J Korean Soc Transplant.  2010 Dec;24(4):311-315.

Clinical Efficacy of Pretransplant Magnetic Resonance Cholangiography of Donor for Living Donor Liver Transplantation

• Park S
• Choi GS
• Jung J
• Cho G
• Shin E
• Lim C
• Kim H
• Song OP

Abstract

BACKGROUND
Hepatobiliary and vascular structure anatomy must be understood to ensure donor safety during living donor liver transplantation (LDLT). The purpose of this study was to determine the role of pretransplant magnetic resonance cholangiography (MRC) for understanding the anatomy.
METHODS
Eighteen LDLT were analyzed retrospectively through medical records and radiological images. Pretransplant MRC and intraoperative cholangiography (IOC) were reviewed to evaluate the accuracy of pretransplant MRC.
RESULTS
The MRC results of 13 donors were acceptable for a living donor operation. However, 5 donor MRC results required further evaluation to identify the biliary anatomy by IOC. In 2 cases, the use of an intravenous low-dose morphine injection helped to obtain a more qualified MRC image.
CONCLUSIONS
Despite the small study size, the results showed that MRC can help provide information on donor biliary anatomy to ensure a safe donor operation.

Keyword

Living donor; Liver transplantation; Biliary anatomy

MeSH Terms

Cholangiography
Dietary Sucrose
Humans
Liver
Liver Transplantation
Living Donors
Magnetic Resonance Spectroscopy
Magnetics
Magnets
Medical Records
Morphine
Retrospective Studies
Tissue Donors
Dietary Sucrose
Morphine

Figure

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  Fig. 1. Classification of the biliary tree anatomy. Abbreviations: CHD, common hepatic duct; LHD, left hepatic duct; RAHD, right anterior hepatic duct; RPHD, right posterior hepatic duct. Adapted from Fig. 3 of reference [20].

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  Fig. 2. Magnetic resonance cholangiopancreatographic image of a 21-year-old female following a morphine injection (A) and without a morphine injection in a 31-year-old man (B). The secondary bile duct and pancreatic duct are clearly visualized only in (A).

Reference

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