Magnetic Resonance Imaging
Volume 27, Issue 9 , Pages 1230-1235 , November 2009

Detection and grading for esophageal varices in patients with chronic liver damage: comparison of gadolinium-enhanced and unenhanced steady-state coherent MR images

  • Satoshi Goshima

      Affiliations

    • Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • Corresponding Author InformationCorresponding author. Tel.: +81 58 230 6439; fax: +81 58 230 6440.
    • ,
  • Masayuki Kanematsu

      Affiliations

    • Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • Department of Radiology Services, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • ,
  • Hiroshi Kondo

      Affiliations

    • Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • ,
  • Yusuke Tsuge

      Affiliations

    • Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • ,
  • Haruo Watanabe

      Affiliations

    • Department of Radiology, Gifu University School of Medicine, 1-1 Yanagido, Gifu 501-1193, Japan
    • ,
  • Yoshimune Shiratori

      Affiliations

    • Department of Medical Informatics, Gifu University School of Medicine, Gifu, Japan
    • ,
  • Minoru Onozuka

      Affiliations

    • Department of Physiology and Neuroscience, Kanagawa Dental College, Yokosuka, Japan
    • ,
  • Noriyuki Moriyama

      Affiliations

    • Research Center for Cancer Prevention and Screening, National Cancer Center Hospital, Tsukiji, Japan

Received 11 December 2008 ,Revised 19 March 2009 ,Accepted 7 May 2009.

References 

  1. Lay CS, Tsai YT, Teg CY, et al. Endoscopic variceal ligation in prophylaxis of first variceal bleeding in cirrhotic patients with high-risk esophageal varices. Hepatology. 1997;25:1346–1350
  2. D'Amico G, Pagliaro L, Bosch J. Pharmacological treatment of portal hypertension: an evidence-based approach. Semin Liver Dis. 1999;19:475–505
  3. Jenesn DM. Endoscopic screening for varices in cirrhosis: findings, implications, and outcomes. Gastroenterology. 2002 May;122(6):1620–1630
  4. Graham DY, Smith JL. The course of patients after variceal hemorrhage. Gastroenterology. 1981;80:800–809
  5. Sarin SK, Lamba GS, Kumar M, Misra A, Murthy NS. Comparison of endoscopic ligation and propranolol for the primary prevention of variceal bleeding. N Engl J Med. 1999;340:988–993
  6. Lui HF, Stanley AJ, Forrest EH, et al. Primary prophylaxis of variceal hemorrhage: a randomized controlled trial comparing band ligation, propranolol, and isosorbide mononitrate. Gastroenterology. 2002;123:735–744
  7. Bureau C, Peron JM, Alric L, et al. “A la carte” treatment of portal hypertension: adapting medical therapy to hemodynamic response for the prevention of bleeding. Hepatology. 2002;36:1361–1366
  8. Kishimoto R, Chen M, Ogawa H, Wakabayashi M, Kogutt MS. Esophageal varices: evaluation with transabdominal US. Radiology. 1998;206:647–650
  9. Aspestrand F, Kolmannskog F. CT and angiography in chronic liver disease. Acta Radiol. 1992;33:251–254
  10. Kim YJ, Raman SS, Yu N, et al. Esophageal varices in cirrhotic patients: evaluation with liver CT. AJR Am J Roentgenol. 2007;188:139–144
  11. Nghiem HV, Winter TC, Mountford MC, et al. Evaluation of the portal venous system before liver transplantation: value of phase-contrast MR angiography. AJR Am J Roentgenol. 1995;164:871–878
  12. Stafford-Johnson DB, Hamilton BH, Dong Q, et al. Vascular complications of liver transplantation: evaluation with gadolinium-enhanced MR angiography. Radiology. 1998;207:153–160
  13. Matsuo M, Kanematsu M, Kim T, et al. Esophageal varices: diagnosis with gadolinium-enhanced MR imaging of the liver for patients with chronic liver damage. AJR Am J Roentgenol. 2003;180:461–466
  14. Coenegrachts KL, Hoogeveen RM, Vaninbroukx JA, et al. High-spatial-resolution 3D balanced turbo field-echo technique for MR angiography of the renal arteries: initial experience. Radiology. 2004;231:237–242
  15. Beppu K, Inokuchi K, Koyanagi N, et al. Prediction of variceal hemorrhage by esophageal endoscopy. Gastrointest Endosc. 1981;27:213–218
  16. Hashiguchi K, Morioka T, Yoshida F, et al. Feasibility and limitation of constructive interference in steady-state (CISS) MR imaging in neonates with lumbosacral myeloschisis. Neuroradiology. 2007;49:579–585
  17. Annet L, Peeters F, Horsmans Y, et al. Esophageal varices: evaluation with transesophageal MR imaging-initial experience. Radiology. 2005;238:167–175

☆ The work was supported in part by the Health and Labor Sciences Research Grants for Third Term Comprehensive Control Research for Cancer.

PII: S0730-725X(09)00117-9

doi: 10.1016/j.mri.2009.05.030

Magnetic Resonance Imaging
Volume 27, Issue 9 , Pages 1230-1235 , November 2009

Article Tools

* Image Usage & Resolution