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Proportional localisation of the peroneal nerve along the fibula 腓神经沿腓骨的比例定位。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-28 DOI: 10.1016/j.aanat.2025.152757
Gloria Maria Hohenberger , Marco Johannes Maier , Michael Pretterklieber , Niels Hammer , Bettina Pretterklieber

Purpose

The common peroneal nerve (CPN) and the superficial peroneal nerve (SPN) are among the most commonly iatrogenically injured peripheral nerves. The aim of this study was to localize the division point of the CPN into the deep peroneal nerve (DPN) and SPN and the exit point of the SPN through the crural fascia in relation to the length of the fibula.

Methods

101 lower extremities were included in this given study. The distance between the apex of the fibular head and the distal tip of the lateral malleolus was defined as the fibular length (FL). Measurements were taken from the apex of the fibular head to the division site of the CPN and from the tip of the lateral malleolus and the perforation point of the SPN. Data were projected proportionally along the FL and analysed using Dirichlet regression models. The rationale behind this approach was to predict the location of these anatomical characteristics in a reliable manner. Due to variations of anatomical structures depending on body length (e.g., taller people tend to have longer fibulae), it is reasonable to assume that the CPN's/SPN's location may also vary proportionally and is not fixed in relation to the lateral malleolus.

Results

The mean FL was 37.2 cm (SD: 2.8; median: 36.9; range: 32.4–45.6; IQR: 3.6). The CPN’s division point was located at a mean of 3.3 cm (SD: 1.2; median: 3.2; range: 1.6 cm proximal to 8.2 cm distal to the tip; IQR: 1.3) distal to the apex of the fibular head, which corresponded to an interval between 3.9 % and 15.9 % of the FL, starting from the same landmark. The exit point of the SPN was at an average length of 17.1 cm (SD: 4.5; median: 17.1; range: 7–23.7; IQR: 7.9) proximal to the tip of the lateral malleolus, matching a proportional interval between 23.9 % and 69.0 % of the FL. Concerning the division point of the CPN, there was less precision (i.e., more variance) in females (p = .042) and right-sided specimens (p = .007), compared to male left-sided specimens. Regarding the SPN’s perforation point, compared to fixation with ethanol and left-sided specimens, the diversion point was higher in Thiel-specimens (p = .034) and the interaction (Thiel on the right side; p = .029).

Conclusion

The current results offer easily applicable data for intraoperative localisation of the peroneal nerve’s main portions at risk.
目的:腓总神经(CPN)和腓浅神经(SPN)是最常见的医源性周围神经损伤。本研究的目的是定位CPN进入腓深神经(DPN)和SPN的分界点以及SPN通过脚筋膜的出口点与腓骨长度的关系。方法:选取101例下肢进行研究。腓骨头顶点与外踝远端之间的距离被定义为腓骨长度(FL)。测量从腓骨头的顶端到CPN的分裂部位,从外踝的尖端到SPN的穿孔点。数据按比例沿FL投影,并使用Dirichlet回归模型进行分析。这种方法背后的基本原理是以可靠的方式预测这些解剖特征的位置。由于解剖结构的变化取决于身体的长度(例如,高个子的人往往有较长的腓骨),我们有理由认为,CPN /SPN的位置也可能成比例地变化,而不是固定的相对于外踝。结果:平均FL为37.2cm (SD: 2.8;中位数:36.9;范围:32.4-45.6;IQR: 3.6)。CPN的分割点平均位于距腓骨头顶端3.3cm (SD: 1.2;中位数:3.2;范围:距尖端近端1.6cm至远端8.2cm; IQR: 1.3)处,对应于距腓骨头顶端3.9-15.9%的间隔,从同一标志点开始。SPN的出口点平均长度为17.1cm (SD: 4.5;中位数:17.1;范围:7-23.7;IQR: 7.9),靠近外踝尖,与FL的23.9% ~ 69.0%的比例区间相匹配。对于CPN的分割点,女性标本(p = 0.042)和右侧标本(p = 0.007)与男性左侧标本相比,精度较低(即方差较大)。对于SPN的穿孔点,与乙醇固定和左侧标本相比,Thiel-标本的导流点(p = 0.034)和相互作用(Thiel在右侧,p = 0.029)更高。结论:目前的结果为术中高危腓神经主要部位的定位提供了易于应用的数据。
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引用次数: 0
Characterization of thyroid lymphatic drainage on real-time contrast-enhanced ultrasound: A mapping study in vivo 实时超声造影对甲状腺淋巴引流的表征:一项体内定位研究
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-28 DOI: 10.1016/j.aanat.2025.152765
Qian Wu, Ying Wei, Zhenlong Zhao, Wenjia Cai, Jie Wu, Shiliang Cao, Na Yu, Tianhao Cong, Lili Peng, Yan Li, Shuqi Li, Ming’an Yu

Background

The in vivo lymphatic drainage pattern of the thyroid gland is a critical but poorly understood determinant of prognosis in papillary thyroid carcinoma (PTC), as conventional imaging cannot dynamically visualize these pathways. This study aimed to systematically characterize these patterns using lymphatic contrast-enhanced ultrasound (LCEUS).

Methods

This prospective study enrolled 30 PTC patients. A microbubble contrast agent was injected into the tumor-bearing lobe. The origin, anatomical course, and terminal draining lymph nodes (LNs) of lymphatic vessels (LVs) were dynamically observed and quantitatively analyzed.

Results

Following injection, complete enhancement of the ipsilateral lobe was achieved in all cases. Contralateral communication was observed in 76.7 % (23/30) of patients. LVs originated evenly from all poles (P ≥ 0.05). The "Anterior to Carotid" course was the most prominent pathway for LVs (P < 0.05). Levels III and IV were the primary draining basins for LNs (P < 0.05). Notably, a significant right-sided predominance in the total number of draining LNs was identified (median 8.0 vs. 4.0; P = 0.005). No drainage to Level V was observed. No significant differences were found in patients with or without Hashimoto's thyroiditis.

