• Multidetector CT of Potential Right-Lobe Liver Donors

    Kamel Ihab R., Kruskal Jonathan B., Keogan Mary T., Goldberg S. Nahum, Warmbrand Gisele, Raptopoulos Vassilios.

    One of the most challenging problems in liver transplantation is the rapidly growing discrepancy between the number of patients on the liver transplant list and the available cadaveric donors [1]. Living donor liver transplantation is an innovative procedure in which the recipient�s liver is explanted and replaced with a portion of the liver from a living donor. The procedure has been used safely in the pediatric population using the left lateral segment or the left lobe of the liver [2]. This success has sparked an interest in applying the same procedure to adults [3, 4]. However, grafts obtained from the left lobe are insufficient to sustain adequate liver function in an adult. Right-lobe grafts are usually larger than left-lobe grafts, providing adequate liver mass in an adult recipient [5]. In previous work, we have shown the impact of multidetector CT on patient selection and surgical planning [6].. In this pictorial essay, we provide details of the various stages of image processing and emphasize the surgical importance of the relevant anatomic and vascular variants.