• 四川大學華西醫(yī)院普外科（成都610041）;

目的了解影像學檢查在活體供肝評估中的應用現狀。
方法采用文獻回顧方法對活體供肝評估中影像學的應用研究進行綜述。
結果術前CT和MRI可準確評估肝臟體積與粗略評估肝臟大泡型脂肪變性情況； CT血管成像可顯示供肝肝動脈、門靜脈與肝靜脈的解剖結構，術中膽管造影可顯示膽管系統(tǒng)的解剖變異。
結論影像學檢查在活體供肝評估中的多個環(huán)節(jié)都得到廣泛應用。

引用本文： 文天夫,嚴律南. 影像學檢查在活體供肝評估中的應用. 中國普外基礎與臨床雜志, 2006, 13(2): 237-239. doi: 復制

1. [J].Transplantation, 1997; 63(10)∶1524.
2.
3. [J].N Engl J Med, 2003; 348(9)∶ 818.
4.
5. [J]. Radiology, 2005; 234(1)∶171.
6.
7. [J].Transplantation, 1991; 51(1)∶157.
8.
9. [J]. Transplantation, 1993; 56(6)∶1403.
10.
11. [J]. Transplant proc, 1999; 31(2)∶403.
12. [J]. Radiology, 2004; 230(1)∶276.
13. [J].Radiology, 2005; 234(3)∶793.
14.
15. [J]. Ann Surg, 1994; 220(1)∶50.
16. [J]. AJR Am J Roentgenol, 2004; 183(6)∶1577.
17.
18. [J]. AJR Am J Roentgenol, 2000; 175(4)∶1141.
19.
20. [J]. Radiology, 1992; 184(1)∶157.
21. [J]. AJR Am J Roentgenol, 2004; 183(4)∶1055.
22.
23. [J]. Liver Transpl, 2005; 11(4)∶449.
24. [J]. Ann Surg, 2003; 238(2)∶275.
25.
26. [J]. Radiology, 2004; 232(1)∶173.
27.
28. [J]. World J Surg, 1983; 7(2)∶271.
29.
30. [J]. Radiology, 2004; 233(3)∶659.
31.
32. [J]. Radiology, 2004; 233(3)∶659.
33.
34. [J]. Transplantation, 2002; 73(12)∶1896.
35. Urata K, Kawasaki S, Matsunami H, et al. Calculation of child and adult standard liver volume for liver transplantation [J]. Hepatology, 1995; 21(5)∶1317.
36. Marcos A, Fisher RA, Ham JM, et al. Liver regeneration and function in donor and recipient after right lobe adult to adult living donor liver transplantation [J]. Transplantation, 2000; 69(7)∶1375.
37. Fan ST, Lo CM, Liu CL, et al. Safety of donors in live donor liver transplantation using right lobe grafts [J]. Arch Surg, 2000； 135(2)∶336.
38. Lo CM, Fan ST, Liu CL, et al. Extending the limit on the size of adult recipient in living donor liver transplantation using extended right lobe graft.
39. Brown RS, Russo MW, Lai M, et al. A survey of liver transplantation from living adult donors in the United States.
40. Hwang S, Lee SG, Kim KH, et al. Correlation of bloodfree graft weight and volumetric graft volume by an analysis of blood content in living donor liver grafts [J]. Transplant proc， 2002; 34(8)∶3293.
41. Hermoye Caurent, LaamarjAzjal Z, Cao Z, et al. Liver segmentation in living liver transplant donors. Comparison of semiautomatic and manual methods.
42. Leelaudomlipi S, Sugawara Y, Kaneko J, et al. Volumetric analysis of liver segments in 155 living donors [J]. Liver transpl, 2002; 8(7)∶612.
43. Strasberg SM, Howar TK, Molmenti EP, et al. Selecting the donor liver: risk factors for poor function after orthotopic liver transplantation [J]. Hepatology, 1994; 20(4)∶829.
44. D’Alessandro AM, Kalayoglu M, Sollinger HW, et al. The predictive value of donor liver biopsies for the development of primary nonfunction after orthotopic liver transplantation.
45. Markin RS, Wisecarver JL, Radio SJ, et al. Frozen section evaluation of donor livers before transplantation.
46. Hayashi M, Fujii K, Kiuchi T, et al. Effects of fatty infiltration of the graft on the outcome of livingrelated liver transplantation.
