Imaging anatomical measurement and clinical significance of normal thoracic ratio

Li Zhiyan, Chen Xipu, Cai Minghui, Cheng Shuwen, Cen Shaoqin, Abudukhar kramu, Ma Dehua, Wang Chao, Li Yulu, Zhang Xinxin, Zou Wei, Zhu Chengchu, Yi Long

Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (1) : 28-30.

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Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (1) : 28-30. DOI: 10.13418/j.issn.1001-165x.2023.1.06

Imaging anatomical measurement and clinical significance of normal thoracic ratio

  • Li Zhiyan1, Chen Xipu1, Cai Minghui2, Cheng Shuwen1, Cen Shaoqin1, Abudukhar kramu1, Ma Dehua2, Wang Chao3, Li Yulu4, Zhang Xinxin1, Zou Wei3, Zhu Chengchu2, Yi Long1,2*
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Abstract

Objective   To measure the anatomical parameters of the thorax by an imaging method,  calculate the thoracic ratio, and explore the clinical significance.    Methods    The computed tomography films of 560 people undergoing medical examinations and 368 patients with primary spontaneous pneumothorax (PSP) were selected in Zhejiang Province and Jiangsu Province. They were grouped according to gender and age. The anteroposterior diameter and the transverse diameter of the thoracic cage were measured at the level of the sixth thoracic vertebra, and the thoracic ratio was calculated for statistical analysis.   Results   The reference range of normal thoracic ratio was (1.62±0.14). There were significant differences in thoracic ratio between male (1.60±0.14) and female (1.67±0.18) (P<0.01) according to the result of one-Way ANOVA. The thoracic ratio decreased with the increasing of age, and there was prominent difference in thoracic ratio between different age groups (P<0.01). The thoracic ratio of patients with primary spontaneous pneumothorax was (1.79±0.20). There were significant differences in the thoracic ratio between patients with primary spontaneous pneumothorax and normal thoracic ratio among different age groups (P<0.05).    Conclusions    The establishment of the reference value of normal thoracic ratio can provide a reliable reference for the related diseases of thoracic deformity.

Key words

Thoracic ratio /   /   / Age /   /   / Anatomical parameters /   /   / Primary spontaneous pneumothorax

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Li Zhiyan, Chen Xipu, Cai Minghui, Cheng Shuwen, Cen Shaoqin, Abudukhar kramu, Ma Dehua, Wang Chao, Li Yulu, Zhang Xinxin, Zou Wei, Zhu Chengchu, Yi Long. Imaging anatomical measurement and clinical significance of normal thoracic ratio[J]. Chinese Journal of Clinical Anatomy. 2023, 41(1): 28-30 https://doi.org/10.13418/j.issn.1001-165x.2023.1.06

References

[1]  Casha AR , Manche A , Gatt R , et al. Is there a biomechanical cause for spontaneous pneumothorax [J] ? Eur J Cardiothorac Surg, 2014, 45(6):1011-1016. DOI: 10.1093/ejcts/ezt659.
[2] Harada T, Yoshida Y, Kitasato Y, et al. The thoracic cage becomes flattened in the progression of pleuroparenchymal fibroelastosis[J]. Eur Respir Rev, 2014, 23(132):263-266. DOI: 10.1183/09059180.00006713.
[3]  World Health Organization.Definition of an older or elderly person[R/OL]. (2019-03-23)[2020-05-20].http://www.who.int/healthinfo/survey/ageingdefnolder/en/.
[4]  Janssens JP, Pache JC , Nicod LP. Physiological changes in respiratory function associated with ageing[J]. Eur Respir J, 2010, 13(1):197-205. DOI: 10.1034/j.1399-3003.1999.13a36.x.
[5]  Schneider JL , Rowe JH , Garcia-De-Alba C , et al. The aging lung: Physiology, disease, and immunity[J]. Cell, 2021,184(8):1990-2019. DOI: 10.1016/j.cell.2021.03.005.
[6]  Ni J , Li X , He T , et al. Review of parallel computing techniques for computed tomography image reconstruction[J]. Current Medical Imaging Reviews, 2006, 2(4):405-414.
[7] Smith-Bindman R , Lipson J , Marcus R , et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer[J]. Arch Intern Med, 2009, 169(22): 2078-2086. DOI: 10.1001/archinternmed.2009.427.
[8]  崔宝成. 浅析医学影像技术学-CT[J]. 世界最新医学信息文摘, 2015, 15(72):111-112.
[9] Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause[J]. Eur Respir Rev, 2010, 19(117):217-219. DOI: 10.1183/09059180.00005310.
[10] Ghisalberti M, Guerrera F, Vico AD , et al. Age and clinical presentation for primary spontaneous pneumothorax[J]. Heart Lung Circ, 2020, 29(11):1648-1655. DOI: 10.1016/j.hlc.2020.05.107.
[11] Guo Y, Xie C, Michaelrodriguez R, et al. Factors related to recurrence of spontaneous pneumothorax[J]. Respirology, 2005,10(3):378-84. DOI: 10.1111/j.1440-1843.2005.00715.x.
[12] Yang HC, Jung S. Bullae formation hypothesis in primary spontaneous pneumothorax[J]. J Thorac Dis, 2020,12(5):2833-2837. DOI: 10.21037/jtd.2020.03.39.
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