Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy
AIM:To assess the efficacy of cross-sectional multidetector computed tomography(MDCT) imaging without arterialreconstruction to identify aberrant right hepatic artery(RHA) and celiac artery stenosis(CAS) in patients scheduled for pancreaticoduodenectomy.METHODS:Patients with peri-ampullary and pancr...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2015-01, Vol.21 (3), p.969-976 |
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| container_title | World journal of gastroenterology : WJG |
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| creator | Yang, Feng Di, Yang Li, Ji Wang, Xiao-Yi Yao, Lie Hao, Si-Jie Jiang, Yong-Jian Jin, Chen Fu, De-Liang |
| description | AIM:To assess the efficacy of cross-sectional multidetector computed tomography(MDCT) imaging without arterialreconstruction to identify aberrant right hepatic artery(RHA) and celiac artery stenosis(CAS) in patients scheduled for pancreaticoduodenectomy.METHODS:Patients with peri-ampullary and pancreatic head tumors who underwent routine preoperative MDCT and subsequent computed tomography(CT) angiography(CTA),conventional angiography or pancreaticoduodenectomy between September 2007 and August 2013 were identified.Retrospective analysis of imaging data was undertaken using CTA,conventional angiographic and surgical findings as the reference standards.The accuracy,sensitivity,specificity,positive predictive value(PPV) and negative predictive value(NPV) of MDCT in evaluation of aberrant RHA and CAS were calculated.RESULTS:A group of 458 patients met the inclusion criteria of this study to detect aberrant RHA,and 181 cases were included to identify CAS.Fifty-four(11.8%) patients were confirmed to have aberrant RHA,while 12(6.6%) patients with CAS were demonstrated.MDCT yielded an accuracy of 98.5%,sensitivity of 96.3% and specificity of 98.8% in the detection of aberrant RHA.The sensitivity,specificity,PPV and NPV of MDCT for detecting CAS were 58.3%,98.2%,70% and 97.1%,respectively.CONCLUSION:Routine MDCT is recommended such that surgeons and radiologists be alerted to the importance of arterial variants on preoperative CT scans in patients scheduled for pancreaticoduodenectomy. |
| doi_str_mv | 10.3748/wjg.v21.i3.969 |
| format | Article |
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Published by Baishideng Publishing Group Inc. All rights reserved. 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-ece8ad08f8bab82ea38adc285e8fd9673696f7b7fa7386e8246ab69927d4e55d3</citedby><cites>FETCH-LOGICAL-c500t-ece8ad08f8bab82ea38adc285e8fd9673696f7b7fa7386e8246ab69927d4e55d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299351/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299351/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25624732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Feng</creatorcontrib><creatorcontrib>Di, Yang</creatorcontrib><creatorcontrib>Li, Ji</creatorcontrib><creatorcontrib>Wang, Xiao-Yi</creatorcontrib><creatorcontrib>Yao, Lie</creatorcontrib><creatorcontrib>Hao, Si-Jie</creatorcontrib><creatorcontrib>Jiang, Yong-Jian</creatorcontrib><creatorcontrib>Jin, Chen</creatorcontrib><creatorcontrib>Fu, De-Liang</creatorcontrib><title>Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>AIM:To assess the efficacy of cross-sectional multidetector computed tomography(MDCT) imaging without arterialreconstruction to identify aberrant right hepatic artery(RHA) and celiac artery stenosis(CAS) in patients scheduled for pancreaticoduodenectomy.METHODS:Patients with peri-ampullary and pancreatic head tumors who underwent routine preoperative MDCT and subsequent computed tomography(CT) angiography(CTA),conventional angiography or pancreaticoduodenectomy between September 2007 and August 2013 were identified.Retrospective analysis of imaging data was undertaken using CTA,conventional angiographic and surgical findings as the reference standards.The accuracy,sensitivity,specificity,positive predictive value(PPV) and negative predictive value(NPV) of MDCT in evaluation of aberrant RHA and CAS were calculated.RESULTS:A group of 458 patients met the inclusion criteria of this study to detect aberrant RHA,and 181 cases were included to identify CAS.Fifty-four(11.8%) patients were confirmed to have aberrant RHA,while 12(6.6%) patients with CAS were demonstrated.MDCT yielded an accuracy of 98.5%,sensitivity of 96.3% and specificity of 98.8% in the detection of aberrant RHA.The sensitivity,specificity,PPV and NPV of MDCT for detecting CAS were 58.3%,98.2%,70% and 97.1%,respectively.CONCLUSION:Routine MDCT is recommended such that surgeons and radiologists be alerted to the importance of arterial variants on preoperative CT scans in patients scheduled for pancreaticoduodenectomy.