Conclusion

LCEUS provides the first detailed, real-time map of thyroid lymphatic drainage, revealing a high incidence of contralateral communication and a previously uncharacterized right-sided anatomical predominance. These findings challenge conventional concepts of lymphatic compartmentalization and establish a novel methodology for lymphatic research.
甲状腺的体内淋巴引流模式是甲状腺乳头状癌(PTC)预后的一个关键但鲜为人知的决定因素,因为常规成像不能动态地显示这些途径。本研究旨在利用淋巴造影增强超声(LCEUS)系统地表征这些模式。方法本前瞻性研究纳入30例PTC患者。将微泡造影剂注入肿瘤叶。动态观察淋巴管(lv)的起源、解剖走向及末梢引流淋巴结(LNs),并进行定量分析。结果注射后,所有病例的同侧肺叶均得到完全增强。76.7 %(23/30)患者有对侧通信。LVs均匀地来自各极点(P ≥ 0.05)。颈动脉前段是LVs最主要的通路(P <; 0.05)。III级和IV级是LNs的主要排水流域(P <; 0.05)。值得注意的是,在引流LNs总数中发现了显著的右侧优势(中位数8.0 vs. 4.0; P = 0.005)。未见引流至V级。桥本甲状腺炎患者与非桥本甲状腺炎患者无显著差异。结论lceus提供了第一个详细的实时甲状腺淋巴引流图,揭示了对侧交通的高发生率和以前未发现的右侧解剖优势。这些发现挑战了淋巴区隔的传统概念,并为淋巴研究建立了一种新的方法。
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引用次数: 0
Role of artificial intelligence in veterinary anatomical diagnostics and zoonotic disease monitoring 人工智能在兽医解剖诊断和人畜共患疾病监测中的作用
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-27 DOI: 10.1016/j.aanat.2025.152756
Ehsanullah , Bakhtawar Maqbool , Muhammad Imran Arshad , Nagah M. Abourashed , Shafia Tehseen Gul

Background

The use of artificial intelligence (AI) also playing a significant role in veterinary medicine due to the changing pattern of diseases in terms of climatic changes and advances in treatment protocols. About 60 % of emerging human diseases are zoonotic mainly originating from animals, so the conventional diagnostic tools and traceability protocols are not fast enough, precise and lack of ability to handle large number of cases. Use of AI tools can make a big difference in diagnosis of diseases/problems through diagnostic images, predicting outbreaks through the data from previous records ultimately leading to improved monitoring of zoonotic diseases in terms of early warning systems for future outbreaks, multisectoral collaborations to improve the health of humans, animals and environments. In diagnosis, AI shows great effectiveness, like being able to spot more than 90 % of bone and joint issues in X-rays, predicting sickness in farm animals up to two to three days before they show symptoms, and even predicting animal diseases those can transmitted to humans up to weeks in advance by looking at data about the environment changes and animals’ movements. But adoption to these AI systems is still not common because of many reasons including scattered data, lack of understanding about algorithms, ethical issues, and unequal access to technology etc.

Conclusions

As climate change speeds up the spread of diseases from animals to humans, AI is becoming a crucial tool for reaching health goals that affect both people and animals. But this will happen only if AI is used fairly and responsibly. This summary shows that working together across different fields is important to combine new technology with expert knowledge from vets. The goal is to use AI to support, not take over, what doctors do, and to make advanced care available to everyone around the world.
由于气候变化和治疗方案的进步导致疾病模式的变化,人工智能(AI)的使用也在兽医学中发挥着重要作用。大约60% %的新发人类疾病是主要源自动物的人畜共患疾病,因此传统的诊断工具和可追溯性方案不够快速、精确,缺乏处理大量病例的能力。使用人工智能工具可以在以下方面发挥重大作用:通过诊断图像诊断疾病/问题,通过以前记录的数据预测疫情,最终在未来疫情预警系统方面改善对人畜共患疾病的监测,通过多部门合作改善人类、动物和环境的健康。在诊断方面,人工智能显示出极大的有效性,比如能够在x射线中发现90% 以上的骨骼和关节问题,在农场动物出现症状前两到三天预测疾病,甚至通过观察环境变化和动物运动的数据,提前数周预测可能传播给人类的动物疾病。但由于数据分散、对算法缺乏了解、伦理问题、技术获取不平等等原因,这些人工智能系统的采用仍然不普遍。结论随着气候变化加速了疾病从动物向人类的传播,人工智能正在成为实现影响人类和动物的健康目标的关键工具。但这只有在人工智能得到公平和负责任的使用时才会发生。这一总结表明,跨领域合作对于将新技术与兽医的专业知识结合起来非常重要。我们的目标是利用人工智能来支持医生的工作,而不是接管医生的工作,并为世界各地的每个人提供先进的医疗服务。
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引用次数: 0
Investigation of the pull-off forces for implant-supported overdentures with two resilient attachment systems 两种弹性附着体种植覆盖义齿拔牙力的研究
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-27 DOI: 10.1016/j.aanat.2025.152755
Nicole Gumprecht , Anna Weber , Christoph Bourauel , Istabrak Dörsam
Here we evaluated the retention of two implant-supported overdenture attachment systems - Locator and CM-LOC - on edentulous mandibular models. We compared the retention force between these systems based on implant number and position, addressing complications like loss of retention and ease of denture removal. Implants were placed in various configurations (two, three or four implants) and two attachment systems were tested using different retention inserts. Locator system generally provided higher pull-off forces than the CM-LOC system, especially with the red and transparent inserts. However, the CM-LOC system showed less complications, such as loss of retention element. In terms of axial and non-axial pull-off tests, Locator system performed better than the CM-LOC system, particularly in the non-axial direction, which closely reflects real-life conditions. The results showed that implant angulation and choice of attachment system were critical factors influencing resulting retention forces. Overall, the study concluded that while the Locator system achieved high retention forces, the CM-LOC system had less complications and might be a better option for patients with difficulties in denture removal.
在这里,我们评估了两种种植支持覆盖义齿附着系统定位器和CM-LOC在无牙下颌模型上的固位。我们根据种植体数量和位置比较了这些系统之间的固位力,解决了诸如固位丧失和义齿移除难易等并发症。植入物放置在不同的配置(两个,三个或四个植入物),两种附着系统使用不同的固位插入物进行测试。定位器系统通常比CM-LOC系统提供更高的下入力,特别是在红色和透明嵌套的情况下。然而,CM-LOC系统显示较少的并发症,如保留元件的损失。在轴向和非轴向下入测试中,Locator系统的性能优于CM-LOC系统,尤其是在非轴向下入测试,更能反映实际情况。结果表明,种植体的角度和附着体系统的选择是影响固位力的关键因素。总的来说,该研究得出结论,虽然Locator系统具有较高的固位力,但CM-LOC系统的并发症较少,可能是义齿移除困难患者的更好选择。
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引用次数: 0
Prevalence, variability, and clinical anatomy of the sesamoid bones of the hand: A systematic review and meta-analysis 手籽骨的患病率、变异性和临床解剖:系统回顾和荟萃分析。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-19 DOI: 10.1016/j.aanat.2025.152754
Grzegorz Fibiger , Katarzyna Majka , Jonasz Tempski , Miłosz Czeliński , Jakub Obrzut , Maksymilian Osiowski , Aleksander Osiowski , Szymon Matejuk , Tetiana Tkachuk , Tomasz Kozioł , Dominik Taterra , Jerzy A. Walocha , Przemysław Pękala , Wojciech Fibiger

