A radio-anatomical correlation study of the cisterna chyli. 2018

Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
Faculty of Medicine and University Hospital, Department of Anatomy, University of Lorraine, Nancy, France.

Surgical laparoscopic procedures in the retroperitoneal and supramesocolic spaces are increasingly frequent. There is a high risk of iatrogenic intraoperative injury of the retroperitoneal lymphatic structures during these procedures. A precise understanding of the anatomy of the thoracic duct (TD) and the cisterna chyli (CC) is essential for safe surgical procedures in this area. However, routine imaging procedures rarely and often incorrectly visualize the CC. The objective of this study was to evaluate the feasibility of a retrograde injection of the TD to fill the CC with a contrast agent in 16 human cadavers. Both magnetic resonance lymphography (MRI) and computed tomography (CT) studies could be performed on the same anatomical specimen, using a contrast medium which hardened, allowing gross dissection. MRI and CT detectability were evaluated, and imaging results were compared with the anatomical dissection. The CC of 12/16 cadavers were successfully injected, and four were unsuccessful due to technical difficulties, showing the effectiveness of the method. This technique can improve understanding of the anatomy of the TD and CC and provides an original option to study the complex anatomy of these structures by correlating precise cadaveric dissections with cross-sectional imaging.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D013897 Thoracic Duct The largest lymphatic vessel that passes through the chest and drains into the SUBCLAVIAN VEIN. Cisterna Chyli,Chyli, Cisterna,Chylus, Cisterna,Cisterna Chylus,Duct, Thoracic,Ducts, Thoracic,Thoracic Ducts
D014057 Tomography, X-Ray Computed Tomography using x-ray transmission and a computer algorithm to reconstruct the image. CAT Scan, X-Ray,CT Scan, X-Ray,Cine-CT,Computerized Tomography, X-Ray,Electron Beam Computed Tomography,Tomodensitometry,Tomography, Transmission Computed,X-Ray Tomography, Computed,CAT Scan, X Ray,CT X Ray,Computed Tomography, X-Ray,Computed X Ray Tomography,Computerized Tomography, X Ray,Electron Beam Tomography,Tomography, X Ray Computed,Tomography, X-Ray Computer Assisted,Tomography, X-Ray Computerized,Tomography, X-Ray Computerized Axial,Tomography, Xray Computed,X Ray Computerized Tomography,X Ray Tomography, Computed,X-Ray Computer Assisted Tomography,X-Ray Computerized Axial Tomography,Beam Tomography, Electron,CAT Scans, X-Ray,CT Scan, X Ray,CT Scans, X-Ray,CT X Rays,Cine CT,Computed Tomography, Transmission,Computed Tomography, X Ray,Computed Tomography, Xray,Computed X-Ray Tomography,Scan, X-Ray CAT,Scan, X-Ray CT,Scans, X-Ray CAT,Scans, X-Ray CT,Tomographies, Computed X-Ray,Tomography, Computed X-Ray,Tomography, Electron Beam,Tomography, X Ray Computer Assisted,Tomography, X Ray Computerized,Tomography, X Ray Computerized Axial,Transmission Computed Tomography,X Ray Computer Assisted Tomography,X Ray Computerized Axial Tomography,X Ray, CT,X Rays, CT,X-Ray CAT Scan,X-Ray CAT Scans,X-Ray CT Scan,X-Ray CT Scans,X-Ray Computed Tomography,X-Ray Computerized Tomography,Xray Computed Tomography

Related Publications

Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
April 1974, Journal of anatomy,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
January 2011, JBR-BTR : organe de la Societe royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR),
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
November 2000, AJR. American journal of roentgenology,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
August 2007, Clinical anatomy (New York, N.Y.),
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
October 1983, Spine,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
February 1986, Der Radiologe,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
January 1997, Radiology,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
January 1962, Polski przeglad chirurgiczny,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
January 2006, Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association,
Yohann Renard, and Louis de Mestier, and Clémence Balaj, and Jean-Michel Arnoux, and Marc Labrousse, and Gabriela Hossu, and Manuela Perez
January 2009, European radiology,
Copied contents to your clipboard!