47. Limanond P, Raman SS, Lassman C, et al. Macrovesicular hepatic steatosis in living related liver donors: correlation between CT and histologic findings.
48. Kim SH, Lee JM, Kim JH, et al. Appropriateness of a donor liver with respect to macrosteatosis: application of artificial neural networks to US imagesinitial experience.
49. Hiatt JR, Gabbay J, Busuttil RW, et al. Surgical anatomy of the hepatic arteries in 1 000 cases.
50. Ishigami IC, Zhang Y, Rayhill S, et al. Does Variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation.
51. Kamel IR, Raptopoulos V, Pomfret EA, et al. Living adult right lobe liver transplantation: imaging before surgery with multidetector multiphase CT.
52. Erbay N, Raptopoulos V, Pomfret EA, et al. Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients [J]. AJR Am J Roentgenol, 2003; 181(1)∶109.
53. Atri M, Bret PM, FraserHill MA, et al. Intrahepatic portal venous variations: prevalence with US.
54. Covey AM, Brody L, Getrajdman GL, et al. Incidence, patterns, and clinical relevance of variant portal vein anatomy.
55. Hwang S, Lee SG, Choi ST, et al. Hepatic vein anatomy of the medial segment for living donor liver transplantation using extended right lobe graft.
56. Villa VH, Chen CL, Chen YS, et al. Right lobe living donor liver transplantationaddressing the middle hepatic vein controversy.
57. Kim BS, Kim KT, Kim JS, et al. Hepatic venous congestion after living donor liver transplantation with right lobe graft: twophase CT findings.
58. Puente SG, Bannura GC. Radiological anatomy of the biliary tract: variations and congenital abnormalities.
59. Lee US, Krinsky GA, Nazzaro CA, et al. Defining intrahepatic biliary anatomy in living liver transplant donor candidates at mangafodipir trisodiumenhanced MR cholangiography versus conventional T2weighted MR cholangiography.
60. Lee VS, Krinsky GA, Nazzaro CA, et al. Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodiumenhanced excretory MR, and multidetector row CT cholangiographyinitial experience.
61. Nakamura T, Tanaka K, Kiuchi T, et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases.
  1. 1. [J].Transplantation, 1997; 63(10)∶1524.
  2. 2.
  3. 3. [J].N Engl J Med, 2003; 348(9)∶ 818.
  4. 4.
  5. 5. [J]. Radiology, 2005; 234(1)∶171.
  6. 6.
  7. 7. [J].Transplantation, 1991; 51(1)∶157.
  8. 8.
  9. 9. [J]. Transplantation, 1993; 56(6)∶1403.
  10. 10.
  11. 11. [J]. Transplant proc, 1999; 31(2)∶403.
  12. 12. [J]. Radiology, 2004; 230(1)∶276.
  13. 13. [J].Radiology, 2005; 234(3)∶793.
  14. 14.
  15. 15. [J]. Ann Surg, 1994; 220(1)∶50.
  16. 16. [J]. AJR Am J Roentgenol, 2004; 183(6)∶1577.
  17. 17.
  18. 18. [J]. AJR Am J Roentgenol, 2000; 175(4)∶1141.
  19. 19.
  20. 20. [J]. Radiology, 1992; 184(1)∶157.
  21. 21. [J]. AJR Am J Roentgenol, 2004; 183(4)∶1055.
  22. 22.
  23. 23. [J]. Liver Transpl, 2005; 11(4)∶449.
  24. 24. [J]. Ann Surg, 2003; 238(2)∶275.
  25. 25.
  26. 26. [J]. Radiology, 2004; 232(1)∶173.
  27. 27.
  28. 28. [J]. World J Surg, 1983; 7(2)∶271.
  29. 29.
  30. 30. [J]. Radiology, 2004; 233(3)∶659.
  31. 31.
  32. 32. [J]. Radiology, 2004; 233(3)∶659.
  33. 33.
  34. 34. [J]. Transplantation, 2002; 73(12)∶1896.
  35. 35. Urata K, Kawasaki S, Matsunami H, et al. Calculation of child and adult standard liver volume for liver transplantation [J]. Hepatology, 1995; 21(5)∶1317.
  36. 36. Marcos A, Fisher RA, Ham JM, et al. Liver regeneration and function in donor and recipient after right lobe adult to adult living donor liver transplantation [J]. Transplantation, 2000; 69(7)∶1375.
