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  •   Ιδρυματικό Αποθετήριο Πανεπιστημίου Θεσσαλίας
  • Επιστημονικές Δημοσιεύσεις Μελών ΠΘ (ΕΔΠΘ)
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Ιδρυματικό Αποθετήριο Πανεπιστημίου Θεσσαλίας
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Celiac Trunk and Hepatic Arteries: Anatomical Variations of Liver Arterial Supply as Detected with Multidetector Computed Tomography in 1,520 Patients and its Clinical Importance

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Συγγραφέας
Gkaragkounis A., Fanariotis M., Tepetes K., Fezoulidis I., Vassiou K.
Ημερομηνία
2020
Γλώσσα
en
DOI
10.1002/ca.23511
Λέξη-κλειδί
iodixanol
iomeprol
iopamidol
iopromide
algorithm
anatomical variation
aorta
aortography
Article
celiac artery
classification
contrast enhancement
follow up
gastric artery
hepatic artery
human
image reconstruction
liver hilus
liver lobe
major clinical study
multidetector computed tomography
pancreas angiography
postoperative complication
priority journal
retrospective study
superior mesenteric artery
anatomy and histology
celiac artery
diagnostic imaging
hepatic artery
liver
multidetector computed tomography
vascularization
Celiac Artery
Hepatic Artery
Humans
Liver
Mesenteric Artery, Superior
Multidetector Computed Tomography
Retrospective Studies
John Wiley and Sons Inc
Εμφάνιση Μεταδεδομένων
Επιτομή
Hepatic arterial variations are relatively common, but usually overlooked by radiologists, leading to iatrogenic complications or prolonging interventional or surgical procedures. Michels in 1966 classified hepatic arterial variations in 10 categories, based on a cadaveric study. Establishment of multidetector computed tomography (MDCT) provides useful anatomical information. The purpose of our study is to highlight these variations and to propose of a user-friendly algorithm when studying a CT examination. We studied 1,520 contrast-enhanced CTs (16-row MDCT system) during arterial phase and searched for hepatic arteries and celiac trunk (CTr) variations. CT images were postproccessed using multiplanar reconstruction, maximum intensity projection and volume rendering techniques in axial, sagittal, and coronal planes. Our results were organized according to Michels' classification. Normal anatomy was found in 72.89% of the cases and variations classified in Types II–X in 22.24%. However, 4.87% of the cases could not be classified in Michels' types. A single arterial variation was found in 22.89% of the cases and multiple arterial variations were found in 4.21% of the cases. We examined first the aorta for supernumerary branches and then checked the fissure between right and left liver lobe, following porta hepatis, and finally the CTr and superior mesenteric artery. Hepatic arteries and CTr variations are relatively common (27.11%) and should be identified by the radiologists when studying CTs as their recognition provides better surgical planning, preventing iatrogenic complications. Imaging in coronal plane was helpful for end branches, while sagittal plane was better for aortic branches. Clin. Anat., 33:1091-1101, 2020. © 2019 Wiley Periodicals, Inc. © 2019 Wiley Periodicals, Inc.
URI
http://hdl.handle.net/11615/72450
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  • Δημοσιεύσεις σε περιοδικά, συνέδρια, κεφάλαια βιβλίων κλπ. [19735]

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