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Use of Imaging for Living Donor Liver Transplantation¹

¹ From the Departments of Radiology (M.J.B., A.S.F., R.A.S., W.K.C., U.R.P.) and Transplant Surgery (A.M.), Medical College of Virginia of Virginia Commonwealth University, Richmond. Recipient of a Certificate of Merit award for a scientific exhibit at the 1999 RSNA scientific assembly. Received April 14, 2000; revision requested May 19 and received July 26; accepted July 28. Address correspondence to M.J.B., Department of Radiology, University of Virginia Health Sciences Center, Lee St, Box 800170, Charlottesville, VA 22908-0170 (e-mail: mjb4f@virginia.edu).

Living donor liver transplantation is emerging as an alternative to cadaveric liver transplantation. The authors present multimodality images obtained in 44 cases of living donor liver transplantation. The images in this article were derived from the pre-, intra-, and postoperative imaging protocol for their institutional transplantation program. Preoperative magnetic resonance (MR) imaging in the donor allows detection of focal liver lesions and accurate determination of liver volume. The latter is crucial to ensure adequate postoperative liver function for donors and recipients. MR cholangiography depicts donor biliary anatomy. MR angiography and digital subtraction arteriography are performed to assess vascular anatomy. Intraoperative ultrasonography (US) helps determine the resection plane during donor hepatectomy. Postoperative MR imaging documents liver regrowth. MR imaging, US, and computed tomography help assess complications in donors and recipients.

Index Terms: Liver, CT, 761.12112 • Liver, MR, 761.121412, 761.121415, 761.12143 • Liver, transplantation, 761.451, 761.458 • Liver, US, 761.12982, 761.12983 • Transplantation, 761.451, 761.458

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