Nontumorous arterioportal shunts in the liver: CT and MRI findings considering mechanisms and fate

European Radiology

Volumn 20, Issue 2, 2010, Pages 385-394

  Ahn, Jhii Hyun ^a   Yu, Jeong Sik ^a   Hwang, Sung Ho ^a   Chung, Jae Joon ^a   Kim, Joo Hee ^a   Kim, Ki Whang ^a  

^a Hallym Unversity College of Medicine   (South Korea)

Author keywords

Arterio portal shunts; Contrast agent; CT; Diffusion weighted imaging; Magnetic resonance (MR)

Indexed keywords

SUPERPARAMAGNETIC IRON OXIDE;

ANGIOMYOLIPOMA; CHEMOEMBOLIZATION; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DIFFERENTIAL DIAGNOSIS; DIFFUSION WEIGHTED IMAGING; HEMANGIOMA; HUMAN; LIVER BIOPSY; LIVER CELL CARCINOMA; LIVER CIRRHOSIS; NUCLEAR MAGNETIC RESONANCE IMAGING; PORTAL HYPERTENSION; PORTAL VEIN THROMBOSIS; PORTOSYSTEMIC ANASTOMOSIS; PRIORITY JOURNAL; REVIEW; TUMOR VASCULARIZATION; ARTERIOVENOUS FISTULA; ARTICLE; CONGENITAL MALFORMATION; HEPATIC ARTERY; LIVER TUMOR; METHODOLOGY; PATHOLOGY; PORTAL VEIN; RADIOGRAPHY; VASCULAR TUMOR;

ARTERIOVENOUS FISTULA; DIAGNOSIS, DIFFERENTIAL; HEPATIC ARTERY; HUMANS; LIVER NEOPLASMS; MAGNETIC RESONANCE IMAGING; PORTAL VEIN; TOMOGRAPHY, X-RAY COMPUTED; VASCULAR NEOPLASMS;

EID: 77951230479     PISSN: 09387994     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00330-009-1542-z     Document Type: Review

References (40)

