Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia
Background/Aim. The most frequent form of sternal defects is a single foramen, usually located at the distal half of the sternal body, with prevalence that varies among different ethnic populations. Clinical importance of these defects arises from various diagnostic and therapeutic sternal treatment...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2019-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700084V.pdf |
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| author | Vulović Maja Živanović-Mačužić Ivana Jeremić Dejan Đonović Nela Radunović Aleksandar Jovanović Milan Milošević Bojan Aleksić Zoran Stanković Ivana Vojinović Radiša |
| author_facet | Vulović Maja Živanović-Mačužić Ivana Jeremić Dejan Đonović Nela Radunović Aleksandar Jovanović Milan Milošević Bojan Aleksić Zoran Stanković Ivana Vojinović Radiša |
| author_sort | Vulović Maja |
| collection | DOAJ |
| description | Background/Aim. The most frequent form of sternal defects is a single foramen, usually located at the distal half of the sternal body, with prevalence that varies among different ethnic populations. Clinical importance of these defects arises from various diagnostic and therapeutic sternal treatments and close location of heart, lungs and other vital organs of the chest cavity. The aim of this study was to determine the prevalence and morphometric characteristics of the sternal midline foramen in the population of central Serbia. Methods. The multidetector computed tomography (MDCT) chest images of 422 patients of both genders were analyzed. The radiological imaging was performed on 64- slice MDCT scanner (Aquilion 64, Toshiba, Japan). All scans were performed in the axial plane, with subsequent multiplanar reconstruction (MPR). Due to the angulation of the sternal body coronal curved-planar, the images were obtained in order to show the whole length of the sternum and the vertical diameter of the sternal foramen. The measurements were done using the commercially available software (Imaging Software ver. 4.1.14.0, Vital-Images). Results. The solitary foramen, located in the distal segment of the sternal body, was detected in 24 patients, representing 5.9% of the observed population with slightly higher prevalence in males. The average size of foramen was 3.9 × 4.2 mm. The mean distance from the skin was 12.7 ± 3.3 mm, the distance from skin to pericardium was on average 37.3 ± 8.2 mm, while the average distance from skin to pleura was 25 ± 5.9 mm. The average depth of foramen 8.7 ± 2 mm, while the mean distance from the posterior surface of foramen to pericardium was 12.7 ± 9.1 mm. Conclusion. The results presented in this paper confirmed the prevalence of 5.9% regarding the midline sternal foramen in the observed population. Serious complications of the sternal puncture could be prevented by prior MDCT imaging. |
| format | Article |
| id | doaj-art-1c76cf4e47d34a99938f29ef1f5328a2 |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-1c76cf4e47d34a99938f29ef1f5328a22025-08-20T03:54:37ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202019-01-0176218619110.2298/VSP170321084V0042-84501700084VMultidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central SerbiaVulović Maja0Živanović-Mačužić Ivana1Jeremić Dejan2Đonović Nela3Radunović Aleksandar4Jovanović Milan5Milošević Bojan6Aleksić Zoran7Stanković Ivana8Vojinović Radiša9Faculty of Medical Sciences, Department of Anatomy, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeFaculty of Medical Sciences, Department of Anatomy, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeFaculty of Medical Sciences, Department of Anatomy, Kragujevac + University of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeFaculty of Medical Sciences, Department of Hygiene and Ecology, KragujevacMilitary Medical Academy, Clinic for Orthopedic Surgery, BelgradeUniversity of Defence, Faculty of Medicine of the Military Medical Academy, BelgradeFaculty of Medical Sciences, Department of Surgery, KragujevacUniversity Clinical Center of Republic of Srpska, Clinic for General and Abdominal Surgery, Bosnia and HerzegovinaAmbulance Brigade of Guards, BelgradeFaculty of Medical Sciences, Department of Radiology, KragujevacBackground/Aim. The most frequent form of sternal defects is a single foramen, usually located at the distal half of the sternal body, with prevalence that varies among different ethnic populations. Clinical importance of these defects arises from various diagnostic and therapeutic sternal treatments and close location of heart, lungs and other vital organs of the chest cavity. The aim of this study was to determine the prevalence and morphometric characteristics of the sternal midline foramen in the population of central Serbia. Methods. The multidetector computed tomography (MDCT) chest images of 422 patients of both genders were analyzed. The radiological imaging was performed on 64- slice MDCT scanner (Aquilion 64, Toshiba, Japan). All scans were performed in the axial plane, with subsequent multiplanar reconstruction (MPR). Due to the angulation of the sternal body coronal curved-planar, the images were obtained in order to show the whole length of the sternum and the vertical diameter of the sternal foramen. The measurements were done using the commercially available software (Imaging Software ver. 4.1.14.0, Vital-Images). Results. The solitary foramen, located in the distal segment of the sternal body, was detected in 24 patients, representing 5.9% of the observed population with slightly higher prevalence in males. The average size of foramen was 3.9 × 4.2 mm. The mean distance from the skin was 12.7 ± 3.3 mm, the distance from skin to pericardium was on average 37.3 ± 8.2 mm, while the average distance from skin to pleura was 25 ± 5.9 mm. The average depth of foramen 8.7 ± 2 mm, while the mean distance from the posterior surface of foramen to pericardium was 12.7 ± 9.1 mm. Conclusion. The results presented in this paper confirmed the prevalence of 5.9% regarding the midline sternal foramen in the observed population. Serious complications of the sternal puncture could be prevented by prior MDCT imaging.http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700084V.pdfsternummusculoskeletal abnormalitiesmultidetector computed tomographyprevalencesternotomyrisk assessmentserbia |
| spellingShingle | Vulović Maja Živanović-Mačužić Ivana Jeremić Dejan Đonović Nela Radunović Aleksandar Jovanović Milan Milošević Bojan Aleksić Zoran Stanković Ivana Vojinović Radiša Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia Vojnosanitetski Pregled sternum musculoskeletal abnormalities multidetector computed tomography prevalence sternotomy risk assessment serbia |
| title | Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia |
| title_full | Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia |
| title_fullStr | Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia |
| title_full_unstemmed | Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia |
| title_short | Multidetector computed tomography (MDCT) estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central Serbia |
| title_sort | multidetector computed tomography mdct estimation of prevalence and anatomic characteristics of the sternal body foramen in the population of central serbia |
| topic | sternum musculoskeletal abnormalities multidetector computed tomography prevalence sternotomy risk assessment serbia |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2019/0042-84501700084V.pdf |
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