Anatomical investigation of the morphometry of the cerebral arteries using digital subtraction angiography in the Thai population

IF 1.2 4区医学 Q3 ANATOMY & MORPHOLOGY Surgical and Radiologic Anatomy Pub Date : 2024-09-18 DOI:10.1007/s00276-024-03484-w

Athikhun Suwannakhan, Ornnicha Sangkongmuang, Apichaya Samanchai, Sararat Thaitonglang, Panuwat Pattum, Waranon Monkong, Kiarttiyot Tuntiseranee, Thanyaporn Senarai

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Abstract

Purpose

The main purpose of this study was to investigate the dimensions of cerebral arteries in the Thai population using digital subtraction angiography (DSA), with a focus on the anterior cerebral artery (ACA), middle cerebral artery (MCA), and posterior cerebral artery (PCA). The research aimed to explore anatomical variations in diameters and lengths of these arteries across different sexes and age groups, which are crucial for cerebrovascular interventions.

Methods

This retrospective study measured the diameters and lengths of the ACA, MCA, and PCA in 177 Thai patients with an average age of 47.6 years (range: 11–82 years) with normal cerebral angiograms. Digital subtraction angiography (DSA) was used for the measurements.

Results

The study found significant sex-based differences in the mean diameters of the left ACA (males: 2.12 ± 0.28 mm, females: 1.92 ± 0.20 mm; p < 0.01), right MCA (males: 2.50 ± 0.25 mm, females: 2.31 ± 0.17 mm; p < 0.01), and left MCA (males: 2.44 ± 0.19 mm, females: 2.30 ± 0.17 mm; p < 0.01) with males exhibiting larger diameters. The right ACA length was significantly longer in males (15.46 ± 1.74 mm) compared to females (13.98 ± 1.92 mm; p < 0.01). While no significant age-related differences were observed in diameters, a significant increase in length with age was noted for the left ACA in the ≥ 60 years group (13.61 ± 1.64 mm) compared to the < 60 years group (12.63 ± 1.36 mm; p < 0.01). Among others, significant correlations were found between the diameters of the left ACA and right MCA (r = 0.699; p < 0.01), and a strong correlation between left ACA length and left PCA diameter (r = 0.975; p < 0.01).

Conclusion

The findings provide invaluable data for tailoring neurosurgical approaches and designing angiographic equipment for the Thai population, emphasizing the importance of considering anatomical variations in clinical practice. These results highlight the necessity for personalized medical care based on anatomical differences to improve cerebrovascular intervention outcomes.

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利用数字减影血管造影术对泰国人的脑动脉形态进行解剖学研究

目的本研究的主要目的是使用数字减影血管造影术（DSA）调查泰国人口中脑动脉的尺寸，重点是大脑前动脉（ACA）、大脑中动脉（MCA）和大脑后动脉（PCA）。这项回顾性研究测量了 177 名平均年龄 47.6 岁（范围：11-82 岁）、脑血管造影正常的泰国患者的 ACA、MCA 和 PCA 的直径和长度。结果研究发现，左侧 ACA（男性：2.12 ± 0.28 mm，女性：1.92 ± 0.20 mm；p < 0.01）、右侧 MCA（男性：2.50 ± 0.25 mm，女性：2.31 ± 0.17 mm；p <；0.01）和左侧 MCA（男性：2.44 ± 0.19 mm，女性：2.30 ± 0.17 mm；p <；0.01），男性的直径更大。男性右侧 ACA 长度（15.46 ± 1.74 毫米）明显长于女性（13.98 ± 1.92 毫米；p < 0.01）。虽然在直径方面没有观察到与年龄相关的明显差异，但与 < 60 岁组（12.63 ± 1.36 mm; p <0.01）相比，≥ 60 岁组（13.61 ± 1.64 mm）的左侧 ACA 长度随着年龄的增长而明显增加。其中，左 ACA 和右 MCA 直径之间存在明显的相关性（r = 0.699；p <；0.01），左 ACA 长度和左 PCA 直径之间存在很强的相关性（r = 0.975；p <；0.01）。这些结果凸显了根据解剖学差异进行个性化医疗护理以改善脑血管介入治疗效果的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical and Radiologic Anatomy ANATOMY & MORPHOLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

2.70

自引率

14.30%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.