JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.
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The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.
Medical Radiology and Radiation Safety. 2024. Vol. 69. № 4
DOI:10.33266/1024-6177-2024-69-4-77-80
A.P. Dunaev1, 2, 3, A.N. Bashkov3, 4, Zh.V. Sheikh3, 5, 6, E.V. Esin3,
I.V. Shipuleva1, M.V. Popov4, T.Yu. Kudryavtseva1, O.V. Lazebnaya1
CT and MRI in the Diagnostics of Intrahepatic Portocaval Shunt.
Review of Lite rature and Case Reports
1 Moscow City Oncology Hospital No. 62, Moscow, Russia
2 Central State Medical Academy, Moscow, Russia
3 Russian University of People’s Frendship, Moscow, Russia
4 A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia
5 S.P. Botkin City Clinical Hospital, Moscow, Russia
6 Russian Medical Academy of Postgraduate Education, Moscow, Russia
Contact person: A.P. Dunaev, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract
Purpose: To describe two cases of diagnostic of intrahepatic portacaval shunt based on the computed (CT) and magnetic resonance tomography (MRI). Provide a brief review of the literature on this pathology.
Material and methods: Two case reports of patients with intrahepatic portacaval shunts which were diagnosed by CT and MRI with contrast enhancement.
Results and discussion: A peculiarity of the presented case reports was that in both cases the patients had oncopathology and were examined for the purpose of staging the disease. Due to the risk of cancer when analyzing CT and MRI images, focal changes in the liver can be mistakenly interpreted as metastases. In various situations, the attending physician may choose tactics for further observation, or decide to verify the identified changes in the liver. In the latter case, minimally invasive intervention can damage the shunt wall and cause bleeding. To avoid any complications, the radiologist have to identify and interpret vascular abnormalities in the liver confidently and unambiguously. The two presented case reports demonstrated typical signs of an intrahepatic porthocaval shunt, both according to CT and MRI. These include the connection of the lesion with the main vessels with similar dynamics of contrast enhancement, and the absence of signs of diffusion restriction.
Conclusion: The presented semiotics of the intrahepatic portacaval shunt according to CT and MRI data allows to diagnose it confidently and thus avoid the need for repeated studies or surgical intervention.
Keywords: computed tomography, magnetic resonance imaging, intrahepatic portocaval shunt
For citation: Dunaev AP, Bashkov AN, Sheikh ZhV, Esin EV, Shipuleva IV, Popov MV, Kudryavtseva TYu, Lazebnaya OV. CT and MRI in the Diagnostics of Intrahepatic Portocaval Shunt. Review of Literature and Case Reports. Medical Radiology and Radiation Safety. 2024;69(4):77–80. (In Russian). DOI:10.33266/1024-6177-2024-69-4-77-80
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PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.03.2024. Accepted for publication: 25.04.2024.