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Anatomical variation of quadratus plantae with flexor digitorum longus tendon along with unilateral polydactyly of the toes: a rare case report. 带有屈趾肌腱的植物四头肌解剖变异伴单侧多指畸形:一例罕见病例报告。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-22 DOI: 10.5115/acb.24.194
Hare Krishna, Rahul Gaur, Sarthak Gupta, Surajit Ghatak

During routine dissection, we observed a unique case of unilateral polydactyly in the left foot of a 61-year-old male cadaver. We observed the medial head of the quadratus plantae (QP) muscle, which gave off an additional tendinous slip before joining the lateral head of QP. The 4th tendon of the flexor digitorum longus (FDL) was bifurcated into two tendinous parts after receiving a thin fibrous slip from the tendinous slip of the medial head of QP. The medial division of the 4th tendon of FDL passed forward and attached to the base of the distal phalanx of the 5th toe. The extra tendinous slip from the medial head of QP was attached distally to the lateral division of the 4th tendon of FDL and formed a common anomalous tendon to the 6th toe. The knowledge of this variation would be helpful in reconstructive foot surgeries and correction of congenital deformities.

在例行解剖过程中,我们在一具 61 岁男性尸体的左脚上发现了一例独特的单侧多指畸形。我们观察到足四头肌(QP)的内侧头,它在与足四头肌外侧头连接之前又多出了一条肌腱。拇长屈肌腱(FDL)的第 4 肌腱从 QP 内侧头的腱滑处获得一条细纤维后分叉为两个腱部分。FDL 第 4 肌腱的内侧部分向前穿过,附着在第 5 趾远端指骨的基部。来自 QP 内侧头的额外肌腱滑脱到 FDL 第 4 肌腱外侧分部的远端,并与第 6 趾形成一条共同的异常肌腱。对这一变异的了解将有助于足部整形手术和先天性畸形的矫正。
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引用次数: 0
Long linguofacial trunk with infrahyoid origin. 长舌面干,起源于舌下。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-08 DOI: 10.5115/acb.24.171
Răzvan Costin Tudose, Mugurel Constantin Rusu, Corneliu Toader, Petrinel Mugurel Rădoi

The linguofacial trunk (LFT) is the conjoined origin of the lingual (LA) and facial (FA) arteries. We present an uncommon case of LFT due to its origin, length, and diameter. The computed tomography angiogram of an adult male case was evaluated. On the right side, the external carotid artery (ECA) gave off a large LFT before reaching the greater hyoid horn, with an outer diameter of 3.7 mm. The outer diameter of the ECA of 3.4 mm. The ECA and the LFT were on the outer side of the greater hyoid horn. After an ascending course of 20.9 mm anteriorly to the ECA, the LFT branched into the LA and FA. Bilateral elongated styloid processes reaching laterally to the oropharyngeal isthmus were also assessed. In conclusion, care should be taken not to confuse a large LFT with the ECA on the outer side of the greater hyoid horn.

舌面动脉干(LFT)是舌(LA)动脉和面(FA)动脉的联合起源。由于其起源、长度和直径,我们介绍了一例不常见的 LFT 病例。我们对一名成年男性的计算机断层扫描血管造影进行了评估。在右侧,颈外动脉(ECA)在到达舌骨大角之前发出一个大的 LFT,其外径为 3.7 毫米。ECA 外径为 3.4 毫米。ECA 和 LFT 位于大舌骨角外侧。LFT 在 ECA 前方上升 20.9 mm 后,分支至 LA 和 FA。此外,还评估了伸向口咽峡外侧的双侧拉长的样式突。总之,应注意不要将大舌骨角外侧的大LFT与ECA混淆。
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引用次数: 0
Abnormal ramification pattern of the renal and testicular vessels. 肾和睾丸血管的异常分支模式。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-12-31 DOI: 10.5115/acb.24.203
Tetsuhito Kigata, Yuki Akakabe, Rei Inoue, Yasushi Kobayashi

