{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T19:51:00Z","timestamp":1779133860857,"version":"3.51.4"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cardiovasc Intervent Radiol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Recent advancements in medical technologies have made trans-arterial treatment of breast cancer feasible. Consequently, understanding the vascular anatomies of breast cancers and axillary lymph node metastases has become indispensable for sophisticated treatments. The aim of this study was to determine the vascular anatomy of the breast, which is crucial for trans-arterial chemoembolization in patients with breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A total of 126 treatment-naive breast cancer patients were investigated to evaluate the arteries supplying breast tissues, tumours, and axillary lymph node metastases. The breast-supplying arteries were identified via angio-CT scans performed in the same examination room.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As described in anatomical textbooks, the main arteries supplying breast tissues and tumours are mammary branches arising from the internal thoracic artery and lateral thoracic artery. However, an undescribed serpiginous artery arising from the brachial artery distal to the subscapular artery and circumflex humeral artery was discovered in 46.0% of patients. This artery partially supplied breast tumours in 30.2% of the patients. The circumflex mammary artery is presumed to be a normal variant that is not pathologically enlarged due to tumour angiogenesis. Axillary lymph node metastases are supplied mainly by the lateral thoracic artery and thoracodorsal artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We identified an undescribed serpiginous artery arising from the brachial artery distal to the subscapular artery or circumflex humeral artery, and we named this the circumflex mammary artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00270-025-04174-9","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T20:44:41Z","timestamp":1757450681000},"page":"1587-1593","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Undescribed Breast Blood Supply from the Brachial Artery: Circumflex Mammary Artery"],"prefix":"10.1007","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6217-6584","authenticated-orcid":false,"given":"Shinichi","family":"Hori","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Hori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norifumi","family":"Kennoki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ikuo","family":"Dejima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiko","family":"Kumamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuro","family":"Sonomura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"issue":"4","key":"4174_CR1","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20150417","volume":"2","author":"N Kennoki","year":"2016","unstructured":"Kennoki N, Hori S, Hori A, Takeo Y, Oshiro H. Transcatheter arterial chemoembolization with spherical embolic material for locally advanced breast cancer: first report of HepaSphere\u2122 treatment for primary breast cancer. BJR Case Rep. 2016;2(4): 20150417. https:\/\/doi.org\/10.1259\/bjrcr.20150417.","journal-title":"BJR Case Rep"},{"issue":"6","key":"4174_CR2","doi-asserted-by":"publisher","first-page":"740","DOI":"10.21037\/gs.2019.12.06","volume":"8","author":"Z Wang","year":"2019","unstructured":"Wang Z, et al. Superselective arterial embolization with drug-loaded microspheres for the treatment of unresectable breast cancer. Gland Surg. 2019;8(6):740\u20137. https:\/\/doi.org\/10.21037\/gs.2019.12.06.","journal-title":"Gland Surg"},{"issue":"no. 4","key":"4174_CR3","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1016\/j.jvir.2023.12.016","volume":"35","author":"A Hori","year":"2024","unstructured":"Hori A, et al. Feasibility study of transarterial chemotherapy followed by chemoembolization for recurrent breast cancer. J Vasc Interv Radiol. 2024;35(4):516\u201322. https:\/\/doi.org\/10.1016\/j.jvir.2023.12.016.","journal-title":"J Vasc Interv Radiol"},{"issue":"1","key":"4174_CR4","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/S1051-0443(98)70489-0","volume":"9","author":"DHA McCarter","year":"1998","unstructured":"McCarter DHA, Doughty JC, Cooke TG, McArdle CS, Reid AW. Selective angiographically delivered regional chemotherapy in patients with locally advanced or recurrent breast cancer: a feasibility study. J Vasc Interv Radiol. 1998;9(1):91\u20136. https:\/\/doi.org\/10.1016\/S1051-0443(98)70489-0.","journal-title":"J Vasc Interv Radiol"},{"key":"4174_CR5","doi-asserted-by":"publisher","unstructured":"RP De Dycker, J Timmermann, T Schumacher, RLA Neumann, Preoperative intra-arterial chemotherapy of advanced breast cancer. Response rate as prognostic factor for overall survival. In: Proceedings of the 3rd International Congress on Neo-Adjuvant Chemotherapy, P. Banzet, J. F. Holland, D. Khayat, and M. Weil, Eds., Paris: Springer, 1991, pp. 252\u2013258. https:\/\/doi.org\/10.1007\/978-2-8178-0782-9_62.","DOI":"10.1007\/978-2-8178-0782-9_62"},{"issue":"8","key":"4174_CR6","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1002\/bjs.1800830830","volume":"83","author":"JC Doughty","year":"1996","unstructured":"Doughty JC, McCarter DHA, Kane E, Reid AW, Cooke TG, McArdle CS. Anatomical basis of intra-arterial chemotherapy for patients with locally advanced breast cancer. BJS Br J Surg. 1996;83(8):1128\u201330. https:\/\/doi.org\/10.1002\/bjs.1800830830.","journal-title":"BJS Br J Surg"},{"issue":"3","key":"4174_CR7","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1995.117","volume":"71","author":"WG Lewis","year":"1995","unstructured":"Lewis WG, Walker VA, Ali HH, Sainsbury JRC. Intra-arterial chemotherapy in patients with breast cancer: a feasibility study. Br J Cancer. 1995;71(3): 3. https:\/\/doi.org\/10.1038\/bjc.1995.117.","journal-title":"Br J Cancer"},{"issue":"1","key":"4174_CR8","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1002\/ar.1091350105","volume":"135","author":"DF Huelke","year":"1959","unstructured":"Huelke DF. Variation in the origins of the branches of the axillary artery. Anat Rec. 1959;135(1):33\u201341. https:\/\/doi.org\/10.1002\/ar.1091350105.","journal-title":"Anat Rec"},{"issue":"8","key":"4174_CR9","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1055\/s-0033-1351354","volume":"29","author":"Y Hattori","year":"2013","unstructured":"Hattori Y, Doi K, Sakamoto S, Satbhai N. Anatomic variations in branching patterns of the axillary artery: a multidetector-row computed tomography angiography study. J Reconstr Microsurg. 2013;29(8):531\u20136. https:\/\/doi.org\/10.1055\/s-0033-1351354.","journal-title":"J Reconstr Microsurg"},{"issue":"1","key":"4174_CR10","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1148\/radiology.197.1.7568824","volume":"197","author":"J G\u00f6rich","year":"1995","unstructured":"G\u00f6rich J, et al. Previously treated, locally recurrent breast cancer: treatment with superselective intraarterial chemotherapy. Radiology. 1995;197(1):199\u2013203. https:\/\/doi.org\/10.1148\/radiology.197.1.7568824.","journal-title":"Radiology"},{"issue":"1041","key":"4174_CR11","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20140126","volume":"87","author":"T Tanaka","year":"2014","unstructured":"Tanaka T, et al. Current role of hybrid CT\/angiography system compared with C-arm cone beam CT for interventional oncology. 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Am Surg. 2007;73(5):525\u20138.","journal-title":"Am Surg"}],"container-title":["CardioVascular and Interventional Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-025-04174-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00270-025-04174-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00270-025-04174-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T01:09:27Z","timestamp":1761786567000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00270-025-04174-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":14,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["4174"],"URL":"https:\/\/doi.org\/10.1007\/s00270-025-04174-9","relation":{},"ISSN":["1432-086X"],"issn-type":[{"value":"1432-086X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"assertion":[{"value":"13 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}