Magnetic resonance-thoracic ductography: imaging aid for thoracic surgery and thoracic duct depiction based on embryological considerations

Okuda, Itsuko; Udagawa, Harushi; Takahashi, Junji; Yamase, Hiromi; Kohno, Tadasu; Nakajima, Yasuo

doi:10.1007/s11748-009-0483-4

Cited by 61 publications

(59 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Using single helical CT with a 4 mm slice thickness, Schnyder et al [12] reported that visualisation of the thoracic duct was 34%. On the other hand, use of the MRI technique for thoracic duct visualisation has previously been reported by some investigators [8,[13][14][15][16]. Imaging of the lymphatic channels, especially to the thoracic duct and cisterna chyli, has been performed with heavily T 2 weighted sequences of MRI.…”

Section: Discussionmentioning

confidence: 99%

“…Hayashi and Miyazaki [13] reported that an entire image of the thoracic duct was depicted in all six cases with a short echo spacing 3D half-Fourier fast spin echo sequence, without use of a contrast media. More recently, the [3] protocol of MR-thoracic ductography (MRTD) was introduced by Okuda et al [16]. They reported that MRTD is non-invasive and enables identification of the configuration and anatomical variation of the thoracic duct.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Thoracic duct and cisterna chyli: evaluation with multidetector row CT

Kiyonaga¹,

Mori²,

Matsumoto³

et al. 2012

The British Journal of Radiology

View full text Add to dashboard Cite

Objectives: The aim of this study was to evaluate the normal anatomy of the thoracic duct and cisterna chyli obtained by axial and multiplanar reformation (MPR) images of 1 mm slice thickness using multidetector row CT (MDCT). Methods: We evaluated the ability of MDCT to examine the normal anatomy of the thoracic duct and cisterna chyli. The axial and coronal images of thoracoabdominal MDCT images obtained in 50 patients (20 females and 30 males; mean age, 63.5 years; range, 32-81 years) were reviewed between January and October 2005. We excluded patients with malignant neoplasms, inflammation or vascular diseases (e.g. aortic aneurysm, aortic dissection) and those with a history of thoracoabdominal surgery. The thoracic duct was divided into three anatomical sections: the upper, middle and lower. We evaluated the degree of visualisation and the maximum size of the thoracic duct. We also evaluated the degree of visualisation, maximum size, configuration and location of the cisterna chyli. Results: Visualisation of the thoracic duct and cisterna chyli was almost 100% on axial and coronal images. The lower section of the thoracic duct was most clearly visualised among the three sections. There was little difference in the maximum size of the thoracic duct among the three sections. The cisterna chyli was most frequently located at the Th12 or L1 level, and the most common type was the ''straight thin tube type''. Conclusion: Axial and MPR images of 1 mm slice thickness using MDCT can clearly depict the thoracic duct and cisterna chyli.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Thoracic duct and cisterna chyli: evaluation with multidetector row CT

Kiyonaga¹,

Mori²,

Matsumoto³

et al. 2012

The British Journal of Radiology

View full text Add to dashboard Cite

show abstract

“…Noncontrast T2-weighted mapping was performed as previously described. 5 It demonstrated significant dilation of the right peribronchial lymphatic ducts and dilated, proliferative supraclavicular and lumbar lymphatic networks (Fig 1).…”

Section: Case Reportmentioning

confidence: 96%

Successful Treatment of Plastic Bronchitis by Selective Lymphatic Embolization in a Fontan Patient

Dori¹,

Keller

Rychik³

et al. 2014

Pediatrics

115

View full text Add to dashboard Cite

Plastic bronchitis is a rare and often fatal complication of singleventricle surgical palliation after total cavopulmonary connection. Although lymphatic abnormalities have been postulated to play a role in the disease process, the etiology and pathophysiology of this complication remain incompletely understood. Here we report on the etiology of plastic bronchitis in a child with total cavopulmonary connection as demonstrated by magnetic resonance (MR) lymphangiography. We also report on a new treatment of this disease. The patient underwent noncontrast T2-weighted MR lymphatic mapping and dynamic contrast MR lymphangiography with bi-inguinal intranodal contrast injection to determine the anatomy and flow pattern of lymph in his central lymphatic system. The MRI scan demonstrated the presence of a dilated rightsided peribronchial lymphatic network supplied by retrograde lymphatic flow through a large collateral lymphatic vessel originating from the thoracic duct. After careful analysis of the MRI scans we performed selective lymphatic embolization of the pathologic lymphatic network and supplying vessel. This provided resolution of plastic bronchitis for this patient. Five months after the procedure, the patient remains asymptomatic off respiratory medications. Pediatrics 2014;134:e590-e595

show abstract

“…Thus, thoracic surgeons need preoperative information on the TD. 3 The anatomical literature has described the anatomy of the TD. 4,5 It begins at the cisterna chyli, passes into the thoracic cavity through the aortic hiatus, and ascends slightly to the right of the mid-vertebral line; it then runs superiorly between the thoracic aorta and the azygos vein.…”

Section: Introductionmentioning

confidence: 99%

“…6 The TD can be visualized using magnetic resonance imaging (MRI) to emphasize lymph within the duct. 3,[7][8][9] Okuda et al 3 noted that the TD confi guration can be visualized in detail by a long echo time (TE) under respiratory gating, a technique called magnetic resonancethoracic ductography (MRTD). The TD reported in MRI studies 3,7-9 seemed to be located more to the left than that described in the general anatomical literature.…”

Section: Introductionmentioning

confidence: 99%

Depiction of the thoracic duct by magnetic resonance imaging: comparison between magnetic resonance imaging and the anatomical literature

et al. 2011

Self Cite

View full text Add to dashboard Cite

show abstract

Magnetic resonance-thoracic ductography: imaging aid for thoracic surgery and thoracic duct depiction based on embryological considerations

Abstract: MRTD allows noninvasive evaluation of TD and can be used to identify TD configuration. Thus, this technique is considered to contribute positively to safer performance of thoracic surgery.

Cited by 61 publications

References 7 publications

Thoracic duct and cisterna chyli: evaluation with multidetector row CT

Thoracic duct and cisterna chyli: evaluation with multidetector row CT

Successful Treatment of Plastic Bronchitis by Selective Lymphatic Embolization in a Fontan Patient

Depiction of the thoracic duct by magnetic resonance imaging: comparison between magnetic resonance imaging and the anatomical literature

Contact Info

Product

Resources

About