We demonstrate an aberrant ramification pattern of the renal and testicular vessels. On both sides, the anterior and posterior renal veins emerged from the renal. On the right side, the anterior renal vein collected the right testicular vein and drained into the inferior vena cava, while the posterior one directly drained into the inferior vena cava. Two retrocaval testicular arteries originated from the aorta. On the left side, the perinephric vein drained from the abdominal wall and adrenal gland and joined the anterior renal vein. The anterior renal vein also collected the testicular, suprarenal, and inferior phrenic veins. The posterior one received the other testicular vein and the first three lumbar veins. These renal veins converged, passed anteriorly to the aorta, and drained into the inferior vena cava. Knowledge of the varied anatomy of these vessels will contribute to safe surgical approach to the kidneys.

我们展示了肾脏和睾丸血管的异常分支模式。在两侧,肾前静脉和肾后静脉从肾中伸出。右侧肾前静脉汇集右侧睾丸静脉汇入下腔静脉,后静脉直接汇入下腔静脉。两条睾丸腔后动脉起源于主动脉。在左侧,肾周静脉从腹壁和肾上腺流出并与肾前静脉汇合。肾前静脉还包括睾丸静脉、肾上静脉和膈下静脉。后面的一条接上另一条睾丸静脉和前三条腰静脉。这些肾静脉汇合,向前通过主动脉,流入下腔静脉。了解这些血管的不同解剖结构将有助于安全的肾脏手术入路。
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引用次数: 0
Variability of anterior external arcuate fibers in the human medulla oblongata. 人类延髓前外弓纤维的变异性
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-18 DOI: 10.5115/acb.24.188
Parul Kaushal, Dibakar Borthakur, Subrata Basu Ray

Anterior external arcuate fibers (AEAF) are efferents of the arcuate nuclei, which are located on the ventral surface of pyramids. Several types of fibre bundles superficial to the pyramids have been described in early and mid 20th century. Recently, few of these have been studied in detail. Objective of present study was to observe the morphology of AEAF in the Indian population. Distinct AEAF were noted in 13 out of 50 brain specimens. Based on their relation to olive, AEAF were further classified as supraolivary, preolivary and supraolivary fibers and their prevalence noted as 25%, 15%, and 9% respectively. Supraolivary and preolivary fibers were present together in 9 brainstem sides, while co-presence of preolivary and circumolivary fibers was noted in only 1 side. All three types of fibres were observed together in 5 brainstem sides. When present bilaterally, supraolivary and preolivary fibers were seen in 92.30% and 66.66% of brainstem respectively, while circumolivary fibers were seen bilaterally in 28.57% of brainstem. Supraolivary and circumolivary fibers exhibited variable morphology as single, double and multiple fiber bundles. Morphometric analysis revealed presence of thicker supraolivary fiber bundle on right side, while thicker circumolivary fiber bundles were noted on left side. Present study will add to knowledge of this variable fiber bundle pattern, which has been reported to play an important role in regulation of crucial physiological functions such as breathing and cardiorespiratory mechanisms. These observations open avenues for further research into developmental factors involved in migration of neurons from the rhombic lip.

前外弓状纤维(AEAF)是位于金字塔腹面的弓状核的传出物。20 世纪早期和中期,有几种类型的金字塔表层纤维束被描述过。最近,很少有人对这些纤维束进行详细研究。本研究的目的是观察印度人群中 AEAF 的形态。在 50 个大脑标本中,有 13 个标本发现了独特的 AEAF。根据其与橄榄的关系,AEAF 被进一步划分为唾液上纤维、唾液前纤维和唾液上纤维,其发病率分别为 25%、15% 和 9%。9侧脑干同时存在龈上纤维和龈前纤维,而只有1侧脑干同时存在龈前纤维和龈周纤维。在 5 个脑干侧观察到所有三种纤维同时存在。在双侧存在的脑干中,分别有92.30%和66.66%的脑干可见龈上纤维和龈前纤维,而28.57%的脑干可见双侧龈周纤维。睑上纤维和睑周纤维的形态各异,有单纤维束、双纤维束和多纤维束。形态计量分析表明,右侧存在较粗的睑上纤维束,而左侧存在较粗的睑周纤维束。据报道,这种纤维束模式在呼吸和心肺机制等重要生理功能的调节中发挥着重要作用。这些观察结果为进一步研究菱形唇神经元迁移的发育因素开辟了道路。
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引用次数: 0
Integrating virtual reality to enhance remote teaching of anatomy during unprecedented times. 整合虚拟现实技术,在前所未有的时代加强解剖学远程教学。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-12-03 DOI: 10.5115/acb.24.197
Thomas Boillat, Ivan James Prithishkumar, Dineshwary Suresh, Nerissa Naidoo

