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Enhancing anatomy education using anatomical sign language: expanding its expressive capabilities to the upper and lower extremities, face, and brain structures. 利用解剖学手语加强解剖学教育:将其表达能力扩展到上下肢、面部和大脑结构。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-02-05 DOI: 10.5115/acb.24.275
Mi-Sun Hur, Dong-Su Jang, Chang-Seok Oh

Various information technologies have been introduced for anatomy education in the current digital era, including three-dimensional (3D) virtual reality, mobile augmented reality, and 3D printing. While these technologies enhance educational effectiveness, their high cost often restricts their accessibility. Conversely, low-cost methods using everyday items have proven effective in anatomy education. The anatomical sign language (ASL) method has been introduced, and uses the fingers, hands, and arms to represent anatomical structures to leverage muscle memory to aid the retention and understanding of complex anatomical structures and provide a comprehensive and interactive approach to anatomy education. This study was performed to expand ASL to include the expressive capabilities of the upper and lower extremities, and the face and brain. The results indicate that ASL effectively illustrates the anatomy of various structures. The educational benefits of ASL for anatomy and radiologic anatomy education are discussed.

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引用次数: 0
Effect of gestational diabetes mellitus and its management on the histological and histomorphometric structure of umbilical cord: a comparative study.
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-02-05 DOI: 10.5115/acb.24.179
Seema Valsalan Ennazhiyil, Akshara Venmalassery Rajeev, Mahesh Kumar Damodaran, Tintu Thottiyil Sukumaran, Chitra Srinivasan, Ramakrishnan Panicker Kunnathu

The umbilical cord lacks vasavasorum and is prone for hypoxic injuries. Gestational diabetes mellitus (GDM) causes structural changes with in umbilical cord blood vessels. Knowledge of which would be helpful for the gynecologist and obstetricians to assess the prognosis and prevent the complications. The present study was concentrated from December 2016 to December 2019 on 50 normal and 56 GDM umbilical cords. GDM group included 23 GDM mothers managed by diet (GDM-Diet) and 33 GDM mothers managed by drugs (GDM-Drug). Placentas along with the attached umbilical cords were collected and stored in 10% formaline. Tissue processing, slide preparation and stainings were done using standard protocols. A significant reduction was observed in the number of Hoboken nodules of umbilical arteries of GDM-Diet. Reduction of myofibroblasts with an increase in the empty spaces was observed in the Wharton's jelly of both GDM cases. Similarly, smooth muscle disintegration and migration of smooth muscles to intima was significantly higher in GDM umbilical arteries and veins than normal umbilical vessels. The total wall thickness and tunica media was significantly thicker in the umbilical arteries of GDM-Drug group only. The umbilical venous lumen was found significantly wider in GDM groups compared to normal. The elastin fibers were significantly found reduced in the tunics of umbilical arteries and veins in GDM. However, a significant difference in these parameters was not observed between the GDM-Diet and GDM-Drug groups except for total wall and tunica media thickness of umbilical arteries.

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引用次数: 0
A Y-shaped sphenoidal sinus septum: a case report.
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-23 DOI: 10.5115/acb.24.284
Rarinthorn Samrid, Joanna Jaworek-Troć, Tomasz Gładysz, Jerzy A Walocha, Joe Iwanaga, R Shane Tubbs

The sphenoidal sinus septum is one of the most important landmarks during endonasal endoscopic transsphe-noidal operations. During routine coronal sectioning of the face, we found a variant Y-shaped septum in the sphenoidal sinus of a female cadaver. This unusual septum was found between two sections (anterior and posterior sections) and located inferior to the pituitary gland. The sphenoid sinus was divided into three chambers by the septum, i.e., right, middle, and left. During endoscopic surgery, surgeons should be aware of these variations. To our knowledge, this report documents the first Y-shaped septum of the sphenoidal sinus. Such information can be helpful for surgeons.

