Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2023; 11(18): 4277-4286
Published online Jun 26, 2023. doi: 10.12998/wjcc.v11.i18.4277
Portal vein computed tomography imaging characteristics and their relationship with bleeding risk in patients with liver cirrhosis undergoing interventional therapy
Xue-Jing Song, Jing-Lei Liu, Shu-Ya Jia, Kai Zhang
Xue-Jing Song, Kai Zhang, Department of Medical Oncology, Shijiazhuang People’s Hospital, Shijiazhuang 050000, Hebei Province, China
Jing-Lei Liu, Department of Interventional Treatment, 980 (Bethune International Peace) Hospital of PLA Joint Logistics Support Forces, Shijiazhuang 050051, Hebei Province, China
Shu-Ya Jia, Department of Rehabilitation, Shijiazhuang People’s Hospital, Shijiazhuang 050000, Hebei Province, China
Author contributions: Song XJ and Zhang K proposed concepts for this study; Jia SY and Zhang K collected data; Song XJ, Zhang K, and Liu JL contributed to formal analysis; Zhang K and Liu JL contributed to the survey; Song XJ, Zhang K, and Jia SY contributed to this method; Song XJ and Liu JL supervised the study; Zhang K validated this study; Song XJ and Jia SY contributed to the visualization of research; Song XJ and Zhang K initially drafted this manuscript; Song XJ, Liu JL, Jia SY, and Zhang K reviewed and edited the manuscript.
Supported by the Hebei Medical Science Project Research Program Project, No. 20201411.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Shijiazhuang People’s Hospital (approval No. DX-2021-0021).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent.
Conflict-of-interest statement: We declare that there are no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kai Zhang, MD, Attending Doctor, Department of Medical Oncology, Shijiazhuang People’s Hospital, No. 1 Fangbei Road, Chang'an District, Shijiazhuang 050000, Hebei Province, China. zkai202207@163.com
Received: May 6, 2023
Peer-review started: May 6, 2023
First decision: May 19, 2023
Revised: May 22, 2023
Accepted: May 26, 2023
Article in press: May 26, 2023
Published online: June 26, 2023
Core Tip

Core Tip: Multi-slice spiral computed tomography (CT) perfusion imaging can predict the occurrence of upper gastrointestinal bleeding in patients with cirrhotic portal hypertension. This study found that gastric coronary vein diameter, number of vascular cross-sections, and vascular area were significantly correlated with the occurrence of bleeding. The vascular area had the best predictive value, with an area under the curve of 0.831. These findings suggest that multi-slice spiral CT perfusion imaging can be a useful tool for early identification of high-risk patients and prompt management to prevent or manage bleeding events in patients with cirrhotic portal hypertension.