The COVID-19 pandemic necessitated a global paradigm shift in the teaching of human anatomy. Most institutions successfully transitioned from traditional in-person teaching methods, to various distance-learning strategies. Since virtual reality (VR) offers immersive three-dimensional (3D) experiences, this study investigated students' experiences regarding the capacity of VR to support distance-learning of anatomy. Using the VR application, 3D Organon Virtual Reality Anatomy, anatomy instructors pre-recorded learning content as 360-degree videos with live voice-over and integrated it into the teaching material of the MBBS first-year abdomen, pelvis, and perineum-structure and function course. A 19-item 5-point Likert scale questionnaire, comprising of two major categories, "VR experience in anatomy lessons" and "VR in anatomy lessons vs. traditional cadaveric dissection" was disseminated. Post-evaluation analysis revealed a response rate of 63.5%. Almost 70% of students agreed that VR was instrumental in solidifying their theoretical understanding and improved spatial awareness with better retention of anatomical relationships. Approximately 50% wanted to continue using VR even if instruction becomes onsite. Though 72% of participants agree that VR addressed the session learning objectives only 24% agree that it is similar or better than cadaveric dissection, thus preferring cadaveric dissection to VR. Only 12.1% agree that VR is more beneficial to cadaveric dissection. Our exploration into the integration of VR technology in anatomy teaching has revealed promising opportunities. While VR can augment traditional teaching methods in unprecedented times such as war, floods or global pandemic, it should not replace hands-on cadaveric learning entirely, but rather complement existing approaches.

2019冠状病毒病大流行迫使全球人体解剖学教学模式发生转变。大多数机构成功地从传统的面对面教学方法过渡到各种远程学习策略。由于虚拟现实(VR)提供身临其境的三维(3D)体验,本研究调查了学生对VR支持解剖学远程学习能力的体验。使用3D Organon虚拟现实解剖学VR应用程序,解剖学讲师将学习内容预先录制为360度视频,并带有现场画外音,并将其整合到MBBS一年级腹部,骨盆和会阴结构与功能课程的教材中。问卷共19项,分为“解剖课上的VR体验”和“解剖课上的VR与传统尸体解剖”两大类。评价后分析显示有效率为63.5%。近70%的学生认为VR有助于巩固他们的理论理解,提高空间意识,更好地保留解剖关系。大约50%的人想继续使用VR,即使教学变成现场。尽管72%的参与者同意虚拟现实解决了会议学习目标,但只有24%的人同意它与尸体解剖相似或更好,因此更喜欢尸体解剖而不是虚拟现实。只有12.1%的人认为VR更有利于尸体解剖。我们对VR技术在解剖学教学中的应用进行了探索,发现了很好的机会。虽然VR可以在战争、洪水或全球流行病等前所未有的时期增强传统的教学方法,但它不应该完全取代动手学习尸体,而是补充现有的方法。
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引用次数: 0
Histological features of the Purkinje neurons of the Albino rat (Rattus norvegicus) following letrozole administration. 来曲唑给药后白化大鼠(Rattus norvegicus)浦肯野神经元的组织学特征。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-10-31 DOI: 10.5115/acb.24.088
Chaudhry Talha Hannan, Munguti Kilonzo Jeremiah, Pamela Mandela Idenya

