دورية أكاديمية
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Comprehensive review of imaging in pancreas transplantation: a primer for radiologists.

التفاصيل البيبلوغرافية
العنوان: Comprehensive review of imaging in pancreas transplantation: a primer for radiologists.
المؤلفون: Srinivas Rao S; Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, Boston, MA, 02114-2696, USA., Pandey A; Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, Boston, MA, 02114-2696, USA., Mroueh N; Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, Boston, MA, 02114-2696, USA.; Department of Internal Medicine, Allegheny General Hospital, Pittsburgh, PA, 15212, USA., Elias N; Department of Surgery, Transplantation Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 02114-2696, USA., Katabathina VS; Department of Radiology, University of Texas Health at San Antonio, Floyd Curl Drive, 7703, San Antonio, TX, 78229, USA., Kambadakone A; Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, White 270, Boston, MA, 02114-2696, USA. akambadakone@mgh.harvard.edu.
المصدر: Abdominal radiology (New York) [Abdom Radiol (NY)] 2024 Jul; Vol. 49 (7), pp. 2428-2448. Date of Electronic Publication: 2024 Jun 20.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 101674571 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2366-0058 (Electronic) NLM ISO Abbreviation: Abdom Radiol (NY) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Springer, [2016]-
مواضيع طبية MeSH: Pancreas Transplantation*/methods , Postoperative Complications*/diagnostic imaging, Humans ; Diabetes Mellitus, Type 1/diagnostic imaging ; Diagnostic Imaging/methods ; Pancreas/diagnostic imaging
مستخلص: Pancreas transplantation is a complex surgical procedure performed to restore normoglycemia in patients with type 1 diabetes and includes whole/segmental organ transplant and islet cell transplantation (ICT). In the United States, simultaneous pancreas-kidney transplant (SPK) is most commonly performed due to the higher occurrence of end-stage renal disease in diabetic patients. Understanding the surgical technique and postoperative anatomy is imperative for effective and accurate surveillance following transplantation. Imaging plays an essential role in patients with pancreatic transplants and is often used to evaluate viability, vascular and parenchymal anatomy, and identify potential complications. Imaging techniques such as ultrasound, color and spectral Doppler, computed tomography (CT), magnetic resonance imaging (MRI), and angiography have a complementary role in the postoperative evaluation following a pancreas transplant. The common complications after a whole organ pancreas transplant include vascular thrombosis, graft rejection, pancreatitis, and infections. Complications can be classified into vascular (partial or complete venous thrombosis, arterial thrombosis, stenosis or pseudoaneurysm), parenchymal (pancreatitis, graft rejection), and bowel-related or miscellaneous causes (bowel obstruction, anastomotic leak, and peripancreatic fluid collections). Islet cell transplantation is an innovative therapy for patients with type 1 diabetes. It involves isolating insulin-producing islet cells from donor pancreas and transplanting into recipients, to provide long-term insulin independence or significantly reduce insulin requirements. In recent years, isolation techniques, immunosuppressive regimens, and post-transplant monitoring advancements have propelled ICT as a viable therapeutic option. This comprehensive review aims to provide insights into the current state-of-the-art imaging techniques discussing both normal and abnormal features following pancreas transplantation.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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فهرسة مساهمة: Keywords: CT; MRI; Pancreas allograft; Pancreas transplantation; Post transplantation complications; Simultaneous pancreas-kidney transplant
تواريخ الأحداث: Date Created: 20240620 Date Completed: 20240729 Latest Revision: 20240729
رمز التحديث: 20240729
DOI: 10.1007/s00261-024-04383-9
PMID: 38900315
قاعدة البيانات: MEDLINE
الوصف
تدمد:2366-0058
DOI:10.1007/s00261-024-04383-9