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Integrating Virtual Reality Game-Based Learning to Enhance Metacognition in Medical Anatomy Education 整合虚拟实境游戏学习强化医学解剖学教学中的元认知。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-08-09 DOI: 10.1002/ca.70019
Andres Neyem, Matías Cadile, Sebastián A. Burgos-Martínez, Macarena Soto Alvarado, Emilio Farfán Cabello, Oscar Inzunza, R. Shane Tubbs, Nicolás E. Ottone

Medical anatomy education has traditionally relied on lectures, hands-on prosection, and textbooks, with recent enhancements through digital materials. This study investigates the integration of virtual reality (VR) technology in anatomy education and its impact on student engagement, metacognitive development, and learning outcomes. Through two experimental cycles with first-year medical students, the VR application was evaluated across key usability dimensions, including engagement, engrossment, and total immersion, alongside its contribution to fostering metacognitive strategies through metacognitive dimensions. Results demonstrated high levels of student engagement, with 3D anatomical structures emerging as the most valued feature. The usability evaluations indicated the platform's intuitive design; although some technical barriers highlighted the need for improved onboarding and tutorials. Emotional attachment to the application was significant, whereas the focus of attention and presence demonstrated areas for growth, requiring more dynamic and interactive content. The findings emphasize the potential of VR to complement traditional anatomy education by providing immersive and interactive learning experiences. However, challenges such as limited content depth, the need for collaborative features, and better alignment with curricular objectives were identified. Future work should prioritize expanding the range of 3D anatomical structures, integrating personalized feedback through advanced analytics, and reducing technological barriers to accessibility. By addressing these areas, VR technology can serve as a transformative tool in medical education, bridging the gap between theoretical knowledge and practical application while equipping students with the skills and strategies necessary for their professional development.

医学解剖学教育传统上依赖于讲座、实践检阅和教科书,最近通过数字材料得到了改进。本研究探讨了虚拟现实(VR)技术在解剖学教育中的整合及其对学生参与、元认知发展和学习成果的影响。通过对一年级医学生的两个实验周期,VR应用程序在关键可用性维度上进行了评估,包括参与度、专注度和完全沉浸感,以及它通过元认知维度对培养元认知策略的贡献。结果显示,学生的参与度很高,3D解剖结构成为最受重视的特征。可用性评价表明该平台设计直观;尽管一些技术障碍突出了改进入门和教程的必要性。对应用程序的情感依恋是重要的,而注意力的焦点和存在表明了增长的领域,需要更多的动态和交互式内容。研究结果强调了VR通过提供身临其境的互动学习体验来补充传统解剖学教育的潜力。然而,我们发现了一些挑战,如有限的内容深度、对协作特性的需求以及与课程目标更好地结合。未来的工作应优先考虑扩大3D解剖结构的范围,通过高级分析整合个性化反馈,并减少可访问性的技术障碍。通过解决这些问题,虚拟现实技术可以成为医学教育的变革性工具,弥合理论知识与实际应用之间的差距,同时为学生提供专业发展所需的技能和策略。
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引用次数: 0
Buttocks Anatomy: A Review of Its Beauty and Shape as Considered by the Plastic Surgery Literature. 臀部解剖学:从整形外科文献的角度看臀部的美丽和形状。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-08-03 DOI: 10.1002/ca.70017
Joel A Vilensky

In classical gross anatomy instruction, we do not routinely discuss physical beauty and shape in anatomy. However, beauty and shape in anatomy, particularly in certain regions of the body, are of primary interest to aesthetic plastic surgeons. In recent years, a remarkable increase has occurred in patients' requests for gluteal augmentation procedures to reshape their buttocks into what they surmise will result in a more attractive form than what they currently display. Accordingly, there are many articles in the plastic surgery literature that attempt to define the ideal buttocks (mainly for women, but also for men). These articles routinely provide information on how gluteal anatomy defines the appearance of the buttocks and how this anatomy can be modified to produce a more ideal buttocks postoperatively. In some cases, these articles also refer to putative anatomical structures that are not in the normal anatomical lexicon (e.g., fat compartments). Here, we review the pertinent articles in the cosmetic surgery literature that relate buttock beauty to the underlying anatomy with the aim of instructing anatomists how plastic surgeons determine buttock anatomical beauty and some of the uncommon anatomical features that they rely upon.

