1.Primary investigation some Doppler ultrasound parameters of portal vein system on 15 to 45-years old healthy people
Journal of Practical Medicine 2002;435(11):8-11
The study was conducted between 29 January to 25 April 2000. Participants were 30 healthy people, 15 males and 15 females, with age ranged from 15 to 45 years. It was found that the diameter of portal vein and spleen vein increases during deep-to-stop breathing test, in comparison with that during normal breathing. After eating, the diameter, blood rate and flow of portal vein are increase, blood stagnant index of portal vein decreases, rate of portal vein to spleen vein blood flow decreases. The portal vein blood flow is higher in men than in women. There is not any difference in diameter and rate of portal vein and spleen vein, portal vein blood flow, rate of portal vein to spleen vein blood flow and blood stagnant index of portal vein between two genders
ultrasonography
;
Portal Vein
2.The Use of Color Doppler Sonography to Avoid Misinterpretation of the Intrahepatic Portal Vein in Gray-Scale Sonographic Diagnosis of Cysts: Two Case Reports.
Byong Jong YOUN ; Mi Suk PARK ; Jeong Sik YU ; Ki Whang KIM
Journal of the Korean Society of Medical Ultrasound 2006;25(2):73-76
The Use of Color Doppler Sonography Avoids Misinterpretation of the Intrahepatic Portal Vein in the Gray-Scale Sonographic Diagnosis of Cysts. When gray-scale US shows an intrahepatic cystic lesion with weak or no posterior acoustic enhancement in close proximity to the portal vein, especially at the bifurcation area, a detailed color Doppler US should be subsequently performed to evaluate its vascular nature.
Acoustics
;
Diagnosis*
;
Portal Vein*
;
Ultrasonography*
3.A review of recent experience with transjugular intrahepatic portosystemic shunt creation using intravascular ultrasound
Steven D KAO ; Edward Wolfgang LEE
Gastrointestinal Intervention 2018;7(1):9-13
Portal vein access has historically been the most technically challenging step in the creation of transjugular intrahepatic portosystemic shunts (TIPSs). The use of intravascular ultrasound (IVUS) for guidance of portal vein access during TIPS creation has garnered much interest in recent years. Recent literature has suggested potential improvements in procedural metrics that may result from use of IVUS for TIPS. This review aims to provide historical context, detail technical advances and describe recent clinical experience with the use of IVUS for TIPS creation.
Portal Vein
;
Portasystemic Shunt, Surgical
;
Ultrasonography
4.Aneurysmal Malformation of the Extrahepatic Portal Vein: A Case Report.
Jeong Min LEE ; Sung Soo KANG ; Hyeun Young HAN ; Chong Soo KIM
Journal of the Korean Radiological Society 1999;40(2):303-306
Aneurysmal malformation of the portal vein is a rare entity. To our knowledge, only scattered reports ofportal vein aneurysms appear in the literature in English, and there is no previously published report in Korean.We describe a case exhibiting aneurysmal malformation of the extrahepatic portal vein at the hepatic hilum; thefindings demonstrated by ultrasound, CT and angiography are discussed, a review of previously described cases isincluded.
Aneurysm*
;
Angiography
;
Portal Vein*
;
Ultrasonography
;
Veins
5.Role of Doppler Ultrasonography in Portal Hypertension.
The Korean Journal of Gastroenterology 2006;48(3):215-217
No abstract availble.
Blood Flow Velocity
;
Humans
;
Hypertension, Portal/*ultrasonography
;
Liver Cirrhosis/pathology
;
Portal Vein/ultrasonography
;
*Ultrasonography, Doppler
6.Sonographic features of portal vein thrombosis
Man Gil BAE ; Hyoung Kuk SOHN ; Byung Hee KOH ; On Koo CHO ; Chang Kok HAHM
Journal of the Korean Radiological Society 1986;22(3):368-377
57 cases of portal vein thrombosis detected by ultrasonography were analized. The results were as follows: 1.Most common cause was hepatocellular carcinoma, showing 49 out of 57 cases(86%). 2. Sonographic findings revealedechogenic thrombus in the dilated portal vein. Echogenecity of thrombus was similar to the surrounding liverparenchyma, Thrombus was mainly located in the intrahepatic branch and main portal vein. 3. The location ofthrombus in hepatocellular carcinoma was related to the location of tumor, and frequently extended to the mainportal vein(68.9%). Incidence of thrombosis in hepatocellular carcinoma revealed 49 out of 157 cases, butprospective study showed 42 out of 84 cases(50%). Thrombosis was more common in large sized ill-defined diffuseinfiltrative hepatocellular carcinoma. 4. CT(only 15 cases analyzed) findings revealed low density in the portalvein in all the cases and periportal enhancement in 10 cases on post-enhanced scan. 5. Collateral circulationswere largely detected at the porta hepatis and gallblader fossa. The detection rate was lower on theultrasonography than on the CT or angiography.
