Diagnostic Value of Doppler Ultrasonography in Non-invasive Diagnosis of Chronic Liver Disease and Portal Hypertension
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2016, Vol 5, Issue 4
Abstract
ABSTRACT Introduction: A number of disorders can affect the hepatic parenchyma, leading to chronic liver disease (CLD). CLD and cirrhosis are a significant cause of morbidity and mortality in developing nations and ultimately lead to the development of portal hypertension (PHT). Aim: To assess the portal and hepatic vein hemodynamics in patients of CLD and PHT using Doppler ultrasonography (USG). Materials and Methods: This prospective study was carried out in 50 biopsy and/or biochemically proven cases of CLD. Doppler USG was performed and flow hemodynamics in hepatic veins and portal vein was assessed. Results: Portal vein diameter >13mm was seen in 22.2% cases of CLD without PHT whereas, PV diameter >13mm was seen in 56.2% cases with PHT. Also dilatation of the splenic vein (> 10mm) was observed in 46.9% patients of CLD with PHT. Reduced mean peak portal vein velocity (PVV) was observed in patients with CLD (14.2cm/sec) and CLD with PHT (12.3cm/sec). Altered hepatic vein morphology was seen in 74% cases of CLD. Conclusion: Doppler USG evaluation of hepatic and portal vein hemodynamics is a very useful tool in the non-invasive diagnosis of CLD and can be reliably used to distinguish patients of CLD with and without PHT.
Authors and Affiliations
Manik Mahajan, Poonam Sharma, Puneet Gupta, Rattan Paul, Rajesh Sharma, Manjit Arora
Keywords
Related Articles
- EP ID EP477808
- DOI 10.7860/IJARS/2016/21653:2198
- Views 115
- Downloads 0
Role of Elastography in the Evaluation of Breast Lesions
Introduction: Breast cancer is 5th most common cause of cancer deaths today. It is the commonest inevitable cancer in women and is the second commonest cancer after cancer of the cervix in India. Aim: To evaluate the eff...
Age and Gender Related Changes in the Dimensions of Corpus Callosum by MRI-In South Indian Population
Introduction: Corpus callosum is the largest and most important commissural white matter tract connecting the two cerebral hemispheres. MRI helps in assessment of variation in its size and shape with respect to age and g...
MRI Findings in Diastematomyelia Presenting without Neurological Deficit-A Rare Case
ABSTRACT Diastematomyelia is a rare dysraphic lesion of spinal cord and the defect occurs as a result of an incorrect development of notochord between 15th and 18th day of pregnancy. In this defect, the spinal cord split...
Normal Optic Nerve Sheath Diameter and its Relation with Orbital Diameter on 3T MRI: A Cross-sectional Study
Introduction: The optic nerve is a direct continuation of the brain, surrounded by subarachnoid space. Measurement of the Optic Nerve Sheath Diameter (ONSD) provides indirect evidence of intracranial hypo or hypertension...
Morphometry of Sella Turcica in An Indian Population Using Computed Tomography
Introduction: Morphology of sella turcica varies with demographic factors such as gender and race. Hence, knowledge of normal sella turcica size is important for neurologists, surgeons and endocrinologists. Aim: The purp...