nach oben

Surgical and Radiologic Anatomy

Erschienen in:

13.03.2019 | Original Article

Visualization of the fat planes between the pancreas and the adjacent organs and blood vessels using multi-detector computed tomography

verfasst von: A. Djuric-Stefanovic, N. Gordanic, D. Saponjski, K. Koljensic, J. Djokic-Kovac, S. Knezevic

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 7/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To explore individual variations in visibility of the fat planes between the pancreatic parenchyma and adjacent organs and blood vessels using the multi-detector-computed tomography (MDCT).

Methods

Abdominal contrast-enhanced MDCT examinations of 520 consecutive adult individuals were retrospectively analysed by exploring the presence of visible fat planes between the healthy pancreas and the following surrounding structures: stomach, descending duodenum (D2), splenic, portal, superior mesenteric vein (SV, PV, SMV), inferior vena cava (IVC), and coeliac trunk, common hepatic and superior mesenteric artery (CT, HA and SMA). Spearman’s rank correlation coefficient (r_S) was used to assess the correlation of individual gender, age, body mass and BMI, and visible fat planes towards particular surrounding structures.

Results

Fat planes between the pancreatic parenchyma and surrounding structures was visible as follows: stomach in 76%, D2 11.7%, SV 51.5%, PV 0%, SMV 28.8%, IVC 80.8%, CT 99.4%, HA 90.4% and SMA in 100% participants. The presence of visible fat planes significantly correlated (p < 0.001) with body mass for stomach (r_S = 0.367), D2 (r_S = 0.247), SV (r_S = 0.355), SMV (r_S = 0.384) and IVC (r_S = 0.259); BMI for stomach (r_S = 0.292), SV (r_S = 0.248), SMV (r_S = 0.290) and IVC (r_S = 0.216); age for D2 (r_S = 0.363), SV (r_S = 0.276) and SMV (r_S = 0.409); and male gender for stomach (r_S = 0.160) and SV (r_S = 0.198).

Conclusion

Fat planes around the pancreatic parenchyma in the MDCT scan was almost always visible towards the adjacent magistral visceral arteries and IVC, always invisible towards the PV, and variably visible towards the SV, SMV, stomach and duodenum depending on the individual body mass, BMI, age and gender.

Ahmed M, Aziz MU, Mansoor MA, Anwar S (2016) Vascular complications in cases of acute pancreatitis—CT scan based study. J Pak Med Assoc 66:977–989PubMed

Amin MB et al (eds) AJCC cancer staging manual, eight edition. https://doi.org/10.1007/978-3-319-40618-3_28

Camhi S, Bray G, Bouchard C et al (2011) The relationship of waist circumference and BMI to visceral, subcutaneous, and total body fat: sex and race differences. Obesity (Silver Spring) 19:402–408. https://doi.org/10.1038/oby.2010.248 CrossRef

Cassinotto C, Cortade J, Belleannée G et al (2013) An evaluation of the accuracy of CT when determining resectability of pancreatic head adenocarcinoma after neoadjuvant treatment. Eur J Radiol 82:589–593. https://doi.org/10.1016/j.ejrad.2012.12.002 CrossRefPubMed

Chang ST, Jeffrey RB, Patel BN et al (2016) Preoperative multidetector CT diagnosis of extrapancreatic perineural or duodenal invasion is associated with reduced postoperative survival after pancreaticoduodenectomy for pancreatic adenocarcinoma: preliminary experience and implications for patient care. Radiology 281:816–825. https://doi.org/10.1148/radiol.2016152790 CrossRefPubMed

Chi XX, Zhang XM, Chen TW et al (2014) Magnetic resonance imaging of the normal mesotenium and involvement of mesotenium in acute pancreatitis. Biomed Res Int 2014:924845. https://doi.org/10.1155/2014/924845 CrossRefPubMedPubMedCentral

Djuric-Stefanovic A, Masulovic D, Kostic J, Randjic K, Saranovic D (2012) CT volumetry of normal pancreas: correlation with pancreatic diameters measurable by the cross-sectional imaging, and relationship with gender, age and body constitution. Surg Radiol Anat 34:811–817. https://doi.org/10.1007/s00276-012-0962-7 CrossRefPubMed

Eastwood S, Tillin T, Wright A et al (2013) Estimation of CT-derived abdominal visceral and subcutaneous adipose tissue depots from anthropometry in Europeans, South Asians and African Caribbeans. PLoS One 8:e75085. https://doi.org/10.1371/journal.pone.0075085 CrossRefPubMedPubMedCentral

Goodpaster BH, Krishnaswami S, Harris T et al (2005) Obesity, regional body fat distribution, and the metabolic syndrome in older men and women. Arch Intern Med 165:777–783. https://doi.org/10.1001/archinte.165.7.777 CrossRefPubMed

10.

Heuck A, Feuerbach S, Reiser M, Anacker H (1985) Computer tomographic morphometry of the normal pancreas in adults. ROFO 142:519–523. https://doi.org/10.1055/s-2008-1052699 CrossRefPubMed

11.