Aromatase inhibitors are increasingly being used as adjuvant therapy for hormone-responsive cancers. These drugs may reduce the endogenous estrogen production in the cerebellum. Prolonged use has been associated with symptoms such as ataxia, poorer balance performance and diminished verbal memory, suggesting impaired cerebellar function. Thus, this study sought to outline the structural basis for the cerebellar deficits observed. Twenty-seven male rats (3 baseline, 15 experimental, 9 control) aged three months were recruited with the intervention group receiving 0.5 mg/kg of letrozole daily for 50 days by oral gavage while the control group received normal saline. Their cerebella were harvested for histological processing on days 20, 35, and 50. Photomicrographs were taken and analysed using Fiji ImageJ software. The dendritic spine densities and Purkinje linear densities were coded and analyzed using IBM SPSS Statistics version 25.0. A P-value of ≤0.05 was considered significant. A temporal decline in the Purkinje linear density as well as pyknosis and cytoplasmic eosinophilia was noted in the intervention group (P=0.165). Further, the dendritic spine density of the Purkinje neurons in the intervention group was markedly reduced (P=0.01). The reduction in the linear cell density and the dendritic spine density of the Purkinje cells following letrozole administration may provide an anatomical basis for the functional cerebellar deficits seen in chronic aromatase inhibitor use.

芳香化酶抑制剂越来越多地被用作激素反应性癌症的辅助疗法。这些药物可能会减少小脑的内源性雌激素分泌。长期用药会导致共济失调、平衡能力下降和言语记忆力减退等症状,这表明小脑功能受损。因此,本研究试图概述所观察到的小脑功能缺陷的结构基础。研究人员招募了27只年龄为3个月的雄性大鼠(3只为基线组,15只为实验组,9只为对照组),干预组每天口服0.5毫克/千克来曲唑,连续50天,对照组则口服生理盐水。在第20、35和50天采集他们的小脑进行组织学处理。使用 Fiji ImageJ 软件拍摄显微照片并进行分析。树突棘密度和浦肯野线性密度用 IBM SPSS 统计 25.0 版进行编码和分析。P值≤0.05为显著。干预组的普肯列线性密度以及脓细胞增多和细胞质嗜酸性粒细胞减少(P=0.1)。此外,干预组的浦肯野神经元树突棘密度明显降低(P=0.01)。来曲唑用药后普肯列细胞线性密度和树突棘密度的降低可能为长期使用芳香化酶抑制剂导致的小脑功能障碍提供了解剖学依据。
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引用次数: 0
Profiles, tissue, and microbial integrity of cadavers used in medical faculties in South-western Uganda: implication in anatomical education. 乌干达西南部医学院使用的尸体的外形、组织和微生物完整性:对解剖学教育的影响。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-10-11 DOI: 10.5115/acb.24.159
Elisa Ndyamuhakyi, Ibe Michael Usman, Jackim Nabona, Victor Adolf Fischer, Emeka Anyanwu, Elna Owembabazi, Wusa Makena, Ekom Monday Etukudo

Cadaveric dissection has remained an integral part of anatomical education globally; hence, the profiles of cadavers, their gross tissue and microbial integrity has great implication in anatomical education. This study determined the profiles, gross tissue and microbial integrity of cadavers used in South-western Uganda (SWU) medical schools. A cross-sectional study was carried out for three months in anatomy and microbiology laboratories of SWU medical teaching institutions. Ethical approval was obtained, cadavers were proportionately selected and examined grossly, and surface swabs taken for microbial analysis. Data collected was entered into Microsoft Excel, cleaned, and exported to Stata version 17 for analysis. Majority of cadavers were male (68%), adult (96%), blacks (100%), unknown cause of death (96%), obtained as unclaimed bodies (100%) and with no cadaver record tag (96%). Nearly a half (48%) cadavers had disrupted dentition, 68% had poor muscle integrity and 80% with abnormal fat. About 27% cadavers had poor surface microbial integrity among which 62.5% had a mixture of both bacteria and fungi, 25.0% had only fungi while 12.5% had only bacteria. A high number of cadavers had micro-organisms on their surfaces with majority having a mixture of bacteria and fungi. Majority of cadavers had poor gross tissue integrity. Better cadaver preservation methods should be adopted. To advocate for the establishment of cadaver donation policy and programs through which good quality cadavers can be obtained.

