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Liver Biopsy

Liver Biopsy

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In patients who have underlying liver diseases histological examination of the liver tissue is needed which could play an important role in the diagnosis, prognosis, staging, and management. This tissue is obtained by performing a biopsy of the liver. There are various reasons to obtain a sample of liver tissue. Few of the common indications […]

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Post Whipple’s Ascites

Post Whipple’s Ascites

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Patient with pancreatic cancer, underwent Whipple’s procedure, Now presenting with large volume of abdominal ascites requiring frequent tapping (3-4 litres every 3 days). CT Abdomen and pelvis demonstrate focal narrowing of the portal vein confluence, Gastric varices, Gastro-colic varices. Reasons for ascites?  

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Is Radioembolization without 99mTc-macroaggregated albumin injection possible: A retrospective review of 39 patients with hepatocellular carcinoma

Is Radioembolization without 99mTc-macroaggregated albumin injection possible: A retrospective review of 39 patients with hepatocellular carcinoma

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Can SIRT be performed without TcMAA injections in most patients is a biggest question to answer? This study demonstrates using pre-known target liver volume, single-session planning angiogram followed by SIRT without TcMAA injection might be feasible using a patient specific dose that is pre-ordered (TheraSphere) or drawn on that day (SIR-Spheres).  

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Post Whipples anastomotic leak

Post Whipples anastomotic leak

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Middle aged female presents 1 week after whipples procedure, with increasing abdominal pain. CT demonstrate peri-anastomotic collection. Within next few hours, patient becomes HD unstable and on pressors. Transferred to university hospital for further management. Decision was made to drain the peri-anastomotic collection. Based on the findings, PTHC and drain placement was considered.  

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The What, How and Why of Immediate Post-Y90 Imaging

The What, How and Why of Immediate Post-Y90 Imaging

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y90 Radioembolization is a palliative management option in liver tumor treatments, where in the y90 is injected via the hepatic arteries. Post y90 infusion, Imaging is performed to assess the distribution and quantification of dose received.  This presentation talks about the various options available along with the pros and cons. This was presented at RSNA […]

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