{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:55:05Z","timestamp":1790682905176,"version":"4.1.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":4048,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:sec>\n            <jats:title\/>\n            <jats:p>Our objective was to investigate the coexistence of vascular and biliary anatomic variants, the latter of which are known to increase the risk of biliary complications in living liver donor transplantation. A total of 108 consecutive liver donor candidates were examined by magnetic resonance (MR) imaging that included 2 MR cholangiography methods, T2-weighted MR cholangiography and mangofodipir-enhanced T1-weighted three-dimensional (3D) MR cholangiography, as well as gadoliniumenhanced MR angiography and venography of the liver. Images were interpreted by at least 2 investigators in consensus for definition of hepatic arterial, portal venous, and biliary anatomy. A subset of 51 subjects underwent laparotomy for right hepatectomy. Of the 108 subjects examined, 50 (46%) demonstrated normal hepatic artery, portal vein, and biliary anatomy. Variants of the hepatic artery were found in 27 of 108 (25%) subjects, of the portal vein in 12 of 108 (11%) subjects, and of the bile ducts in 30 of 108 (28%) subjects. Of the 27 subjects with hepatic arterial variants, 8 (30%) also had variant biliary anatomy. The association between hepatic arterial variants and biliary variants was not statistically significant (<jats:italic toggle=\"yes\">P<\/jats:italic> &gt; .5). However, of the 12 subjects with portal vein variants, 7 (58%) had biliary variants, and in 6 of 7 cases, the right posterior hepatic duct was anomalous. By chi-square analysis, the association between portal venous and biliary variants was significant (<jats:italic toggle=\"yes\">P<\/jats:italic> = .012). In conclusion, over half of subjects with portal vein variants were found to have anomalous biliary anatomy, which always involved the hepatic ducts of the right lobe. The association between portal venous and biliary variants is statistically significant, while there is no significant association between hepatic arterial and biliary variants. (Liver Transpl 2004;10:1049-1054.)<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.20181","type":"journal-article","created":{"date-parts":[[2004,7,23]],"date-time":"2004-07-23T17:08:33Z","timestamp":1090602513000},"page":"1049-1054","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":57,"title":["Liver transplant donor candidates: Associations between vascular and biliary anatomic variants"],"prefix":"10.1097","volume":"10","author":[{"given":"Vivian S.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glyn R.","family":"Morgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer C.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol A.","family":"Nazzaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry S.","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis W.","family":"Teperman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn A.","family":"Krinsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-13-20250326","doi-asserted-by":"crossref","first-page":"271276","DOI":"10.1007\/BF01656159","article-title":"Radiological anatomy of the biliary tract: variations and congenital abnormalities.","volume":"7","author":"Puente","year":"1983","journal-title":"World J Surg"},{"key":"R2-13-20250326","doi-asserted-by":"crossref","first-page":"10051013","DOI":"10.1148\/radiographics.14.5.7991810","article-title":"Cholangiographic segmental anatomy of the liver.","volume":"14","author":"Gazelle","year":"1994","journal-title":"Radiographics"},{"key":"R3-13-20250326","doi-asserted-by":"crossref","first-page":"337340","DOI":"10.1111\/j.1399-0012.1997.tb00830.x","article-title":"Variations of the intrahepatic bile ducts: application in living related liver transplantation and splitting liver transplantation.","volume":"11","author":"Cheng","year":"1997","journal-title":"Clin Transplant"},{"key":"R4-13-20250326","doi-asserted-by":"crossref","first-page":"580586","DOI":"10.1007\/s005340070007","article-title":"Anatomy of the hepatic hilar area: the plate system.","volume":"7","author":"Kawarada","year":"2000","journal-title":"J Hepatobiliary Pancreat Surg"},{"key":"R5-13-20250326","doi-asserted-by":"crossref","first-page":"18961903","DOI":"10.1097\/00007890-200206270-00008","article-title":"Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases.","volume":"73","author":"Nakamura","year":"2002","journal-title":"Transplantation"},{"key":"R6-13-20250326","doi-asserted-by":"crossref","first-page":"337347","DOI":"10.1016\/0002-9610(66)90201-7","article-title":"Newer anatomy of the liver and its variant blood supply and collateral circulation.","volume":"112","author":"Michels","year":"1966","journal-title":"Am