Abstract
Portal vein thrombosis (PVT) may occur in liver cirrhosis patients. Malignant PVT is a common complication in cirrhotic patients with concomitant hepatocellular carcinoma (HCC) and, in some cases, it may be even the initial sign of an undetected HCC. Detection of malignant PVT in a patient with liver cirrhosis heavily affects the therapeutic strategy. Gray-scale ultrasound (US) is widely unreliable for differentiating benign and malignant thrombi. Although effective for this differential diagnosis, fine-needle biopsy remains an invasive technique. Sensitivity of color-doppler US in detection of malignant thrombi is highly dependent on the size of the thrombus. Contrast-enhanced computed tomography (CT) and contrast-enhanced magnetic resonance (MRI) can be useful to assess the nature of portal thrombus, while limited data are currently available about the role of positron emission tomography (PET) and PET-CT. In contrast with CT, MRI, PET, and PET-CT, contrast-enhanced ultrasound (CEUS) is a fast, effective, well tolerated and cheap technique, that can be performed even in the same session in which the thrombus has been detected. CEUS can be performed bedside and can be available also in transplanted patients. Moreover, CT and M...Continue Reading
References
Feb 14, 2008·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·M ClaudonT Whittingham
Mar 29, 2008·European Radiology·Sandro RossiFabrizio Calliada
Dec 25, 2009·Radiology·Onofrio A CatalanoDushyant V Sahani
May 25, 2012·European Radiology·Li Jun QianJian Rong Xu
Aug 14, 2013·PloS One·Sung Jun AhnMyeong-Jin Kim
Sep 5, 2013·Abdominal Imaging·S Arsalan RazaTae Kyoung Kim
Apr 8, 2014·World Journal of Gastroenterology : WJG·Tae Kyoung Kim, Hyun-Jung Jang
Jun 11, 2014·Abdominal Imaging·Shengping HuChangjing Zuo
Sep 26, 2014·World Journal of Gastroenterology : WJG·Xiao-Yun ZhangHong Wu
Jan 7, 2015·World Journal of Gastroenterology : WJG·Maurizio SoresiGiuseppe Montalto
Citations
Oct 17, 2016·Seminars in Roentgenology·Nitin ChaubalRajas Chaubal
Oct 30, 2016·Thrombosis and Haemostasis·Pasquale AmbrosinoMatteo Nicola Dario Di Minno
Oct 21, 2016·Thrombosis and Haemostasis·Pasquale AmbrosinoMatteo Nicola Dario Di Minno
Oct 7, 2017·Abdominal Radiology·Vasileios RafailidisPaul S Sidhu
May 25, 2018·AJR. American Journal of Roentgenology·Reena C JhaAmit Dinesh Kalaria
Sep 9, 2017·Clinical Hemorheology and Microcirculation·B PreglerP Wiggermann
Sep 21, 2017·Abdominal Radiology·Scott M ThompsonSudhakar K Venkatesh
Jul 31, 2018·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Xiaoyang LiuMostafa Atri
Feb 23, 2017·World Journal of Gastroenterology : WJG·Luciano TarantinoPasquale Ambrosino
Nov 2, 2019·Ultrasonography·Vasileios RafailidisPaul S Sidhu
Dec 19, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Qiuyang LiYukun Luo
Feb 7, 2020·Journal of Clinical Ultrasound : JCU·Xiaobei WuKaiyan Li
Nov 24, 2019·Abdominal Radiology·Ajaykumar C MoraniKhaled M Elsayes
Jul 12, 2019·Journal of Clinical and Translational Hepatology·Matthew WuMicheal Tadros
Jul 17, 2018·Canadian Journal of Gastroenterology & Hepatology·Hikmet AkkizMurat Kılıç
Feb 28, 2019·Contrast Media & Molecular Imaging·Xuelei MaJialing He
Aug 14, 2019·Abdominal Radiology·Sadeer AlzubaidiRahmi Oklu
Jan 12, 2020·Abdominal Radiology·Giuseppe ComoRossano Girometti
Oct 18, 2019·Pediatric Radiology·Alexander M El-AliJudy H Squires
Sep 2, 2020·Medicines·Kathryn L McGillenNelson S Yee
Aug 28, 2019·Radiology·Emilio Quaia
Aug 28, 2018·Ultrasound : Journal of the British Medical Ultrasound Society·Vasileios Rafailidis, Paul S Sidhu
Aug 31, 2017·World Journal of Gastroenterology : WJG·Xiao-Lan SunLi-Wei Liang
May 20, 2020·Abdominal Radiology·Richard G BarrJeong Min Lee
Dec 29, 2020·Radiology Case Reports·Yasovineeth BhogadiStefanie Y Lee
Oct 16, 2020·Insights Into Imaging·Ali Devrim KaraosmanogluMusturay Karcaaltincaba
Jul 17, 2020·Radiology Case Reports·Stephen PolanskiKathryn McGillen
May 19, 2021·World Journal of Clinical Cases·Li-Juan SunWei-Dong Ren
Oct 17, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jordan D LeGoutLauren F Alexander
Jul 21, 2021·European Journal of Radiology·C SofiaG Ascenti
Mar 16, 2021·Clinical Endoscopy·Dina EskandereAhmed Youssef Altonbary