Evidence map›Paper›PMID 29124344›Full record

Observational studySurgical and radiologic anatomy : SRA2018

Three-dimensional computed tomography angiography reconstruction of the origin of the uterine artery and its clinical significance.

Alexandra Arfi, Julia Arfi-Rouche, Vincent Barrau, Krystel Nyangoh Timoh, Cyril Touboul

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical and radiologic anatomy : SRA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Embryology of the Vascular System: Implications for Variants.Seminars in interventional radiology · 2025
    Review
  3. Article
  4. Article
  5. Anatomic variation of a duplicated uterine artery.Anatomical science international · 2024
    Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexandra ArfiDepartment of Obstetrics, Gynecology and Reproductive Medicine, Hôpital Intercommunal de Créteil, Université Paris Est, Paris XII, 40 avenue de Verdun, 94000, Créteil, France. alexandra.arfi@gmail.com.
Julia Arfi-RoucheDepartment of Radiology, Institut Gustave Roussy, Université Paris-Sud XI, 114 rue Édouard-Vaillant, 94805, Villejuif, France.
Vincent BarrauDepartment of Radiology, Centre cardiologique du Nord, 32-36 Rue des Moulins Gémeaux, 93200, Saint-Denis, France.
Krystel Nyangoh TimohDepartment of Obstetrics, Gynecology and Reproductive Medicine, Centre Hospitalier Universitaire de Rennes, Hopital Sud, 16 boulevard de Bulgarie, 35203, Rennes, France.
Cyril TouboulDepartment of Obstetrics, Gynecology and Reproductive Medicine, Hôpital Intercommunal de Créteil, Université Paris Est, Paris XII, 40 avenue de Verdun, 94000, Créteil, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn women, the uterine artery is the main branch of the internal iliac artery, vascularizing most of the uterus. Knowledge of its origin and variations is essential during extensive gynaecological surgery and interventional radiological procedures. We aimed to investigate its origin and explore its anatomical variations by three-dimensional (3D) reconstructed computed tomography (CT) angiography.

methodsThis was a retrospective, monocentric observational study involving CT scans of the abdomen and lower limbs of women < 50 years old with 3D reconstructed CT images of the internal and external iliac arterial axes.

resultsBetween 01 January 2014 and 31 December 2015, among 986 cases of CT scans performed in women, for all indications, 3D reconstructed images for 43 women could be analysed. The uterine artery originated from a common trunk with the umbilical artery in 62.7% of cases, from a direct branch of the internal iliac artery in 25.6% of cases, directly from the superior gluteal artery in 9.3% of cases and from the internal pudendal artery in 2.3%.

conclusionsThree-dimensional(3D) reconstructed CT angiography can detect the point of origin of the uterine artery. Therefore, it can be used as a mapping tool of the pelvic arterial tree. Our study corroborates data from the literature that the uterine artery most often originates from a common trunk with the umbilical artery. However, surgeons and intervention radiologists must be aware of the variability of its origin to facilitate the safety of the patients during procedures.

Indexed as

AdultAnatomic VariationComputed Tomography AngiographyFemaleHumansImaging, Three-DimensionalRetrospective StudiesUterine ArteryYoung AdultEmbolizationPostpartum haemorrhageUmbilical arteryUterine arteryUterine surgery

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.