J Surg"},{"key":"R7-13-20250326","doi-asserted-by":"crossref","first-page":"505512","DOI":"10.1016\/0002-9610(71)90476-4","article-title":"Surgical significance of anatomic variations of the hepatic artery.","volume":"122","author":"Suzuki","year":"1971","journal-title":"Am J Surg"},{"key":"R8-13-20250326","doi-asserted-by":"crossref","first-page":"5052","DOI":"10.1097\/00000658-199407000-00008","article-title":"Surgical anatomy of the hepatic arteries in 1000 cases.","volume":"220","author":"Hiatt","year":"1994","journal-title":"Ann Surg"},{"key":"R9-13-20250326","doi-asserted-by":"crossref","first-page":"157158","DOI":"10.1148\/radiology.184.1.1609075","article-title":"Intrahepatic portal venous variations: prevalence with US.","volume":"184","author":"Atri","year":"1992","journal-title":"Radiology"},{"key":"R10-13-20250326","doi-asserted-by":"crossref","first-page":"297300","DOI":"10.1007\/s002689900232","article-title":"Anatomic dissociation between the intrahepatic bile duct and portal vein: risk factors for left hepatectomy.","volume":"21","author":"Cheng","year":"1997","journal-title":"World J Surg"},{"key":"R11-13-20250326","first-page":"24102415","article-title":"Selection and outcome of living donors for adult to adult right lobe transplantation.","volume":"69","author":"Marcos","year":"2000","journal-title":"Transplantation"},{"key":"R12-13-20250326","doi-asserted-by":"crossref","first-page":"10741082","DOI":"10.1056\/NEJMra011629","article-title":"Adult-to-adult transplantation of the right hepatic lobe from a living donor.","volume":"346","author":"Trotter","year":"2002","journal-title":"N Engl J Med"},{"key":"R13-13-20250326","doi-asserted-by":"crossref","first-page":"906908","DOI":"10.2214\/ajr.176.4.1760906","article-title":"Volumetric mangafodipir trisodium-enhanced cholangiography to define intrahepatic biliary anatomy.","volume":"176","author":"Lee","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"R14-13-20250326","doi-asserted-by":"crossref","first-page":"12811286","DOI":"10.2214\/ajr.179.5.1791281","article-title":"Intrahepatic biliary anatomy of living adult liver donors: correlation of mangafodipir trisodium-enhanced MR cholangiography and intraoperative cholangiography.","volume":"179","author":"Kapoor","year":"2002","journal-title":"AJR Am J Roentgenol"},{"key":"R15-13-20250326","doi-asserted-by":"crossref","first-page":"637641","DOI":"10.1002\/bjs.1800830515","article-title":"Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts.","volume":"83","author":"Soin","year":"1996","journal-title":"Br J Surg"},{"key":"R16-13-20250326","doi-asserted-by":"crossref","first-page":"8089","DOI":"10.1016\/S0025-6196(11)63624-0","article-title":"Ludwig symposium on biliary disorderspart I. Pathogenesis of ductal plate abnormalities.","volume":"73","author":"Desmet","year":"1998","journal-title":"Mayo Clin Proc"},{"key":"R17-13-20250326","doi-asserted-by":"crossref","first-page":"16871690","DOI":"10.1016\/S0022-3468(99)90645-0","article-title":"Biliary atresia associated with congenital structural anomalies.","volume":"34","author":"Tanano","year":"1999","journal-title":"J Pediatr Surg"},{"key":"R18-13-20250326","doi-asserted-by":"crossref","first-page":"14751482","DOI":"10.2214\/ajr.176.6.1761475","article-title":"MR imaging as the sole preoperative imaging modality for right hepatectomy: a prospective study of living adult-to-adult liver donor candidates.","volume":"176","author":"Lee","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"R19-13-20250326","doi-asserted-by":"crossref","first-page":"14831491","DOI":"10.2214\/ajr.176.6.1761483","article-title":"Right lobe living donor liver transplantation: preoperative evaluation of the donor with MR imaging.","volume":"176","author":"Fulcher","year":"2001","journal-title":"AJR Am J Roentgenol"},{"key":"R20-13-20250326","doi-asserted-by":"crossref","first-page":"241250","DOI":"10.1053\/jlts.2002.30403","article-title":"Right-lobe living related liver transplantation: evaluation of a comprehensive magnetic resonance imaging protocol for assessing potential donors.","volume":"8","author":"Goyen","year":"2002","journal-title":"Liver Transpl"}],"container-title":["Liver Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flt.20181","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01445473-200408000-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T10:50:27Z","timestamp":1743245427000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01445473-200408000-00013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,8]]},"references-count":20,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2004]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.20181","relation":{},"ISSN":["1527-6465"],"issn-type":[{"value":"1527-6465","type":"print"}],"subject":[],"published":{"date-parts":[[2004,8]]}}}