Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men

Background: Prostatic arterial embolization (PAE) is a novel procedure in West Africa and Ghana. A thorough understanding of the prostate artery's (PA) anatomy and pattern is required for successful prostatic arterial embolization and to guarantee targeted intervention. This study focuses on pr...

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Main Authors: Bashiru Babatunde Jimah, Benjamin Dabo Sarkodie, Dorothea Anim, Edmund Brakohiapa, Asare Kweku Offei, Ewurama Andam Idun, Benard Botwe, Klenam Dzefi-Tettey, Kofi Amedi
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Research in Diagnostic and Interventional Imaging
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772652522000205
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author Bashiru Babatunde Jimah
Benjamin Dabo Sarkodie
Dorothea Anim
Edmund Brakohiapa
Asare Kweku Offei
Ewurama Andam Idun
Benard Botwe
Klenam Dzefi-Tettey
Kofi Amedi
author_facet Bashiru Babatunde Jimah
Benjamin Dabo Sarkodie
Dorothea Anim
Edmund Brakohiapa
Asare Kweku Offei
Ewurama Andam Idun
Benard Botwe
Klenam Dzefi-Tettey
Kofi Amedi
author_sort Bashiru Babatunde Jimah
collection DOAJ
description Background: Prostatic arterial embolization (PAE) is a novel procedure in West Africa and Ghana. A thorough understanding of the prostate artery's (PA) anatomy and pattern is required for successful prostatic arterial embolization and to guarantee targeted intervention. This study focuses on prostate arterial supply in adult males, including prevalence, variability, and imaging pattern. Methodology: A prospective cross-sectional study was conducted, at Euracare Advanced Diagnostics and Heart Centre. Patients who presented for Computed Tomography Angiography of the pelvis were included in the study. A total of 52 males were included and 104 pelvic CT angiography (one for each side) were analyzed, including: prostatic artery diameter, prostatic gland volume and prostate artery branching pattern. The PA branching pattern was classified using de Assis et al. classification. Result: Thirty-seven (71.15%) men had enlarged prostate volume (>30ml). On each side there was only one prostatic artery and no accessory one was found. Only three types of arterial branching were identified: type I, II,III. The type I artery was the most common origin 58.7% (61/104). PA originating from the anterior division of the internal iliac artery (type II) and the type III is from the internal pudendal artery, accounted for 16.3% (17/104) and 25% (26/104) respectively. Conclusion: The most frequent type of PA origin was type I followed by type III then II. Knowing the different and most frequent types of anatomy of PA may help standardization and effectiveness of the PAE in developing countries.
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spelling doaj.art-731cb7b678cf41e19d6ecf33bda0c6482024-03-28T06:39:32ZengElsevierResearch in Diagnostic and Interventional Imaging2772-65252023-03-015100020Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian menBashiru Babatunde Jimah0Benjamin Dabo Sarkodie1Dorothea Anim2Edmund Brakohiapa3Asare Kweku Offei4Ewurama Andam Idun5Benard Botwe6Klenam Dzefi-Tettey7Kofi Amedi8University of Cape Coast, School of Medical Science, Department of Medical Imaging, Cape Coast, Ghana.; Corresponding author at: Department of medical Imaging, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.University of Ghana School of Medicine and Dentistry, Department of Radiology, Accra, Ghana.Korle Bu teaching hospital, Department of Radiology, Accra, Ghana.University of Ghana School of Medicine and Dentistry, Department of Radiology, Accra, Ghana.Korle Bu teaching hospital, Department of Surgery, Accra, Ghana.37 Military Hospital, Department of Radiology, Accra, Ghana.University of Ghana School of Allied Sciences, Department of Radiography, Accra, Ghana.Korle Bu teaching hospital, Department of Radiology, Accra, Ghana.37 Military Hospital, Department of Radiology, Accra, Ghana.Background: Prostatic arterial embolization (PAE) is a novel procedure in West Africa and Ghana. A thorough understanding of the prostate artery's (PA) anatomy and pattern is required for successful prostatic arterial embolization and to guarantee targeted intervention. This study focuses on prostate arterial supply in adult males, including prevalence, variability, and imaging pattern. Methodology: A prospective cross-sectional study was conducted, at Euracare Advanced Diagnostics and Heart Centre. Patients who presented for Computed Tomography Angiography of the pelvis were included in the study. A total of 52 males were included and 104 pelvic CT angiography (one for each side) were analyzed, including: prostatic artery diameter, prostatic gland volume and prostate artery branching pattern. The PA branching pattern was classified using de Assis et al. classification. Result: Thirty-seven (71.15%) men had enlarged prostate volume (>30ml). On each side there was only one prostatic artery and no accessory one was found. Only three types of arterial branching were identified: type I, II,III. The type I artery was the most common origin 58.7% (61/104). PA originating from the anterior division of the internal iliac artery (type II) and the type III is from the internal pudendal artery, accounted for 16.3% (17/104) and 25% (26/104) respectively. Conclusion: The most frequent type of PA origin was type I followed by type III then II. Knowing the different and most frequent types of anatomy of PA may help standardization and effectiveness of the PAE in developing countries.http://www.sciencedirect.com/science/article/pii/S2772652522000205Internal iliac arteryProstate arteryProstatic arterial embolizationComputed tomography angiography
spellingShingle Bashiru Babatunde Jimah
Benjamin Dabo Sarkodie
Dorothea Anim
Edmund Brakohiapa
Asare Kweku Offei
Ewurama Andam Idun
Benard Botwe
Klenam Dzefi-Tettey
Kofi Amedi
Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
Research in Diagnostic and Interventional Imaging
Internal iliac artery
Prostate artery
Prostatic arterial embolization
Computed tomography angiography
title Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
title_full Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
title_fullStr Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
title_full_unstemmed Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
title_short Imaging patterns of the arterial supply of the prostate gland in adult Ghanaian men
title_sort imaging patterns of the arterial supply of the prostate gland in adult ghanaian men
topic Internal iliac artery
Prostate artery
Prostatic arterial embolization
Computed tomography angiography
url http://www.sciencedirect.com/science/article/pii/S2772652522000205
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