Measurements and Visibility of the Pancreatic Ducts on Computed Tomography in 78 Cats Without Clinical Evidence of Pancreatitis

Abstract

Imaging is commonly used to help diagnose pancreatic disease in cats. In order to establish normal computed tomography (CT) measurements for the pancreatic ducts in cats, images of 78 cats without clinical evidence of pancreatic disease, and with normal DGGR (1,2-o-dilauryl-rac-glycero-3-glutaric acid-(6′-methylresorufin) ester lipase values, were evaluated retrospectively by two reviewers. The left pancreatic duct measured 1.4 ± 0.8 mm (mean ± standard deviation), the right pancreatic duct measured 1.1 ± 0.5 mm, and the common duct measured 1.6 ± 0.8 mm. All ducts were better visualised post-contrast, with the left pancreatic duct identified most frequently (not visualised on post-contrast images in only 3% of cases). There was visibility of the right and common hepatic ducts less frequently, not observed post-contrast in 22 and 20% of cases, respectively. The duodenal papilla measured 2.8 ± 0.7 mm in diameter. It had an HU of 43 ± 14 pre-contrast and 109 ± 32 post-contrast. It was identified in all but 6% of cases on post-contrast images. This study shows that the pancreatic ducts and duodenal papilla can be seen on post-contrast images and provides normal ranges of size for the pancreatic duct and duodenal papilla.