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Congress: ECR25
Poster Number: C-15396
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-15396
Authorblock: G. E. Necoara, A-M. B. Manescu, V. A. Moldoveanu, D. M. Caravasile, A. C. Nicolae, I. G. Lupescu; Bucuresti/RO
Disclosures:
George Enache Necoara: Nothing to disclose
Ana-Maria Beatrice Manescu: Nothing to disclose
Vlad Alexandru Moldoveanu: Nothing to disclose
Dragos Mihai Caravasile: Nothing to disclose
Alexandra Cristina Nicolae: Nothing to disclose
Ioana Gabriela Lupescu: Nothing to disclose
Keywords: Abdomen, Liver, Vascular, CT, MR, Contrast agent-intravenous, Embolism / Thrombosis
Learning objectives To provide a comprehensive understanding of Budd-Chiari syndrome (BCS), focusing on both its typical and atypical imaging features. To explore the crucial role of CT and MRI imaging techniques in the diagnosis and management of BCS. To improve diagnostic accuracy and support clinical decision-making by emphasizing the importance of imaging in identifying BCS.
Read more Background This study is a single-center, retrospective, descriptive analysis of patients diagnosed with Budd-Chiari syndrome (BCS) in our clinic over a nine-year period (July 2015–July 2024). A total of 30 patients (aged 18–74 years) were included, with a male-to-female ratio of 11:19.All patients underwent comprehensive imaging, including computed tomography (CT) and magnetic resonance imaging (MRI), to assess hepatic involvement and vascular disease. Imaging findings were analyzed to classify cases based on common (such as hepatic vein thrombosis, collateral circulation, parenchymal changes,...
Read more Findings and procedure details This educational poster is divided into two parts, in which we analyzed the common features and the particular characteristics of Budd-Chiari syndrome. I. Current Imaging AspectsThe imaging appearance of Budd-Chiari syndrome varies based on the disease stage, from acute to chronic. 1. Acute Form (less than a month since disease onset)In acute BCS, imaging findings correspond to histologic changes of liver congestion and edema [2].CT Findings: Diffuse enlargement with low attenuation due to congestion; Peripheral areas show reduced enhancement (due to portal and sinusoidal...
Read more Conclusion Imaging techniques like CT and MRI are essential for diagnosing and managing Budd-Chiari syndrome. By recognizing both typical and atypical imaging features, clinicians can make more accurate diagnoses and create effective treatment plans. Early detection and proper interpretation of imaging are crucial for improving patient outcomes and preventing complications. Ongoing research and advances in imaging technology will further enhance our ability to identify and manage this complex condition.
Read more References 1. Brancatelli G, Vilgrain V, Federle MP, Hakime A, Lagalla R, Iannaccone R, Valla D. Budd-Chiari syndrome: spectrum of imaging findings. AJR Am J Roentgenol. 2007 Feb;188(2):W168-76. doi: 10.2214/AJR.05.0168. PMID: 17242224.2. Cura M, Haskal Z, Lopera J. Diagnostic and interventional radiology for Budd-Chiari syndrome. Radiographics. 2009 May-Jun;29(3):669-81. doi: 10.1148/rg.293085056. PMID: 19448109.3. Aydinli M, Bayraktar Y. Budd-Chiari syndrome: etiology, pathogenesis and diagnosis. World J Gastroenterol. 2007 May 21;13(19):2693-6. doi: 10.3748/wjg.v13.i19.2693. PMID: 17569137; PMCID: PMC4147117.4. Bansal V, Gupta P, Sinha S, Dhaka...
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