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Japanese Journal of Radiology
Published in: Japanese Journal of Radiology 2/2018

01-02-2018 | Original Article

Variations in the origins of the thyroid arteries on CT angiography

Authors: Kaan Esen, Anil Ozgur, Yuksel Balci, Sermin Tok, Engin Kara

Published in: Japanese Journal of Radiology | Issue 2/2018

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Abstract

Objective

To investigate the anatomical variations in the origins of the thyroid arteries on CT angiography images.

Methods

The presence and the origins of the superior thyroid artery, the inferior thyroid artery, and the thyroidea ima artery were retrospectively evaluated based on carotid CT angiography examinations. The bifurcation level of the common carotid artery with respect to the cervical vertebrae and disc spaces was also determined. A total of 640 patients were included in the study.

Results

The right and left superior thyroid arteries arose from the external carotid artery in 413 (64.5%) and 254 (39.7%) patients, from the bifurcation of the common carotid artery in 131 (20.5%) and 148 (23.1%) patients, and from the common carotid artery in 90 (14.1%) and 226 (35.3%) patients, respectively. We could not observe the right and the left superior thyroid arteries in 6 (0.9%) and 12 (1.9%) of the patients, respectively. However, the right and left inferior thyroid arteries were not identified in 14 (2.2%) and 45 (7%) of the patients, respectively. The thyroidea ima artery was detected in 2.3% of the patients.