Background

Sesamoid bones are small, tendon-embedded bones in the hand, which play a role in reducing friction and redirecting tendon forces. Their variable presence highlights the need for detailed anatomical knowledge, particularly for radiologists and orthopedic specialists diagnosing conditions in this region. Given their significance in both diagnostic and surgical contexts, an updated meta-analysis on this issue is highly important.

Methods

A large-scale search through the major databases was conducted with no date or language restrictions to determine and pool all available and relevant data. Anatomical Quality Assessment Tool was used to assess the quality of included studies.

Results

A total of 29 studies were included (n = 15011 hands). The prevalence of sesamoid bone at 1st metacarpophalangeal joint (MCP) was 99.85 % (95 %CI: 99.7–99.95), 2nd MCP was 39.49 % (95 %CI: 35.31–43.76), 3rd was 1.74 % (95 %CI: 1.24–2.32), 4th was 0.64 % (95 %CI: 0.38–0.96), 5th 52.22 % (95 %CI: 45.36–59.04) and 1st interphalangeal joint was 48.03 % (95 %CI: 37.00–59.16). Our analysis showed that in total of 0.09 % of hands (95 %CI: 0.01–0.22) no sesamoid bones were found. Furthermore, no significant differences in balance could be found when comparing the left (0.30 %, 95 %CI: 0.00–0.81) and the right (0.13 %, 95 %CI: 0.00–0.36) hand.

