Influence of portal vein occlusion on portal flow and liver elasticity in an animal model. 2021

Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
ICube, CNRS UMR 7357, University of Strasbourg, Strasbourg, France.

Hepatic fibrosis causes an increase in liver stiffness, a parameter measured by elastography and widely used as a diagnosis method. The concomitant presence of portal vein thrombosis (PVT) implies a change in hepatic portal inflow that could also affect liver elasticity. The main objective of this study is to determine the extent to which the presence of portal occlusion can affect the mechanical properties of the liver and potentially lead to misdiagnosis of fibrosis and hepatic cirrhosis by elastography. Portal vein occlusion was generated by insertion and inflation of a balloon catheter in the portal vein of four swines. The portal flow parameters peak flow (PF) and peak velocity magnitude (PVM) and liver mechanical properties (shear modulus) were then investigated using 4D-flow MRI and MR elastography, respectively, for progressive obstructions of the portal vein. Experimental results indicate that the reduction of the intrahepatic venous blood flow (PF/PVM decreases of 29.3%/8.5%, 51.0%/32.3% and 83.3%/53.6%, respectively) measured with 50%, 80% and 100% obstruction of the portal vein section results in a decrease of liver stiffness by 0.8% ± 0.1%, 7.7% ± 0.4% and 12.3% ± 0.9%, respectively. While this vascular mechanism does not have sufficient influence on the elasticity of the liver to modify the diagnosis of severe fibrosis or cirrhosis (F4 METAVIR grade), it may be sufficient to attenuate the increase in stiffness due to moderate fibrosis (F2-F3 METAVIR grades) and consequently lead to false-negative diagnoses with elastography in the presence of PVT.

UI MeSH Term Description Entries
D008099 Liver A large lobed glandular organ in the abdomen of vertebrates that is responsible for detoxification, metabolism, synthesis and storage of various substances. Livers
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D011169 Portal Vein A short thick vein formed by union of the superior mesenteric vein and the splenic vein. Portal Veins,Vein, Portal,Veins, Portal
D012039 Regional Blood Flow The flow of BLOOD through or around an organ or region of the body. Blood Flow, Regional,Blood Flows, Regional,Flow, Regional Blood,Flows, Regional Blood,Regional Blood Flows
D004195 Disease Models, Animal Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases. Animal Disease Model,Animal Disease Models,Disease Model, Animal
D004548 Elasticity Resistance and recovery from distortion of shape.
D005260 Female Females
D006504 Hepatic Veno-Occlusive Disease Liver disease that is caused by injuries to the ENDOTHELIAL CELLS of the vessels and subendothelial EDEMA, but not by THROMBOSIS. Extracellular matrix, rich in FIBRONECTINS, is usually deposited around the HEPATIC VEINS leading to venous outflow occlusion and sinusoidal obstruction. Sinusoidal Obstruction Syndrome,Veno-Occlusive Disease, Hepatic,Hepatic Veno Occlusive Disease,Disease, Hepatic Veno-Occlusive,Hepatic Veno-Occlusive Diseases,Syndrome, Sinusoidal Obstruction,Veno Occlusive Disease, Hepatic
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic

Related Publications

Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
September 1986, The Journal of surgical research,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
January 1991, European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
June 2006, World journal of surgery,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
March 1986, Nagoya journal of medical science,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
May 2019, Laboratory investigation; a journal of technical methods and pathology,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
June 1985, Nihon Geka Gakkai zasshi,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
January 1985, Investigative radiology,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
September 2002, Journal of vascular and interventional radiology : JVIR,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
August 2003, Transplant international : official journal of the European Society for Organ Transplantation,
Simon Chatelin, and Raoul Pop, and Céline Giraudeau, and Khalid Ambarki, and Ning Jin, and François Séverac, and Elodie Breton, and Jonathan Vappou
December 1942, Annals of surgery,
Copied contents to your clipboard!