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引用次数: 0
A constellation of anatomical variation: middle scalene, wrist extensor, and aortic arch variants share embryological origins in cervical somites. 一组解剖学变异:中斜角肌、腕伸肌和主动脉弓变异在颈小体中有共同的胚胎起源。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-22 DOI: 10.5115/acb.23.239
David V Rasicci, William C Weirich, Natalie K Yoshioka, Obadah Tolaymat, Najam Siddiqi

During dissection of a 70-year-old male donor, several anatomical variations were observed, highlighted by a bilateral variant middle scalene muscle in the superolateral thoracic wall. The variant scalene muscle was traced from the transverse processes of cervical vertebrae to the fourth rib with a pronounced fascial slip. The elongated middle scalene muscle was thick in girth and abnormally wide at its insertion (56.0 mm), which is hypothesized to reflect compensatory hypertrophy secondary to lung carcinoma. A bilateral wrist extensor variant also was observed as well as an anomalous left vertebral artery from the aortic arch with an abnormal entrance into the vertebral canal. Collectively, these findings represent a constellation of anatomical variations that may be interrelated through altered cervical somite development, providing a fascinating example of how anatomical variations may cluster based on common embryological origin. Clinically, these observations have implications in thoracic outlet syndrome, tendon transfer, and vascular surgery.

在对一名70岁男性供体进行解剖时,观察到一些解剖变异,突出的是胸壁上外侧的双侧中斜角肌变异。变异斜角肌从颈椎横突到第四肋骨有明显的筋膜滑移。延长的中斜角肌周长粗,止点异常宽(56.0 mm),推测这反映了继发于肺癌的代偿性肥大。还观察到双侧腕伸肌变异,以及主动脉弓左侧椎动脉异常,进入椎管异常。总的来说,这些发现代表了一系列的解剖变异,这些变异可能与改变的子宫颈体发育有关,提供了一个有趣的例子,说明解剖变异是如何基于共同的胚胎起源聚集在一起的。在临床上,这些观察结果对胸廓出口综合征、肌腱转移和血管手术都有影响。
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引用次数: 0
Liver oval cells in response to HDAC1 inhibitor trichostatin A: immunohistochemical characterization using OV-6 hepatic expression. 肝卵圆细胞对HDAC1抑制剂曲古抑素A的反应:利用OV-6肝脏表达的免疫组织化学表征
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-15 DOI: 10.5115/acb.24.231
Hussein Abdellatif, Ruqaiya Al Jabri, Halima Albalushi, Mohamed Al Mushaiqri

Liver regeneration is intricate, involves many cells, and necessitates extended research. This study aimed to investigate the response of liver oval cells (bipotent liver progenitors) to the epigenetic modifier trichostatin A (TSA), an HDAC1 inhibitor, and to develop a scoring system for assessing the response of these cells. Three groups of equally divided rats (n=24) were selected: control (A, dimethyl sulfoxide treated); oval cell induction (B, acetylaminofluorene [2-AAF] to block hepatocyes/carbon tetrachloride [CCL4] to induce oval cell response); and epigenetic modulation (C, TSA post 2-AAF/CCL4 injury). The oval cell response was quantified using immunoreactivity to the OV-6 antibody, and the ductular response was measured by calculating the bile duct (BD) to portal vein (PV) ratio and the percentage of individual oval cells in liver sections. The expression level of HDAC1 was also analyzed. The administration of TSA significantly enhanced oval cell proliferation and the ductular response (6.13±0.28). The control group exhibited limited immunoreactivity to OV-6, while group B showed significant induction of ductular response with distinct morphology (4.13±0.28). The expression levels of HDAC1 were elevated in both the oval cell induction group and the epigenetic modulation group compared to the control group. This study developed a precise method for quantifying liver oval cells and analyzing their response to TSA. TSA administration enhanced oval cell proliferation, suggesting its significance in regulating hepatic progenitor cell dynamics. The findings support the use of epigenetic modifiers in liver regeneration and propose a scoring system for assessing the response of liver oval cells.