在经典的大体解剖学教学中,我们通常不会讨论解剖学中的身体美和形状。然而,解剖学上的美和形状,特别是身体某些部位的美和形状,是美容整形外科医生最感兴趣的。近年来,越来越多的患者要求进行臀部隆胸手术,以重塑他们的臀部,使他们的臀部看起来比现在更有吸引力。因此,在整形外科文献中有许多文章试图定义理想的臀部(主要是女性,但也有男性)。这些文章提供了关于臀部解剖结构如何定义臀部外观的常规信息,以及如何修改臀部解剖结构以在术后产生更理想的臀部。在某些情况下,这些文章还涉及正常解剖学词典中没有的假定解剖结构(例如,脂肪隔室)。在这里,我们回顾了美容外科文献中的相关文章,这些文章将臀部美与基础解剖学联系起来,目的是指导解剖学家整形外科医生如何确定臀部解剖美以及他们所依赖的一些不寻常的解剖特征。
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引用次数: 0
Student Opinions on Interdisciplinary Team Teaching of Anatomy in a Medical, Dental, and Physical Therapy School 医学、牙科及物理治疗学校解剖学跨学科团队教学的学生意见。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-08-03 DOI: 10.1002/ca.70018
Jeremy J. Grachan, Thomas A. Koc, Justin Behnke, Abhishek Yadav, Sophia Chen, Christin Traba, George Holan

While some health science professional programs may utilize a team to teach anatomy, they are often anatomists or professionals from the same field. The purpose of this study was to investigate the perspectives of health professional students on the incorporation of interdisciplinary team teaching comprised primarily of an anatomist, physical therapist, and a medical doctor to collectively teach a small group anatomy curriculum. The medical students (MS; N Class of 2025 = 179 and N Class of 2026 = 174), dental students (DS; N Class of 2027 = 90), and physical therapy students (PT; N Class of 2027 = 25) were enrolled in a human anatomy course between January 2023 and December 2023 and were invited to participate in this survey. Most students affirmed that each team member provided diverse perspectives to apply the anatomy to clinical settings, offering valuable insights and guidance for upper-level courses and their careers. They acknowledged that different team members excelled in specific content areas, and even though students did not often specifically target a faculty member for various topics, collectively, the diverse teaching team aided in facilitating a well-rounded learning experience. Students expressed high satisfaction with their professional school anatomy course, which was co-taught by an interdisciplinary team. Although students had access to faculty from different professions, they generally did not seek out specific faculty for field-related inquiries. They preferred to interact with the main teaching faculty, which included the primary anatomist, medical doctor, and physical therapist.

虽然一些健康科学专业课程可能会利用一个团队来教授解剖学,但他们通常是来自同一领域的解剖学家或专业人士。本研究的目的是调查卫生专业学生对主要由解剖学家、物理治疗师和医生组成的跨学科团队教学的观点,以集体教授一个小组解剖学课程。医学生(MS;2025级= 179,2026级= 174),牙科学生(DS;NClass of 2027 = 90),物理治疗学生(PT;NClass of 2027 = 25)于2023年1月至2023年12月期间注册了人体解剖学课程,并被邀请参加本次调查。大多数学生肯定,每个团队成员都提供了不同的视角,将解剖学应用于临床环境,为高年级课程和他们的职业生涯提供了宝贵的见解和指导。他们承认,不同的团队成员在特定的内容领域表现出色,尽管学生们并不经常针对不同的主题专门针对某一位教师,但总的来说,多元化的教学团队有助于促进全面的学习体验。学生们对他们的专业解剖学课程表示非常满意,这门课程是由一个跨学科团队共同教授的。虽然学生可以接触到来自不同专业的教师,但他们通常不会在与领域相关的问题上寻找特定的教师。他们更喜欢与主要的教学人员互动,其中包括初级解剖学家、医生和物理治疗师。
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引用次数: 0
An Alternative Approach in Anatomy Education: Design of a Learning Environment Based on Artificial Intelligence-Supported Virtual Manipulatives and Investigation of Its Effectiveness 解剖学教育的另一种途径:基于人工智能支持的虚拟教具的学习环境设计及其有效性调查。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-29 DOI: 10.1002/ca.70008
Gunes Bolatli, Salih Birisci, Zafer Bolatli

