Biliary tree necrosis in transplanted liver detected by spiral CT with three-dimensional reconstruction

      This paper is only available as a PDF. To read, Please Download here.


      We present a case where spiral computed tomography (CT) with three dimensional reconstruction was able to generate cholangiographic images demonstrating biliary tree necrosis in a transplanted liver. Volumetric CT as a one step diagnostic solution to establish a diagnosis in patients after liver transplantation can expedite appropriate therapy and reduce the number of invasive studies. By the integration of volumetric CT techniques and rapid three-dimensional display of biliary structures, volumetric cholangiography may become practical. Though spatial resolution may prove to be a limiting factor in replacing cholangiography for subtle mural disease, volumetric CT can yield clinically useful information.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Kalender WA
        • Seissler W
        • Klotz E
        • Vock P
        Spiral volumetric CT with single-breath-hold technique, continuous transport, and continuous scanner rotation.
        Radiology. 1990; 176: 181-183
        • Tello R
        • Costello P
        • Ecker C
        • Hartnell G
        Spiral CT evaluation of coronary bypass graft patency.
        J Comput Assist Tomogr. 1993; 17: 253-259
        • Tello R
        • Scholz E
        • Finn JP
        • Costello P
        Subclavian vein thrombosis detected by spiral CT with three dimensional reconstruction.
        AJR. 1993; 160: 33-34
        • Blumke DA
        • Fishman EK
        Spiral CT of the liver.
        AJR. 1993; 160: 787-792
        • Starzl TE
        • Demetris AJ
        • Van Thiel D
        Liver transplantation. Part I.
        N Engl J Med. 1989; 321: 1092-1099
        • Dupuy D
        • Costello P
        Cross-sectional imaging of liver transplantation.
        Semin Ultrasound CT MR. 1992; 13: 399-409
        • Zemel G
        • Zajko AB
        • Skolnick ML
        • et al.
        The role of sonography and transhepatic cholangiography in diagnosis of biliary complications after liver transplantation.
        AJR. 1988; 151: 943-946
        • Dupuy DE
        • Costello P
        • Lewis D
        • et al.
        Abdominal CT findings after liver transplantation in 66 patients.
        AJR. 1991; 156: 1167-1170
        • Flint EW
        • Sumkin JH
        • Zajko AB
        • et al.
        Duplex sonography of hepatic arterial thrombosis after liver transplantation.
        AJR. 1988; 151: 481-483