Evaluation of the celiac trunk and its branching pattern by magnetic resonance angiography

IF 2 3区 医学 Q2 ANATOMY & MORPHOLOGY
Necmi Keskin , Belgin Bamac , Ozgur Cakir , Ercument Ciftci , Tuncay Colak , Cagatay Barut
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引用次数: 0

Abstract

Objective

The study aimed to examine the celiac trunk (CT) in detail by magnetic resonance angiography, to determine the locations, positions and variations of the CT, to provide detailed information for surgeons and interventional radiologists, and to reduce the time spent in the catheter angiography.

Material and methods

MR angiography images of 185 patients with abdominal imaging in PACS (Picture Archiving Communication Systems) were retrospectively analyzed. The level of origin of CT, according to the vertebral column, angle of origin, distance between CT and branches of the abdominal aorta (AA), and the branching pattern of CT were evaluated. Parameters were evaluated according to gender and age.

Results

The most common origin site for CT, according to the vertebral column, was found to be at T12-L1 in both genders. There was a low, positive correlation between age and CT-Sagittal angle (SA) in the whole study group (p<0.05). The most common CT branching pattern was the hepatogastrosplenic trunk in both genders, according to Adachi and Uflkacker’s classification. The distance between CT and the inferior mesenteric artery (IMA) and CT and the aortic bifurcation (AB) of males was greater than in females, and the differences were statistically significant (p<0.05).

Conclusion

Knowledge of the locations, positions, and variations of CT is essential in the diagnosis, differential diagnosis and decision-making mechanisms regarding the type of intervention to be performed for this vessel and related structures. In addition, the fact that data on these vessels can be obtained by MR angiography due to the improved image quality will prevent patients and physicians from the problems caused by the ionizing radiation of computed tomography. The data presented will constitute a basis for detailed and individualized interpretation and evaluation of each patient, as they provide important details about the configuration of the CT concerning gender and age using MRA.

通过磁共振血管造影评估腹腔干及其分支模式
该研究旨在通过磁共振血管造影详细检查腹腔干(CT),确定 CT 的位置、位置和变化,为外科医生和介入放射科医生提供详细信息,并减少导管血管造影所花费的时间。根据椎体、起源角度、CT 与腹主动脉(AA)分支之间的距离以及 CT 的分支模式对 CT 的起源水平进行了评估。根据性别和年龄对参数进行了评估。结果发现,根据椎体,CT 最常见的起源部位在 T12-L1,男女均是如此。在整个研究组中,年龄与 CT-矢状角(SA)呈低正相关(p<0.05)。根据 Adachi 和 Uflkacker 的分类,男女患者最常见的 CT 分支模式均为肝胃脾干。男性 CT 与肠系膜下动脉(IMA)和 CT 与主动脉分叉(AB)之间的距离大于女性,差异有统计学意义(p<0.05)。此外,由于核磁共振血管造影术的图像质量有所提高,可以获得这些血管的数据,这将使患者和医生避免因计算机断层扫描的电离辐射而产生的问题。所提供的数据将成为对每位患者进行详细和个性化解释和评估的依据,因为这些数据提供了使用 MRA 进行 CT 检查时有关性别和年龄的配置的重要细节。
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来源期刊
Annals of Anatomy-Anatomischer Anzeiger
Annals of Anatomy-Anatomischer Anzeiger 医学-解剖学与形态学
CiteScore
4.40
自引率
22.70%
发文量
137
审稿时长
33 days
期刊介绍: Annals of Anatomy publish peer reviewed original articles as well as brief review articles. The journal is open to original papers covering a link between anatomy and areas such as •molecular biology, •cell biology •reproductive biology •immunobiology •developmental biology, neurobiology •embryology as well as •neuroanatomy •neuroimmunology •clinical anatomy •comparative anatomy •modern imaging techniques •evolution, and especially also •aging
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