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.

Life (Basel, Switzerland)
|January 26, 2024
PubMed

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.

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