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MR Cholangiopancreatography with T2-Weighted Prospective Acquisition Correction Turbo Spin-Echo Sequence of the Biliary Anatomy of Potential Living Liver Transplant Donors

Ceyla Basaran1, A. Muhtesem Agildere1, Fuldem Yildirim Donmez1, Sinasi Sevmis2, Irem Budakoglu3, Hamdi Karakayali2 and Mehmet Haberal2

1 Department of Radiodiagnostic, Baskent University Faculty of Medicine, Fevzi Çakmak caddesi 10.sokak, No: 45, 06490 Bahçelievler, Ankara, Turkey.
2 Department of General Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
3 Department of Public Health, Baskent University Faculty of Medicine, Ankara, Turkey.


Figure 1
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  		Fig. 1A —Drawings show conventional and common variations of biliary anatomy. Numbers show segments of liver. Type A biliary anatomy: Conventional anatomy of right and left hepatic ducts form common hepatic duct.

 

Figure 2
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  		Fig. 1B —Drawings show conventional and common variations of biliary anatomy. Numbers show segments of liver. Type B: Trifurcation is formed by right anterior sectoral branch, right posterior sectoral branch, and left hepatic duct.

 

Figure 3
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  		Fig. 1C —Drawings show conventional and common variations of biliary anatomy. Numbers show segments of liver. Type C: Right posterior sectoral branch drains into left hepatic duct.

 

Figure 4
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  		Fig. 1D —Drawings show conventional and common variations of biliary anatomy. Numbers show segments of liver. Type D: Right posterior sectoral branch drains into common hepatic duct.

 

Figure 5
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  		Fig. 1E —Drawings show conventional and common variations of biliary anatomy. Numbers show segments of liver. Type E: Right posterior sectoral branch drains into cystic duct.

 

Figure 6
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  		Fig. 2A —32-year-old male potential living liver donor with normal (type A) biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spin-echo data set show anterior (single arrow) and posterior (arrowhead) divisions of right main bile duct and left main bile duct (double arrows).

 

Figure 7
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  		Fig. 2B —32-year-old male potential living liver donor with normal (type A) biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spin-echo data set show anterior (single arrow) and posterior (arrowhead) divisions of right main bile duct and left main bile duct (double arrows).

 

Figure 8
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  		Fig. 3A —48-year-old male potential living liver donor with type B biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spin-echo data set and intraoperative cholangiogram (C) show trifurcation involving right anterior (single arrow) and right posterior (arrowhead) sectoral branches and left main bile duct (double arrows).

 

Figure 9
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  		Fig. 3B —48-year-old male potential living liver donor with type B biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spin-echo data set and intraoperative cholangiogram (C) show trifurcation involving right anterior (single arrow) and right posterior (arrowhead) sectoral branches and left main bile duct (double arrows).

 

Figure 10
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  		Fig. 3C —48-year-old male potential living liver donor with type B biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spin-echo data set and intraoperative cholangiogram (C) show trifurcation involving right anterior (single arrow) and right posterior (arrowhead) sectoral branches and left main bile duct (double arrows).

 

Figure 11
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  		Fig. 4A —36-year-old female potential living liver donor with type C biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spinecho (TSE) data set show right posterior duct (arrowhead) draining into left main bile duct (double arrows). Right anterior bile duct (arrow) is also seen.

 

Figure 12
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  		Fig. 4B —36-year-old female potential living liver donor with type C biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of T2-weighted prospective acquisition correction (PACE) turbo spinecho (TSE) data set show right posterior duct (arrowhead) draining into left main bile duct (double arrows). Right anterior bile duct (arrow) is also seen.

 

Figure 13
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  		Fig. 4C —36-year-old female potential living liver donor with type C biliary anatomy. T2-weighted PACE TSE source data series show right posterior duct (arrowhead) draining into left main duct (double arrows). Right anterior bile duct (single arrow) is also seen.

 

Figure 14
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  		Fig. 4D —36-year-old female potential living liver donor with type C biliary anatomy. T2-weighted PACE TSE source data series show right posterior duct (arrowhead) draining into left main duct (double arrows). Right anterior bile duct (single arrow) is also seen.

 

Figure 15
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  		Fig. 4E —36-year-old female potential living liver donor with type C biliary anatomy. T2-weighted PACE TSE source data series show right posterior duct (arrowhead) draining into left main duct (double arrows). Right anterior bile duct (single arrow) is also seen.

 

Figure 16
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  		Fig. 5A —45-year-old female potential living liver donor with type D biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of right lobe living donor show right posterior duct (arrowhead) draining into common hepatic duct. Right anterior bile duct (single arrow) and left bile duct (double arrows) are also seen.

 

Figure 17
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  		Fig. 5B —45-year-old female potential living liver donor with type D biliary anatomy. Maximum intensity projection (A) and shaded surface display (B) of right lobe living donor show right posterior duct (arrowhead) draining into common hepatic duct. Right anterior bile duct (single arrow) and left bile duct (double arrows) are also seen.

 

Figure 18
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  		Fig. 6A —31-year-old male potential living liver donor with unclassified biliary anatomy. Maximum-intensity-projection (A) and intraoperative cholangiogram (B) show aberrant drainage of right posterior duct into common hepatic duct (arrowhead) and two ducts of right anterior segment (single arrows) and left main duct (double arrows) join to form trifurcation.

 

Figure 19
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  		Fig. 6B —31-year-old male potential living liver donor with unclassified biliary anatomy. Maximum-intensity-projection (A) and intraoperative cholangiogram (B) show aberrant drainage of right posterior duct into common hepatic duct (arrowhead) and two ducts of right anterior segment (single arrows) and left main duct (double arrows) join to form trifurcation.

 

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