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Claim

ULTRASOUND AND DYNAMIC CONTRAST CT IN THE DIAGNOSIS AND DETERMINATION OF THE CLINICO-IMAGING OUTCOME IN ACUTE PORTAL VEIN THROMBOSIS

descriptionPublicationkeyboard_double_arrow_right Article 16 Mar 2023Publisher:Zenodo
Authors: Minsha Hameed , Gowhar Nazir , Irfan Robbani , Inzamam Wani and Shadab Maqsood;

doi: 10.5281/zenodo.7885956 , 10.5281/zenodo.7885955 , 10.5281/zenodo.7858248 , 10.5281/zenodo.7858249

ULTRASOUND AND DYNAMIC CONTRAST CT IN THE DIAGNOSIS AND DETERMINATION OF THE CLINICO-IMAGING OUTCOME IN ACUTE PORTAL VEIN THROMBOSIS

Abstract

Background:Acuteportalveinthrombosis(APVT)hasdevastatingconsequences,ifnotidentifiedearly.However,thenon-specificpresentation rendersclinicaldiagnosisdifficult.Theroleof imaginginthisdiseaseis,therefore,crucial.ThisstudyaimstoevaluatetheroleofcolorDoppler anddynamiccontrastCTintheearlydiagnosisofAPVTandtodeterminetheclinico-imagingoutcomeofthesepatients. Methods:FortypatientsdiagnosedwithAPVTfrom2019-2022atthe DepartmentofRadio-diagnosisandImagingwereputonappropriatetherapybythetreating physiciansandwerefollowedupforradiologicaloutcome. Results:APVTwasdetectedoncolor Dopplerin92.5%of thepatientsintheformofechogeniccontentswithinPortalVein(PV)and complete/partialabsenceofcolorflow.Intermsofpatients,42.5%hadadilatedPV.Thirteen(32.5%)patientsshowedsuccessfulre-canalizationofthethrombosedportion,whiletwenty-one(52.5%)patientsadvancedtocavernomatoustransformationofthePV.Priortotheinitialfollow-up,six(15%)patientspassedaway. Conclusion:DuplexDopplerisaneffectivescreeningmethodfor APVT.CECTshouldbeutilizedforconfirmation,though.Thepatientswhoreceiveearly anticoagulationhave amarginallysuperiorAPVToutcome.

Keywords

Acute Portalveinthrombosis(APVT) contrast-enhancedcomputerizedtomography (CECT) DopplerImaging

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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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