3D MODELING CAPABILITIES IN ASSESSING THE ARCHITECTONICS OF THE INTERNAL ILIAC ARTERY
Abstract
Objective is to study the architectonics variants of the internal iliac artery (IIA), its main branches, to determine clinically significant atypical variants, to estimate their frequency and applied significance using 3D modeling (based on CT-angiography data).
Material and methods. We retrospectively analyzed the results of multiphase spiral computed tomographic angiography (MSCTA) with the formation of 3D models (n=100) in the "3D Slicer" program (www.3dslicer.org). According to the data of threedimensional image of the arterial bed, guided by the topographic features of the main branches of the IIA, only its well visualized branches were evaluated: anterior and posterior trunks (AT and PT), the obturator artery (OA), the inferior gluteal artery (IGA), the superior gluteal artery (SGA), the internal pudendal artery (IPA), the ilio-lumbar artery (ILA), and the lateral sacral arteries (LSA).
Results. The IIA had typical architectonics in the majority of cases (63%) and atypical in 37% of cases. In a typical architectonics the AT branches were OA, IGA, IPA, and the PT branches were SGA, ILA, and LSA. We identified 9 atypical variants which were divided into 3 groups. The first group is related to the peculiarities of the IGA and IPA branches. The second group concerns the peculiarities of OA origin, which, unlike the typical variant, started from the PT or directly from the main trunk of the IIA. The third group includes the variants of ILA branching directly from the main IIA trunk.
Conclusions. The IIA and its branches have a wide range of branching options.
About the Authors
I. V. Gaivoronsky
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ; ФГБОУ ВО «Санкт-Петербургский государственный университет»
Russian Federation
Russian Federation
V. N. Rumyantsev
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ
Russian Federation
Russian Federation
D. A. Surov
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ
Russian Federation
Russian Federation
G. I. Sinenchenko
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ
Russian Federation
Russian Federation
G. I. Nichiporuk
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ; ФГБОУ ВО «Санкт-Петербургский государственный университет»
Russian Federation
Russian Federation
O. V. Balyura
ФГБВОУ ВО «Военно-медицинская академия имени С.М. Кирова» МО РФ
Russian Federation
Russian Federation
References
1. Variant anatomy of the internal iliac artery and its visualization by three-dimensional modeling / A.V. Kolsanov [i dr.] // Fundamental Research. 2013; 9(2). (In Russ).
2. Normal human anatomy / I.V. Gaivoronsky // Speclit. 2020; 2: 284-286. (In Russ).
3. Akshara, V.R., Pillay M. A study on the variations of the branching pattern of the internal iliac artery/ V.R. Akshara, M. Pillay / International Journal of Science and Research. 2014; 3(9): 723-725.
4. Mamatha, H. Anatomical study on the variations in the branching pattern of internal iliac artery / H. Mamatha [et al.] // Indian J. Surg. 2015; 77(S2): 248–252 doi: 10.1007/s12262-012-0785-0.
5. Bilhim, T. Branching patterns of the male internal iliac artery: imaging findings / T. Bilhim [et al.] // Surg. Radiol. Anat. 2011; 33(2): 151–159. – doi: 10.1007/s00276-010-0716-3.
6. Maneesha S. Variations of obturator artery in man / S. Maneesha, S. Tripta, S. Richpal, A.A. Kaur // Anat. Physiol. 2012; 2(3): 1–4 doi: 0.4172/2161-0940.1000105.
7. Mohammadbaigi, H. Variations of anterior and posterior division of internal iliac artery: A systematic review and clinical implications / H. Mohammadbaigi, M. Darvishi, A. Moayeri // Biomed. Res. Ther. 2019; 6(5): 3189–3206 doi: 10.15419/bmrat.v6i5.546.
8. Naveen, N.S. Morphological analysis of the human internal iliac artery in south indian population / N.S. Naveen [et al.] // Online J. Health Allied Scs. 2011. 10(1): 1-4.
9. Ivanov, V.M. Practical application of augmented/ Mixed reality technologies in surgery of abdominal cancer patients / V.M. Ivanov [et al.] // J. Imaging. 2022; 8(183): 1-16 doi: 10.3390/ jimaging8070183.
10. Nishikimi K. Removal of the entire internal iliac vessel system is a feasible surgical procedure for locally advanced ovarian carcinoma adhered firmly to the pelvic sidewall / K. Nishikimi // Int. J. Clin. Oncol. 2019; 24(8): 941–949. doi: 10.1007/s10147-019-01429-7.
11. Talalwah, W.A., Soames R. Internal iliac artery classification and its clinical significance / W.A. Talalwah, R. Soames // Rev. Arg. de Anat. Clin. 2014; 6(2): 63-71.
12. The iliolumbar artery‐anatomic considerations and details on the common iliac artery trifurcation / M.C. Rusu [et al.] // Clinical Anatomy. 2010. – Vol.23. P. 9–100. doi: 10.1002/ca.20890.
13. Tubbs, R.S. Bergman’s comprehensive encyclopedia of human anatomic variation. 1st ed. / R.S. Tubbs, M.M. Shoja, M. Loukas // ed. Wiley, 2016: 694-741 doi: 10.1002/9781118430309.
14. Sakthivelavan, S. Variability in the branching pattern of the internal iliac artery in indian population and Its clinical importance / S. Sakthivelavan [et al.] // Anatomy Research International. 2014; 2014: 1–6 doi: 10.1155/2014/597103.
15. Pai M.M. Variability in the origin of the obturator artery / M.M. Pai [et al.] // Clinics. 2009; 64(9): 897–901 doi: 10.1590/S180759322009000900011.
Review
For citations:
Gaivoronsky I.V., Rumyantsev V.N., Surov D.A., Sinenchenko G.I., Nichiporuk G.I., Balyura O.V. 3D MODELING CAPABILITIES IN ASSESSING THE ARCHITECTONICS OF THE INTERNAL ILIAC ARTERY. Bashkortostan Medical Journal. 2022;17(6):68-72. (In Russ.)
Views:
140
Email this article 
