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

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Abstract

Purpose

The aim of this study was to compare thoracic duct (TD) configuration depicted by magnetic resonance imaging (MRI) with TD configuration described in the anatomical literature.

Materials and methods

MRI Scans were acquired with a three-dimensional T2-weighted turbo spin echo (TSE) MRI with a two-dimensional prospective acquisition correction (PACE) technique in 63 patients. We found with MRI that TD displacement occurred more on the left side than that reported in the anatomical literature, and this tendency was more marked in elderly patients. In patients with marked leftward TD displacement, the TD configuration on MRI was compared to the descending aortic configuration on chest radiography. The degree of correspondence between the MRI findings and the anatomical literature was assessed by a χ2 goodness-of-fit test, and P < 0.05 indicated a significant difference. The degree of similarity was determined between TD configuration and aortic configuration by Kendall’s coefficient of concordance (W).

Results

On MRI scans the TD was often located to the left of the mid-vertebral line compared to the location reported in the anatomical literature (P < 0.001). Nine patients had marked leftward TD displacement, a configuration similar to that of the descending aorta (W = 1); however, no association with age was established.

Conclusion

The TD configuration depicted by MRI differed from that described in the anatomical literature.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo, 105-8470, Japan

    Itsuko Okuda

  2. Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan

    Harushi Udagawa

  3. Department of Anatomy, St. Marianna University School of Medicine, Kawasaki, Japan

    Kazuaki Hirata

  4. Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Japan

    Itsuko Okuda & Yasuo Nakajima

Authors
  1. Itsuko Okuda
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  2. Harushi Udagawa
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  3. Kazuaki Hirata
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  4. Yasuo Nakajima
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Corresponding author

Correspondence to Itsuko Okuda.

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Okuda, I., Udagawa, H., Hirata, K. et al. Depiction of the thoracic duct by magnetic resonance imaging: comparison between magnetic resonance imaging and the anatomical literature. Jpn J Radiol 29, 39–45 (2011). https://doi.org/10.1007/s11604-010-0515-0

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  • DOI: https://doi.org/10.1007/s11604-010-0515-0

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