肝脏再生是复杂的,涉及许多细胞,需要进一步的研究。本研究旨在探讨肝卵圆细胞(双能肝祖细胞)对表观遗传修饰因子曲古霉素A (trichostatin A,一种HDAC1抑制剂)的反应,并建立一个评分系统来评估这些细胞的反应。取等分三组大鼠(n=24):对照组(A组,二甲亚砜处理);卵形细胞诱导(B,乙酰氨基芴[2-AAF]阻断肝细胞/四氯化碳[CCL4]诱导卵形细胞反应);和表观遗传调控(C, 2-AAF/CCL4损伤后的TSA)。通过对OV-6抗体的免疫反应性来量化卵圆细胞的反应,通过计算胆管(BD)与门静脉(PV)的比例和肝切片中单个卵圆细胞的百分比来测量小管反应。同时分析HDAC1的表达水平。TSA可显著增强卵圆细胞的增殖和小管反应(6.13±0.28)。对照组对OV-6表现出有限的免疫反应,而B组对OV-6表现出明显的诱导小管反应,形态学差异明显(4.13±0.28)。与对照组相比,卵形细胞诱导组和表观遗传调节组HDAC1的表达水平均升高。本研究发展了一种精确的方法来定量肝卵圆细胞并分析它们对TSA的反应。TSA可促进卵圆细胞增殖,提示其在调节肝祖细胞动力学方面具有重要意义。研究结果支持表观遗传修饰剂在肝脏再生中的应用,并提出了一种评估肝卵圆细胞反应的评分系统。
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引用次数: 0
The trochlea for the intermediate tendon of the digastric muscle: a review. 二腹肌中间肌腱的滑车:综述。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-15 DOI: 10.5115/acb.24.178
Xander du Plooy, Yuki Kunisada, Juan J Cardona, Yoko Tabira, Kathleen Carol Bubb, Kazzara Raeburn, Soichiro Ibaragi, Joe Iwanaga, R Shane Tubbs

This review explores the novel perspective that the intermediate tendon of the digastric muscle may function as an anatomical trochlear pulley system within the human body, challenging the traditional understanding of trochlear systems. While widely recognized trochlear units include structures like the medial part of the humerus and the superior oblique muscle of the orbit, the review focuses on the unique anatomical arrangement of the intermediate tendon of the digastric muscle in connection with the anterior and posterior bellies of the digastric muscles. Despite current debates within the anatomical community about labeling the digastric muscles as having a trochlea, this paper delves into the scientific definition of a trochlear pulley system, presenting the intermediate tendon of the digastric muscle as a potential trochlea.

这篇综述探讨了二腹肌中间肌腱可能作为人体解剖滑车滑轮系统的新观点,挑战了对滑车系统的传统理解。虽然广泛认可的滑车单元包括肱骨内侧和眶上斜肌等结构,但本文的重点是与二腹肌前后腹相连的二腹肌中间肌腱的独特解剖结构。尽管目前解剖学界对二腹肌是否具有滑车存在争议,但本文深入探讨了滑车滑轮系统的科学定义,提出了二腹肌的中间肌腱作为潜在的滑车。
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引用次数: 0
Concurrent variations of left testicular vessels. 左睾丸血管并发变异。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-10 DOI: 10.5115/acb.24.198
Satheesha Badagabettu Nayak

Knowledge of variations of the testicular vessels is essential for urologists, radiologists, and surgeons in general, as iatrogenic injuries of these vessels may affect the spermatogenesis severely. Though variations of testicular vessels are common, combined variations of these vessels are rare. We observed concurrent variations of left testicular vessels in an adult cadaver aged 70 years. There were two gonadal arteries on the left side, both of which arose from the abdominal aorta. The superior one among them hooked around the left renal vein and the left suprarenal veins. There were three testicular veins at the deep inguinal ring, but they formed a plexus of veins at the posterior abdominal wall, which reduced into two veins. These two testicular veins terminated into the left renal vein independently. The deep inguinal ring was congested with the presence of five vessels. This variation could increase the possibility of varicocele.

