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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Evaluation of morphology, anatomical variation and volume of pancreas in North Indian population using MDCT
Dr. Ashok Kumar Verma, Dr. Nimisha Mishra, Dr. Arbaz Zubair, Dr. Shivam Chauhan

Aim: The purpose of this study is to demonstrate the normal anatomy of the pancreas and its variations on CT as to aid to correct diagnosis of various pancreatic pathologies. Materials and Method: All the patient coming to the department of radiodiagnosis aged 21 to 70 years with the possibility of correct identification and exact isolation of the pancreas from the adjacent structures were included in the study.Patients with CT evidence of pancreatitis or clinical history of pancreatitis,pancreatic cancer, history of pancreatic surgery or trauma, poor image quality due to motion artifacts, patients with splenomegaly or lesions of the left adrenal or left kidney exerting mass effect in the pancreatic body or tail region were excluded.Convenient sampling was used and the sample size of497 was achieved. Results: The normal range of AP diameter of head was 20 - 29 mm, AP diameter of body 14- 25mm, and AP diameter of tail 13-20mm The normal range of volume of pancreas was 43 cm-- 86cm3. The normal range of A-P diameters of head, body and tail was from (20-29) mm, (14-25) mm, and (13-20) mm respectively. With age, an increasing reduction in the anterior posterior diameters of pancreatic head, body and tail could be seen (table 3). The normal range of pancreatic volume was (43-86cc). The average pancreatic volume was slightly higher in males than in females for a particular age group. The volume of pancreas also showed correlation with anatomical variants with a p value of (0.013).Conclusion: Normograms from this data can be used for north indian ethnic population to allow radiologists to estimate more accurately the degree of atrophy or hypertrophy of organs in certain disorders thus , avoid false positive and false negative diagnosis of pathological enlargement or reduction of pancreas in clinical practice.

 
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