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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

In pediatric patients, numerous diseases can lead to irreversible liver damage, ultimately requiring an orthotopic liver transplantation (OLT). The preparation for an OLT demands a detailed imaging workup. When carrying out preoperative imaging examinations in children, many transplantation centers prefer the use of ultrasound and its associated methods (Littlewood-Teele and Chrestman-Share 1991; Siegel 1995), combined with plain X-rays. If further questions arise following abdominal sonography, e.g., regarding malformation of the vessels, the next diagnostic step should include the use of magnetic resonance imaging (Bisset et al. 1990; Galanski and Ringe 1992). Other imaging methods are only applied in the evaluation phase, whenever special questions require detailed answers.

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References

  • Abramson SJ, Treves S, Teele RL (1982) The infant with possible biliary atresia: evaluation by ultrasound and nuclear medicine. Pediatr Radiol 12:1–5

    Article  PubMed  CAS  Google Scholar 

  • Alagille D (1987) Liver transplantation in children-indications in cholestatic states. Transplant Proc 4:3242–3248

    Google Scholar 

  • Alagille D, Borde J, Dommergues JP (1970) Atresie complète des voies bilaires extrahèpatiques. Guèrison chirurgiale avec douze ans de recul. Arch Franc Pediatr 27:85–91

    CAS  Google Scholar 

  • Babcock DS, Patriquin H, LaFortune M, Dauzat M (1996) Power Doppler sonography: basic principles and clinical applications in children. Pediatr Radiol 26:109–115 Bisset GS III, Strife JL, Balistreri WF (1990) Evaluation of children for liver transplantation. AJR 155:351–356

    Article  PubMed  CAS  Google Scholar 

  • Brunelle F, Estrada A, Dommergues JP, Bernard O, Chaumont P (1986) Skeletal anomalies in Alagille’s syndrome. Radio-graphic study in eighty cases. Ann Radiol (Paris) 29:687–90

    CAS  Google Scholar 

  • Caroli J, Soupault R, Kossakowski J, Plocker L, Paradowska F (1958) La dilatation polykystique congénitale des vois biliaires intra-hépatique: essai de classifica-tion. (Congenital polycystic dilatation of the intrahepatic bile ducts; attempt at classification). Semin Hop Paris 34:488–495

    CAS  Google Scholar 

  • Dinkel E, Lehnard, Tröger J, Peters H, Dittrich M (1984) Sonographic evidence of intraperitoneal fluid. An experimental study and its clinical implications. Pediatr Radiol 14:299–303

    Article  PubMed  CAS  Google Scholar 

  • Dittrich M, Milde S, Dinkel E, Baumann E, Weitzel D (1983) Sonographic biometry of liver and spleen size in childhood. Pediatr Radiol 13:206–211

    Article  PubMed  CAS  Google Scholar 

  • Feuerlein W, Dilling H (1967) Das Echo-Encephalogramm des 3. Ventrikels in verschiedenen Lebensaltern. Arch Psychiatr Z Ges Neurol 209:137–147

    Article  CAS  Google Scholar 

  • Galanski M, Ringe B (1992) Radiologic diagnosis before and after liver transplantation. Radiologe 32:241–247 Gentil-Kocher S, Bernard O, Brunelle F, Hadchouel M, Millard JN, Valayer J, Hay JM, Alagille D (1988) Budd-Chiari syndrome in children: report of 22 cases. J Pediatr 113:30–38

    PubMed  CAS  Google Scholar 

  • Gibson RN, Gibson PR, Donlan JD et al (1989) Identification of a patent paraumbilical vein by using Doppler sonography: importance in the diagnosis of portal hypertension. AJR 153:513–516

    PubMed  CAS  Google Scholar 

  • Goyal AK, Pokharna DS, Sharma SK (1989) Effects of a meal on normal and hypertensive portal venous system: a quantitative ultrasonographic assessment. Gastrointest Radiol 14:164–166

    Article  PubMed  CAS  Google Scholar 

  • Gyldenstedt C (1977) Measurements of normal ventricular system and hemispheric sulci of 100 adults with computed tomography. Neuroradiology 14:183–192

    Article  Google Scholar 

  • Helmke K, Hansen HC (1996a) Fundamentals of transorbital sonographic evaluation of optic nerve sheath expansion under intracranial hypertension. I Experimental study. Pediatr Radiol 26:701–705

    Article  PubMed  CAS  Google Scholar 

  • Helmke K, Hansen HC (1996b) Fundamentals of transorbital sonographic evaluation of optic nerve sheath expansion under intracranial hypertension. II Patient study. Pediatr Radiol 26:706–710

    Article  PubMed  CAS  Google Scholar 

  • Helmke K, Winkler P (1987) Ultrasonic measurement of the normal intracerebral ventricular system in the first year of life. Monatsschr Kinderheilkd 135:148–152

    PubMed  CAS  Google Scholar 

  • Hoffman HD, Stockland B, von der Hayden U (1987) Membranous obstruction of the inferior vena cava with Budd-Chiari syndrome in children: a report of nine cases. J Pediatr Gastroenterol Nutr 6:878–884

    Article  PubMed  CAS  Google Scholar 

  • Karrer FM, Hall RJ, Lilly JR (1991) Biliary atresia and the polysplenia syndrome. J Pediatr Surg 26:524–527

