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Evaluation of the celiac trunk and its branching pattern by magnetic resonance angiography
Annals of Anatomy ( IF 2.2 ) Pub Date : 2024-01-29 , DOI: 10.1016/j.aanat.2024.152222
Necmi KESKIN , Belgin BAMAC , Ozgur CAKIR , Ercument CIFTCI , Tuncay COLAK , Cagatay BARUT

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. 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. 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). 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.

中文翻译:

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。回顾性分析了 185 例在 PACS(图片存档通信系统)中进行腹部成像的患者的 MR 血管造影图像。根据脊柱、起源角度、CT与腹主动脉(AA)分支之间的距离以及CT的分支模式来评估CT的起源水平。根据性别和年龄评估参数。根据脊柱,最常见的 CT 起源部位被发现是男女的 T12-L1。在整个研究组中,年龄和 CT 矢状角 (SA) 之间存在较低的正相关性 (p<0.05)。根据 Adachi 和 Uflkacker 的分类,男女最常见的 CT 分支模式是肝胃脾干。男性CT至肠系膜下动脉(IMA)、CT至主动脉分叉(AB)的距离均大于女性,差异有统计学意义(p<0.05)。了解 CT 的位置、位置和变化对于针对该血管和相关结构进行干预类型的诊断、鉴别诊断和决策机制至关重要。此外,由于图像质量的提高,通过磁共振血管造影可以获得这些血管的数据,这将避免患者和医生受到计算机断层扫描电离辐射引起的问题。所提供的数据将构成对每位患者进行详细和个性化解释和评估的基础,因为它们使用 MRA 提供了有关性别和年龄的 CT 配置的重要详细信息。
更新日期:2024-01-29
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