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Virtual Whipple: Preoperative Surgical Planning with Volume-Rendered MDCT Images to Identify Arterial Variants Relevant to the Whipple Procedure

¹ Department of Radiology, Beth Israel Deaconess Medical Center, 1 Deaconess Rd., Boston, MA 02215.
² Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA.

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.

CONCLUSION. 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.

Keywords: CT angiography • CT arteriography • MDCT • pancreaticobiliary imaging

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