Work

All About Multiparametric MRI Evaluation in Biliary Tree Complications After Liver Transplant

Year: 2025

Type: article

Abstract: Background/Objectives: To present, discuss, and illustrate the role of multiparametric magnetic resonance imaging (MPMRI) in the evaluation of biliary tree (BT) complications after liver transplantation (LT) as an integrated part into the multidisciplinary team approach for personalized patients’ treatment. Methods: We retrospectively analyzed the MPMRI findings of 317 patients out of 1080 cases with LT, admitted to the Fundeni Clinical Institute from January 2005 to June 2025, who developed biliary complications. Results: Biliary complications after LT evaluated by MPMRI included anastomotic strictures in 235 cases (74%), intra- or extrahepatic bile leaks/biloma in 56 patients (18%), secondary cholangitis due to pyogenic cholangitis in 91 cases (29%), liver abscesses in 23 patients (7%), BT lithiasis in 27 patients (8.5%), disease recurrence in 26 cases (8%), and extrinsic BT compression in 1 case (0.3%). Conclusions: MPMRI plays a crucial role for the evaluation of BT complications, with the protocol being optimized in correlation with the clinical question or suspicion and with the clinical status of the patient.

Source: Diagnostics

DOI: 10.3390/diagnostics16010093

Authors: Adrian Dumitru Dijmărescu, Cristina Dumitrescu, Cristina Alexandra Nicolae, Robert Mihai Enache, Ioana Gabriela Lupescu

Institutions: Carol Davila University of Medicine and Pharmacy, Institutul Clinic Fundeni

Language: English

Topic: Organ Transplantation Techniques and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,137