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Related Experiment Video

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Longitudinal In Vivo Imaging and Quantification of Human Pancreatic Islet Grafting and Contributing Host Cells in the Anterior Eye Chamber
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Imaging in pancreatic transplants.

Matthew T Heller1, Puneet Bhargava2

  • 1Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

The Indian Journal of Radiology & Imaging
|December 10, 2014
PubMed
Summary

Pancreatic transplantation improves outcomes for diabetes mellitus patients. Ultrasound is the primary imaging tool for evaluating the transplanted pancreas and guiding interventions.

Keywords:
Diabetespancreas transplanttransplantationultrasound

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Area of Science:

  • Transplantation surgery
  • Diabetology
  • Medical imaging

Background:

  • Pancreatic transplantation is an effective treatment for advanced type I and select type II diabetes mellitus.
  • Surgical techniques, postoperative care, and immunosuppression have improved patient outcomes.
  • Transplanted pancreas evaluation requires specialized imaging expertise.

Purpose of the Study:

  • To highlight the role of imaging in evaluating pancreatic transplants.
  • To emphasize ultrasound as the preferred initial imaging modality.
  • To underscore the radiologist's importance in perioperative and postoperative care.

Main Methods:

  • Ultrasound (gray-scale and Doppler) for parenchyma, fluid collections, vascular flow, and viability.
  • Computed tomography (CT) and magnetic resonance imaging (MRI) have limited utility.
  • Ultrasound-guided percutaneous interventions.

Main Results:

  • Ultrasound effectively assesses pancreatic allograft parenchyma and detects fluid collections.
  • Doppler ultrasound evaluates vascular flow and confirms graft viability.
  • Ultrasound aids in guiding necessary percutaneous interventions.

Conclusions:

  • Ultrasound is the preferred initial imaging modality for transplanted pancreases.
  • Radiologists are crucial for perioperative and postoperative assessment of pancreatic transplants.
  • Knowledge of surgical anatomy and complications is vital for accurate interpretation.