Multi-slice spiral CT portal venography in diagnosing liver cirrhosis with portal hypertension

Objective To evaluate the usefulness of multi slices spiral CT portal venography (CTPV) in diagnosis and management of liver cirrhosis with portal hypertension. Methods Total 43 cases, 27 male, 16 female, with average age of (51.44±11.36) years old, proven clinically of cirrhosis with portal hypertension, underwent multi slices CT (MSCT) and CT portal venography (CTPV). Results On CTPV, the main stem of portal vein (100%), left gastric vein (97.6%), short gastric vein (44.2%), esophygeal and/or fundic varices (90.7%), shunt between spleen/gastric renal vein (28.7%), paraumbilical (46.5%) vein and abdominal wall veins (44.4%) were clearly depicted. The diameter of portal vein was ( 13.94 ±2.47) mm,and (5.62±2.40) mm of left gastric vein. Conclusion High quality CTPV can be obtained with MSCT. Multi planner MIP is the basic 3D reformatting technique for CTPV. The clearly depicting of portosystemic correlation is helpful to the treatment and following up for cirrhotic patient with up gastric intestinal bleeding.