对于泌尿科医生、放射科医生和外科医生来说,了解睾丸血管的变异是必不可少的,因为这些血管的医源性损伤可能严重影响精子的发生。虽然睾丸血管的变异是常见的,但这些血管的联合变异是罕见的。我们观察了一个70岁的成人尸体左睾丸血管的并发变异。左侧有两条性腺动脉,均发源于腹主动脉。其中上一根缠绕在左肾静脉和左肾上静脉周围。在腹股沟深环处有三条睾丸静脉,但在腹壁后壁处形成静脉丛,并缩小为两条静脉。这两条睾丸静脉分别汇入左肾静脉。腹股沟深环被5条血管堵塞。这种变异可能增加精索静脉曲张的可能性。
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引用次数: 0
Origin and branching pattern of the iliohypogastric and ilioinguinal nerves and their exits in relation to the psoas major muscle: a cadaveric study. 髂腹下神经和髂腹股沟神经的起源和分支模式及其与腰大肌有关的出口:尸体研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-10 DOI: 10.5115/acb.24.175
Bijo Elsy, Waad Hassan Mohammad Asiri, Lina Eltag Sir Elkhatim Osman, Mansour Abdullah Saeed Alghamdi

This study aims to determine the level of origin, branching pattern and exits of the iliohypogastric and ilioinguinal nerves in relation to the psoas major muscle. Additionally, this study confirms the presence and retroperitoneal courses of the double nerves. We dissected a total of 24 iliohypogastric and ilioinguinal nerves (6 male and 6 female cadavers). The origin, branching, and exits in relation to the psoas major muscle, the absence of these nerves or the presence of double nerves, and their retroperitoneal course were carefully examined. All the images were recorded by photographing. In this study, we mainly observed variations in exits, branching patterns, and their retroperitoneal course. The iliohypogastric nerve was absent in 2 cases (8.3%). In the type I pattern, in 1 case (4.2%), the common trunk descends anteriorly to the iliac vessels from the iliolumbar vessels. In 4 cases (16.7%), the double ilioinguinal nerve with different branch patterns and retroperitoneal courses was observed. In 1 single nerve case (4.2%), the ilioinguinal nerve descends anterior to the iliac vessels from the iliolumbar vessels. To our knowledge, the branching pattern of the double ilioinguinal nerves and their retroperitoneal course have not been reported in any available data. Sound knowledge of the variations in the origin, branches, and retroperitoneal course of the iliohypogastric and ilioinguinal nerves is very helpful for the improvement of peripheral nerve blocks and other various surgical procedures to avoid complications and nerve injuries.

本研究旨在确定髂腹下神经和髂腹股沟神经与腰大肌的起源水平、分支模式和出口。此外,这项研究证实了双神经的存在和腹膜后的路线。我们共解剖了24条髂腹下神经和髂腹股沟神经(6例男性和6例女性)。仔细检查腰大肌的起源、分支和出口,这些神经的缺失或双神经的存在,以及它们的腹膜后走向。所有图像均采用摄影记录。在这项研究中,我们主要观察了出口、分支模式及其腹膜后路线的变化。髂腹下神经缺失2例(8.3%)。在I型型中,1例(4.2%),总干从髂腰血管向前下行至髂血管。4例(16.7%)观察到双髂腹股沟神经不同分支形态及腹膜后走行。在1例(4.2%)单神经病例中,髂腹股沟神经从髂腰血管向前下行至髂血管。据我们所知,双髂腹股沟神经的分支模式及其腹膜后路线尚未在任何现有资料中报道。充分了解髂腹下神经和髂腹股沟神经的起源、分支和腹膜后走向的变化,有助于改善周围神经阻滞和其他各种外科手术,避免并发症和神经损伤。
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引用次数: 0
Anatomical variations and surgical implications of axillary artery branches: an anatomical study of the coracoid process region. 腋窝动脉分支的解剖学变异和手术意义:喙突区的解剖学研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-01-08 DOI: 10.5115/acb.24.215
Pawaree Nonthasaen, Thawanthorn Chaimongkhol, Thanapon Chobpenthai, Pasuk Mahakkanukrauh

The complex of neurovascular structures surrounding the coracoid process, particularly the axillary artery, the thoracoacromial artery and theirs branches, plays a critical role in shoulder function. Detailed dissection was performed in 36 shoulders from 18 embalmed cadavers. The focus was on axillary artery branches in relation to the coracoid process and the documentation of anatomical variations in this area. Significant findings include the categorization of thoracoacromial artery variations and the identification of acromial and clavicular branches as variable. A key measurement was mean distance between the thoracoacromial artery and tip of the coracoid process (31.89 mm). These findings offer valuable insight into the spatial relationships of these structures. The study provides important information on the vascular anatomy surrounding the coracoid process. Recognizing these anatomical variations is essential for planning safer and more effective shoulder surgeries, such as coracoclavicular stabilization and subcoracoid decompression. Detailed anatomical data are key for surgeons to prevent unintended injuries and enhance surgical success.