Conclusion

Understanding sesamoid bones variability might be crucial for anatomical insight and clinical diagnosis, particularly in orthopedics or radiology.
背景:籽骨是手部小的肌腱嵌入骨,它在减少摩擦和重定向肌腱力方面发挥作用。他们多变的存在强调了对详细解剖知识的需求,特别是对于放射科医生和骨科专家诊断该地区的情况。鉴于它们在诊断和手术方面的重要性,对这一问题进行更新的荟萃分析是非常重要的。方法:在主要数据库中进行大规模检索,不受日期和语言限制,以确定和汇总所有可用的相关数据。采用解剖质量评估工具评估纳入研究的质量。结果:共纳入29项研究(n = 15011手)。第一掌指关节(MCP)的籽骨患病率为99.85% (95%CI: 99.7 ~ 99.95),第二掌指关节为39.49% (95%CI: 35.31 ~ 43.76),第三掌指关节为1.74% (95%CI: 1.24 ~ 2.32),第四掌指关节为0.64% (95%CI: 0.38 ~ 0.96),第五掌指关节为52.22% (95%CI: 45.36 ~ 59.04),第一指间关节为48.03% (95%CI: 37.00 ~ 59.16)。我们的分析显示,总共0.09%的手(95%CI: 0.01 ~ 0.22)没有发现籽骨。此外,左手(0.30%,95%CI: 0.00 - 0.81)和右手(0.13%,95%CI: 0.00 - 0.36)在平衡方面没有显著差异。结论:了解籽骨变异性可能对解剖学和临床诊断至关重要,特别是在骨科或放射学方面。
{"title":"Prevalence, variability, and clinical anatomy of the sesamoid bones of the hand: A systematic review and meta-analysis","authors":"Grzegorz Fibiger ,&nbsp;Katarzyna Majka ,&nbsp;Jonasz Tempski ,&nbsp;Miłosz Czeliński ,&nbsp;Jakub Obrzut ,&nbsp;Maksymilian Osiowski ,&nbsp;Aleksander Osiowski ,&nbsp;Szymon Matejuk ,&nbsp;Tetiana Tkachuk ,&nbsp;Tomasz Kozioł ,&nbsp;Dominik Taterra ,&nbsp;Jerzy A. Walocha ,&nbsp;Przemysław Pękala ,&nbsp;Wojciech Fibiger","doi":"10.1016/j.aanat.2025.152754","DOIUrl":"10.1016/j.aanat.2025.152754","url":null,"abstract":"<div><h3>Background</h3><div>Sesamoid bones are small, tendon-embedded bones in the hand, which play a role in reducing friction and redirecting tendon forces. Their variable presence highlights the need for detailed anatomical knowledge, particularly for radiologists and orthopedic specialists diagnosing conditions in this region. Given their significance in both diagnostic and surgical contexts, an updated meta-analysis on this issue is highly important.</div></div><div><h3>Methods</h3><div>A large-scale search through the major databases was conducted with no date or language restrictions to determine and pool all available and relevant data. Anatomical Quality Assessment Tool was used to assess the quality of included studies.</div></div><div><h3>Results</h3><div>A total of 29 studies were included (n = 15011 hands). The prevalence of sesamoid bone at 1st metacarpophalangeal joint (MCP) was 99.85 % (95 %CI: 99.7–99.95), 2nd MCP was 39.49 % (95 %CI: 35.31–43.76), 3rd was 1.74 % (95 %CI: 1.24–2.32), 4th was 0.64 % (95 %CI: 0.38–0.96), 5th 52.22 % (95 %CI: 45.36–59.04) and 1st interphalangeal joint was 48.03 % (95 %CI: 37.00–59.16). Our analysis showed that in total of 0.09 % of hands (95 %CI: 0.01–0.22) no sesamoid bones were found. Furthermore, no significant differences in balance could be found when comparing the left (0.30 %, 95 %CI: 0.00–0.81) and the right (0.13 %, 95 %CI: 0.00–0.36) hand.</div></div><div><h3>Conclusion</h3><div>Understanding sesamoid bones variability might be crucial for anatomical insight and clinical diagnosis, particularly in orthopedics or radiology.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152754"},"PeriodicalIF":1.7,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Myb deficiency on Rankl/Opg expression within the developing mouse mandible Myb缺乏对发育中小鼠下颌骨Rankl/Opg表达的影响。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-17 DOI: 10.1016/j.aanat.2025.152753
S. Varadinkova , E. Matalova , J. Frampton , M. Clarke , B. Vesela , P. Bartos , H. Lesot , Oralova V
The Rank-Rankl-Opg axis is a fundamental regulatory triad in bone development and remodelling. While extensively studied, novel modulators of this system continue to emerge, with the transcription factor Myb recently gaining attention due to its unexpected presence and physiological significance in tooth and bone, beyond its well-established role in haematopoiesis. To establish a baseline for normal development, we first elucidated the developmental dynamics of Rankl and Opg expression during prenatal mandibular development and osteocytogenesis in wild-type mice within distinct morphological regions of the developing mandible (incisor, diastema, molar), revealing intricate temporal expression patterns. Building upon this foundational understanding, we then investigated the hitherto uncharacterized impact of Myb deficiency on Rankl and Opg expression at their survival limit (prenatal day 15), using Myb knock-out mice. We observed a significant and region-specific upregulation of both Rankl and Opg expression in the molar region of Myb-deficient mandibles, as assessed by qPCR. Intriguingly, increased