W168–76.

    Article  PubMed  Google Scholar 

  • Kim TK, Chung JW, Han JK, et al. Hepatic changes in benign obstruction of the hepatic inferior vena cava: CT findings. AJR Am J Roentgenol. 1999;173:1235–42.

    Article  CAS  PubMed  Google Scholar 

  • Lee W, Chung W, Kim HB, et al. Acute hepatic vein occlusion: spiral CT findings in an experimental study. Abdom Imaging. 2002;27:527–35.

    Article  CAS  PubMed  Google Scholar 

  • Erturk SM, Mortele KJ, Binkert CA, et al. CT features of hepatic veno-occlusive disease and hepatic graft-verse-host disease in patients after hematopoietic stem cell transplantation. AJR Am J Roentgenol. 2006;186:1497–501.

    Article  PubMed  Google Scholar 

  • Nunes JO, Turner MA, Fulcher AS. Abdominal imaging features of HELLP syndrome: a 10-year retrospective review. AJR Am J Roentgenol. 2005;185:1205–10.

    Article  PubMed  Google Scholar 

  • Van Hoe L, Amant F, Gryspeerdt S, et al. Liver involvement in HELLP syndrome: CT and MRI findings in two patients. Eur Radiol. 1995;5:331–4.

    Article  Google Scholar 

  • Ianora A, Memeo M, Sabba C, et al. Hereditary hemorrhagic telangiectasia: multi-detector row helical CT assessment of hepatic involvement. Radiology. 2004;230:250–9.

    Article  PubMed  Google Scholar 

  • DeLeve LD, Valla D-C, Garcia-Tsao G. Vascular disorders of the liver. Hepatology. 2009;49:1729–64.

    Google Scholar 

  • Brancatelli G, Federle MP, Grazioli L, et al. Large regenerative nodules in Budd-Chiari syndrome and other vascular disorders of the liver: CT and MR imaging findings with clinicopathologic correlation. AJR Am J Roentgenol. 2002;178:877–83.

    Article  PubMed  Google Scholar 

  • Schaeffer DF, Laig S, Jang HJ, et al. Abernethy malformation type II with nephritic syndrome and other multisystemic presentation: an illustrative case for understanding pathogenesis of extrahepatic complication of congenital portosystemic shunt. Hum Pathol. 2013;44:432–437. doi:10.1016/j.humpath.2012.08.018.

    Google Scholar 

Download references

Acknowledgement

The authors deeply thank Dr. Cheong-II Shin for his assistance with illustrations.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hyun-Jung Jang .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Chou, SY.P., Jang, HJ. (2014). Hemodynamic and Perfusion-Related Disorders. In: Choi, B. (eds) Radiology Illustrated: Hepatobiliary and Pancreatic Radiology. Radiology Illustrated. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35825-8_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-35825-8_7

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-35824-1

  • Online ISBN: 978-3-642-35825-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics