Advances in upper urinary tract anatomy through imaging techniques.

Autor: Côrtes MA; Morphology Department, College of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil; Medical Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil. Electronic address: mayra@unemat.br., Moreira RF; Morphology Department, College of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil., Doria IR; Medical Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil., Debacker J; Medical Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil. Electronic address: jislaine.debacker@unemat.br., Oliveira IMS; Medical Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil. Electronic address: izadora.oliveira@unemat.br., Ataides AC; Medical Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil. Electronic address: augusto.costa@unemat.br., Junior JMDS; Morphology Department, College of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil. Electronic address: mariedsonjunior@alu.ufc.br., Valentim FCV; Department of Physiotherapy, Estácio of Pantanal University Center- Fapan, Cáceres, Mato Grosso, Brazil; Physical Education Department, Health Sciences College, Mato Grosso State University, Cáceres, Mato Grosso, Brazil. Electronic address: flavio.valentim@unemat.br., Cerqueira GS; Morphology Department, College of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil. Electronic address: giufarmacia@gmail.com., Alves RS; Toxicology and Clinical Analysis Department, Pharmacy College, Dentistry and Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil. Electronic address: renata.alves@ufc.br.
Jazyk: angličtina
Zdroj: Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft [Ann Anat] 2024 Nov 09; Vol. 257, pp. 152353. Date of Electronic Publication: 2024 Nov 09.
DOI: 10.1016/j.aanat.2024.152353
Abstrakt: This scoping review was conducted based on the Joanna Briggs Institute's theoretical framework and registered with the Open Science Framework (https://osf.io/b27wc). The study analyzed 29 manuscripts published between 2013 and 2023, focusing on imaging exams to synthesize evidence on the anatomy and clinical correlations of the upper urinary tract. The results revealed significant findings, highlighting the intrarenal pelvis as a possible predictive indicator of urinary loss after partial nephrectomy. This emphasizes the importance of anatomical assessment of the renal pelvis. Brödel's avascular plane has been categorized into three types relevant to pre-surgical patient planning. Multiple renal arteries and venous variations have also been reported, including retro-aortic and circum-aortic renal veins. A movable section related to the ureter was described in the perirenal space, delimited by the point of intersection with the gonadal vessels. The ureteropelvic and ureterovesical junctions were found to be anatomical points susceptible to ureteral constriction. On the other hand, the point at which the ureter crosses the iliac vessels is no longer considered a site prone to ureteral obstruction. The authors emphasize the need to adopt a standardized terminology to describe the anatomical variations of the blood vessels related to the kidney. Using diverse and unclear terms can hinder teaching and research in this area and lead to inaccuracies. From the authors' perspective, imaging exams have enhanced anatomical accuracy, benefiting the teaching of human anatomy and significantly contributing to continuous medical breakthroughs.
Competing Interests: Declaration of Competing Interest The authors declare that there is no conflict of interest in this study, ensuring the integrity of the research. We assert that this manuscript represents original work and has not been published previously, nor is it being considered for publication elsewhere. As authors, we agree to transfer copyright to the Editorial Board of Annals of Anatomy upon publication. As the corresponding author, I certify that all named authors have reviewed and fully approved the manuscript for submission.
(Copyright © 2024 Elsevier GmbH. All rights reserved.)
Databáze: MEDLINE
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