Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MR Imaging of the Perihepatic Space

  • Angele Bonnin (Department of Radiology, Centre Hospitalo-Universitaire de Reims) ;
  • Carole Durot (Department of Radiology, Centre Hospitalo-Universitaire de Reims) ;
  • Manel Djelouah (Department of Radiology, Centre Hospitalo-Universitaire de Reims) ;
  • Anthony Dohan (Department of Abdominal and Interventional Radiology, Hopital Cochin, Assistance Publique-Hopitaux de Paris, APHP) ;
  • Lionel Arrive (Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hopitaux de Paris, Sorbonne Universite) ;
  • Pascal Rousset (Department of Radiology, Hospices Civils de Lyon, Centre Hospitalier Lyon Sud) ;
  • Christine Hoeffel (Department of Radiology, Centre Hospitalo-Universitaire de Reims)
  • Received : 2019.03.18
  • Accepted : 2020.06.23
  • Published : 2021.04.01
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Abstract

The perihepatic space is frequently involved in a spectrum of diseases, including intrahepatic lesions extending to the liver capsule and disease conditions involving adjacent organs extending to the perihepatic space or spreading thanks to the communication from intraperitoneal or extraperitoneal sites through the hepatic ligaments. Lesions resulting from the dissemination of peritoneal processes may also affect the perihepatic space. Here we discuss how to assess the perihepatic origin of a lesion and describe the magnetic resonance imaging (MRI) features of normal structures and fluids that may be abnormally located in the perihepatic space. We then review and illustrate the MRI findings present in cases of perihepatic infectious, tumor-related, and miscellaneous conditions. Finally, we highlight the value of MRI over computed tomography.

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References

  1. Kim S, Kim TU, Lee JW, Lee TH, Lee SH, Jeon TY, et al. The perihepatic space: comprehensive anatomy and CT features of pathologic conditions. Radiographics 2007;27:129-143 https://doi.org/10.1148/rg.271065050
  2. Tirkes T, Sandrasegaran K, Patel AA, Hollar MA, Tejada JG, Tann M, et al. Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics 2012;32:437-451 https://doi.org/10.1148/rg.322115032
  3. DeMeo JH, Fulcher AS, Austin RF Jr. Anatomic CT demonstration of the peritoneal spaces, ligaments, and mesenteries: normal and pathologic processes. Radiographics 1995;15:755-770 https://doi.org/10.1148/radiographics.15.4.7569127
  4. Patel CM, Sahdev A, Reznek RH. CT, MRI and PET imaging in peritoneal malignancy. Cancer Imaging 2011;11:123-139 https://doi.org/10.1102/1470-7330.2011.0016
  5. Oh SN, Rha SE, Byun JY, Kim JY, Song KY, Park CH. Chilaiditi syndrome caused by Fitz-Hugh-Curtis syndrome: multidetector CT findings. Abdom Imaging 2006;31:45-47 https://doi.org/10.1007/s00261-005-0342-4
  6. Mule S, Colosio A, Cazejust J, Kianmanesh R, Soyer P, Hoeffel C. Imaging of the postoperative liver: review of normal appearances and common complications. Abdom Imaging 2015;40:2761-2776 https://doi.org/10.1007/s00261-015-0459-z
  7. Lee NK, Kim S, Lee JW, Lee SH, Kang DH, Kim GH, et al. Biliary MR imaging with Gd-EOB-DTPA and its clinical applications. Radiographics 2009;29:1707-1724 https://doi.org/10.1148/rg.296095501
  8. Ciolina M, Di Martino M, Bruno O, Pommier R, Vilgrain V, Ronot M. Peritoneal and pleural fluids may appear hyperintense on hepatobiliary phase using hepatobiliary MR contrast agents. Eur Radiol 2018;28:3020-3031 https://doi.org/10.1007/s00330-017-5261-6
  9. Dhaka N, Samanta J, Kochhar S, Kalra N, Appasani S, Manrai M, et al. Pancreatic fluid collections: what is the ideal imaging technique? World J Gastroenterol 2015;21:13403-13410 https://doi.org/10.3748/wjg.v21.i48.13403
  10. Huh J, Kim SY, Yeh BM, Lee SS, Kim KW, Wu EH, et al. Troubleshooting arterial-phase MR images of gadoxetate disodium-enhanced liver. Korean J Radiol 2015;16:1207-1215 https://doi.org/10.3348/kjr.2015.16.6.1207
  11. Foster BR, Jensen KK, Bakis G, Shaaban AM, Coakley FV. Revised Atlanta classification for acute pancreatitis: a pictorial essay. Radiographics 2016;36:675-687 https://doi.org/10.1148/rg.2016150097
  12. Tonolini M, Ierardi AM, Patella F, Carrafiello G. Early cross-sectional imaging following open and laparoscopic cholecystectomy: a primer for radiologists. Insights Imaging 2018;9:925-941 https://doi.org/10.1007/s13244-018-0663-9
  13. Black MT, Ha BY, Kang YS, Garland AM. Perihepatic abscess caused by dropped appendicoliths following laparoscopic appendectomy: sonographic findings. J Clin Ultrasound 2013;41:366-369 https://doi.org/10.1002/jcu.21940
  14. Nayak L, Menias CO, Gayer G. Dropped gallstones: spectrum of imaging findings, complications and diagnostic pitfalls. Br J Radiol 2013;86:e20120588
  15. Kantarci M, Bayraktutan U, Karabulut N, Aydinli B, Ogul H, Yuce I, et al. Alveolar echinococcosis: spectrum of findings at cross-sectional imaging. Radiographics 2012;32:2053-2070 https://doi.org/10.1148/rg.327125708
  16. Kodama Y, Fujita N, Shimizu T, Endo H, Nambu T, Sato N, et al. Alveolar echinococcosis: MR findings in the liver. Radiology 2003;228:172-177 https://doi.org/10.1148/radiol.2281020323
  17. Bulakci M, Kartal MG, Yilmaz S, Yilmaz E, Yilmaz R, S,ahin D, et al. Multimodality imaging in diagnosis and management of alveolar echinococcosis: an update. Diagn Interv Radiol 2016;22:247-256 https://doi.org/10.5152/dir.2015.15456
  18. Beaussant-Cohen S, Richou C, Lenoir M, Grenouillet F, Bresson-Hadni S, Delabrousse E. MR imaging features of peritoneal alveolar echinococcosis. Diagn Interv Imaging 2018;99:511-512 https://doi.org/10.1016/j.diii.2018.02.009
  19. Kim HJ, Byun JH, Kim DY, Won HJ, Shin YM, Ha HK. Isolated perihepatic tuberculosis: imaging findings. Clin Radiol 2009;64:184-189 https://doi.org/10.1016/j.crad.2008.08.005
  20. Low RN, Barone RM, Lucero J. Comparison of MRI and CT for predicting the Peritoneal Cancer Index (PCI) preoperatively in patients being considered for cytoreductive surgical procedures. Ann Surg Oncol 2015;22:1708-1715 https://doi.org/10.1245/s10434-014-4041-7
  21. Nougaret S, Addley HC, Colombo PE, Fujii S, Al Sharif SS, Tirumani SH, et al. Ovarian carcinomatosis: how the radiologist can help plan the surgical approach. Radiographics 2012;32:1775-1800 https://doi.org/10.1148/rg.326125511
  22. Dohan A, Hoeffel C, Soyer P, Jannot AS, Valette PJ, Thivolet A, et al. Evaluation of the peritoneal carcinomatosis index with CT and MRI. Br J Surg 2017;104:1244-1249 https://doi.org/10.1002/bjs.10527
  23. Low RN, Sebrechts CP, Barone RM, Muller W. Diffusion-weighted MRI of peritoneal tumors: comparison with conventional MRI and surgical and histopathologic findings--a feasibility study. AJR Am J Roentgenol 2009;193:461-470 https://doi.org/10.2214/AJR.08.1753
  24. Low RN, Barone RM. Combined diffusion-weighted and gadolinium-enhanced MRI can accurately predict the peritoneal cancer index preoperatively in patients being considered for cytoreductive surgical procedures. Ann Surg Oncol 2012;19:1394-1401
  25. Menassel B, Duclos A, Passot G, Dohan A, Payet C, Isaac S, et al. Preoperative CT and MRI prediction of non-resectability in patients treated for pseudomyxoma peritonei from mucinous appendiceal neoplasms. Eur J Surg Oncol 2016;42:558-566 https://doi.org/10.1016/j.ejso.2016.01.005
  26. Al-Talib A, Tulandi T. Pathophysiology and possible iatrogenic cause of leiomyomatosis peritonealis disseminata. Gynecol Obstet Invest 2010;69:239-244 https://doi.org/10.1159/000274487
  27. Pandey A, Pandey P, Ghasabeh MA, Varzaneh FN, Khoshpouri P, Shao N, et al. Accuracy of apparent diffusion coefficient in differentiating pancreatic neuroendocrine tumour from intrapancreatic accessory spleen. Eur Radiol 2018;28:1560-1567 https://doi.org/10.1007/s00330-017-5122-3
  28. Kim JY, Kim Y, Jeong WK, Song SY, Cho OK. Perihepatitis with pelvic inflammatory disease (PID) on MDCT: characteristic findings and relevance to PID. Abdom Imaging 2009;34:737-742 https://doi.org/10.1007/s00261-008-9472-9
  29. Czeyda-Pommersheim F, Kalb B, Costello J, Liau J, Meshksar A, Arif Tiwari H, et al. MRI in pelvic inflammatory disease: a pictorial review. Abdom Radiol (NY) 2017;42:935-950 https://doi.org/10.1007/s00261-016-1004-4
  30. Rousset P, Gregory J, Rousset-Jablonski C, Hugon-Rodin J, Regnard JF, Chapron C, et al. MR diagnosis of diaphragmatic endometriosis. Eur Radiol 2016;26:3968-3977 https://doi.org/10.1007/s00330-016-4226-5
  31. Beranger-Gibert S, Lagadec M, Boulay-Coletta I, Petit E, Barrau V, Zins M, et al. Hepatic and perihepatic involvement of female genital diseases and pregnancy: a review. Abdom Imaging 2015;40:1331-1349 https://doi.org/10.1007/s00261-014-0263-1
  32. Rousset P, Rousset-Jablonski C, Alifano M, Mansuet-Lupo A, Buy JN, Revel MP. Thoracic endometriosis syndrome: CT and MRI features. Clin Radiol 2014;69:323-330 https://doi.org/10.1016/j.crad.2013.10.014
  33. Eberhardt SC, Strickland CD, Epstein KN. Radiology of epiploic appendages: acute appendagitis, post-infarcted appendages, and imaging natural history. Abdom Radiol (NY) 2016;41:1653-1665 https://doi.org/10.1007/s00261-016-0757-0
  34. Prasad SR, Wang H, Rosas H, Menias CO, Narra VR, Middleton WD, et al. Fat-containing lesions of the liver: radiologic-pathologic correlation. Radiographics 2005;25:321-331 https://doi.org/10.1148/rg.252045083