Faculty Collaboration Database

Arterial variants in pancreatic adenocarcinoma. Abdom Imaging 2008;33(2):214-21

Date

04/17/2007

Pubmed ID

17435979

DOI

10.1007/s00261-007-9235-z

Scopus ID

2-s2.0-41949131007 (requires institutional sign-in at Scopus site)   35 Citations

Abstract

Surgery remains the only curative option for the treatment of pancreatic adenocarcinoma. Local tumor resectability depends on a number of factors, but most importantly, the relationship of the tumor to adjacent arterial structures. For example, surgery is rarely performed when the tumor involves the celiac axis or the superior mesenteric artery. Unexpected variant arterial anatomy or tumor involvement of aberrant arteries may complicate pancreatic surgery. The classic visceral arterial anatomy occurs in only 55%-60% of the population, with one or more variant vessels occurring in the remaining population. Knowledge of both variant and normal anatomy is essential for accurate preoperative planning. We describe here the arterial variant anatomy of the pancreas and its identification by multidetector CT imaging, with and without the aid of post-processed volume-rendered images.

Author List

Balachandran A, Darden DL, Tamm EP, Faria SC, Evans DB, Charnsangavej C

Author

Douglas B. Evans MD Chair, Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adenocarcinoma
Celiac Artery
Contrast Media
Humans
Image Processing, Computer-Assisted
Mesenteric Arteries
Pancreas
Pancreatic Neoplasms
Radiographic Image Enhancement
Tomography, X-Ray Computed