Analysis of tissue volume and calcification of the 6th to 8th costal cartilage in 70 woman patients

J Plast Reconstr Aesthet Surg. 2022 Aug;75(8):2727-2734. doi: 10.1016/j.bjps.2022.02.033. Epub 2022 Feb 26.

Abstract

Background: To study the tissue size, calcification characteristics and the correlation between calcification, age, and on whether side of the 6th, 7th, and 8th costal cartilages in women, so as to provide reference for clinical application.

Methods: A total of 70 cases of female costal cartilage applied with dual-source CT three-dimensional reconstruction were selected from the radiology storage center of Second Xiangya Hospital. The length, width, thickness, calcification rate, calcification degree, calcification type, calcification location, and the relation between calcification, age, and side of bilateral 6th, 7th, and 8th costal cartilages were observed and analyzed on volume reconstruction and maximum density projection images.

Results: (1) The respective length, width, and thickness of 6th, 7th, and 8th costal cartilages on both sides were measured. There were significant differences in length, width, and thickness between unilateral costal cartilages with different ordinal numbers. (2) Significant difference was confirmed in the total calcification types of the 6th, 7th, and 8th costal cartilages. (3) The higher the age, the higher the calcification rate was. The calcification degree of the 6th, 7th, and 8th costal cartilages was higher with the increase of age.

Conclusions: Preoperative three-dimensional reconstruction and image post-processing of costal cartilage with dual-source CT can accurately measure the amount of cartilage tissue and define the characteristics of calcification, so as to guide the clinical selection of costal cartilage. In female patients of different ages, the calcification rate of costal cartilage increased with age, but no positive correlation was observed.

Keywords: Calcification; Costal cartilage; Maximal intensity projection; Three-dimensional reconstruction; Tissue volume; Volume reconstruction.

MeSH terms

  • Cartilage / diagnostic imaging
  • Costal Cartilage*
  • Female
  • Humans
  • Radiography
  • Ribs / surgery
  • Tomography, X-Ray Computed / methods