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Imaging evaluation of the liver using multi-detector row computed tomography in micropigs as potential living liver donors

机译:使用多探测器行计算机断层摄影术对微型猪作为潜在的活体肝脏供体进行肝脏成像评估

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摘要

The shortage of organ donors has stimulated interest in the possibility of using animal organs for transplantation into humans. In addition, pigs are now considered to be the most likely source animals for human xenotransplantation because of their advantages over non-human primates. However, the appropriate standard values for estimations of the liver of micropigs have not been established. The determination of standard values for the micropig liver using multi-detector row computed tomography (MDCT) would help to select a suitable donor for an individual patient, determine the condition of the liver of the micropigs and help predict patient prognosis. Therefore, we determined the standard values for the livers of micropigs using MDCT. The liver parenchyma showed homogenous enhancement and had no space-occupying lesions. The total and right lobe volumes of the liver were 698.57 ± 47.81 ml and 420.14 ± 26.70 ml, which are 51.74% and 49.35% of the human liver volume, respectively. In micropigs, the percentage of liver volume to body weight was approximately 2.05%. The diameters of the common hepatic artery and proper hepatic artery were 6.24 ± 0.20 mm and 4.68 ± 0.13 mm, respectively. The hepatic vascular system of the micropigs was similar to that of humans, except for the variation in the length of the proper hepatic artery. In addition, the diameter of the portal vein was 11.27 ± 0.38 mm. In conclusion, imaging evaluation using the MDCT was a reliable method for liver evaluation and its vascular anatomy for xenotransplantation using micropigs.
机译:器官供体的短缺激发了人们对使用动物器官移植到人类体内的可能性的兴趣。此外,由于与非人类灵长类动物相比,猪具有优势,因此现在认为猪是人类异种移植最可能的来源动物。但是,尚未建立用于评估小猪肝脏的适当标准值。使用多探测器行计算机断层扫描(MDCT)确定微型猪肝脏的标准值将有助于为单个患者选择合适的供体,确定微型猪肝脏的状况并帮助预测患者的预后。因此,我们使用MDCT确定了小猪肝脏的标准值。肝实质显示出均匀的增强,并且没有占位性病变。肝脏的总体积和右叶体积分别为698.57±47.81 ml和420.14±26.70 ml,分别占人体肝脏体积的51.74%和49.35%。在微型猪中,肝脏体积占体重的百分比约为2.05%。肝总动脉和肝固有动脉的直径分别为6.24±0.20 mm和4.68±0.13 mm。微型猪的肝血管系统与人类的相似,只是适当的肝动脉长度存在变化。另外,门静脉的直径为11.27±0.38mm。总之,使用MDCT进行影像学评估是一种可靠的肝脏评估方法,并且是使用微型猪进行异种移植的血管解剖学方法。

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