The growing need for liver transplantation has led to an increased need for living liver donors. Partial hepatectomy in donors carries significant risk, requiring rigorous preoperative evaluation. Contrast-enhanced MRI and MR cholangiography can assess liver lesions and biliary variants, while chemical shift-encoded MRI and MR elastography detect and quantify fat, iron and fibrosis in unexpected diffuse liver disease. This study summarizes our experience with an extended MRI protocol in 68 potential donors. MRI, in isolation or in combination with other test results identified more than half of patients at risk for surgical complications of liver donation.
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