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Hepatobiliary/GI Application Tips

Mangafodipir Trisodium (Mn-DPDP): Sample Case

Contributor: Jingbo Zhang, M.D. and Manmeen Kaur, M.D.

  Images
 

 

Figure 1: Volume-rendered reconstruction of mangafodipir-enhanced 3D T1-weighted gradient echo acquisition.
Figure 2-A: Oblique coronal volume-rendered reconstructions of mangafodipir-enhanced 3D T1-weighted gradient echo acquisition.
Figure 2-B: Axial volume-rendered reconstructions of mangafodipir-enhanced 3D T1-weighted gradient echo acquisition.

 

 

 

Findings

 

 

Figure 1: Volume-rendered reconstruction of mangafodipir-enhanced 3D T1-weighted gradient echo acquisition demonstrates a normal pattern of biliary anatomy in a 24 year old male liver donor candidate, with the right lateral duct (arrowhead) draining into the main right hepatic duct (arrow).

Figures 2-A and 2-B : Oblique coronal (2-A) and axial (2-B) volume-rendered reconstructions of mangafodipir- enhanced 3D T1-weighted gradient echo acquisition demonstrate discrepant biliary anatomy findings in a 44 year old male liver donor candidate. The right sided duct (curved arrows) is draining the entire right lobe, and therefore the biliary anatomy consists of a low bifurcation of the common hepatic duct. The 3D technique used with mangafodipir-enhanced imaging allows for useful reconstructions to localize specific biliary ducts in three dimensions, a more difficult task with conventional 2D T2-weighted approaches. This subject has not undergone right lobe donation, and so intraoperative confirmation is not available.

 

 

 


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