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MRI-based typing and diagnosis of Budd-Chiari syndrome

Wei Xu

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Abstract

Objective To evaluate MRI in the diagnosis and typing for treatment of Budd-Chiari syndrome. Mathods MRI features of 19 pa- tients with Budd-Chiari syndrome were retrospectively evaluated. Results Direct features of Budd-Chiari syndrome were obstruction of hepatic veins and/or inferior vena cava and 3 types of Budd-Chiari were classified. Type I: Obstruction of inferior vena cava (6 cases). Type II: Obstruction of hepatic veins (2 cases). Type III: mixed (type obstruction of hepatic veins and inferior vena cava 8 cases). Indirect signs included hepatomegaly (15 cases), enlarged caudate lobe (12 eases), splenomegaly (13 cases), intrahepatic collateral vessels (13 cases), accessory hepatic veins (5 cas- es), extrahepatic collateral vessels (14 cases), ascites (8 cases) and thrombosis in inferior vena cava (3 cases). Conclusion MRI has consider- able value in the diagnosis and typing of Budd-Chiari syndrome.

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What this paper is about

Objective To evaluate MRI in the diagnosis and typing for treatment of Budd-Chiari syndrome. Mathods MRI features of 19 pa- tients with Budd-Chiari syndrome were retrospectively evaluated. Results Direct features of Budd-Chiari syndrome were obstruction of hepatic veins and/or inferior vena cava and 3 types of Budd-Chiari were classified. Type I: Obstruction of inferior vena cava (6 cases). Type II: Obstruction of hepatic veins (2 cases). Type III: mixed (type obstruction of hepatic veins and inferior vena cava 8 cases). Indirect signs included hepatomegaly (15 cases), enlarged caudate lobe (12 eases), splenomegaly (13 cases), intrahepatic collateral vessels (13 cases), accessory hepatic veins (5 cas- es), extrahepatic collateral vessels (14 cases), ascites (8 cases) and thrombosis in inferior vena cava (3 cases). Conclusion MRI has consider- able value in the diagnosis and typing of Budd-Chiari syndrome.

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Available abstract

Objective To evaluate MRI in the diagnosis and typing for treatment of Budd-Chiari syndrome. Mathods MRI features of 19 pa- tients with Budd-Chiari syndrome were retrospectively evaluated. Results Direct features of Budd-Chiari syndrome were obstruction of hepatic veins and/or inferior vena cava and 3 types of Budd-Chiari were classified. Type I: Obstruction of inferior vena cava (6 cases). Type II: Obstruction of hepatic veins (2 cases). Type III: mixed (type obstruction of hepatic veins and inferior vena cava 8 cases). Indirect signs included hepatomegaly (15 cases), enlarged caudate lobe (12 eases), splenomegaly (13 cases), intrahepatic collateral vessels (13 cases), accessory hepatic veins (5 cas- es), extrahepatic collateral vessels (14 cases), ascites (8 cases) and thrombosis in inferior vena cava (3 cases). Conclusion MRI has consider- able value in the diagnosis and typing of Budd-Chiari syndrome.

Key concepts: Budd–Chiari syndrome, Medicine, Inferior vena cava, Ascites, Radiology, Hepatic veins, Collateral circulation, Surgery

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