喙突周围复杂的神经血管结构,特别是腋窝动脉、胸肩峰动脉及其分支,在肩关节功能中起着至关重要的作用。对18具防腐尸体的36个肩部进行了详细的解剖。重点是腋窝动脉分支与喙突的关系,并在该区域的解剖变化的文件。重要的发现包括胸肩峰动脉变异的分类和肩峰和锁骨分支作为变量的识别。胸肩峰动脉至喙突尖端的平均距离为31.89 mm。这些发现为这些结构的空间关系提供了有价值的见解。该研究为喙突周围血管解剖提供了重要信息。认识到这些解剖变异对于制定更安全、更有效的肩关节手术至关重要,如喙锁骨稳定和喙下减压。详细的解剖数据是外科医生预防意外伤害和提高手术成功率的关键。
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引用次数: 0
A new metric method for sex estimation using three-dimensional imaging of the nuchal crest. 利用颈嵴三维成像进行性别估计的新度量方法。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-12-31 Epub Date: 2024-10-17 DOI: 10.5115/acb.24.114
Yun Taek Shim, Ye Hwon Jeong, Nahyun Aum, Hong-Il Ha, Minsung Choi, Jin Young Hyun, Ho-Seung Lee, Yi-Suk Kim

In Walker's nonmetric method, the nuchal crest serves as the representative region for indicating sexual dimorphism in cranial bones. However, the accuracy of sex estimation using the nuchal crest is lower than that using other anatomical regions. Furthermore, because of the protruding processes and structurally challenging features characterized by uneven and rough surfaces, there is a lack of metric methods for sex estimation, making quantification challenging. In this study, we aimed to validate a derived metric method for sex estimation by reconstructing the nuchal crest region in three-dimensional (3D) images obtained from computed tomography scans of cranial bones and compare its accuracy with that of the nonmetric method. A total of 648 images were collected, with 100 randomly selected for use in the nonmetric method. We applied our metric method to the remaining 548 images. Our findings showed that the surface area of the nuchal crests was greater in male individuals than in female individuals. The nuchal crest surface area quantified by the metric method increased the accuracy of sex estimation by 48% compared with that by the nonmetric method. Our metric method for sex estimation, which quantifies the nuchal crest surface area using 3D images of the skull, led to a high sex estimation accuracy of 93%. Future studies should focus on proposing and quantifying new measurement methods for areas showing sexual characteristics in the skull that are difficult to measure, thereby enhancing the accuracy and reliability of sex estimation in human skeletal identification across various fields.

在沃克的非度量法中,颈嵴是显示颅骨性别二态性的代表性区域。然而,使用颈嵴估计性别的准确性低于使用其他解剖区域的准确性。此外,由于颈嵴具有突出的突起和结构上的挑战性特征,其表面不平整且粗糙,因此缺乏用于性别估计的度量方法,这使得量化具有挑战性。在这项研究中,我们的目的是通过在计算机断层扫描颅骨获得的三维图像中重建颈嵴区域来验证一种用于性别估计的衍生度量方法,并将其准确性与非度量方法进行比较。我们共收集了 648 张图像,其中 100 张随机用于非度量法。我们对剩余的 548 张图像采用了我们的度量方法。我们的研究结果表明,男性的颈嵴表面积大于女性。与非度量法相比,用度量法量化的脖嵴表面积使性别估计的准确率提高了 48%。我们的性别估计度量方法利用头骨的三维图像量化了颈嵴表面积,性别估计准确率高达 93%。今后的研究应重点针对头骨中难以测量的显示性别特征的区域提出新的测量方法并进行量化,从而提高各领域人类骨骼鉴定中性别估计的准确性和可靠性。
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引用次数: 0
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