expression of both genes was also evident in the incisor region, while no significant changes were noted within the diastema. In contrast, Rank expression remained unaffected across all three segments. To confirm the reciprocal effect of Myb, we demonstrated that its overexpression in mandibular micromasses reciprocally altered Rankl and Opg expression. By confronting the established developmental dynamics with the effects of Myb deficiency and Myb’s own expression pattern, we provide compelling evidence for a potent and direct influence of Myb on Rankl and Opg regulation, particularly prominent in the molar region. The observed temporal peaks of Myb and Rankl expression at the osteoblast-osteocyte transition further suggest broader, pivotal roles for Myb in osteogenesis. Our findings unravel Myb as a critical orchestrator of the Rank-Rankl-Opg system in craniofacial bone development, opening new avenues for understanding bone dysregulation.
Rank-Rankl-Opg轴是骨发育和骨重塑的一个基本调控三元轴。在广泛研究的同时,该系统的新调节剂不断出现,转录因子Myb最近因其在牙齿和骨骼中的意外存在和生理意义而受到关注,超出了其在造血中的既定作用。为了建立正常发育的基线,我们首先阐明了野生型小鼠在产前下颌骨发育和骨细胞发生过程中Rankl和Opg表达的发育动态,揭示了复杂的时间表达模式。在此基础上,我们利用Myb敲除小鼠研究了Myb缺乏对存活极限(产前第15天)Rankl和Opg表达的影响。我们观察到,通过qPCR评估,myb缺乏症下颌骨臼齿区域的Rankl和Opg表达均有显著的区域特异性上调。有趣的是,这两种基因的表达在门牙区域也明显增加,而在隔膜内没有明显的变化。相比之下,Rank表达在所有三个片段中都不受影响。为了证实Myb的相互作用,我们证明了Myb在下颌微肿块中的过表达会相互改变Rankl和Opg的表达。通过与Myb缺乏和Myb自身表达模式的影响相比较,我们提供了令人信服的证据,证明Myb对Rankl和Opg调控的直接影响,特别是在臼齿区域。Myb和Rankl在成骨细胞-成骨细胞转化过程中表达的时间峰值进一步表明Myb在成骨过程中具有更广泛的关键作用。我们的发现揭示了Myb作为颅面骨发育中Rank-Rankl-Opg系统的关键协调者,为理解骨失调开辟了新的途径。
{"title":"Impact of Myb deficiency on Rankl/Opg expression within the developing mouse mandible","authors":"S. Varadinkova ,&nbsp;E. Matalova ,&nbsp;J. Frampton ,&nbsp;M. Clarke ,&nbsp;B. Vesela ,&nbsp;P. Bartos ,&nbsp;H. Lesot ,&nbsp;Oralova V","doi":"10.1016/j.aanat.2025.152753","DOIUrl":"10.1016/j.aanat.2025.152753","url":null,"abstract":"<div><div>The Rank-Rankl-Opg axis is a fundamental regulatory triad in bone development and remodelling. While extensively studied, novel modulators of this system continue to emerge, with the transcription factor Myb recently gaining attention due to its unexpected presence and physiological significance in tooth and bone, beyond its well-established role in haematopoiesis. To establish a baseline for normal development, we first elucidated the developmental dynamics of <em>Rankl</em> and <em>Opg</em> expression during prenatal mandibular development and osteocytogenesis in wild-type mice within distinct morphological regions of the developing mandible (incisor, diastema, molar), revealing intricate temporal expression patterns. Building upon this foundational understanding, we then investigated the hitherto uncharacterized impact of Myb deficiency on <em>Rankl</em> and <em>Opg</em> expression at their survival limit (prenatal day 15), using Myb knock-out mice. We observed a significant and region-specific upregulation of both <em>Rankl</em> and <em>Opg</em> expression in the molar region of Myb-deficient mandibles, as assessed by qPCR. Intriguingly, increased expression of both genes was also evident in the incisor region, while no significant changes were noted within the diastema. In contrast, <em>Rank</em> expression remained unaffected across all three segments. To confirm the reciprocal effect of Myb, we demonstrated that its overexpression in mandibular micromasses reciprocally altered <em>Rankl</em> and <em>Opg</em> expression. By confronting the established developmental dynamics with the effects of Myb deficiency and Myb’s own expression pattern, we provide compelling evidence for a potent and direct influence of Myb on <em>Rankl</em> and <em>Opg</em> regulation, particularly prominent in the molar region. The observed temporal peaks of Myb and Rankl expression at the osteoblast-osteocyte transition further suggest broader, pivotal roles for Myb in osteogenesis. Our findings unravel Myb as a critical orchestrator of the Rank-Rankl-Opg system in craniofacial bone development, opening new avenues for understanding bone dysregulation.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152753"},"PeriodicalIF":1.7,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The hepatic arterial system variations: A systematic review with meta-analysis 肝动脉系统变异:荟萃分析的系统综述。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-03 DOI: 10.1016/j.aanat.2025.152752
Adrian Balcerzak , George Triantafyllou , Fotis Demetriou , Maria Piagkou , Łukasz Olewnik