Given the challenges of teaching and learning anatomy, it is vital to explore tools that enhance knowledge and understanding. In line with this need, this study aimed to develop a web-based learning module with ChatGPT-based artificial intelligence-supported virtual manipulatives to enhance anatomy education and assess its efficacy. The ADDIE model was adopted for the instructional design process. By employing a mixed-method research design, the effects of this learning module on the students' academic achievement, cognitive load, retention, and perceptions were analyzed. In the quantitative research phase, a quasi-experimental pre- and posttest design was used to examine the effects of academic achievement and cognitive load, using the academic achievement test and cognitive load scale. Qualitative data were gathered via an interview form developed by the researchers. The results of the research demonstrate that the instructional design model that incorporates artificial intelligence-based virtual manipulatives, is an effective approach to learning anatomy, with a notable impact on academic achievement and a reduction in cognitive load. While the students' perceptions of their educational experiences showed that the usability of the web module was well-received and ChatGPT was adopted as a study companion, both positive and negative comments were made regarding the use of virtual manipulatives and ChatGPT. This study suggests that AI and virtual manipulatives may offer a promising alternative to traditional learning, providing an innovative framework for teaching and learning of anatomy.

鉴于教学和学习解剖学的挑战,探索增强知识和理解的工具至关重要。针对这一需求,本研究旨在开发一个基于chatgpt的基于人工智能支持的虚拟操作工具的基于网络的学习模块,以增强解剖学教育并评估其效果。教学设计过程采用ADDIE模型。采用混合方法研究设计,分析了该学习模块对学生学业成绩、认知负荷、记忆和认知的影响。在定量研究阶段,采用准实验设计,采用学业成绩测验和认知负荷量表,考察学业成绩对认知负荷的影响。定性数据是通过研究人员开发的访谈表格收集的。研究结果表明,结合人工智能虚拟教具的教学设计模式是一种有效的解剖学学习方法,对学生的学习成绩和认知负荷有显著的影响。虽然学生对他们的教育经历的看法表明,web模块的可用性受到好评,ChatGPT被采用作为学习伙伴,但对虚拟操作和ChatGPT的使用有积极和消极的评论。这项研究表明,人工智能和虚拟操作可能为传统学习提供一个有希望的替代方案,为解剖学的教学提供一个创新的框架。
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引用次数: 0
Digital Anatomy: A New Frontier in Health and Medical Science Education 数字解剖学:健康与医学教育的新前沿。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-24 DOI: 10.1002/ca.70013
Junhua Xiao, Rebecca Donkin, Stephanie Lathe

The increasing adoption of digital tools has transformed how learning and teaching are delivered in anatomy. Digital anatomy is maturing from its nascent nature and emerges as a new discipline of great importance. This article discusses topical areas in digital anatomy education pertinent to the development of the anatomical science discipline in the future.

越来越多地采用数字工具已经改变了解剖学的学习和教学方式。数字解剖学正在从萌芽状态走向成熟,成为一门非常重要的新学科。本文讨论了数字解剖学教育中与解剖学学科未来发展相关的热点问题。
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引用次数: 0
Carotico-Clinoid Ligament Ossification: Unproven Risk to Internal Carotid Artery Flow. 颈斜韧带骨化:对颈内动脉血流的未证实风险。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-24 DOI: 10.1002/ca.70010
Mustafa Nadi, Refat Aboghazleh, Waleed F Dabbas, Bilal Ibrahim, Mohmmad Al-Slehat, Abdel Haleem Al-Bqour, Tahani Ahmad

