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Diameters of lingual, facial, and maxillary arteries measured according to an objective protocol on 3D computed tomography angiography images

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Abstract

Purpose

Retrograde superselective intra-arterial chemoradiotherapy is a radical treatment for advanced oral cancer. The catheter tip is placed into tumor-feeding arteries—the lingual, facial, or maxillary arteries. The diameter of the tumor-feeding arteries newly bifurcated from the external carotid artery is crucial for determining the requirement of a catheter navigation system. This study aimed to measure the diameter and distribution of the tumor-feeding artery according to an objective protocol using 3D computed tomography angiography images reproducibly.

Methods

Angiographic data of 20 noncatheterized carotid arteriesof 10 randomly selected patients were analyzed. We followed the external carotid artery to the entrance of each feeding artery to determine the center point where the artery diameter was measured. The diameter of the optimum circle measured at the adopted center point was taken as the diameter of each tumor-feeding artery.

Results

The diameters (mean ± standard deviation) were 3.5 ± 0.45, 2.9 ± 0.56, and 3.5 ± 0.56 mm for the maxillary, lingual, and facial arteries, respectively. The diameters of the maxillary and facial arteries were similar (p = 0.877), whereas the diameter of the lingual artery was smaller than that of the maxillary and facial arteries (p < 0.001).

Conclusion

The findings of this study will be beneficial in determining the need of a new catheter navigation system and diameter of catheters to be used in the clinical practice. From the viewpoint of measurement automation and reproducibility, 3DCTA vessel measurement taken according to the proposed protocol was considered to be effective.

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Acknowledgements

This study was funded by the Japan Society for the Promotion of Science KAKENHI (JP20H04553). The authors would like to thank Enago (www.enago.jp) for the manuscript review and editing support.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan

    Takashi Ohya, Toshiyuki Koizumi & Kenji Mitsudo

  2. Graduate School of Engineering, The University of Tokyo, Tokyo, Japan

    Ichiro Sakuma, Wenran Cai & Etsuko Kobayashi

Authors
  1. Takashi Ohya
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  2. Ichiro Sakuma
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  3. Wenran Cai
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  4. Etsuko Kobayashi
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  5. Toshiyuki Koizumi
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  6. Kenji Mitsudo
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by TO. The first draft of the manuscript was written by TO and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Takashi Ohya.

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The authors declare that they have no conflicts of interest.

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All procedures performed in studies involving human data were in accordance with the ethical standards of the Institutional and National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ohya, T., Sakuma, I., Cai, W. et al. Diameters of lingual, facial, and maxillary arteries measured according to an objective protocol on 3D computed tomography angiography images. Int J CARS 19, 303–308 (2024). https://doi.org/10.1007/s11548-023-02992-1

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  • DOI: https://doi.org/10.1007/s11548-023-02992-1

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