Heuck A, Maubach PA, Reiser M et al (1987) Age-related morphology of the normal pancreas on computed tomography. Gastrointest Radiol 12:18–22. https://doi.org/10.1007/BF01885094 CrossRefPubMed

12.

Hongo N, Mori T, Matsumoto H, Okino S, Ueda Y, Shuto S R (2010) Anatomical variations of peripancreatic veins and their intrapancreatic tributaries: multidirector-row CT scanning. Abdom Imaging 35:143–153. https://doi.org/10.1007/s00261-007-9195-3 CrossRefPubMed

13.

Kipp JP, Olesen SS, Mark EB et al (2018) Normal pancreatic volume in adults is influenced by visceral fat, vertebral body width and age. Abdom Radiol. https://doi.org/10.1007/s00261-018-1793-8 CrossRef

14.

Morgan DE, Stanley RJ (2006) The pancreas. In: Lee JK, Sagel SS, Stanly RJ, Haiken JP (eds) Computed body tomography with MRI corelation. Lippincot Williams & Wilkins, New York, pp 1007–1100

15.

Mori H (2010) New insight of pancreatic imaging: from “unexplored” to “explored”. Abdom Imaging 35:130–133. https://doi.org/10.1007/s00261-008-9471-x CrossRefPubMed

16.

Niderau C, Sonnenberg A, Muller JE, Erckenbrecht JF, Scholten T, Fritsch WP (1983) Sonographic measurements of the normal liver, spleen, pancreas and portal vein. Radiology 149:537–540CrossRef

17.

Ross BA, Jeffrey RB, Mindelzun RE (1996) Normal variations in the lateral contour of the head and neck of the pancreas mimicking neoplasm: evaluation with dual-phase helical CT. Am J Roentgenol 166:799–801. https://doi.org/10.2214/ajr.166.4.8610553 CrossRef

18.

Sai M, Mori H, Kiyonaga M, Kosen K, Yamada Y, Matsumoto S (2010) Peripancreatic lymphatic invasion by pancreatic carcinoma: evaluation with multi-detector row. Abdom Imaging 35:154–162. https://doi.org/10.1007/s00261-008-9461-z CrossRefPubMed

19.

Saisho Y, Butler AE, Meier JJ et al (2007) Pancreas volumes in humans from birth to age one hundred taking into account sex, obesity, and presence of type-2 diabetes. Clin Anat 20:933–942. https://doi.org/10.1002/ca.20543 CrossRefPubMedPubMedCentral

20.

Somers I, Bipat S (2017) Contrast-enhanced CT in determining resectability in patients with pancraetic adenocarcinoma: a meta-analysis of the positive predictive values of CT. Eur Radiol 27:3408–3435. https://doi.org/10.1007/s00330-016-4708-5 CrossRefPubMedPubMedCentral

21.

Tran Cao HS, Balachandran A, Wang H et al (2014) Radiographic tumor–vein interface as a predictor of intraoperative, pathologic and oncologic outcomes in resectable and borderline resectable pancreatic cancer. J Gastrointest Surg 18:269–278. https://doi.org/10.1007/s11605-013-2374-3 CrossRefPubMed

22.

Wegener OH (1993) Whole body computed tomography. Blackwell Scientific Publications, London

23.

Xie CL, Zhang M, Chen Y et al (2018) Spleen and splenic vascular involvement in acute pancreatitis: an MRI study. Quant Imaging Med Surg 8:291–300. https://doi.org/10.21037/qims.2018.03.04 CrossRefPubMedPubMedCentral

24.

Zaky AM, Wolfgang CL, Weiss MJ, Javed AA, Fishman EK, Zaheer A (2017) Tumor–vessel relationships in pancreatic ductal adenocarcinoma at multidetector CT: Different classification systems and their influence on treatment planning. Radiographics 37:93–112. https://doi.org/10.1148/rg.2017160054 CrossRefPubMed

Titel: Visualization of the fat planes between the pancreas and the adjacent organs and blood vessels using multi-detector computed tomography
verfasst von: A. Djuric-Stefanovic
N. Gordanic
D. Saponjski
K. Koljensic
J. Djokic-Kovac
S. Knezevic
Publikationsdatum: 13.03.2019
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 7/2019
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-019-02214-x

Neu im Fachgebiet Radiologie

08.04.2024 | Andrologie | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Visualization of the fat planes between the pancreas and the adjacent organs and blood vessels using multi-detector computed tomography

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Radiologie

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Die Ganz-Genom-Sequenzierung startet

Update Radiologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 7/2019

Case report: absence of the right piriformis muscle in a woman

Descriptive and dynamic study of the medial patellofemoral ligament (MPFL)

Anatomical–positional relationship between the bone structure of the distal radius and flexor pollicis longus tendon using ultrasonography

Morphology and morphometry of pulmonary veins and the left atrium in multi-slice computed tomography

Vertebral artery triplication

Newer insights in the anatomy of superficial palmar arch

Neu im Fachgebiet Radiologie

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Studie bestätigt Potenzial von KI in der Radiologie

Quantitative Angiografie könnte IVUS-Alternative darstellen

Die Ganz-Genom-Sequenzierung startet

Update Radiologie