What is the role of imaging in the diagnosis of biliary complications of whole-liver orthotopic liver transplantation (OLTX)?

Updated: Mar 01, 2019
  • Author: Paul D Russ, MD; Chief Editor: John Karani, MBBS, FRCR  more...
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Answer

Answer

Nonischemic strictures can develop over time and present with deterioration of liver function tests and bouts of cholangitis. Dominant biliary strictures can be detected using US, CT scanning, MRI, magnetic resonance cholangiography (MRC), percutaneous transhepatic cholangiography (PTC), and endoscopic retrograde cholangiopancreatography (ERCP). [33]

In a study by Boraschi et al to assess the diagnostic value of MRCP and MR imaging at 3 T for biliary complications, sensitivity was found to be 99%; specificity 96%; PPV 95%; and NPV 99%. [34]


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