Table 2. Vascular reading signs found by PTP and 3D ultrasound. The number of positive findings obtained by four reviewers: two for PTP and two for 3D ultrasound.
PTP |
3D ultrasound |
|||||||
Cirrhosisa |
IPHa |
Cirrhosisa |
IPHa |
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Reviewer I | Reviewer III | Reviewer I | Reviewer III | Reviewer II | Reviewer IV | Reviewer II | Reviewer IV | |
A | 8 (72.7%) | 11 (100%) | 0 | 0 | 11 (100%) | 11 (100%) | 0 | 0 |
a | 0 | 0 | 5 (100%) | 5 (100%) | 0 | 0 | 5 (100%) | 5 (100%) |
B | 3 (27.3%) | 8 (72.7%) | 0 | 0 | 2 (18.2%) | 2 (18.2%) | 0 | 0 |
b | 0 | 0 | 2 (40%) | 4 (80%) | 0 | 0 | 4 (80%) | 4 (80%) |
C | 9 (81.8%) | 2 (18.2%) | 0 | 0 | 11 (100%) | 11 (100%) | 0 | 0 |
c | 0 | 0 | 3 (60%) | 2 (40%) | 0 | 0 | 3 (60%) | 3 (60%) |
D | 11 (100%) | 11 (100%) | 0 | 0 | 11 (100%) | 9 (81.8%) | 0 | 0 |
d | 0 | 0 | 5 (100%) | 5 (100%) | 0 | 0 | 0 | 0 |
E | 10 (90.9%) | 11 (100%) | 0 | 0 | 2 (18.2%) | 1 (9.1%) | 0 | 0 |
e | 0 | 0 | 4 (80%) | 4 (80%) | 0 | 0 | 5 (100%) | 5 (100%) |
F | 5 (45.5%) | 6 (54.5%) | 0 | 0 | 6 (54.5%) | 9 (81.8%) | 0 | 0 |
f | 0 | 0 | 5 (100%) | 4 (80%) | 0 | 0 | 5 (100%) | 5 (100%) |
IPH, idiopathic portal hypertension; PTP, percutaneous transhepatic portography; 3D, three-dimensional.
A, some winding or distortion in large intrahepatic portal branches; B, peripheral vessels were more or less straight with minimal winding; C, peripheral vessels were divided at regular acute angles in most places; D, there was no crossing over or abrupt cut-off of the vessels; E, contrast medium reached the periphery without stopping short of the liver capsule or leaving an avascular area beneath the liver surface; F, occasional small irregularities along portal branches suggesting compression by regenerating nodules; a, paucity of medium-sized portal branches; b, irregular and often obtuse-angled division of peripheral branches; c, occasional abrupt interruptions of peripheral branches; d, an avascular area beneath the liver surface; e, non-opacification of some of the large intrahepatic portal branches and of their periphery; f, increase in the very fine vasculature around large intrahepatic portal branches.
aFinal diagnosis.