    Article  PubMed  CAS  Google Scholar 

  • Kasai M (1987) Treatment of biliary atresia with special reference to hepatic porto-enterostomy and its modifications. Prog Pediatr Surg 6:5–52

    Google Scholar 

  • Levine OR, Harris RC, Blanc WA, Mellins RB (1973) Progressive pulmonary hypertension in children with portal hypertension. J Pediatr 83:964–972

    Article  PubMed  CAS  Google Scholar 

  • Lilly JR (1988) Surgery of biliary atresia and management of pediatric hepato-biliary disease. National Institute of Health, Washington DC, pp 93–95

    Google Scholar 

  • Littlewood-Teele R, Chrestman-Share J (1991) Ultrasonogra-phy of infants and children. Saunders, Philadelphia, pp 405–461

    Google Scholar 

  • McDermott WV, Stone MD, Bothe A Jr, Trey C (1984) Budd-Chiari syndrome. Historical and clinical review with an analysis of surgical corrective procedures. Am J Surg 147:463–467

    Article  PubMed  CAS  Google Scholar 

  • Naeye RL (1960) Primary pulmonary hypertension with coexisting portal hypertension. Circulation 22:376

    Article  PubMed  CAS  Google Scholar 

  • Nebesar RA, Kornblith PL, Pollard JJ, Michels NA (1969) Celiac and superior mesenteric arteries. A correlation of angiograms and dissections. Little Brown, Boston

    Google Scholar 

  • Oestreich AE, Sokol RJ, Suchy FJ, Heubi JE (1983) Renal abnormalities in arteriohepatic dysplasia and nonsyndromatic intrahepatic biliary hypoplasia. Ann Radiol (Paris) 26:203–209

    CAS  Google Scholar 

  • Patriquin H, Tessier G, Grignon A, Boisvert J (1985) Lesser omental thickness in normal children: baseline of detection of portal hypertension. AJR 145:693–696

    PubMed  CAS  Google Scholar 

  • Rosenbaum DM, Korngold E, Littlewood-Teele R (1984) Sonographic assessment of renal length in children. AJR 142:467–469

    PubMed  CAS  Google Scholar 

  • Rydell R, Hoffbauer FW (1956) Multiple pulmonary arterio-venous fistulas in juvenile cirrhosis. Am J Med 21:450–460

    Article  PubMed  Google Scholar 

  • Seidenberg J, Kluge E, Rodeck B, Burdelski M, von der Hardt H (1992) Hypoxemia in infants with biliary atresia: the role of airway obstruction. J Pediatr Gastroenterol Nutr 15:171–177

    Article  PubMed  CAS  Google Scholar 

  • Shadle CA, Scott ME, Ritchie DJ, Seliger G (1982) Spontaneous splenic infarction in polysplenic syndrome. J Comput Assist Tomogr 6:177–179

    Article  PubMed  CAS  Google Scholar 

  • Sherlock S (1968) Diseases of the liver and biliary system, 4th edn. Blackwell, London

    Google Scholar 

  • Siegel MJ (1995) Pediatric sonography, 2nd edn. Raven, New York, pp 115–178

    Google Scholar 

  • Tavill AS, Wood EJ, Kreel L et al (1975) The Budd-Chiari syndrome: correlation between hepatic scintigraphy and the clinical, radiological, and pathological findings in nineteen cases of hepatic venous outflow obstruction. Gastro-enterology 68:509–518

    CAS  Google Scholar 

  • Tolia V, Dubois RS, Watts FB Jr, Pervin E (1987) Renal abnormalities in paucity of interlobular bile ducts. J Pediatr Gastroenterol Nutr 6:971–976

    Article  PubMed  CAS  Google Scholar 

  • Wagner S, Gebel M, Lange P, Schmidt FW (1991) Bedeutung von Leberhiluslymphknoten bei chronischen nichtmalignen Lebererkrankungen. Klin Wochenschr 69[Suppl 23]:88

    Google Scholar 

  • Weitzel D, Dinkel E, Dittrich M, Peters H (1984) Pädiatrische Ultraschalldiagnostik. Springer, Berlin Heidelberg New York

    Book  Google Scholar 

  • Whitington PF (1996) Chronic cholestasis of infancy. Pediatric Clinics of North America 43:1–26

    Article  PubMed  CAS  Google Scholar 

  • Winkler P, Helmke K (1990) Major pitfalls in Doppler investigation with particular references to the cerebral vascular system, part I. Sources of error, resulting pitfalls and measures to prevent errors. Pediatr Radiol 20:219–228

    Article  PubMed  CAS  Google Scholar 

  • Winkler P, Helmke K, Mahl M (1990) Major pitfalls in Doppler investigations, part II. Low flow velocities and color Doppler applications. Pediatr Radiol 20:304–310

    Article  PubMed  CAS  Google Scholar 

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Helmke, K. (2003). Imaging of the Pediatric Transplant Candidate. In: Bücheler, E., Nicolas, V., Broelsch, C.E., Rogiers, X., Krupski, G. (eds) Diagnostic and Interventional Radiology in Liver Transplantation. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55955-6_20

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  • DOI: https://doi.org/10.1007/978-3-642-55955-6_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62950-1

  • Online ISBN: 978-3-642-55955-6

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