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Anatomy of testicular artery: A proposal for a classification with MDCT angiography

Serife Balci1, Selin Ardali Duzgun1, Sevtap Arslan1

  • 1Hacettepe University, School of Medicine, Department of Radiology, Ankara, Turkey, Hacettepe Universitesi Tıp Fakültesi Hastanesi, 06100 Sıhhiye, Ankara, Turkey.

European Journal of Radiology
|August 7, 2021
PubMed

Insights

This study used MDCT to classify testicular artery anatomy, finding common origins and courses crucial for minimally invasive surgery planning. CT angiography offers a non-invasive method to evaluate these variations.

Area of Science:

  • Vascular anatomy
  • Surgical planning
  • Medical imaging

Background:

  • Accurate knowledge of testicular artery anatomy and variations is essential for successful minimally invasive surgical procedures.
  • Minimally invasive surgery requires precise pre-operative anatomical understanding.

Purpose of the Study:

  • To evaluate the morphological characteristics of testicular arteries using MDCT.
  • To propose a novel classification system for testicular artery anatomy.

Main Methods:

  • MDCT angiography was performed on 400 adult patients (819 testicular arteries).
  • Testicular arteries were analyzed for number, origin, course, and caliber.
  • A new classification system based on origin (5 types) and course (3 types) was developed.

Main Results:

  • The most frequent origin type (Type 4) involved the abdominal aorta, inferior to the renal artery.
  • Type 4 origin was observed in 70.7% of right and 75.6% of left testicular arteries.
  • The most common course type (Type a) occurred in 76.3% of right and 82.6% of left testicular arteries.

Conclusions:

  • MDCT angiography is an effective non-invasive tool for evaluating testicular artery anatomy and variations.
  • The proposed classification system aids in understanding and categorizing testicular artery morphology.
Abstract

Keywords:
CTClassificationTesticular arteryVariation

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