1. Okuda K, Musha H, Yamasaki T, Jinnouchi S, Nagasaki Y, Kubo Y, Shimokawa Y, Nakayama T, Kojiro M, Sakamoto K, Nakashima T (1977) Angiographic demonstration of intra-hepatic arterio-portal anastomoses in hepatocellular carcinoma. Radiology 122:53-58 (Pubitemid 8011556)
2. Bookstein JJ, Cho KJ, Davis GB, Dail D (1982) Arterioportal communications: observations and hypotheses concerning transsinusoidal and transvasal types. Radiology 142:581-590
3. Demachi H, Matsui O, Takashima T (1991) Scanning electron microscopy of intrahepatic microvasculature casts following experimental hepatic artery embolization. Cardiovasc Intervent Radiol 14:158-162
4. Yu JS, Rofsky NM (2002) Magnetic resonance imaging of arterioportal shunts in the liver. Top Magn Reson Imaging 13:165-176
5. Itai Y, Hachiya J, Makita K, Ohtomo K, Kokubo T, Yamauchi T (1987) Transient hepatic attenuation differences on dynamic computed tomography. J Comput Assist Tomogr 11:461-465
6. Haratake J, Hisaoka M, Yamamoto O, Horie A (1991) Morphological changes of hepatic microcirculation in experimental rat cirrhosis: a scanning electron microscopic study. Hepatology 13:952-956
7. Jeong MG, Yu JS, Kim KW (2000) Hepatic cavernous hemangioma: temporal peritumoral enhancement during multiphase dynamic MR imaging. Radiology 216:692-697
8. Okuda K, Musha H, Nakajima Y, Takayasu K, Suzuki Y, Morita M, Yamasaki T (1978) Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology 74:1204-1207
9. Mathieu D, Lardé D, Vasile N (1983) CT features of iatrogenic hepatic arter-ioportal fistulae. J Comput Assist Tomogr 7:810-814
10. Ito K, Honjo K, Fujita T, Awaya H, Matsumoto T, Matsunaga N (1995) Enhanced MR imaging of the liver after ethanol treatment of hepatocellular carcinoma: evaluation of areas of hyperperfusion adjacent to the tumor. AJR Am J Roentgenol 164:1413-1417
11. Jabbour N, Reyes J, Zajko A, Nour B, Tzakis AG, Starzl TE, Van Thiel DH (1995) Arterioportal fistula following liver biopsy. Three cases occurring in liver transplant recipients. Dig Dis Sci 40:1041-1044
12. Lee SJ, Lim JH, Lee WJ, Lim HK, Choo SW, Choo IW (1997) Transient subsegmental hepatic parenchymal enhancement on dynamic CT: a sign of postbiopsy arterioportal shunt. J Comput Assist Tomogr 21:355-360
13. Bolognesi M, Sacerdoti D, Bombonato G, Chiesura-Corona M, Merkel C, Gatta A (2000) Arterioportal fistulas in patient with liver cirrhosis: usefulness of color Doppler US for screening. Radiology 216:738-743
14. Hwang SH, Yu JS, Chung J, Chung JJ, Kim JH, Kim KW (2008) Transient hepatic attenuation difference (THAD) following transcatheter arterial chemoembolization for hepatic malignancy: changes on serial CT examinations. Eur Radiol 18:1596-1603
15. Fredrick MG, McElaney BL, Singer A, Park KS, Paulson EK, McGee SG, Nelson RC (1996) Timing of parenchymal enhancement on dual-phase dynamic helical CT of the liver: how long does the hepatic arterial phase predominate? AJR Am J Roentgenol 166:1305-1310
16. Murata S, Itai Y, Asato M, Kobayashi H, Nakajima K, Equchi N, Saida Y, Kuramoto K, Tohno E (1995) Effect of temporary occlusion of the hepatic vein on dual blood supply in the liver: evaluation with spiral CT. Radiology 197:351-356
17. Itai Y, Matsui O (1997) Blood flow and liver imaging. Radiology 202:306-314
18. Bruix J, Sherman M (2005) Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma. Hepatology 42:1208-1236
19. Rousselot LN, Grossi GE, Slattery J, Rossi P, Conte AJ, Ruzicka FF Jr (1964) Temporary hepatic outflow block with hepatic artery perfusion by anticancer agents. Surg Gynecol Obstet 118:1295-1304
20. Kanazawa S, Douke T, Yasui K, Mitani M, Sato S, Ajiki M, Kohno Y, Kimoto S, Hiraki Y (1992) Hepatic arteriography under temporary hepatic venous occlusion. Nippon Igaku Hoshasen Gakkai Zasshi 52:1408-1416
21. Kanazawa S, Wright KC, Kasi LP, Charnsangavej C, Wallace S (1993) Preliminary experimental evaluation of temporary segmental hepatic venous occlusion: angiographic, pathologic, and scintigraphic findings. J Vasc Interv Radiol 6:759-766
