ABSTRACT
Our aim was to investigate the variation in the vertebral levels of the origins of the celiac artery, superior and inferior mesenteric arteries, paired renal arteries, and common iliac arteries. We conducted a retrospective imaging study in a large public secondary hospital on a nonrandom sample of 227 participants. We consecutively included adult patients who had undergone computed tomography angiography of the abdomen and excluded patients with a history of any vertebral abnormality or whose images revealed evidence of a vertebral abnormality or a congenital anomaly of any of the branches of the abdominal aorta. The primary outcome was the frequency distribution of the vertebral levels of the landmarks. The secondary outcomes were the intercorrelations of the vertebral levels of the landmarks and their relationships with age, sex, weight, height, and body mass index. The celiac artery originated at T11/T12–L1/L2, followed by the superior mesenteric artery at T12–L2, the paired renal arteries at T12/L1–L2/L3, the inferior mesenteric artery at L2–L4, and the common iliac arteries at L3–L5. The vertebral levels of the landmarks were positively intercorrelated and stronger between proximate pairs. In addition, the vertebral levels of the landmarks were related to age, but not sex, weight, height, or body mass index. The intercorrelations suggest that a considerable proportion of the variation is accounted for by ‘trickle-down’ variation; variation in the vertebral level of a proximal landmark results in variation in the vertebral level of the immediate distal landmark. The overarching parameter remains unidentified.
ABSTRACT
Our aim was to investigate the variation in the vertebral levels of the origins of the celiac artery, superior and inferior mesenteric arteries, paired renal arteries, and common iliac arteries. We conducted a retrospective imaging study in a large public secondary hospital on a nonrandom sample of 227 participants. We consecutively included adult patients who had undergone computed tomography angiography of the abdomen and excluded patients with a history of any vertebral abnormality or whose images revealed evidence of a vertebral abnormality or a congenital anomaly of any of the branches of the abdominal aorta. The primary outcome was the frequency distribution of the vertebral levels of the landmarks. The secondary outcomes were the intercorrelations of the vertebral levels of the landmarks and their relationships with age, sex, weight, height, and body mass index. The celiac artery originated at T11/T12–L1/L2, followed by the superior mesenteric artery at T12–L2, the paired renal arteries at T12/L1–L2/L3, the inferior mesenteric artery at L2–L4, and the common iliac arteries at L3–L5. The vertebral levels of the landmarks were positively intercorrelated and stronger between proximate pairs. In addition, the vertebral levels of the landmarks were related to age, but not sex, weight, height, or body mass index. The intercorrelations suggest that a considerable proportion of the variation is accounted for by ‘trickle-down’ variation; variation in the vertebral level of a proximal landmark results in variation in the vertebral level of the immediate distal landmark. The overarching parameter remains unidentified.
ABSTRACT
Objective: To provide a reliable and practical reference for normal standard kidney length values in Jordanian children using ultrasound according to age, height, and weight, and to assess the comparability of our standards to those from previous studies
Materials and Methods: The kidneys of 331 children [156 males, 175 females] ages between newborns and 14 years of age, who had diseases unrelated to the urinary tract were prospectively examined by ultrasound. All the examined kidneys were normal in size, shape, and position. The length of the kidneys were correlated with the age, weight, and height of the patients, and was compared to previous studies published in the literature
Results: There was no significant statistical difference between the length of the right kidney and the left kidney, and no difference between boys and girls [P>0.05]. There was good correlation between the length of the kidneys and the somatic parameters of the patients. Also, there was agreement between the kidney length in our study to those from previous international studies
Conclusions: A reliable and practical reference for normal standard kidney length values in Jordanian children is provided, which is in concordance with previously published data