Hepatic artery resistance changes in portal vein thrombosis. 1995

J F Platt, and J M Rubin, and J H Ellis
Department of Radiology, University of Michigan Hospital, Ann Arbor 48109-0030, USA.

OBJECTIVE To determine if portal vein thrombosis (PVT) is associated with changes in the hepatic artery resistive index (RI) at Doppler ultrasonography (US). METHODS In 35 patients with findings suspicious for PVT, prospective hepatic artery RIs were obtained before angiographic proof of portal vein status. RIs were also obtained from 27 age-matched patients with liver disease (without PVT) and from eight patients with PVT (without occlusion). RESULTS Twenty-seven of the 35 patients had proved PVT and a significantly lower (P < .01) mean hepatic artery RI than did patients in any other group studied. Twelve of these 27 patients had RI values of .50 or less, while none of the patients in any other group studied had an RI value this low (specificity, 100%). CONCLUSIONS A reduction in hepatic artery RI accompanies PVT and may be a helpful secondary sign to determine this venous abnormality.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
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
D011237 Predictive Value of Tests In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test. Negative Predictive Value,Positive Predictive Value,Predictive Value Of Test,Predictive Values Of Tests,Negative Predictive Values,Positive Predictive Values,Predictive Value, Negative,Predictive Value, Positive
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006499 Hepatic Artery A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum. Arteries, Hepatic,Artery, Hepatic,Hepatic Arteries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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