Cirrhosis CT: Difference between revisions
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[[Computed tomography]] is not routinely used in the diagnosis and evaluation of cirrhosis. It is poor at detecting morphologic changes associated with early cirrhosis, but it can accurately demonstrate nodularity and lobar atrophic and hypertrophic changes, as well as [[ascites]] and [[varices]] in advanced disease. It provides similar information to [[ultrasonography]], but at the expense of radiation and contrast exposure. CT findings may suggest the presence of cirrhosis, but they are not diagnostic. | [[Computed tomography]] is not routinely used in the diagnosis and evaluation of cirrhosis. It is poor at detecting morphologic changes associated with early cirrhosis, but it can accurately demonstrate nodularity and lobar atrophic and hypertrophic changes, as well as [[ascites]] and [[varices]] in advanced disease. It provides similar information to [[ultrasonography]], but at the expense of radiation and contrast exposure. CT findings may suggest the presence of cirrhosis, but they are not diagnostic. | ||
CT portal phase imaging can be used to assess [[portal vein]] patency, although flow volume and direction cannot be determined accurately.<ref name="urlCirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - September 1, 2006 - American Family Physician">{{cite web |url=http://www.aafp.org/afp/2006/0901/p756.html#afp20060901p756-b20 |title=Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - September 1, 2006 - American Family Physician |format= |work= |accessdate=2012-09-07}}</ref> A computed tomography scan of the abdomen (including the [[liver]], [[gallbladder]], and [[spleen]]) can check for tumors, blocked [[bile ducts]] and to evaluate liver size and blood flow through the liver. | CT portal phase imaging can be used to assess [[portal vein]] patency, although flow volume and direction cannot be determined accurately.<ref name="urlCirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - September 1, 2006 - American Family Physician">{{cite web |url=http://www.aafp.org/afp/2006/0901/p756.html#afp20060901p756-b20 |title=Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and Evaluation - September 1, 2006 - American Family Physician |format= |work= |accessdate=2012-09-07}}</ref> A computed tomography scan of the abdomen (including the [[liver]], [[gallbladder]], and [[spleen]]) can check for tumors, blocked [[bile ducts]] and to evaluate liver size and blood flow through the liver. | ||
*Imaging may indicate etiology of cirrhosis: | |||
'''CT''' | |||
*Computed tomography (CT) scanning complements ultrasound imaging. | |||
*Classical appearances in some diseases: | |||
**Haemochromatosis: where the excess iron deposition causes a dramatic increase in hepatic density. | |||
*A hypertrophied caudate lobe discovered on computed tomographic (CT) scanning, for example, suggests Budd-Chiari syndrome. | |||
===CT Images=== | ===CT Images=== | ||
Revision as of 01:44, 13 December 2017
Cirrhosis Microchapters |
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Cirrhosis CT On the Web |
American Roentgen Ray Society Images of Cirrhosis CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
Overview
Although CT scans are not routinely used in evaluation and diagnosis of cirrhosis, it can show the presence of lobar atrophic and hypertrophic changes in the liver, as well as ascites and varcies in advanced disease. CT can also visualize the presence of tumors and blocked bile ducts, as well as evaluate the size of the liver.
CT
Computed tomography is not routinely used in the diagnosis and evaluation of cirrhosis. It is poor at detecting morphologic changes associated with early cirrhosis, but it can accurately demonstrate nodularity and lobar atrophic and hypertrophic changes, as well as ascites and varices in advanced disease. It provides similar information to ultrasonography, but at the expense of radiation and contrast exposure. CT findings may suggest the presence of cirrhosis, but they are not diagnostic. CT portal phase imaging can be used to assess portal vein patency, although flow volume and direction cannot be determined accurately.[1] A computed tomography scan of the abdomen (including the liver, gallbladder, and spleen) can check for tumors, blocked bile ducts and to evaluate liver size and blood flow through the liver.
- Imaging may indicate etiology of cirrhosis:
CT
- Computed tomography (CT) scanning complements ultrasound imaging.
- Classical appearances in some diseases:
- Haemochromatosis: where the excess iron deposition causes a dramatic increase in hepatic density.
- A hypertrophied caudate lobe discovered on computed tomographic (CT) scanning, for example, suggests Budd-Chiari syndrome.
CT Images
-
Liver cirrhosis as seen on an axial CT of the abdomen.