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MRI Diagnosis of Budd-Chiari Syndrome

Hao Xu

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Abstract

Objective To evaluate MRI in the diagnosis of Budd-Chiari syndrome.Materials and Methods MRI features of 19 cases with Budd-Chiari syndrome were analyzed. The findings were compared with that of sonography and venography.Results MRI demonstrated hepato- megaly in 18(95%) and enlarged caudate lobe in 14(74%) patients. Inhomogeneous signal intensity of hepatic parenchyma was seen in 14(74%) cases, obstructed inferior vena cava in 7(37%), thrombosis in inferior vena cava in 4(21%) and narrowed or obstructed hepatic veins in 19(100%). Intrahepatic collateral vessels, extrahepatic collateral vessels and accessory hepatic veins were displayed in 17(89%), 17(89%) and 5(26%) cases, respectively.Conclusion MRI has considerable value in the diagnosis of Budd-Chiari syndrome.

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What this paper is about

Objective To evaluate MRI in the diagnosis of Budd-Chiari syndrome.Materials and Methods MRI features of 19 cases with Budd-Chiari syndrome were analyzed. The findings were compared with that of sonography and venography.Results MRI demonstrated hepato- megaly in 18(95%) and enlarged caudate lobe in 14(74%) patients. Inhomogeneous signal intensity of hepatic parenchyma was seen in 14(74%) cases, obstructed inferior vena cava in 7(37%), thrombosis in inferior vena cava in 4(21%) and narrowed or obstructed hepatic veins in 19(100%). Intrahepatic collateral vessels, extrahepatic collateral vessels and accessory hepatic veins were displayed in 17(89%), 17(89%) and 5(26%) cases, respectively.Conclusion MRI has considerable value in the diagnosis of Budd-Chiari syndrome.

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Available abstract

Objective To evaluate MRI in the diagnosis of Budd-Chiari syndrome.Materials and Methods MRI features of 19 cases with Budd-Chiari syndrome were analyzed. The findings were compared with that of sonography and venography.Results MRI demonstrated hepato- megaly in 18(95%) and enlarged caudate lobe in 14(74%) patients. Inhomogeneous signal intensity of hepatic parenchyma was seen in 14(74%) cases, obstructed inferior vena cava in 7(37%), thrombosis in inferior vena cava in 4(21%) and narrowed or obstructed hepatic veins in 19(100%). Intrahepatic collateral vessels, extrahepatic collateral vessels and accessory hepatic veins were displayed in 17(89%), 17(89%) and 5(26%) cases, respectively.Conclusion MRI has considerable value in the diagnosis of Budd-Chiari syndrome.

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

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