The ossification of carotico-clinoid ligament (CCL) has been claimed to be a risk factor for blood flow compromise in the corresponding internal carotid artery (ICA). Despite its seriousness, this concept has not been distinctly examined in the literature. A systematic review following the PRISMA-statement was conducted. Searches were performed in PubMed, MEDLINE, Cochrane Library, and Neurosurgery Atlas GPT for the terms "carotico-clinoid ligament and foramen" in various formats. The clinical role of these structures (focusing on blood flow in ICA) was examined. A global survey targeting neuro-related doctors was conducted to capture the current perspectives of professionals in the field about these structures regarding compromising blood supply to ICA. A bibliometric analysis using Vos viewer was performed to visualize the status of these structures in literature. 59 publications were identified from 1935 through 2024 in the PubMed, MEDLINE, and Neurosurgery Atlas GPT databases. The majority of these publications came out in the last 12 years. No case reports supported the claim that ossified CCL could compromise the ICA and brain blood supply. There were 63 respondents from 14 different countries who addressed the questionnaire. Responses from five neuro-related specialties were analyzed, but neurologists (zero respondents). No one reported personal experience or awareness that CCF could compromise blood flow to the ICA. Vos viewer analysis showed that endoscopic neurosurgical approaches enhanced the understanding of CCL in the last decade. No evidence was found to support that the ossified CCL could compromise the ICA or brain blood supply.

颈斜韧带(CCL)骨化被认为是相应颈内动脉(ICA)血流受损的危险因素。尽管其严重性,这一概念还没有在文献中明确审查。在prisma声明之后进行了系统审查。在PubMed, MEDLINE, Cochrane Library和Neurosurgery Atlas GPT中以各种格式搜索“颈斜韧带和孔”。研究了这些结构的临床作用(重点是ICA的血流)。针对神经相关医生进行了一项全球调查,以了解该领域专业人员对这些结构对ICA血液供应的影响的当前观点。使用Vos查看器进行文献计量学分析,以可视化这些结构在文献中的地位。从1935年到2024年,在PubMed、MEDLINE和神经外科Atlas GPT数据库中确定了59篇出版物。这些出版物大多是在过去12年出版的。没有病例报告支持骨化的CCL会损害ICA和脑血供的说法。来自14个不同国家的63名受访者填写了问卷。分析了来自五个神经相关专业的回复,但神经学家(零回复)。没有人报告个人经验或意识到CCF会损害流向ICA的血液。Vos观察分析显示,在过去十年中,内窥镜神经外科方法增强了对CCL的认识。没有证据表明骨化的CCL会损害ICA或脑血供。
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引用次数: 0
The Discovery of the Hemangioblast: An Historical Note 血管母细胞的发现:一个历史注释。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-24 DOI: 10.1002/ca.70011
Domenico Ribatti

Florence R. Sabin and P. D. F. Murray first proposed that both the endothelial and hematopoietic lineages are derived from a common precursor, the “hemangioblast” in the blood islands of the yolk sac. In the course of time, data from avian, mice, and human embryos consistently show a close association between endothelial and hematopoietic compartments. These findings confirm that a common precursor or “hemangioblast” is conserved between species during early development.

Florence R. Sabin和P. D. F. Murray首先提出,内皮细胞和造血细胞谱系来源于一个共同的前体,即卵黄囊血岛中的“成血管细胞”。随着时间的推移,来自禽类、小鼠和人类胚胎的数据一致表明内皮细胞和造血室之间存在密切联系。这些发现证实了一种共同的前体或“血管母细胞”在物种之间的早期发育中是保守的。
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引用次数: 0
Who Knows Anatomy Best? A Comparative Study of ChatGPT-4o, DeepSeek, Gemini, and Claude 谁最懂解剖学?chatgpt - 40、DeepSeek、Gemini和Claude的比较研究。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-24 DOI: 10.1002/ca.70012
Melek Tassoker

