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The role of the color doppler ultrasonography and computed tomography in estimation of portal hypertension

Nićiforović Dijana (Clinical Center of Vojvodina, Center for Radiology, Novi Sad)
Till Viktor (Clinical Center of Vojvodina, Center for Radiology, Novi Sad)
Vučaj-Ćirilović Viktorija (Oncology Institute of Vojvodina, Diagnostic Imaging Center, Sremska Kamenica)
Petrović Kosta (Clinical Center of Vojvodina, Center for Radiology, Novi Sad)
Juković Mirela (Clinical Center of Vojvodina, Center for Radiology, Novi Sad)
Hadnađev-Šimonji Darka (Clinical Center of Vojvodina, Center for Radiology, Novi Sad)
Savić Željka (Clinical Center of Vojvodina, Gastroenterology and Hepatology Clinic, Novi Sad)
Stokić Edita (Clinical Center of Vojvodina, Endocrinology, Diabetes and Metabolic Diseases Clinic, Novi Sad)
Šarčev Katarina (Clinical Center of Vojvodina, Abdominal, Endocrine Surgery and Transplantation Clinic, Novi Sad)

Introduction. Liver diseases with disturbances of hepatic and splanchnic circulation lead to the portal hypertension, with or without a portal vein thrombosis. Objective. This study was based on the testing of hypothesis that more data and more precise diagnosis in patients with disorders of portal circulation can be obtained by using color Doppler ultrasonography (CDU) and computed tomography (CT) with contrast. Methods. The study was conducted from February 2011 to May 2014 and it comprised 120 patients who were suspected to have portal hypertension or already had clinical confirmation of the portal hypertension, patients with hepatitis, and some patients with hematological diseases. The first group of 40 patients was examined by conventional ultrasonography and CDU, the second group by contrast CT, and the third group of patients was examined by both methods (CDU and contrast CT). After six months of adequate therapy, the patients had control examinations with the same diagnostic technique used during their first examination. Results. Retrospective analysis showed that CDU is more sensitive than CT in the assessment of presence and age of thrombi (CDU 93.9%; CT 86.1%). CT gives precise data in detection of portosystemic collaterals. Sensitivity of CT is 100% and its specificity is 67%. Cumulative sensitivity and specificity for most parameters were increased in patients with portal hypertension when both methods were applied. Conclusion. This study emphasizes the possibility of early and more accurate diagnosis achieved when combining two radiological techniques (CDU and contrast CT scan), which is not the case when these methods are used separately.

Keywords: color Doppler ultrasonography, portal hypertension, portal thrombosis, computed tomography