O'Regan Patrick W, Mhuircheartaigh Jennifer M Ní, Scanlon Timothy G, Shelly Martin J
Department of Radiology, University Hospital Limerick, St. Nessan's Road, Dooradoyle, Limerick, Ireland.
School of Medicine, University of Limerick, Limerick, Ireland.
Clin Colon Rectal Surg. 2022 Aug 14;35(4):328-337. doi: 10.1055/s-0042-1744481. eCollection 2022 Jul.
The recent description and re-classification of the mesentery as an organ prompted renewed interest in its role in physiological and pathological processes. With an improved understanding of its anatomy, accurately and reliably assessing the mesentery with non-invasive radiological investigation becomes more feasible. Multi-detector computed tomography is the main radiological modality employed to assess the mesentery due to its speed, widespread availability, and diagnostic accuracy. Pathologies affecting the mesentery can be classified as primary or secondary mesenteropathies. Primary mesenteropathies originate in the mesentery and subsequently progress to involve other organ systems (e.g., mesenteric ischemia or mesenteric volvulus). Secondary mesenteropathies describe disease processes that originate elsewhere and progress to involve the mesentery with varying degrees of severity (e.g., lymphoma). The implementation of standardized radiological imaging protocols, nomenclature, and reporting format with regard to the mesentery will be essential in improving the assessment of mesenteric anatomy and various mesenteropathies. In this article, we describe and illustrate the current state of art in respect of the radiological assessment of the mesentery.
最近将肠系膜重新描述并归类为一个器官，引发了人们对其在生理和病理过程中作用的新兴趣。随着对其解剖结构的进一步了解，通过无创放射学检查准确可靠地评估肠系膜变得更加可行。多排螺旋计算机断层扫描因其速度快、普及性高和诊断准确性，是评估肠系膜的主要放射学方式。影响肠系膜的病变可分为原发性或继发性肠系膜病变。原发性肠系膜病变起源于肠系膜，随后发展累及其他器官系统（如肠系膜缺血或肠系膜扭转）。继发性肠系膜病变描述的是起源于其他部位并发展至不同程度累及肠系膜的疾病过程（如淋巴瘤）。关于肠系膜的标准化放射学成像方案、命名法和报告格式的实施，对于改善肠系膜解剖结构和各种肠系膜病变的评估至关重要。在本文中，我们描述并展示了肠系膜放射学评估的当前技术水平。