This study evaluates the performance of ChatGPT-4o (OpenAI), DeepSeek-v3 (DeepSeek), Gemini 2.0 (Google DeepMind), and Claude 3.7 Sonnet (Anthropic) in answering anatomy questions from the Turkish Dental Specialty Admission Exam (DUS). The study aims to compare their accuracy, response times, and answer lengths. A total of 74 text-based multiple choice anatomy questions from the Turkish Dental Specialty Admission Exam (DUS) administered between 2012 and 2021 were analyzed in this study. The questions varied in difficulty and included both basic anatomical identification and clinically oriented scenarios, with a majority focusing on head and neck anatomy, followed by thorax, neuroanatomy, and musculoskeletal regions, which are particularly relevant to dental education. The accuracy of answers was evaluated against official sources, and response times and word counts were recorded. Statistical analyses, including the Kruskal–Wallis and Cochran's Q tests, were used to compare performance differences. ChatGPT-4o demonstrated the highest accuracy (98.6%), while the other models achieved the same rate of 89.2%. Gemini produced the fastest responses (mean: 4.47 s), whereas DeepSeek generated the shortest answers and Gemini the longest (p = 0.000). The differences in accuracy, response times, and word count were statistically significant (p < 0.05). ChatGPT-4o outperformed other models in accuracy for DUS anatomy questions, suggesting its superior potential as a tool for dental education. Future research should explore the integration of LLMs into structured learning programs.

本研究评估了chatgpt - 40 (OpenAI)、DeepSeek-v3 (DeepSeek)、Gemini 2.0(谷歌DeepMind)和Claude 3.7 Sonnet (Anthropic)在回答土耳其牙科专业入学考试(DUS)中的解剖学问题时的表现。这项研究的目的是比较他们的准确性、反应时间和回答长度。本研究分析了2012年至2021年土耳其牙科专业入学考试(DUS)中74道基于文本的选择题解剖题。这些问题的难度各不相同,包括基本的解剖鉴定和临床导向的场景,大多数集中在头颈部解剖,其次是胸部、神经解剖和肌肉骨骼区域,这些区域与牙科教育特别相关。根据官方资料对答案的准确性进行了评估,并记录了回答时间和字数。统计分析,包括Kruskal-Wallis和Cochran的Q测试,被用来比较性能差异。chatgpt - 40显示出最高的准确率(98.6%),而其他模型的准确率为89.2%。Gemini给出了最快的答案(平均:4.47秒),而DeepSeek给出了最短的答案,Gemini给出了最长的答案(p = 0.000)。在准确性、反应时间和字数上的差异有统计学意义(p
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引用次数: 0
Three-Dimensional Magnetic Resonance Imaging of the Human Stellate Ganglion. 人体星状神经节的三维磁共振成像。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-23 DOI: 10.1002/ca.70006
Masanori Nakajo, Shumpei Mori, Hirofumi Nakayama, Takashi Yoshiura, Shili Xu, Mark Rimmer, Takanori Sato, Mariko Sato, Varun Malik, Noriko Salamon, Xiaodong Zhong, Kim-Lien Nguyen, J Paul Finn, Warwick J Peacock, Kalyanam Shivkumar

Reports of visualization of the stellate ganglion via magnetic resonance imaging date back to the early 1990s. However, such imaging has not been fully utilized, presumably due to vagueness of its topographic anatomy, small size, suboptimal image quality, and limited reproducibility. Considering the recent advancements in the field of neuroradiological imaging, including magnetic resonance neurography, and emerging interests regarding cardiac neuroanatomy and neuromodulation, such as stellate ganglion phototherapy, it is time to revisit the anatomy and imaging of the stellate ganglion, as it largely controls the sympathetic tone of the heart. Quantification and qualification of the stellate ganglion can drive innovation in the management and treatment of cardiovascular diseases.