Background

The hepatic artery (HA) system is essential for the arterial supply of the liver and other abdominal organs. Understanding its anatomical variations is crucial for anatomists, radiologists, and surgeons, particularly in the context of abdominal surgeries and preoperative imaging. While two most recognized classification systems - Michels’ and Hiatt’s - describe these variants, a comprehensive meta-analysis covering the entire hepatic arterial system is lacking.

Methods

This systematic review and meta-analysis followed PRISMA 2020 guidelines and Evidence-based Anatomy Workgroup protocols. A thorough literature search was conducted across major databases, including PubMed, Scopus, Web of Science, and Google Scholar. Studies reporting the prevalence of HA variants were included, and pooled prevalence was calculated using random-effects models. Subgroup analyses were performed based on geographic distribution and study type.

Results

Eighty-five studies with a total of 47,732 patients were included. Typical HA anatomy was identified in 69.96 % (95 % CI: 66.78–73.05) of cases, while 30.04 % exhibited variant anatomy. The most common variation involved the right hepatic artery (RHA) with a pooled prevalence of 11.38 % (95 % CI: 9.45–13.45). Significant differences were observed between populations and study types, with European populations and cadaveric studies showing higher prevalence rates for certain variants.

Conclusions

HA variability is common phenomenon, with approximately one-third of individuals presenting deviations from the typical anatomy. These findings are crucial for surgical planning and risk mitigation in invasive procedures, particularly those involving the hepatobiliary region. Future research should aim to refine classification systems, address heterogeneity, and include gender-specific and morphometric data to enhance anatomical understanding.
背景:肝动脉(HA)系统对肝脏和其他腹部器官的动脉供应至关重要。了解其解剖变异对解剖学家、放射科医生和外科医生至关重要,特别是在腹部手术和术前成像方面。虽然两种最公认的分类系统——Michels和Hiatt——描述了这些变异,但缺乏覆盖整个肝动脉系统的综合荟萃分析。方法:本系统综述和荟萃分析遵循PRISMA 2020指南和循证解剖学工作组协议。在PubMed、Scopus、Web of Science和b谷歌Scholar等主要数据库中进行了全面的文献检索。纳入报告HA变异患病率的研究,并使用随机效应模型计算合并患病率。根据地理分布和研究类型进行亚组分析。结果:85项研究共纳入47,732例患者。69.96% (95% CI: 66.78 ~ 73.05)的病例具有典型HA解剖结构,30.04%的病例具有变异解剖结构。最常见的变异涉及右肝动脉(RHA),总患病率为11.38% (95% CI: 9.45-13.45)。在人群和研究类型之间观察到显著差异,欧洲人群和尸体研究显示某些变异的患病率较高。结论:HA变异性是一种常见现象,大约三分之一的个体表现出与典型解剖结构的偏差。这些发现对有创手术的手术计划和风险降低至关重要,特别是涉及肝胆区域的手术。未来的研究应旨在完善分类系统,解决异质性,并包括性别特异性和形态计量数据,以加强解剖学的理解。
{"title":"The hepatic arterial system variations: A systematic review with meta-analysis","authors":"Adrian Balcerzak ,&nbsp;George Triantafyllou ,&nbsp;Fotis Demetriou ,&nbsp;Maria Piagkou ,&nbsp;Łukasz Olewnik","doi":"10.1016/j.aanat.2025.152752","DOIUrl":"10.1016/j.aanat.2025.152752","url":null,"abstract":"<div><h3>Background</h3><div>The hepatic artery (HA) system is essential for the arterial supply of the liver and other abdominal organs. Understanding its anatomical variations is crucial for anatomists, radiologists, and surgeons, particularly in the context of abdominal surgeries and preoperative imaging. While two most recognized classification systems - Michels’ and Hiatt’s - describe these variants, a comprehensive meta-analysis covering the entire hepatic arterial system is lacking.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis followed PRISMA 2020 guidelines and Evidence-based Anatomy Workgroup protocols. A thorough literature search was conducted across major databases, including PubMed, Scopus, Web of Science, and Google Scholar. Studies reporting the prevalence of HA variants were included, and pooled prevalence was calculated using random-effects models. Subgroup analyses were performed based on geographic distribution and study type.</div></div><div><h3>Results</h3><div>Eighty-five studies with a total of 47,732 patients were included. Typical HA anatomy was identified in 69.96 % (95 % CI: 66.78–73.05) of cases, while 30.04 % exhibited variant anatomy. The most common variation involved the right hepatic artery (RHA) with a pooled prevalence of 11.38 % (95 % CI: 9.45–13.45). Significant differences were observed between populations and study types, with European populations and cadaveric studies showing higher prevalence rates for certain variants.</div></div><div><h3>Conclusions</h3><div>HA variability is common phenomenon, with approximately one-third of individuals presenting deviations from the typical anatomy. These findings are crucial for surgical planning and risk mitigation in invasive procedures, particularly those involving the hepatobiliary region. Future research should aim to refine classification systems, address heterogeneity, and include gender-specific and morphometric data to enhance anatomical understanding.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152752"},"PeriodicalIF":1.7,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Re-examination of the juxta-oral organ in domestic chicken (Gallus gallus domesticus) using immunohistochemistry and micro-computer tomography techniques 应用免疫组织化学和显微计算机断层扫描技术重新检查家鸡(Gallus Gallus domesticus)口旁器官。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.aanat.2025.152750
Anna Kanewska, Wataru Yano, Yuto Fujimitsu, Masataka Ito

Objective

The juxta-oral organ (JOO) is a bilateral organ located in the lateral walls of the oral cavity and has close connection with the buccal nerve. While it is described mainly in mammals, some studies have reported the existence of JOO in other classes. The aim of this study was to re-analyze the existence of JOO in the domestic chicken using newly available methods.

Materials and methods

Fertilized chicken eggs were incubated at 38°C from day 0 of fertilization. At least 3 embryos of each stage were sampled at embryonic day 8 (E 8), E 8.5, E 9, E 10, E 11, E 12, E 13 as well as two E 20 embryos, and serial tissue sections were analyzed. The morphology was studied in hematoxylin-eosin (HE) stained sections, and immunohistochemical staining (IHC) for cytokeratin 6 A (CK6A) and neuron-specific class III beta-tubulin (TUJ1) was performed for the detection of epithelial and neuronal structures, respectively. Chick embryos at E 11 – E 20 were also stained for α-smooth muscle actin (SMA) to detect myoepithelial cells. In addition, one E 20 chicken embryo was analyzed by micro-computer tomography.

Results

At E 8, epithelial thickening at the buccal fold was observed. From E 9, an epithelial structure was budding from the angle of the beak cavity in a posterior direction, with further elongation at E 10 and branching at E 11. Acini-like structure was observed from E 12 and E 13, developing into a glandular structure in E 20. The epithelial structure was positive for CK6A and had a close relationship with TUJ1-positive nerve fibers. The topographic relationship was confirmed in the micro-CT analysis. Epithelial budding with subsequent formation of submandibular, maxillary and sublingual salivary glands was also observed in HE-stained serial sections from stage E 9.

