Vol. 1, Article 2 Neurographics logo Rovira, et al.

Table of Figures
  • Figures 1 and 2:
    1) T1W MR imaging in a patient with liver cirrhosis before and after liver transplant.
    2) Mean signal intensity of the globus pallidus before and after liver transplantation.
  • Figure 3:
    MR imaging demonstration of massive brain edema in a patient with fulmiant hepatic failure and sever intracranial hypertension and coma.
  • Figure 4:
    In chronic liver failure with portal-systemic shunting of blood there is an increase in the blood amonia that is incorporated to the astrocyte thereby increasing the concentration of Glutamine.
  • Figure 5:
    1H-MRS obtained from the parietal white matter in a healthy control an a cirrhotic patient.
  • Figure 6:
    Serial 1H-MRS obtained from parietal white matter from a patient with chronic hepatic failure before and after successful liver transplantation. There is progressive normalization of the 1H-MRS pattern with increases in Ins and decreases in Glx.
  • Figure 7:
    Myo-inositol (Ins/Cr) and Glutamine/Glutamate (Glx/Cr) indexes show progressive normalization after liver transplantation (p<0.001 and p=0.002).
  • Figure 8:
    MTR maps in a cirrohtic patient. A diffuse decreased in signal can be appreciated in otherwise normal appearing white matter on T1W images.
  • Figure 9:
    Serial MTR values before and after liver transplantation. Progressive normalization is demonstrated. (p<0.001).
  • Figure 10:
    Fast-FLAIR MRI in a cirrhotic patient without overt hepatic encephalopathy shows a symmetrical high signal intensity along the cortico-spinal tract.
  • Figure 11:
    Serial Fast-FLAIR MRI in three different cirrhotic patients before and after (1 month, 12 months) liver transplantation. There is progressive decrease in the high signal intensity that affects the cortico-spinal tract symmettrically.
  • Figure 12:
    Serial changes in relative T2 (rT2) signal and MTR after liver transplantation. A significant correlation exists in the time course normalization between rT2 signal intensity and MTR.
  • Figure 13:
    Axial T1WI before(a) and 12-months(b) after liver transplantation show an increase in ventricular volume.
  • Figure 14:
    Serial changes in ventricular volume after liver transplantation. A significant increase is observed between baseline and 1 and 12 months, but not between 1 and 12 months.
  • Figure 15:
    Fast-FLAIR and DW MRI in a patient with liver cirrhosis before (upper row) and 1 month after liver transplantation (lower row).

:: Title Page : Background : Cerebral Edema in Hepatic Failure : Proton MR Spectroscopy ::
:: MR Imaging Findings... : Conclusions : Figures : References ::

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