Virtual Whipple: preoperative surgical planning with volume-rendered MDCT images to identify arterial variants relevant to the Whipple procedure.
OBJECTIVE
The purposes of this study were to combine a thorough understanding of the technical aspects of the Whipple procedure with advanced rendering techniques by introducing a virtual Whipple procedure and to evaluate the utility of this new rendering technique in prediction of the arterial variants that cross the anticipated surgical resection plane.


CONCLUSIONS
The virtual Whipple is a novel technique that follows the complex surgical steps in a Whipple procedure. Three-dimensional reconstructed angiographic images are used to identify arterial variants for the surgeon as part of the preoperative radiologic assessment of pancreatic and ampullary tumors.
Brennan
Darren D
DD
Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd., Boston, MA 02215, USA.
Zamboni
Giulia
G
Sosna
Jacob
J
Callery
Mark P
MP
Vollmer
Charles M V
CM
Raptopoulos
Vassilios D
VD
Kruskal
Jonathan B
JB
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000792:Angiography; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D016577:Pancreaticoduodenectomy; D012189:Retrospective Studies; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014584:User-Computer Interface