ISMRM & SMRT Virtual Conference • 08-14 August 2020

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Sunrise Session

The Heart of the Liver

Session Topic: Educational Q&A: Body Sunrise
Session Sub-Topic: The Heart of the Liver
Sunrise Session
ORGANIZERS: Dianna Bardo, Mustafa Shadi Bashir
Tuesday Parallel 3 Live Q&A Tuesday, 11 August 202015:15 - 16:00 UTC Moderators: Akira Yamada
Skill Level: Basic to Advanced

Session Number: S-Th-01

Overview
Severe liver disease, largely cirrhosis, may be a cause of cardiac dysfunction. Cirrhotic cardiomyopathy is due to a combination of reduced cardiac contractility, systolic and diastolic dysfunction, and electrophysiological abnormalities. MRI of cirrhotic liver disease is complicated in that portal and hepatic congestion are common, liver fibrosis and liver lesions, including and precancerous lesions and hepatocellular carcinoma and physiologic changes in hepatic structure and physiology, occur along a variable spectrum which may or may not be detected with MRI. This course will describe both diffuse and focal imaging features found in patients with cardiogenic chronic liver diseases as well as vascular chronic liver diseases (such as Budd-Chiari).

Target Audience
The target audience is MRI researchers and diagnostic radiologists interested in understanding the complex nature of liver disease and cardiac physiology in single ventricle congenital heart disease.

Educational Objectives
As a result of attending this course, participants should be able to:
- Describe the physiologic processes of cirrhotic liver disease that lead to cardiac failure;
- Recognize MRI findings of early (subclinical) and late (symptomatic) liver disease, including hepatic fibrosis and vascular congestion, which develop into cirrhosis, lesions including hepatocellular carcinoma, and its precursors; and
- Discuss and implement clinical and investigative MRI sequences and techniques used to image the liver in these challenging patient populations.

    Liver Disease & the Single Ventricle Heart: The Ties That Bind
Mark Fogel

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    Cardiogenic Liver Disease
Hina Arif Tiwari

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