Pancreas

Question 0

Relation of the pancreatic neck

Answer 0

Posterior: Portal vein

Question 1

Relations of the head and uncinate process

Answer 1

Posterior: IVC and renal veins and L2
Anterior: SMA SMV
Laterally: D1-3

Question 2

Relations of the pancreatic body

Answer 2

Inferior: Splenic vein. Joins IMV

Question 3

Arterial supply of the pancreas

Answer 3

Coeliac Axis and SMA

Head: anterior and posterior superior pancreatic duodenal artery.

Body and tail: Branches of the splenic artery.

Question 4

Where does the pancreas lay vertically in relation to the aorta

Answer 4

Usually between the coeliac axis and SMA

Question 5

How does the lymphatic drainage of the head differ from the body and tail

Answer 5

Head: pancreatoduodenal juxta-aortic porta hepatis

Body/Tail: splenic hilar. Supra pancreatic and intrapancratic

Question 6

Describe three phases I used in pancreatic CT

Answer 6

Arterial : hyper vascular tumours (endocrine)
Pancreatic Parenchymal: vascular anatomy
Portal: hypo vascular tumours (Adenocarcinoma)

Question 7

Where is the CBD on an axial CT located

Answer 7

Low attenuating area head of pancreas.

Medial will be the portal vein. And SMA
Immediately posterior should be the IVC

Question 8

How do you identify the gastroduodenal artery on Ct

Answer 8

On an axial slice at level of kidneys and SMA branch L1

Very subtle hyper attenuation lateral the the head of the pancreas in a cranio caudal orientation

Question 9

Clues to identify T1/T2/T1 fat suppressed images

Answer 9

T2: fluid in spinal column white
T1: opposite. Skin and subcutaneous fat is white
T1: fat suppressed. Sub cut dark

Question 10

List the four most common pancreatic anomalies

Answer 10

Annular/Semi Annular Pancreas: Pancreas circles around the duodenum

Pancreas Divisum: failure to fuse

Ectopic Pancreas

Short Pancreas

Question 11

Where can other ectopic pancreatic tissue be seen.

Answer 11

Anywhere in the GI tract

More commonly in proximal duodenum and gastric Antrum