Conclusion

We identified the observed glandular structure at the buccal fold to be glandula angularis oris (GAO). As there were no other epithelial structures in this area, we concluded that JOO did not exist in the chickens.
目的:口旁器官(JOO)是位于口腔外侧壁的双侧器官,与颊神经有密切的联系。虽然它主要在哺乳动物中被描述,但一些研究报道了JOO在其他类中的存在。本研究的目的是利用现有的新方法重新分析家鸡中JOO的存在。材料和方法:从受精第0天开始,在38℃下孵育受精卵。在胚胎第8天(第8天)、第8.5天、第9天、第10天、第11天、第12天、第13天和第20天各取至少3个胚胎,并进行连续组织切片分析。在苏木精-伊红(HE)染色切片上研究形态学,分别对细胞角蛋白6A (CK6A)和神经元特异性III类β -微管蛋白(TUJ1)进行免疫组化染色(IHC)检测上皮和神经元结构。用α-平滑肌肌动蛋白(SMA)染色检测e11 ~ e20期鸡胚的肌上皮细胞。并对1只e20鸡胚进行了显微计算机断层扫描分析。结果:e8时,颊襞上皮增厚。从e9开始,一个上皮结构从喙腔的角度向后方向出芽,在e10进一步伸长,在e11分支。从e12和e13开始可见腺泡样结构,在e20发育为腺泡结构。上皮结构呈CK6A阳性,与tuj1阳性的神经纤维密切相关。显微ct分析证实了地形关系。在e9期he染色的系列切片中也观察到上皮芽出并随后形成下颌、上颌和舌下唾液腺。结论:在口腔褶处观察到的腺状结构为口角腺(GAO)。由于该区域未发现其他上皮结构,因此我们认为鸡体内不存在JOO。
{"title":"Re-examination of the juxta-oral organ in domestic chicken (Gallus gallus domesticus) using immunohistochemistry and micro-computer tomography techniques","authors":"Anna Kanewska,&nbsp;Wataru Yano,&nbsp;Yuto Fujimitsu,&nbsp;Masataka Ito","doi":"10.1016/j.aanat.2025.152750","DOIUrl":"10.1016/j.aanat.2025.152750","url":null,"abstract":"<div><h3>Objective</h3><div>The juxta-oral organ (JOO) is a bilateral organ located in the lateral walls of the oral cavity and has close connection with the buccal nerve. While it is described mainly in mammals, some studies have reported the existence of JOO in other classes. The aim of this study was to re-analyze the existence of JOO in the domestic chicken using newly available methods.</div></div><div><h3>Materials and methods</h3><div>Fertilized chicken eggs were incubated at 38°C from day 0 of fertilization. At least 3 embryos of each stage were sampled at embryonic day 8 (E 8), E 8.5, E 9, E 10, E 11, E 12, E 13 as well as two E 20 embryos, and serial tissue sections were analyzed. The morphology was studied in hematoxylin-eosin (HE) stained sections, and immunohistochemical staining (IHC) for cytokeratin 6 A (CK6A) and neuron-specific class III beta-tubulin (TUJ1) was performed for the detection of epithelial and neuronal structures, respectively. Chick embryos at E 11 – E 20 were also stained for α-smooth muscle actin (SMA) to detect myoepithelial cells. In addition, one E 20 chicken embryo was analyzed by micro-computer tomography.</div></div><div><h3>Results</h3><div>At E 8, epithelial thickening at the buccal fold was observed. From E 9, an epithelial structure was budding from the angle of the beak cavity in a posterior direction, with further elongation at E 10 and branching at E 11. Acini-like structure was observed from E 12 and E 13, developing into a glandular structure in E 20. The epithelial structure was positive for CK6A and had a close relationship with TUJ1-positive nerve fibers. The topographic relationship was confirmed in the micro-CT analysis. Epithelial budding with subsequent formation of submandibular, maxillary and sublingual salivary glands was also observed in HE-stained serial sections from stage E 9.</div></div><div><h3>Conclusion</h3><div>We identified the observed glandular structure at the buccal fold to be glandula angularis oris (GAO). As there were no other epithelial structures in this area, we concluded that JOO did not exist in the chickens.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152750"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative study on biological characteristics of dental mesenchymal stem cells isolated from gingiva, periodontal ligament, and dental follicle and their derived conditioned medium 牙龈、牙周韧带和牙滤泡间充质干细胞及其衍生条件培养基生物学特性的比较研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-10-29 DOI: 10.1016/j.aanat.2025.152751
Xianyi He , Yichen Gao , Haiyin Wan , Xia Wang , Jie Shen , Yun He , Junliang Chen

Background

Dental mesenchymal stem cells are seed cells for oral and maxillofacial bone tissue engineering. The aim of this study was to compare the biological characteristics of gingival mesenchymal stem cells (GMSCs), periodontal ligament stem cells (PDLSCs), and dental follicle stem cells (DFSCs), and to evaluate the effects of their corresponding conditioned medium (CM) on the biological characteristics of bone marrow mesenchymal stem cells (BMSCs). The findings may expound a theoretical foundation for the development of treatments for oral and maxillofacial bone defects.

Methods

GMSCs, PDLSCs, and DFSCs were isolated and cultured from the same donors to compare their proliferation, migration, chondrogenic and osteogenic differentiation potentials. CM derived from each stem cell type were obtained through serum-free culture. Transwell assays, alkaline phosphatase staining, Alizarin Red staining, western blotting, quantitative real-time polymerase chain reaction, and immunofluorescence were carried out to evaluate the effects of the different CM on the osteogenic differentiation and migration abilities of BMSCs.

Results

This study demonstrated that GMSCs, PDLSCs, and DFSCs exhibited similar morphologies. The proliferation and migration potentials of GMSCs and DFSCs were significantly higher than those of PDLSCs. DFSCs also showed the highest osteogenic and chondrogenic differentiation capability. In addition, DFSC-CM significantly promoted the osteogenic differentiation and migration abilities of BMSCs compared with PDLSC-CM and GMSC-CM.

