Poster électronique

Evaluation des flux hépatiques : IRM 3 Tesla Vs échographie Doppler
F. Demuynck, R. Bouzerar, T. Yzet, O. Baledent, JD. Allart, A. Brasseur, C. Renard, C. Gondry-Jouet, ME. Meyer, A. Remond - Amiens - France
Congrès 2007
Résumé
Objectifs
Evaluer les contributions de l'IRM de flux et de l'échographie doppler dans l'étude non invasive de l'hémodynamique hépatique.
Matériels et méthodes
Les flux hépatiques de 11 témoins adultes à jeun ont été mesurés par IRM de flux et échographie doppler. La séquence cinétique rapide par contraste de phase est utilisée en double synchronisation cardio-respiratoire sur une IRM 3 Tesla. L'analyse, réalisée sur un logiciel développé sur site, permet notamment d'extraire les débits moyens et vitesses maximales.
Résultats
Les mesures ont été réalisées à 100 % pour la veine porte et dans 9 cas pour l'artère hépatique propre. Les vitesses maximales (cm/sec ; doppler vs IRM) sont respectivement de 45 ± 21 vs 31 ± 7 pour le tronc porte et 124 ± 51 vs 53 ± 9 pour l'artère hépatique. Le débit moyen portal est de 2089 ± 970 contre 996 ± 193 ml/min. Le débit moyen de l'artère hépatique est de 417 ± 404 contre 201 ± 83 ml/min.
Conclusion
L'évaluation des flux hépatiques est possible en IRM 3 T chez 80 % des témoins avec des résultats comparables aux données d'IRM 1,5 T. Les vitesses maximales mesurées par IRM apparaissent sous-estimées alors que les débits obtenus en IRM semblent plus fiables.
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2017-04-12 17.52 :
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2017-04-12 17.08 :
Scott Jones

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2017-04-12 05.49 :
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