Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI
Budd–Chiari syndrome (BCS) is characterized by obstruction or stenosis of the major hepatic veins or the hepatic inferior vena cava (IVC). A man in his 30s with BCS, presenting with occlusion of the hepatic IVC and the right and left hepatic veins on computed tomography, underwent assessment using 4...
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Elsevier
2025-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325006247 |
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| author | Minami Kinjo, MD Nanae Tsuchiya, MD, PhD Hitoshi Inafuku, MD, PhD Tatsuya Maeda, MD Yukari Tomori, MD, PhD Akihiro Nishie, MD, PhD |
| author_facet | Minami Kinjo, MD Nanae Tsuchiya, MD, PhD Hitoshi Inafuku, MD, PhD Tatsuya Maeda, MD Yukari Tomori, MD, PhD Akihiro Nishie, MD, PhD |
| author_sort | Minami Kinjo, MD |
| collection | DOAJ |
| description | Budd–Chiari syndrome (BCS) is characterized by obstruction or stenosis of the major hepatic veins or the hepatic inferior vena cava (IVC). A man in his 30s with BCS, presenting with occlusion of the hepatic IVC and the right and left hepatic veins on computed tomography, underwent assessment using 4-dimensional flow magnetic resonance imaging (4D flow MRI) before and after IVC reconstruction and hepatic vein recanalization. Preoperative 4D flow MRI revealed complex hemodynamics and membranous stenosis with jet flow between the middle hepatic vein (MHV) and the right atrium (RA), indicating severe narrowing. Postoperative 4D flow MRI demonstrated blood flow from the IVC and MHV to the RA. In this case, 4D flow MRI allowed rapid visualization of hemodynamic changes associated with BCS. |
| format | Article |
| id | doaj-art-14bd8e86e9bc4e17bb7b5e0cfa9052c8 |
| institution | DOAJ |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-14bd8e86e9bc4e17bb7b5e0cfa9052c82025-08-20T02:48:10ZengElsevierRadiology Case Reports1930-04332025-10-0120105142514710.1016/j.radcr.2025.06.082Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRIMinami Kinjo, MD0Nanae Tsuchiya, MD, PhD1Hitoshi Inafuku, MD, PhD2Tatsuya Maeda, MD3Yukari Tomori, MD, PhD4Akihiro Nishie, MD, PhD5Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, Japan; Corresponding author.Department of Thoracic and Cardiovascular Surgery, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, JapanDepartment of Thoracic and Cardiovascular Surgery, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, JapanDepartment of Radiology, Graduate School of Medical Science, University of the Ryukyus, Ginowan-shi, Okinawa, JapanBudd–Chiari syndrome (BCS) is characterized by obstruction or stenosis of the major hepatic veins or the hepatic inferior vena cava (IVC). A man in his 30s with BCS, presenting with occlusion of the hepatic IVC and the right and left hepatic veins on computed tomography, underwent assessment using 4-dimensional flow magnetic resonance imaging (4D flow MRI) before and after IVC reconstruction and hepatic vein recanalization. Preoperative 4D flow MRI revealed complex hemodynamics and membranous stenosis with jet flow between the middle hepatic vein (MHV) and the right atrium (RA), indicating severe narrowing. Postoperative 4D flow MRI demonstrated blood flow from the IVC and MHV to the RA. In this case, 4D flow MRI allowed rapid visualization of hemodynamic changes associated with BCS.http://www.sciencedirect.com/science/article/pii/S1930043325006247Diagnostic imagingBudd–Chiari syndromeMagnetic resonance imagingVena cava |
| spellingShingle | Minami Kinjo, MD Nanae Tsuchiya, MD, PhD Hitoshi Inafuku, MD, PhD Tatsuya Maeda, MD Yukari Tomori, MD, PhD Akihiro Nishie, MD, PhD Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI Radiology Case Reports Diagnostic imaging Budd–Chiari syndrome Magnetic resonance imaging Vena cava |
| title | Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI |
| title_full | Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI |
| title_fullStr | Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI |
| title_full_unstemmed | Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI |
| title_short | Recognition of hemodynamic change at a brief glance in Budd–Chiari syndrome by 4D flow MRI |
| title_sort | recognition of hemodynamic change at a brief glance in budd chiari syndrome by 4d flow mri |
| topic | Diagnostic imaging Budd–Chiari syndrome Magnetic resonance imaging Vena cava |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325006247 |
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