Conclusions

DFSCs are promising candidate for maxillofacial bone regeneration due to their robust regenerative properties. DFSC-CM, as a cell-free therapeutic, could overcome limitations of direct stem cell transplantation by leveraging paracrine signaling. This study provides a foundation for clinical applications, such as combining DFSC-CM with biomaterials to enhance bone defect repair.
背景:牙间充质干细胞是口腔颌面部骨组织工程的种子细胞。本研究的目的是比较龈间充质干细胞(GMSCs)、牙周韧带干细胞(PDLSCs)和牙滤泡干细胞(DFSCs)的生物学特性,并评价其相应的条件培养基(CM)对骨髓间充质干细胞(BMSCs)生物学特性的影响。研究结果可为口腔颌面骨缺损的治疗提供理论基础。方法:从同一供体中分离培养GMSCs、PDLSCs和DFSCs,比较其增殖、迁移、成软骨和成骨分化潜能。通过无血清培养获得每种干细胞类型的CM。采用Transwell法、碱性磷酸酶染色法、茜素红染色法、western blotting法、实时定量聚合酶链反应法和免疫荧光法评价不同CM对骨髓间充质干细胞成骨分化和迁移能力的影响。结果:本研究表明,GMSCs、PDLSCs和DFSCs具有相似的形态。GMSCs和DFSCs的增殖和迁移能力明显高于PDLSCs。DFSCs还显示出最高的成骨和软骨分化能力。此外,与PDLSC-CM和GMSC-CM相比,DFSC-CM显著促进了BMSCs的成骨分化和迁移能力。结论:DFSCs具有良好的再生性能,是颌面部骨再生的理想材料。dscs - cm作为一种无细胞治疗药物,可以利用旁分泌信号克服直接干细胞移植的局限性。本研究为临床应用,如将dscs - cm与生物材料结合,增强骨缺损修复提供了基础。
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引用次数: 0
Anatomical variation in the external vasculature of the human heart: A cadaveric investigation of dominance in coronary artery branching and cardiac venous drainage 人类心脏外血管的解剖变异:冠状动脉分支和心静脉引流优势的尸体调查。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2025-10-27 DOI: 10.1016/j.aanat.2025.152749
Colton P. Lane , Milena Douglas , Matthew Mckoy , Jonathan Rozeboom , Eshwar S. Karupakula , Harsh C. Patel , Kianna P. Ruble , Rosemary Josenkoski , Samuel Ryabov , Jasmine Zhai , Alexander Rich , Ainsley Durning , Cole McNeil , Georgianna Miller , Dominik Valdez , Timothy L. Campbell , Terrence B. Ritzman , Heather F. Smith , Leigha M. Lynch
<div><div>Coronary artery and cardiac venous drainage patterns exhibit substantial anatomical variability, which can impact surgical planning and patient outcomes. While each system's variation has been studied independently, little is known about potential correlations between arterial supply and venous drainage of the heart. This study investigates coronary artery dominance and cardiac venous drainage dominance in a sample of 167 adult human cadaveric donors to better understand their prevalence and potential relationship. Coronary artery dominance was assessed based on the origin of the posterior interventricular artery (PIA), and cardiac venous drainage dominance was classified by examining the association of the great and middle cardiac veins to the apex of the heart. Among 165 hearts evaluated for arterial dominance, 81.21 % were right dominant, 12.73 % left dominant, and 6.06 % codominant. Of 80 hearts scored for cardiac venous dominance, 48.75 % were middle vein dominant (MVD), 6.25 % great vein dominant (GVD), and 45.00 % intermediate type (IM). No significant differences in dominance patterns were found between sexes or age at death. Additionally, analysis of 78 hearts with both arterial and venous structures showed no significant correlation between coronary artery dominance and venous drainage dominance. These findings confirm prior prevalence reports, underscore the anatomical variability in cardiac vasculature, and suggest that arterial and venous dominance patterns may develop independently. Understanding this variation is crucial for improving clinical outcomes in cardiac interventions.</div></div><div><h3>Purpose</h3><div>This study investigates coronary artery dominance and cardiac venous drainage dominance in a sample of 167 adult human cadaveric donors to better understand their prevalence and potential relationship.</div></div><div><h3>Methods</h3><div>Coronary artery dominance was assessed based on the origin of the posterior interventricular artery (PIA), and cardiac venous drainage dominance was classified by examining the association of the great and middle cardiac veins to the apex of the heart.</div></div><div><h3>Results</h3><div>Among 167 hearts evaluated for arterial dominance, 81.21 % were right dominant, 12.73 % left dominant, and 6.06 % codominant. Of 80 hearts scored for cardiac venous dominance, 48.75 % were middle vein dominant (MVD), 6.25 % great vein dominant (GVD), and 45.00 % intermediate type (IM). No significant differences in dominance patterns were found between sexes (artery p = 0.45; vein p = 0.43) or age at death (artery p = 0.43, vein=0.48). Additionally, analysis of 78 hearts with both arterial and venous structures showed no significant correlation between coronary artery dominance and venous drainage dominance (p = 0.39).</div></div><div><h3>Implications</h3><div>These findings confirm prior prevalence reports, underscore the anatomical variability in cardiac vasculature, and suggest that arteria
冠状动脉和心静脉引流模式表现出实质性的解剖变异,这可能影响手术计划和患者的预后。虽然每个系统的变化已被独立研究,但对心脏动脉供应和静脉引流之间的潜在相关性知之甚少。本研究调查了167例成人尸体供体的冠状动脉优势和心静脉引流优势,以更好地了解它们的患病率和潜在关系。根据后室间动脉(PIA)的起源来评估冠状动脉优势,通过检查心大静脉和心中静脉与心尖的关系来分类心静脉引流优势。165颗动脉优势型心脏中,右优势型占81.21%,左优势型占12.73%,共优势型占6.06%。80例心脏静脉优势型心脏中,中静脉优势型(MVD)占48.75%,大静脉优势型(GVD)占6.25%,中间型(IM)占45.00%。在死亡时,性别或年龄之间的优势模式没有显著差异。此外,对78例动脉和静脉结构心脏的分析显示,冠状动脉优势和静脉引流优势没有显著相关性。这些发现证实了先前的患病率报告,强调了心脏血管的解剖学变异性,并表明动脉和静脉优势模式可能独立发展。了解这种变异对改善心脏干预的临床结果至关重要。目的:本研究调查167例成人尸体供体的冠状动脉优势和心静脉引流优势,以更好地了解它们的患病率和潜在关系。方法:根据后室间动脉(PIA)的来源判断冠状动脉优势,根据心大静脉和心中静脉与心尖的关系判断心静脉引流优势。结果:167颗动脉优势型心脏中,右优势型占81.21%,左优势型占12.73%,共优势型占6.06%。80例心脏静脉优势型心脏中,中静脉优势型(MVD)占48.75%,大静脉优势型(GVD)占6.25%,中间型(IM)占45.00%。在性别(动脉p=0.45,静脉p=0.43)和死亡年龄(动脉p=0.43,静脉p= 0.48)之间,优势模式无显著差异。此外,对78个同时存在动脉和静脉结构的心脏的分析显示,冠状动脉优势与静脉引流优势无显著相关性(p=0.39)。意义:这些发现证实了先前的患病率报告,强调了心脏血管的解剖学变异性,并表明动脉和静脉优势模式可能独立发展。
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Annals of Anatomy-Anatomischer Anzeiger
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