尸体解剖一直是全球解剖学教育不可或缺的一部分;因此,尸体的特征、组织毛发和微生物完整性对解剖学教育具有重要意义。本研究确定了乌干达西南部(SWU)医学院使用的尸体的特征、组织毛发和微生物完整性。在西南乌干达医学教学机构的解剖学和微生物学实验室进行了为期三个月的横断面研究。研究获得了伦理批准,按比例选取了尸体并对其进行了大体检查,同时采集了尸体表面的拭子进行微生物分析。收集到的数据输入 Microsoft Excel,经过清理后导出到 Stata 17 版进行分析。大部分尸体为男性(68%)、成人(96%)、黑人(100%)、死因不明(96%)、无主尸体(100%)和无尸体记录标签(96%)。近一半(48%)的尸体牙齿脱落,68%的尸体肌肉完整性差,80%的尸体脂肪异常。约 27% 的尸体表面微生物完整性较差,其中 62.5% 混合有细菌和真菌,25.0% 只有真菌,12.5% 只有细菌。很多尸体表面都有微生物,其中大多数混合有细菌和真菌。大多数尸体的组织完整性较差。应采用更好的尸体保存方法。倡导制定遗体捐赠政策和计划,通过这些政策和计划可以获得高质量的遗体。
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引用次数: 0
Papillary muscles: morphological differences and their clinical correlations. 乳头肌:形态差异及其临床相关性。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-18 DOI: 10.5115/acb.24.210
Neha Xalxo, Simarpreet Kaur, Mohit Chauhan, Ekta Sharma, Laishram Sophia, Sneh Agarwal, Pooja Jain

The complex architecture of the papillary muscles (PMs) of the ventricles plays a crucial role in cardiac function and pathology. This comparative study aimed to examine the differences in PMs morphology between the right and left ventricles, focusing on their number, location, and shape. A total of 38 grossly normal hearts from donated bodies were dissected, and the number, location, and shape of PMs in both ventricles were observed. In this study, the left ventricle predominantly exhibited a single PM with 71.05% on the sternocostal surface and 57.89% on the diaphragmatic surface. The right ventricle showed a higher prevalence of single PM, at 89.47% on the sternocostal surface and 63.16% on the diaphragmatic surface. Broad-based shape of the PM emerged as the predominant variant, constituting 55.26% and 44.73% on the sternocostal and diaphragmatic surfaces of the left ventricle, respectively. In contrast, conical-shaped PM predominated in the right ventricle. Unique findings included "H" and "b" shaped muscles, conjoint PMs were observed exclusively in the left ventricle, and small papillary projections with direct tendinous cord attachment in the right ventricle. A distinct webbed shaped configuration of PM was exclusively observed in the right ventricle in only one specimen. No significant difference (P=0.84) was noted in muscle bellies between ventricular surfaces. This study emphasizes the complexity and variability in PM morphology, highlighting the importance of a thorough understanding of these structures for cardiothoracic surgeons, radiologists, and cardiologists to enhance interventional techniques.

心室乳头肌(PMs)的复杂结构在心脏功能和病理中起着至关重要的作用。这项比较研究旨在研究左右心室乳头肌形态的差异,重点关注其数量、位置和形状。研究人员共解剖了38颗捐献的毛细正常心脏,观察了两个心室中可塑体的数量、位置和形状。在这项研究中,左心室主要表现为单个 PM,其中 71.05% 位于胸骨表面,57.89% 位于膈肌表面。右心室单个 PM 的发生率较高,胸骨表面为 89.47%,膈肌表面为 63.16%。左心室胸骨和膈肌表面的 PM 以宽基形状为主,分别占 55.26% 和 44.73%。相比之下,锥形 PM 在右心室占主导地位。独特的发现包括 "H "形和 "b "形肌肉、仅在左心室观察到的联合 PM,以及在右心室观察到的直接腱索附着的小乳头状突起。只有一个标本的右心室观察到明显的网状结构的 PM。不同心室表面的肌腹无明显差异(P=0.84)。这项研究强调了 PM 形态的复杂性和可变性,突出了心胸外科医生、放射科医生和心脏病医生全面了解这些结构对提高介入技术的重要性。
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引用次数: 0
A case of occipital artery originating from the vertebral artery. 枕动脉起源于椎动脉1例。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-12-03 DOI: 10.5115/acb.24.257
Răzvan Costin Tudose, Corneliu Toader, Mugurel Constantin Rusu