Angiography
;
Carcinoma, Hepatocellular
;
Incidence
;
Portal Vein
;
Thrombosis
;
Ultrasonography
;
Venous Thrombosis
7.Endoscopic Ultrasound-Guided Portal Pressure Measurement and Interventions.
Jason B SAMARASENA ; Kenneth J CHANG
Clinical Endoscopy 2018;51(3):222-228
A growing number of studies have explored endoscopic ultrasound (EUS)-guided vascular catheterization. Potential clinical applications of EUS-guided portal venous access include angiography, measurement of the portosystemic pressure gradient, EUS-guided transhepatic intrahepatic portosystemic shunt creation and portal vein sampling for the evaluation in gastrointestinal cancer. The following article reviews the different devices and techniques employed in these applications.
Angiography
;
Endosonography
;
Gastrointestinal Neoplasms
;
Portal Pressure*
;
Portal Vein
;
Portasystemic Shunt, Surgical
;
Ultrasonography
;
Vascular Access Devices
8.Congenital Absence of the Portal Vein Presenting as Pulmonary Hypertension.
Suryoung JUN ; Whal LEE ; Jung Eun CHEON ; Woo Sun KIM ; In One KIM ; Kyung Mo YEON
Journal of the Korean Radiological Society 2007;57(5):423-428
Congenital absence of the portal vein (CAPV) is a rare malformation in which intestinal and splenic venous flow bypasses the liver and drains directly into the systemic circulation via a congenital portosystemic shunt. We describe two cases of CAPV presenting as pulmonary hypertension that were initially suspected as primary pulmonary hypertension. However, subsequent ultrasonography and CT detected the absence of a portal vein and the presence of a portosystemic shunt. Pulmonary hypertension is a recognized complication of liver disease and portal hypertension. However, these two cases illustrate that CAPV may result in pulmonary hypertension without liver disease or portal hypertension.
Hypertension, Portal
;
Hypertension, Pulmonary*
;
Liver
;
Liver Diseases
;
Portal Vein*
;
Portasystemic Shunt, Surgical
;
Ultrasonography
9.Experimental studies for noninvasive assessment of portal vein pressure based on contrast enhanced subharmonic sonographic imaging.
Heng XIANG ; Rui YANG ; Yuanwen ZOU ; Qiang LU ; Ke CHEN
Journal of Biomedical Engineering 2020;37(6):1073-1079
Portal hypertension (PHT) is a common complication of liver cirrhosis, which could be measured by the means of portal vein pressure (PVP). However, there is no report about an effective and reliable way to achieve noninvasive assessment of PVP so far. In this study, firstly, we collected ultrasound images and echo signals of different ultrasound contrast agent (UCA) concentrations and different pressure ranges in a low-pressure environment based on an
Contrast Media
;
Humans
;
Hypertension, Portal/diagnostic imaging*
;
Liver Cirrhosis
;
Portal Vein/diagnostic imaging*
;
Ultrasonography
10.The Accuracy of Ultrasonography for the Evaluation of Portal Hypertension in Patients with Cirrhosis: A Systematic Review.
Gaeun KIM ; Youn Zoo CHO ; Soon Koo BAIK ; Moon Young KIM ; Won Ki HONG ; Sang Ok KWON
Korean Journal of Radiology 2015;16(2):314-324
OBJECTIVE: Studies have presented conflicting results regarding the accuracy of ultrasonography (US) for diagnosing portal hypertension (PH). We sought to identify evidence in the literature regarding the accuracy of US for assessing PH in patients with liver cirrhosis. MATERIALS AND METHODS: We conducted a systematic review by searching databases, including MEDLINE, EMBASE, and the Cochrane Library, for relevant studies. RESULTS: A total of 14 studies met our inclusion criteria. The US indices were obtained in the portal vein (n = 9), hepatic artery (n = 6), hepatic vein (HV) (n = 4) and other vessels. Using hepatic venous pressure gradient (HVPG) as the reference, the sensitivity (Se) and specificity (Sp) of the portal venous indices were 69-88% and 67-75%, respectively. The correlation coefficients between HVPG and the portal venous indices were approximately 0.296-0.8. No studies assess the Se and Sp of the hepatic arterial indices. The correlation between HVPG and the hepatic arterial indices ranged from 0.01 to 0.83. The Se and Sp of the hepatic venous indices were 75.9-77.8% and 81.8-100%, respectively. In particular, the Se and Sp of HV arrival time for clinically significant PH were 92.7% and 86.7%, respectively. A statistically significant correlation between HVPG and the hepatic venous indices was observed (0.545-0.649). CONCLUSION: Some US indices, such as HV, exhibited an increased accuracy for diagnosing PH. These indices may be useful in clinical practice for the detection of significant PH.
Hepatic Veins/ultrasonography
;
Humans
;
Hypertension, Portal/*diagnosis/*ultrasonography
;
Liver Cirrhosis/*ultrasonography
;
Middle Aged
;
Portal Pressure
;
Portal Vein/ultrasonography
;
Prospective Studies
;
Sensitivity and Specificity
;
Vascular Resistance