Common indications for CT MRI of the liver gallbladder and biliary tree

What are the common indications for computed tomography (CT) and magnetic resonance imaging (MRI) of the liver, gallbladder, and biliary tree?

The most common clinical indications include:

  • • Characterization of indeterminate hepatic lesions detected on prior cross-sectional imaging.
  • • Surveillance of cirrhotic patients for hepatocellular carcinoma (HCC).
  • • Surveillance of patients with primary sclerosing cholangitis (PSC) for cholangiocarcinoma.
  • • Staging and response assessment of patients with hepatobiliary malignancies.
  • • Pretreatment and post-treatment evaluation of patients undergoing liver transplantation.
  • • Evaluation of patients with abdominal symptoms or signs (e.g., right upper quadrant pain, abnormal liver function tests) that may be secondary to hepatobiliary disease.
  • • Assessment for traumatic injury to liver, biliary tree, or gallbladder (mainly using CT).
  • • Assessment for presence, location, and causes of biliary obstruction (mainly using MRI).
  • • Diagnosis and response assessment in patients with primary (genetic) hemochromatosis (using MRI).
  • • Providing guidance for percutaneous biopsy or intervention for hepatobiliary disease.

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