通过磁共振成像显示星状神经节的报道可以追溯到20世纪90年代初。然而,这种成像尚未得到充分利用,可能是由于其地形解剖结构模糊,尺寸小,图像质量欠佳,再现性有限。考虑到神经放射成像领域的最新进展,包括磁共振神经成像,以及对心脏神经解剖学和神经调节的新兴兴趣,如星状神经节光疗,是时候重新审视星状神经节的解剖和成像了,因为它在很大程度上控制着心脏的交感神经张力。星状神经节的量化和定性可以推动心血管疾病管理和治疗的创新。
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引用次数: 0
What Is the Appropriate Sample Size in Human Cadaveric Studies? A Quantitative Review of 770 Articles 人类尸体研究中合适的样本量是多少?770篇论文的数量回顾。
IF 2.3 4区 医学 Q1 ANATOMY & MORPHOLOGY Pub Date : 2025-07-21 DOI: 10.1002/ca.70007
Joe Iwanaga, Kyoichi Obata, Tomotaka Kato, Rarinthorn Samrid, Emma R. Lesser, Juan J. Cardona, Keishiro Kikuchi, Chung Yoh Kim, Kisho Ono, Anthony D'Antoni, Noritaka Komune, Yoko Tabira, Mi-Sun Hur, Norio Kitagawa, Hee-Jin Kim, Marios Loukas, Koichi Watanabe, R. Shane Tubbs

Determining an appropriate sample size in human cadaveric studies remains a long-standing and unresolved challenge. Unlike other basic science fields, anatomical research is constrained by factors such as limited human donor availability, cultural considerations, and ethical restrictions. Despite these limitations, researchers are often asked to justify sample sizes, yet no standardized guidelines currently exist. To quantitatively assess sample sizes in recent human cadaveric studies and propose evidence-based recommendations for future research, a PubMed search was conducted on February 26, 2024, using the term human cadaveric study. The articles published in 2023 and 2024 were screened, yielding 770 eligible studies. Data extracted included the total sample size, number of classified groups, and journal impact factor (IF). Descriptive statistics, linear regression, and correlation analyses were performed. Continuous variables were summarized using medians and interquartile ranges (IQR). The median sample size was 11.5 (IQR: 7–20), and 47.9% of studies used 10 or fewer specimens. The median number of classified groups was 3 (IQR: 2–4). Linear regression showed that studies dividing specimens into 2–6 groups often failed to meet the recommended sample size per group based on regression modeling. No significant correlation was found between sample size and journal IF (r = −0.062, p = 0.115). Most cadaveric studies rely on small sample sizes due to inherent constraints, yet many still attempt a subgroup analysis without sufficient statistical power. Although flexibility is essential in anatomical research, we recommend a minimum total sample size of 10 for basic studies and at least five samples per group for those involving classification. Cadaveric sample size alone does not predict journal impact, highlighting the importance of methodological rigor over quantity.

在人类尸体研究中确定适当的样本量仍然是一个长期存在且尚未解决的挑战。与其他基础科学领域不同,解剖学研究受到诸如有限的人类供体、文化考虑和伦理限制等因素的限制。尽管有这些限制,研究人员经常被要求证明样本量的合理性,但目前还没有标准化的指导方针。为了定量评估最近人类尸体研究的样本量,并为未来的研究提出循证建议,2024年2月26日,PubMed检索了“人类尸体研究”一词。对2023年和2024年发表的文章进行筛选,得到770篇符合条件的研究。提取的数据包括总样本量、分类组数和期刊影响因子(IF)。进行描述性统计、线性回归和相关分析。使用中位数和四分位间距(IQR)对连续变量进行汇总。中位样本量为11.5 (IQR: 7-20), 47.9%的研究使用10个或更少的样本。分组中位数为3 (IQR: 2-4)。线性回归表明,将标本分为2-6组的研究往往不能满足基于回归模型的每组推荐样本量。样本量与期刊影响因子无显著相关(r = -0.062, p = 0.115)。由于固有的限制,大多数尸体研究依赖于小样本量,然而许多人仍然尝试在没有足够统计能力的情况下进行亚组分析。虽然灵活性在解剖学研究中是必不可少的,但我们建议基础研究的总样本量至少为10个,涉及分类的研究每组至少5个样本。尸体样本的大小本身并不能预测期刊的影响,这突出了方法的严谨性比数量的重要性。
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引用次数: 0
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Clinical Anatomy
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