Conclusion

The visualization of thyroid arteries on CT angiography images enables the anatomy of the arterial supply system of the thyroid gland to be explored in a noninvasive manner prior to surgery.
Literature
1.
Ozgur Z, Govsa F, Celik S, Ozgur T. Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat. 2009;31:151–9.CrossRefPubMed
2.
Natsis K, Didagelos M, Noussios G, Adamopoulou A, Nikolaidou E, Paraskevas G. Combined anomalous origin of a left inferior thyroid artery and a left vertebral artery: a case report. Cases J. 2009;2:7400.CrossRefPubMedPubMedCentral
3.
Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S. Surgical anatomy of the cervical carotid artery for carotid endarterectomy. Neurol Med Chir (Tokyo). 2005;45:25–9.CrossRef
4.
Mariolis-Sapsakos T, Kalles V, Papapanagiotou I, Bonatsos V, Orfanos N, Kaklamanos IG, et al. Bilateral aberrant origin of the inferior thyroid artery from the common carotid artery. Surg Radiol Anat. 2014;36:295–7.CrossRefPubMed
5.
Dedecjus M, Tazbir J, Kaurzel Z, et al. Evaluation of selective embolization of thyroid arteries (SETA) as a preresective treatment in selected cases of toxic goitre. Thyroid Res. 2009;2:7.CrossRefPubMedPubMedCentral
6.
Lee SH, Choi HJ, Yang JS, Cho YJ. Coil embolization in ruptured inferior thyroid artery aneurysm with active bleeding. J Korean Neurosurg Soc. 2014;56:353–5.CrossRefPubMedPubMedCentral
7.
Kamparoudi P, Paliouras D, Gogakos AS, Rallis T, Schizas NC, Lazopoulos A, et al. Percutaneous tracheostomy—beware of the thyroidea-ima artery. Ann Transl Med. 2016;4:449.
8.
Saadeh FA, Hawi JS. The thyroidea ima artery revisited. Case Rep Clin Pract Rev. 2003;4:16–7.
9.
Anagnostopoulou S, Mavridis I. Emerging patterns of the human superior thyroid artery and review of its clinical anatomy. Surg Radiol Anat. 2014;36:33–8.CrossRefPubMed
10.
Toni R, Casa CD, Castorina S, Roti E, Ceda G, Valenti G. A meta-analysis of inferior thyroid artery variations in different human ethnic groups and their clinical implications. Ann Anat. 2005;187:371–85.CrossRefPubMed
11.
Fang H, Song YL, Li XS, Bi YM, Wang P, Fan HX, et al. Right arm injection of contrast medium reduces venous artifacts in head and neck multislice spiral computed tomography angiography. Eur Rev Med Pharmacol Sci. 2015;19:4698–702.PubMed
12.
Toni R, Casa CD, Mosca S, Malaguti A, Castorina S, Roti E. Anthropological variations in the anatomy of the human thyroid arteries. Thyroid. 2013;13:183–92.CrossRef
13.
Vázquez T, Cobiella R, Maranillo E, Valderrama FJ, McHanwell S, Parkin I, et al. Anatomical variations of the superior thyroid and superior laryngeal arteries. Head Neck. 2009;31:1078–85.CrossRefPubMed
14.
Natsis K, Raikos A, Foundos I, Noussios G, Lazaridis N, Njau SN. Superior thyroid artery origin in Caucasian Greeks: a new classification proposal and review of the literature. Clin Anat. 2011;24:699–705.CrossRefPubMed
15.
Toni R, Casa CD, Castorina S, Malaguti A, Mosca S, Roti E, et al. A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann Anat. 2004;186:255–62.CrossRefPubMed
16.
Lucev N, Bobinac D, Maric I, Drescik I. Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg. 2000;122:590–1.PubMed
17.
Roshan S, Pandey N, Bhivate V, Kharate RP. Morphometric study of inferior thyroid artery in cadavers. Int J Anat Res. 2015;3:1726–31.CrossRef
18.
Sharma J, Milas M, Weber CJ. Anterior Neck. In: Wood WC, Staley CA, Skandalakis JE, editors. Anatomic basis of tumor surgery. 2nd ed. Berlin: Springer; 2010. p. 56–97.
19.
Pejkovic B. An anatomical variation of the origin of the human right inferior thyroid and bronchial arteries. Wien Klin Wochenschr. 2004;116(Suppl 2):84–6.PubMed
20.
Raj S, Mohiyuddin A, Merchant S, Jayaraju RM, Sasidharan B. Thyroidea ima artery: a report of two cases. Int J Head Neck Surg. 2014;5:89–90.CrossRef
21.
22.
Mohebati A, Shaha AR. Anatomy of thyroid and parathyroid glands and neurovascular relations. Clin Anat. 2012;25:19–31.CrossRefPubMed
23.
Krudy AG, Doppman JL, Brennan MF. The significance of the thyroidea ima artery in arteriographic localization of parathyroid adenomas. Radiology. 1980;136:45–51.CrossRef
24.
Lo A, Oehley M, Bartlett A, Adams D, Blyth P, Al-Ali S. Anatomical variations of the common carotid artery bifurcation. ANZ J Surg. 2006;76:970–2.CrossRefPubMed
25.
Chang YM, Tsai AC, Gutierrez A, Flory M, Sarangi R, Fujita A, et al. Effect of right-sided versus left-sided contrast injection on intra-arterial opacification characteristics of head and neck computed tomography angiograms and interactions with patient sex, weight, and cardiac output. J Comput Assist Tomogr. 2015;39:752–9.CrossRefPubMed
26.
Wilson JL, Rozen WM, Ross R, Findlay MW, Ashton MW, Behan FC. The superior thyroid artery perforator flap: anatomical study and clinical series. Plast Reconstr Surg. 2012;129:641–6.CrossRefPubMed
27.
Kim JJ, Dillon WP, Glastonbury CM, Provenzale JM, Wintermark M. Sixty-four-section multidetector CT angiography of carotid arteries: a systematic analysis of image quality and artifacts. AJNR Am J Neuroradiol. 2010;31:91–9.CrossRefPubMed
28.
Demirpolat G, Yüksel M, Kavukçu G, Tuncel D. Carotid CT angiography: comparison of image quality for left versus right arm injections. Diagn Interv Radiol. 2011;17:195–8.PubMed
29.
Chandrakala SP, Mamatha Y, Thejaswini KO. Variations in the origin of inferior thyroid artery and relation of the artery with recurrent laryngeal nerve. Natl J Clin Anat. 2013;2:11–5.
30.
Sherman JH, Colborn GL. Absence of the left inferior thyroid artery: clinical implications. Clin Anat. 2003;16:534–7.CrossRefPubMed
Metadata
Title
Variations in the origins of the thyroid arteries on CT angiography
Authors
Kaan Esen
Anil Ozgur
Yuksel Balci
Sermin Tok
Engin Kara
Publication date
01-02-2018
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 2/2018
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-017-0710-3

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