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Thoracic duct and cisterna chyli: evaluation with multidetector row CT.

M Kiyonaga¹, H Mori, S Matsumoto

¹Department of Diagnostic and Interventional Radiology, Oita University Faculty of Medicine, Oita, Japan. mkiyo@med.oita-u.ac.jp

The British Journal of Radiology

|January 19, 2012

Summary

Multidetector row CT (MDCT) with 1 mm slice thickness effectively visualizes the thoracic duct and cisterna chyli. These high-resolution images provide clear anatomical details for diagnostic purposes.

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Area of Science:

Radiology
Anatomy
Medical Imaging

Background:

The thoracic duct and cisterna chyli are critical lymphatic structures.
Detailed anatomical knowledge is essential for diagnosing lymphatic abnormalities.

Purpose of the Study:

To evaluate the capability of multidetector row CT (MDCT) in visualizing the normal anatomy of the thoracic duct and cisterna chyli.
To assess the utility of axial and multiplanar reformation (MPR) images with 1 mm slice thickness.

Main Methods:

Retrospective review of thoracoabdominal MDCT scans from 50 patients.
Analysis of axial and coronal images with 1 mm slice thickness.
Exclusion of patients with specific pathologies or surgical history.

Main Results:

Near 100% visualization of the thoracic duct and cisterna chyli was achieved.
The lower thoracic duct section showed the clearest visualization.
The cisterna chyli was most commonly located at Th12/L1 and appeared as a 'straight thin tube type'.

Conclusions:

MDCT with 1 mm slice thickness provides excellent visualization of the thoracic duct and cisterna chyli.
Axial and MPR imaging techniques are highly effective for anatomical assessment.
This imaging modality aids in understanding normal lymphatic anatomy.