4D flow MRI of splanchnic vasculature for diagnosis of severe portal hypertension and prediction of outcomes

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4D flow MRI identifies severe portal hypertension with excellent diagnostic performance, and predicts liver decompensation effectively.
Diagnostic performance for severe portal hypertension was rated excellent, while prediction of liver decompensation showed good reliability.
Prospective study involving 56 patients used 4D flow MRI to measure hemodynamic parameters against invasive HVPG measurements.
Findings suggest that 4D flow MRI could be integrated into surveillance protocols for patients with liver cirrhosis.

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Prospective study assesses 4D flow MRI's ability to diagnose severe portal hypertension and predict liver decompensation.

Bane et al. (2025) studied this question.

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