22. Yu JS, Kim KW, Jeong MG, Lee JT, Yoo HS (2002) Nontumorous hepatic arterial-portal venous shunts: MR imaging findings. Radiology 217:750-756
23. Matsuo M, Kanematsu M, Kondo H, Maeda S, Goshima S, Suenaqa I, Hoshi H (2002) Arterioportal shunts mimicking hepatic tumors with hyperintensity on T2-weighted MR images. J Magn Reson Imaging 15:330-333
24. Yu JS, Lee JH, Chung JJ, Kim JH, Kim KW (2008) Small hypervascular hepatocellular carcinoma: limited value of portal and delayed phases on dynamic magnetic resonance imaging. Acta Radiol 49:735-743
25. Mori K, Yoshioka H, Itai Y, Okamoto Y, Mori H, Takahashi N, Saida Y (2000) Arterioportal shunts in cirrhotic patients: evaluation of the difference between tumorous and nontumorous arterioportal shunts on MR imaging with superparamagnetic iron oxide. AJR Am J Roentgenol 175:1659-1664
26. Yamashita Y, Torashima M, Oguni T, Yamamoto A, Harada M, Miyazaki T, Takahashi M (1993) Liver parenchymal changes after transcatheter arterial embolization therapy for hepatoma: CT evaluation. Abdom Imaging 18:352-356 (Pubitemid 23246588)
27. Ward J, Guthrie JA, Sheridan MB, Boyes S, Smith JT, Wilson D, Wyatt JI, Treanor D, Robinson PJ (2008) Sinusoidal obstructive syndrome diagnosed with superparamagnetic iron oxide-enhanced magnetic resonance imaging in patients with chemotherapy-treated colorectal liver metastases. J Clin Oncol 26:4304-4310
28. Chung J, Yu JS, Chung JJ, Kim JH, Kim KW (2008) Hypervascular pseudolesions during dynamic MRI of cirrhotic liver: difference between non-tumorous and peritumoral arterioportal shunts on diffusion-weighted imaging compared to SPIO-enhanced MRI. In: 94th Annual meeting of RSNA, Chicago, USA, 2008. (LL-GI4298-L02)
29. Hwang SH, Yu JS, Kim KW, Kim JH, Chung JJ (2008) Small hypervascular enhancing lesions on arterial phase images of multiphase dynamic computed tomography in cirrhotic liver: fate and implications. J Comput Assist Tomogr 32:39-45
30. Guzman EA, McCahill LE, Rogers FB (2006) Arterioportal fistulas: introduction of a novel classification with therapeutic implications. J Gastrointest Surg 10:543-550
31. Yu JS, Kim KW, Sung KB, Lee JT, Yoo HS (1997) Small arterial-portal venous shunts: a cause of pseudolesions at hepatic imaging. Radiology 203:737-742
32. Kim TK, Choi BI, Han JK, Chung JW, Park JH, Han MC (1998) Nontumorous arterioportal shunt mimicking hypervascular tumor in cirrhotic liver: two-phase spiral CT findings. Radiology 208:597-603
33. Jeong YY, Mitchell DG, Kamishima T (2002) Small (<20 mm) enhancing hepatic nodules seen on arterial phase MR imaging of the cirrhotic liver: clinical implications. AJR Am J Roentgenol 178:1327-1334
34. Takayasu K, Muramatsu Y, Mizuguchi Y, Moriyama N, Okusaka T(2006) Multiple non-tumorous arterioportal shunts due to chronic liver disease mimicking hepato-cellular carcinoma: outcomes and the associated elevation of alpha-fetoprotein. Hepatology 21:286-294
35. Hanafusa K, Ohashi I, Himeno Y, Suzuki S, Shibuya H (1995) Hepatic hemangioma: findings with two-phase CT. Radiology 196:465-469
36. Itai Y, Ohtomo K, Kokubo T, Okade Y, Yamauchi T, Yoshida H (1988) Segmental intensity differences in the liver on MR images: a sign of intrahepatic portal flow stoppage. Radiology 167:17-19
37. Gabata T, Matsui O, Terayama N, Kobayashi S, Sanada J (2008) Imaging diagnosis of hepatic metastases of pancreatic carcinomas: significance of transient wedge-shaped contrast enhancement mimicking arterioportal shunt. Abdom Imaging 33:437-443
38. Semelka RC, Hussain SM, Marcos HB, Woosley JT (2000) Perilesional enhancement of hepatic metastases: correlation between MR imaging and histopathologic findings-initial observations. Radiology 215:89-94
39. Yu JS, Yoon SW, Park MS, Lee JH, Kim KW (2005) Eosinophilic hepatic necrosis: magnetic resonance imaging and computed tomography comparison. J Comput Assist Tomogr 29:765-771
40. Gabata T, Kadoya M, Matsui O, Kobayashi T, Kawamori Y, Sanada J, Terayama N, Kobayashi S (2001) Dynamic CT of hepatic abscesses: significance of transient segmental enhancement. AJR Am J Roentgenol 176:675-679