Acta Anatomica Sinica ›› 2023, Vol. 54 ›› Issue (4): 453-459.doi: 10.16098/j.issn.0529-1356.2023.04.011

• Anatomy • Previous Articles     Next Articles

Classification and clinical significance of the branching patterns of the right pulmonary arteries based on the intravital CT data

LIU  Hai-lan1  MEI  Yi-xuan1  ZHANG  Yi2  LIU  Cheng2  LIU  Shu-wei1*   

  1. 1.School of Basic Medical Sciences, Institute for Sectional Anatomy and Digital Human, Shandong University, Ji’nan 250012, China;  2.Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji’nan 250021, China
  • Received:2022-02-16 Revised:2022-04-05 Online:2023-08-06 Published:2023-08-06
  • Contact: LIU Shu-wei E-mail:zhaoxinya2000@126.com

Abstract:

Objective  To track and make statistics of the right pulmonary arteries’ branches and to study the clinical significance.   Methods  Technologies of vascular volume rending were used to analyze the 350 CT pulmonary angiography images. And the three-dimensional display was used to classify the pulmonary arteries.    Results  According to the 350 reconstructed result, the right upper pulmonary arteries were divided into 6 types: anterior trunk+ post ascending artery, anterior trunk, anterior trunk+ anterior ascending artery+ post ascending artery, superior anterior trunk + inferior anterior trunk+ post ascending artery, anterior trunk+ anterior ascending artery and superior anterior trunk+ inferior anterior trunk. The right middle pulmonary arteries were divided into 2 types: one branch  and two branches. As for the right lower pulmonary arteries, the apical arteries were divided into 3 types: one branch, two branches and three branches. The basal segmental arteries were divided into 3 types: medial basal segmentalartery+anterior basal segmental artery+lateroposterior basal segmental artery, medioanterior basal segmental artery+lateroposterior basal segmental artery and medial basal segmental artery+anterior and lateral basal segmental artery+posterior basal segmental artery. To be specific, anterior trunk+ post ascending artery type (56.6%) occupied the most in the right upper pulmonary arteries. The majority type of right middle pulmonary artery was one branch(57.4%). In the right lower pulmonary arteries, apical artery of the lower lobe (one branch)+medial basal segmental artery+anterior basal segmental artery+lateroposterior basal segmental artery type(32.5%)was most common.    Conclusion  The classification of the right pulmonary arteries based on the three dimensional reconstruction of CT pulmonary angiography is of significant to surgical precision therapy of lung tumor.

Key words: Pulmonary artery, CT pulmonary angiography, Volume rending, Anatomy, Human

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