</description><subject>Aged</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>artery;Ce</subject><subject>Celiac Artery - diagnostic imaging</subject><subject>Constriction, Pathologic</subject><subject>Female</subject><subject>hepatic</subject><subject>Hepatic Artery - abnormalities</subject><subject>Hepatic Artery - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Observational Study</subject><subject>Pancreatic Neoplasms - diagnostic imaging</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>Pancreaticoduodenectomy;Aberrant</subject><subject>Patient Selection</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Vascular Malformations - diagnostic imaging</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1r3DAQhkVpaLabXnssOvZiV9aHLV0KIfQLAr0kZyHLY6-CbTmSvMU_oP-7WrJdWoGYEfPOM4NehN5XpGQNl59-PQ3lkValY6Wq1Su0o7RSBZWcvEa7ipCmUIw21-htjE-EUMYEfYOuqagpbxjdod-31q7B2A37Hge_JjcDntYxuQ4S2OQDtn5a1gQdTn7yQzDLYcspzoI5uX7DJiQIzoz4aHKYU8RuxotJDk55tAfo1jG395m1mNkGyDXru9VnwmnEtN2gq96MEd6d4x49fv3ycPe9uP_57cfd7X1hBSGpAAvSdET2sjWtpGBYfloqBci-U3XDalX3Tdv0pmGyBkl5bdpaKdp0HITo2B59fuEuaztBZ_OGwYx6CW4yYdPeOP1_ZXYHPfij5lQpJqoM-HgGBP-8Qkx6ctHCOJoZ_Bp1VQvKKybzR-9R-SK1wccYoL-MqYg-eaezdzp7px3T2bvc8OHf5S7yv2ZlATsTD34ent08XDSKyNNRgnDJlWBciipfIjj7A7oSq98</recordid><startdate>20150121</startdate><enddate>20150121</enddate><creator>Yang, Feng</creator><creator>Di, Yang</creator><creator>Li, Ji</creator><creator>Wang, Xiao-Yi</creator><creator>Yao, Lie</creator><creator>Hao, Si-Jie</creator><creator>Jiang, Yong-Jian</creator><creator>Jin, Chen</creator><creator>Fu, De-Liang</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150121</creationdate><title>Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy</title><author>Yang, Feng ; Di, Yang ; Li, Ji ; Wang, Xiao-Yi ; Yao, Lie ; Hao, Si-Jie ; Jiang, Yong-Jian ; Jin, Chen ; Fu, De-Liang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-ece8ad08f8bab82ea38adc285e8fd9673696f7b7fa7386e8246ab69927d4e55d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>artery;Ce</topic><topic>Celiac Artery - diagnostic imaging</topic><topic>Constriction, Pathologic</topic><topic>Female</topic><topic>hepatic</topic><topic>Hepatic Artery - abnormalities</topic><topic>Hepatic Artery - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Observational Study</topic><topic>Pancreatic Neoplasms - diagnostic imaging</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy - adverse effects</topic><topic>Pancreaticoduodenectomy;Aberrant</topic><topic>Patient Selection</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Vascular Malformations - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Yang, Feng</creatorcontrib><creatorcontrib>Di, Yang</creatorcontrib><creatorcontrib>Li, Ji</creatorcontrib><creatorcontrib>Wang, Xiao-Yi</creatorcontrib><creatorcontrib>Yao, Lie</creatorcontrib><creatorcontrib>Hao, Si-Jie</creatorcontrib><creatorcontrib>Jiang, Yong-Jian</creatorcontrib><creatorcontrib>Jin, Chen</creatorcontrib><creatorcontrib>Fu, De-Liang</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Feng</au><au>Di, Yang</au><au>Li, Ji</au><au>Wang, Xiao-Yi</au><au>Yao, Lie</au><au>Hao, Si-Jie</au><au>Jiang, Yong-Jian</au><au>Jin, Chen</au><au>Fu, De-Liang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World Journal of Gastroenterology</addtitle><date>2015-01-21</date><risdate>2015</risdate><volume>21</volume><issue>3</issue><spage>969</spage><epage>976</epage><pages>969-976</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>AIM:To assess the efficacy of cross-sectional multidetector computed tomography(MDCT) imaging without arterialreconstruction to identify aberrant right hepatic artery(RHA) and celiac artery stenosis(CAS) in patients scheduled for pancreaticoduodenectomy.METHODS:Patients with peri-ampullary and pancreatic head tumors who underwent routine preoperative MDCT and subsequent computed tomography(CT) angiography(CTA),conventional angiography or pancreaticoduodenectomy between September 2007 and August 2013 were identified.Retrospective analysis of imaging data was undertaken using CTA,conventional angiographic and surgical findings as the reference standards.The accuracy,sensitivity,specificity,positive predictive value(PPV) and negative predictive value(NPV) of MDCT in evaluation of aberrant RHA and CAS were calculated.RESULTS:A group of 458 patients met the inclusion criteria of this study to detect aberrant RHA,and 181 cases were included to identify CAS.Fifty-four(11.8%) patients were confirmed to have aberrant RHA,while 12(6.6%) patients with CAS were demonstrated.MDCT yielded an accuracy of 98.5%,sensitivity of 96.3% and specificity of 98.8% in the detection of aberrant RHA.The sensitivity,specificity,PPV and NPV of MDCT for detecting CAS were 58.3%,98.2%,70% and 97.1%,respectively.CONCLUSION:Routine MDCT is recommended such that surgeons and radiologists be alerted to the importance of arterial variants on preoperative CT scans in patients scheduled for pancreaticoduodenectomy.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>25624732</pmid><doi>10.3748/wjg.v21.i3.969</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Arterial Occlusive Diseases - diagnostic imaging artery Ce Celiac Artery - diagnostic imaging Constriction, Pathologic Female hepatic Hepatic Artery - abnormalities Hepatic Artery - diagnostic imaging Humans Male Middle Aged Multidetector Computed Tomography Observational Study Pancreatic Neoplasms - diagnostic imaging Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Pancreaticoduodenectomy Aberrant Patient Selection Predictive Value of Tests Preoperative Care Reproducibility of Results Retrospective Studies Risk Factors Vascular Malformations - diagnostic imaging |
| title | Accuracy of routine multidetector computed tomography to identify arterial variants in patients scheduled for pancreaticoduodenectomy |
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