Anomalies of the vertebral artery (VA) and its branches are rare but critical in neurovascular procedures. In a 38-year-old female, digital subtraction angiography revealed an anomalous origin of the occipital artery (OA) from the V3 segment of the left VA, with a tortuous course supplying the neck and scalp. Below the OA's origin, the suboccipital artery of Salmon arose, bifurcating into two branches. Additionally, an extradural posterior inferior cerebellar artery originated from the same segment, entering the skull via the foramen magnum and dividing into medial and lateral trunks. This unique coexistence of vascular variants highlights the need for detailed preoperative vascular outlining to minimize intraoperative risks.

椎动脉(VA)及其分支的异常是罕见的,但在神经血管手术至关重要。38岁女性,数字减影血管造影显示枕骨动脉(OA)异常起源于左VA V3段,其曲折的路线供应颈部和头皮。在OA起源的下方,出现了Salmon的枕下动脉,分为两个分支。此外,硬膜外小脑后下动脉起源于同一节段,经枕骨大孔进入颅骨,分为内侧和外侧干。这种独特的血管变异共存强调了术前详细的血管概述以减少术中风险的必要性。
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引用次数: 0
Hip joint and age relationship in Thai population by image processing technique. 图像处理技术在泰国人群髋关节与年龄的关系。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2025-02-07 DOI: 10.5115/acb.24.235
Supachard Krudtong, Nipon Theera-Umpon, Parkpoom Jarupoom, Sukon Prasitwattanaseree, Apichat Sinthubua, Pasuk Mahakkanukrauh

Bone age is a critical factor in personal identification, with the hip joint-encompassing the acetabulum and femoral head-commonly used in age estimation. Age assessments rely on factors such as bone porosity and morphological characteristics. These are currently conducted by experts and their conclusions can vary. The logistical challenge of transporting physical bones complicates the process. The increasing use of image processing techniques in the medical field provides a more efficient and convenient alternative. This study used image processing methods to analyze area ratios and percent porosity of the acetabulum and femoral head, with a statistical evaluation of the relationship between these parameters and age at a 90% confidence level (α=0.10). The dataset comprised images from 167 skeletons including 59 females aged 30 to 88 and 108 males aged 28 to 97. The analysis revealed a significant relationship between percent porosity and age in males, both in the acetabulum and femoral head, with P-values below 0.10 but this relationship was not observed in females. A significant relationship between area ratio and age was found in the femoral head region for both genders but not in the acetabulum. The accuracy and comparability of the results were enhanced by applying a standardized image processing protocol.

骨龄是个人识别的关键因素,髋臼和股骨头周围的髋关节通常用于年龄估计。年龄评估依赖于诸如骨孔隙度和形态学特征等因素。这些评估目前由专家进行,他们的结论可能会有所不同。运送实物骨骼的后勤挑战使这一过程复杂化。越来越多的图像处理技术在医疗领域的使用提供了一个更有效和方便的选择。本研究采用图像处理方法分析髋臼和股骨头的面积比和孔隙率,并在90%的置信水平上对这些参数与年龄的关系进行统计评估(α=0.10)。该数据集包括167具骨骼的图像,其中包括59名年龄在30至88岁之间的女性和108名年龄在28至97岁之间的男性。分析显示,男性髋臼和股骨头的孔隙率与年龄之间存在显著关系,p值低于0.10,但在女性中没有观察到这种关系。男女股骨头区域面积比与年龄有显著关系,但在髋臼区域无显著关系。采用标准化的图像处理方案,提高了结果的准确性和可比性。
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引用次数: 0
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