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Visceral and Ectopic Abdominal Fat Effect on the Calcification of the Abdominal Aorta and Its Branches-An MSCT Study
Ivan Ordulj1, Frano Šarić1, Mirko Tandara1
1Clinical Department of Diagnostic and Interventional Radiology, University Hospital of Split, Spinčićeva 1, 21000 Split, Croatia.
Insights
Visceral fat accumulation significantly impacts abdominal artery calcification, particularly in the aorta and iliac arteries. Ectopic fat showed a weaker association, with the pancreas-to-spleen ratio having no significant link.
Area of Science:
- Vascular Biology
- Medical Imaging
- Radiology
Background:
- Accumulation of visceral and ectopic fat may influence atherosclerotic calcification in abdominal arteries.
- The calcification patterns in the abdominal aorta and its branches require further investigation.
Purpose of the Study:
- To investigate the association between visceral and ectopic fat deposits and the calcification of the abdominal aorta and its major branches.
- To compare the calcification patterns among different abdominal arteries.
Main Methods:
- Retrospective analysis of abdominopelvic MSCT scans.
- Quantification of calcification volumes in the abdominal aorta, celiac trunk, superior mesenteric artery, inferior mesenteric artery, common iliac arteries, and external iliac arteries.
- Measurement of visceral fat volume and ectopic fat indicators (liver-to-spleen and pancreas-to-spleen ratios).
Main Results:
- Abdominal artery calcification was associated with visceral fat volume (strongest association) and liver-to-spleen ratio (weaker association).
- Pancreas-to-spleen ratio showed no significant association with artery calcification.
- The abdominal aorta, common iliac, and external iliac arteries exhibited higher calcification levels compared to the celiac trunk and mesenteric arteries.
Conclusions:
- Visceral fat exerts a more significant influence on abdominopelvic artery calcification than ectopic fat.
- Iliac arteries and the abdominal aorta are more prone to calcification than visceral aortic branches.
Abstract:
Visceral and ectopic fat accumulation might have an impact on the atherosclerotic calcification of abdominal arteries. The pattern of calcification of the abdominal aorta and its branches is not fully investigated. We retrospectively analyzed the abdominopelvic MSCT images and calculated calcification volumes of the abdominal aorta, celiac trunk, superior and inferior mesenteric arteries, and both common and external iliac arteries. On the same MSCT scans, a visceral fat volume and ectopic fat deposits (liver-to-spleen ratio (L/S) and pancreas-to-spleen (P/S) ratio) were also measured. The results showed that calcifications of the abdominal aorta and its branches were associated with visceral fat volume, less strongly associated with L/S, and not associated with the P/S ratio. The abdominal aorta, the common iliac and external iliac arteries were more calcified arteries compared to the celiac trunk and superior and mesenterial arteries. In conclusion, visceral fat has a stronger effect on abdominopelvic arteries' calcification than ectopic fat. Visceral aortic branches are generally less calcified than iliac arteries.
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