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The evaluation of vasculature in post-mortem angio-computed tomography for anatomy research purposes: method description based on celiac trunk analysis
, 1, 1, 1, 2, 1, 1, 2
Affiliations- Department of Anatomy, Jagiellonian University Medical College, Krakow, Poland
- Department of Forensic Medicine, Jagiellonian University Medical College, Krakow, Poland
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Abstract
Background: Anatomical research based on deceased body specimens is a time-consuming process that requires a great deal of skill and time to perform correctly. Three-dimensional medical image analysis is an excellent tool for anatomic evaluation, but it often includes patients with comorbidities in the study group, which can skew the results. The purpose of this study was to develop and evaluate methods for anatomic research based on postmortem contrast-enhanced computed tomography angiography 3D reconstruction of the celiac trunk.
Materials and methods: Postmortem contrast-enhanced computed tomography angiography of 105 (28.6% female, age 50.8±18.7) decedents without abdominal trauma or tumor was analyzed. The abdominal portion of the aorta and the celiac trunk with its branches were reconstructed and evaluated. The type of celiac trunk was evaluated. The results were analyzed.
Results: The celiac trunk, splenic artery, and common hepatic artery were visualized in all cases. The left gastric artery was visible in 97.1% of cases. The dorsal pancreatic artery was visualized in 61.0% of cases. The most common type of celiac trunk was 1 (88.6%), and the rarest types were 2, 3, and 6 (1.0%). We observed 4 morphologies of the truncus celiacus that did not fit the classification presented previously.
Conclusions: This study has demonstrated that three-dimensional reconstruction of postmortem contrast-enhanced computed tomography is an excellent tool for performing accurate morphometric analyzes for anatomic research purposes. This method can serve as a source for anatomic studies in the healthy population.
Abstract
Background: Anatomical research based on deceased body specimens is a time-consuming process that requires a great deal of skill and time to perform correctly. Three-dimensional medical image analysis is an excellent tool for anatomic evaluation, but it often includes patients with comorbidities in the study group, which can skew the results. The purpose of this study was to develop and evaluate methods for anatomic research based on postmortem contrast-enhanced computed tomography angiography 3D reconstruction of the celiac trunk.
Materials and methods: Postmortem contrast-enhanced computed tomography angiography of 105 (28.6% female, age 50.8±18.7) decedents without abdominal trauma or tumor was analyzed. The abdominal portion of the aorta and the celiac trunk with its branches were reconstructed and evaluated. The type of celiac trunk was evaluated. The results were analyzed.
Results: The celiac trunk, splenic artery, and common hepatic artery were visualized in all cases. The left gastric artery was visible in 97.1% of cases. The dorsal pancreatic artery was visualized in 61.0% of cases. The most common type of celiac trunk was 1 (88.6%), and the rarest types were 2, 3, and 6 (1.0%). We observed 4 morphologies of the truncus celiacus that did not fit the classification presented previously.
Conclusions: This study has demonstrated that three-dimensional reconstruction of postmortem contrast-enhanced computed tomography is an excellent tool for performing accurate morphometric analyzes for anatomic research purposes. This method can serve as a source for anatomic studies in the healthy population.
Keywords
post-mortem CT, celiac trunk, post-mortem 3D visualisation, RadiAnt
About this articleTitle
The evaluation of vasculature in post-mortem angio-computed tomography for anatomy research purposes: method description based on celiac trunk analysis
Journal
Issue
Article type
Original article
Published online
2023-08-04
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312
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198
DOI
Pubmed
Keywords
post-mortem CT
celiac trunk
post-mortem 3D visualisation
RadiAnt
Authors
Jakub Batko
Radosław Chmiel
Aleksiej Juszczak
Jerzy Walocha
Artur Moskała
Michał Bonczar
Artur Pasternak
Krzysztof Woźniak
References (14)- Araujo Neto SA, Franca HA, de Mello Júnior CF, et al. Anatomical variations of the celiac trunk and hepatic arterial system: an analysis using multidetector computed tomography angiography. Radiol Bras. 2015; 48(6): 358–362.
- Cogliano VJ, Grosse Y, Baan RA, et al. Working Group for Volume 88. Meeting report: summary of IARC monographs on formaldehyde, 2-butoxyethanol, and 1-tert-butoxy-2-propanol. Environ Health Perspect. 2005; 113(9): 1205–1208.
- Dimenstein I. A pragmatic approach to formalin safety in anatomical pathology: table 1. Lab Med. 2009; 40(12): 740–746.
- Grabherr S, Heinemann A, Vogel H, et al. Postmortem CT angiography compared with autopsy: a forensic multicenter study. Radiology. 2018; 288(1): 270–276.
- Juszczak A, Czyżowski J, Mazurek A, et al. Anatomical variants of coeliac trunk in Polish population using multidetector computed tomography angiography. Folia Morphol. 2021; 80(2): 290–296.
- Juszczak A, Czyżowski J, Mazurek A, et al. Unusual variations in the branching pattern of the coeliac trunk and their clinical significance. Folia Morphol. 2021; 80(2): 283–289.
- Juszczak A, Mazurek A, Walocha JA, et al. Coeliac trunk and its anatomic variations: a cadaveric study. Folia Morphol. 2021; 80(1): 114–121.
- Marco-Clement I, Martinez-Barco A, Ahumada N, et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat. 2016; 38(4): 501–510.
- Marco-Clement I, Martinez-Barco A, Ahumada N, et al. Anatomical variations of the celiac trunk: cadaveric and radiological study. Surg Radiol Anat. 2016; 38(4): 501–510.
- Mazurek A, Juszczak A, Walocha JA, et al. Rare combined variations of the coeliac trunk, accessory hepatic and gastric arteries with co-occurrence of double cystic arteries. Folia Morphol. 2021; 80(2): 460–466.
- Olewnik Ł, Wysiadecki G, Polguj M, et al. Types of coeliac trunk branching including accessory hepatic arteries: a new point of view based on cadaveric study. Folia Morphol. 2017; 76(4): 660–667.
- Pinal-Garcia DF, Nuno-Guzman CM, Gonzalez-Gonzalez ME, et al. The celiac trunk and its anatomical variations: a cadaveric study. J Clin Med Res. 2018; 10(4): 321–329.
- Punja R, Punja D. Exploration of the coeliac trunk for its morphometry and positional relationships using cadaveric and radiological methods. Transl Res Anat. 2021; 24: 100116.
- Woźniak K, Rzepecka-Woźniak E, Moskała A, et al. Weapon identification using antemortem computed tomography with virtual 3D and rapid prototype modeling — a report in a case of blunt force head injury. Forensic Sci Int. 2012; 222(1-3): e29–e32.
