Pseudothrombosis in the portal venous system: a potential pitfall with gadolinium-enhanced dynamic gradient-recalled echo imaging of the liver

J Magn Reson Imaging. 2000 Nov;12(5):763-8. doi: 10.1002/1522-2586(200011)12:5<763::aid-jmri15>3.0.co;2-c.

Abstract

Gadolinium-enhanced dynamic magnetic resonance (MR) images in 90 patients were reviewed to assess the artifacts mimicking portal venous thrombosis. The incidence of definite signal-intensity decrease mimicking pathologic condition was higher (P < 0.01) in the right (8%) and left (9%) portal vein branches and portal trunk (6%) than in the splenic (0%) or superior mesenteric (1%) vein with equilibrium-phase images. Radiologists should remember that dynamic MR images occasionally show signal-intensity decrease mimicking portal venous thrombosis due to flow artifact.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Artifacts*
  • Chi-Square Distribution
  • Contrast Media / analysis*
  • Diagnosis, Differential
  • Echo-Planar Imaging / methods*
  • Female
  • Gadolinium*
  • Humans
  • Image Enhancement / methods
  • Liver / pathology
  • Liver Cirrhosis / diagnosis*
  • Male
  • Middle Aged
  • Portal Vein / pathology*
  • Probability
  • Retrospective Studies
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler
  • Venous Thrombosis / diagnosis*
  • Venous Thrombosis / etiology

Substances

  • Contrast Media
  • Gadolinium