  37. 37. Fan ST, Lo CM, Liu CL, et al. Safety of donors in live donor liver transplantation using right lobe grafts [J]. Arch Surg, 2000； 135(2)∶336.
  38. 38. Lo CM, Fan ST, Liu CL, et al. Extending the limit on the size of adult recipient in living donor liver transplantation using extended right lobe graft.
  39. 39. Brown RS, Russo MW, Lai M, et al. A survey of liver transplantation from living adult donors in the United States.
  40. 40. Hwang S, Lee SG, Kim KH, et al. Correlation of bloodfree graft weight and volumetric graft volume by an analysis of blood content in living donor liver grafts [J]. Transplant proc， 2002; 34(8)∶3293.
  41. 41. Hermoye Caurent, LaamarjAzjal Z, Cao Z, et al. Liver segmentation in living liver transplant donors. Comparison of semiautomatic and manual methods.
  42. 42. Leelaudomlipi S, Sugawara Y, Kaneko J, et al. Volumetric analysis of liver segments in 155 living donors [J]. Liver transpl, 2002; 8(7)∶612.
  43. 43. Strasberg SM, Howar TK, Molmenti EP, et al. Selecting the donor liver: risk factors for poor function after orthotopic liver transplantation [J]. Hepatology, 1994; 20(4)∶829.
  44. 44. D’Alessandro AM, Kalayoglu M, Sollinger HW, et al. The predictive value of donor liver biopsies for the development of primary nonfunction after orthotopic liver transplantation.
  45. 45. Markin RS, Wisecarver JL, Radio SJ, et al. Frozen section evaluation of donor livers before transplantation.
  46. 46. Hayashi M, Fujii K, Kiuchi T, et al. Effects of fatty infiltration of the graft on the outcome of livingrelated liver transplantation.
  47. 47. Limanond P, Raman SS, Lassman C, et al. Macrovesicular hepatic steatosis in living related liver donors: correlation between CT and histologic findings.
  48. 48. Kim SH, Lee JM, Kim JH, et al. Appropriateness of a donor liver with respect to macrosteatosis: application of artificial neural networks to US imagesinitial experience.
  49. 49. Hiatt JR, Gabbay J, Busuttil RW, et al. Surgical anatomy of the hepatic arteries in 1 000 cases.
  50. 50. Ishigami IC, Zhang Y, Rayhill S, et al. Does Variant hepatic artery anatomy in a liver transplant recipient increase the risk of hepatic artery complications after transplantation.
  51. 51. Kamel IR, Raptopoulos V, Pomfret EA, et al. Living adult right lobe liver transplantation: imaging before surgery with multidetector multiphase CT.
  52. 52. Erbay N, Raptopoulos V, Pomfret EA, et al. Living donor liver transplantation in adults: vascular variants important in surgical planning for donors and recipients [J]. AJR Am J Roentgenol, 2003; 181(1)∶109.
  53. 53. Atri M, Bret PM, FraserHill MA, et al. Intrahepatic portal venous variations: prevalence with US.
  54. 54. Covey AM, Brody L, Getrajdman GL, et al. Incidence, patterns, and clinical relevance of variant portal vein anatomy.
  55. 55. Hwang S, Lee SG, Choi ST, et al. Hepatic vein anatomy of the medial segment for living donor liver transplantation using extended right lobe graft.
  56. 56. Villa VH, Chen CL, Chen YS, et al. Right lobe living donor liver transplantationaddressing the middle hepatic vein controversy.
  57. 57. Kim BS, Kim KT, Kim JS, et al. Hepatic venous congestion after living donor liver transplantation with right lobe graft: twophase CT findings.
  58. 58. Puente SG, Bannura GC. Radiological anatomy of the biliary tract: variations and congenital abnormalities.
  59. 59. Lee US, Krinsky GA, Nazzaro CA, et al. Defining intrahepatic biliary anatomy in living liver transplant donor candidates at mangafodipir trisodiumenhanced MR cholangiography versus conventional T2weighted MR cholangiography.
  60. 60. Lee VS, Krinsky GA, Nazzaro CA, et al. Biliary tract depiction in living potential liver donors: comparison of conventional MR, mangafodipir trisodiumenhanced excretory MR, and multidetector row CT cholangiographyinitial experience.
  61. 61. Nakamura T, Tanaka K, Kiuchi T, et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases.