caa a22 4500 605492670 CHVBK 20210128100516.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00261-015-0380-5 doi (NATIONALLICENCE)springer-10.1007/s00261-015-0380-5 Budd-Chiari syndrome: a prospective analysis of hepatic vein obstruction on ultrasonography, multidetector-row computed tomography and MR imaging [Elektronische Daten] [Sid Faraoun, Mohamed Boudjella, Nabil Debzi, Nawel Afredj, Youcef Guerrache, Naima Benidir, Chafik Bouzid, Kamel Bentabak, Philippe Soyer, Salah Bendib] Purpose: The goal of this study was to prospectively describe the imaging presentation of hepatic vein (HV) obstruction in patients with Budd-Chiari syndrome (BCS) on duplex and color Doppler ultrasonography (DCD-US), multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI). Materials and methods: A total of 176 patients with primary BCS (mean age, 33years; 101 women) were prospectively included. BCS diagnosis was made by direct visualization of HV and/or upper portion of the inferior vena cava (IVC) obstruction on DCD-US and/or MDCT and/or MRI. Location (right, middle, and left HV), type (thrombus, stenosis, or both), and age (recent vs. long-standing) of HV obstruction were described on each imaging examination. Results: HV obstruction was a constant (100%) finding and associated with IVC abnormalities in 51/176 (28.98%) patients. Obstruction of the three HVs was present in 158/176 (89.77%) patients. The prevalences of right, middle, and left HV thrombus were 151/169 (89.35%), 146/169 (86.39%), and 111/169 (65.68%), respectively. Long-standing HV thrombus was observed in more than 92% of patients on the three imaging methods. Agreement between DCD-US, MDCT, and MRI was perfect in the identification of long-standing HV thrombus (κ=0.9); this agreement was slight to moderate in revealing the type of HV abnormality (i.e., fibrotic cord and non-visible HV). Conclusion: Our results indicate that BCS is a chronic and insidious disease, more often discovered at an advanced stage. These results should warrant further evaluation of screening strategies in patients with risk factors for BCS to identify the disease at an early stage. Springer Science+Business Media New York, 2015 Budd-Chiari syndrome nationallicence Hepatic vein nationallicence Thrombosis nationallicence Imaging nationallicence BCS : Budd-Chiari syndrome nationallicence HV : Hepatic vein nationallicence IVC : Inferior vena cava nationallicence DCD-US : Duplex color Doppler ultrasonography nationallicence MDCT : Computed tomography nationallicence MRI : Magnetic resonance imaging nationallicence TE : Echo time nationallicence TR : Repetition time nationallicence TSE : Turbo spin echo nationallicence ms : Milliseconds nationallicence KV : Kilovolts nationallicence US : Ultrasonography nationallicence Ns : Not specified nationallicence Faraoun Sid Department of Radiology, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut Boudjella Mohamed Department of Internal Medicine, Hôpital de Kouba, Alger, Algeria aut Debzi Nabil Department of Hepatology, CHU Mustapha, Place du 1er Mai, 16016, Alger, Algeria aut Afredj Nawel Department of Hepatology, CHU Mustapha, Place du 1er Mai, 16016, Alger, Algeria aut Guerrache Youcef Department of Radiology, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut Benidir Naima Department of Pathology, Hôpital de la SûretéNationale, Alger, Algeria aut Bouzid Chafik Department of Surgery, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut Bentabak Kamel Department of Surgery, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut Soyer Philippe Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP & Université Diderot-Paris 7, 2 rue Ambroise Paré, 75010, Paris, France aut Bendib Salah Department of Radiology & Université Benyoucef Benkhedda d'Alger, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1500-1509 0942-8925 40:6<1500 2015 40 261 https://doi.org/10.1007/s00261-015-0380-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-015-0380-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Faraoun Sid Department of Radiology, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Boudjella Mohamed Department of Internal Medicine, Hôpital de Kouba, Alger, Algeria aut NATIONALLICENCE 700 1- Debzi Nabil Department of Hepatology, CHU Mustapha, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Afredj Nawel Department of Hepatology, CHU Mustapha, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Guerrache Youcef Department of Radiology, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Benidir Naima Department of Pathology, Hôpital de la SûretéNationale, Alger, Algeria aut NATIONALLICENCE 700 1- Bouzid Chafik Department of Surgery, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Bentabak Kamel Department of Surgery, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 700 1- Soyer Philippe Department of Body & Interventional Imaging, Hôpital Lariboisière-APHP & Université Diderot-Paris 7, 2 rue Ambroise Paré, 75010, Paris, France aut NATIONALLICENCE 700 1- Bendib Salah Department of Radiology & Université Benyoucef Benkhedda d'Alger, Centre Pierre et Marie Curie, Place du 1er Mai, 16016, Alger, Algeria aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/6(2015-08-01), 1500-1509 0942-8925 40:6<1500 2015 40 261