Magnetic Resonance in Medical Sciences
Online ISSN : 1880-2206
Print ISSN : 1347-3182
ISSN-L : 1347-3182

This article has now been updated. Please use the final version.

4D Flow MRI Reflects Physiological Hemodynamics for the Diagnosis and Management of Portosystemic Shunts
Atsushi Higaki , Akira Yamamoto, Toshimasa Okada, Tomio Ueno, Yasuyuki Tomiyama, Kosuke Ito, Tsutomu Tamada
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Keywords: four-dimensional flow magnetic resonance imaging, liver cirrhosis, portal hemodynamics, portosystemic shunts
JOURNAL OPEN ACCESS Advance online publication
Supplementary material

Article ID: ici.2023-0161

The final version of this article is now available: Vol. 24 (2025), No. 2 pp. 149-154
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Abstract

A woman in her sixties with portosystemic shunt and hepatic encephalopathy underwent open mesenteric vein ligation, resulting in improved portal flow and blood ammonia. In this case, 4D flow MRI was a valuable diagnostic and follow-up tool, visualizing and quantifying physiological portal hemodynamics with features distinct from those of contrast-enhanced CT and digital subtraction angiography. Our case study highlights the value of 4D flow MRI for managing portosystemic shunts.

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© 2024 by Japanese Society for Magnetic Resonance in Medicine

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
https://creativecommons.org/licenses/by-nc-nd/4.0/
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