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Morphology and variations of middle cerebral artery: systematic review and meta-analysis. 大脑中动脉的形态和变异:系统回顾和荟萃分析。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-30 DOI: 10.5115/acb.24.005E
Urvi Sharma, Suman Verma, Subathra Adithan, Ashish Khobragade
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引用次数: 0
Aberrant rib cage anatomy with false ribs attachment to the sternum: review of the literature focused on slipping ribs syndrome case reports. 异常胸腔解剖与假肋骨附着于胸骨:文献回顾侧重于肋骨滑移综合征病例报告。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-30 Epub Date: 2025-04-30 DOI: 10.5115/acb.24.227
Sayed Mehrdad Azimi, Fateme Keshtparvar, Zahra Sadeghi, Hamid Bahramian

The thoracic cage, formed by ribs and sternum, protects vital organs while enabling respiration. This review examines anatomical variations in rib-sternum attachments and their clinical significance through analysis of literature from 1993-2023. Variations, including bifid ribs (0.15%-3.4% prevalence) and cervical ribs (0.05%-3.0%), can lead to conditions like slipping rib syndrome (SRS). An extensive search of PubMed, Embase, Google Scholar, Web of Science, and specialized collections identified 17 comprehensive SRS case reports. Two independent reviewers evaluated these cases, revealing that rib-sternum morphological variations significantly impact respiratory biomechanics, with unstable costal cartilage identified as a primary cause of pain syndromes. These findings highlight the critical importance of recognizing aberrant rib-sternum anatomy for patient safety, particularly in thoracic procedures. Advanced imaging technologies have enhanced detection capabilities, allowing for improved surgical planning and patient management. This review underscores the value of both cadaveric and radiological examination in identifying these variations, and recommends further research to clarify their prevalence, functional implications, and clinical correlations to optimize treatment approaches and outcomes.

由肋骨和胸骨组成的胸廓保护重要器官,使呼吸得以进行。本文通过对1993-2023年文献的分析,探讨了胸骨-肋骨附着物的解剖变异及其临床意义。包括两裂肋骨(患病率为0.15%-3.4%)和颈肋(患病率为0.05%-3.0%)在内的变异可导致滑肋综合征(SRS)等疾病。对PubMed、Embase、b谷歌Scholar、Web of Science和专门的集合进行了广泛的搜索,确定了17个全面的SRS病例报告。两名独立审稿人对这些病例进行了评估,发现肋胸骨形态变化显著影响呼吸生物力学,不稳定的肋软骨被确定为疼痛综合征的主要原因。这些发现强调了识别异常胸骨解剖结构对患者安全的重要性,特别是在胸外科手术中。先进的成像技术增强了检测能力,允许改进手术计划和患者管理。这篇综述强调了尸体和放射学检查在识别这些变异方面的价值,并建议进一步研究以阐明其患病率、功能含义和临床相关性,以优化治疗方法和结果。
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引用次数: 0
Morphology and morphometry of the vertebrobasilar system intracranial segment: a computed tomography angiography study. 椎基底动脉系统颅内段的形态学和形态计量学:计算机断层血管造影研究。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-30 Epub Date: 2025-07-03 DOI: 10.5115/acb.24.249
Savvas Melissanidis, George Triantafyllou, George Botis, Konstantinos Natsis, Katerina Vassiou, Marianna Vlychou, George Tsakotos, Theodosis Kalamatianos, Nikolaos Lazaridis, George Matsopoulos, Maria Piagkou

The current computed tomography angiography (CTA) study aimed to investigate the vertebrobasilar system (VBS) intracranial segment variant morphological anatomy and morphometry. Two hundred CTAs of 142 male and 58 female patients (with a mean age of 62.85±14.08) were retrospectively evaluated. Four hundred vertebral arteries (VAs) and 200 basilar arteries (BAs) were studied. In the V3 segment, the vessel's high riding course was identified in 10.8%. An arcuate foramen (AF) was identified surrounding the V3 segment in 12.0%. When AF was present, the V3 diameter was statistically significantly narrower (P<0.001). The V4 segment was hypoplastic in 11.0% and fenestrated in one case (0.3%). The posterior inferior cerebellar artery typically originated from the V4 segment in 76.5%. On the BA morphology, we classified the vessel according to its inclination. The most common type was the J-shaped (55.5% of cases). The BA inclination was positively correlated with the vessel's length (P=0.002). The VBS intracranial segment was systematically investigated. Knowledge of the VBS typical and variant anatomy is essential for anatomists, radiologists, and clinicians. The most important findings was the following: (1) the AF presence significantly narrowed the VA diameter, which could lead to the vessel's compression, (2) the BA linear length (bending or inclination) positively correlated with the BA length, and (3) the V4 length was positively correlated with its diameter.

当前的计算机断层血管造影(CTA)研究旨在探讨椎基底系统(VBS)颅内段变异的形态学解剖和形态测量。回顾性评价200例cta, 142例男性,58例女性(平均年龄62.85±14.08)。研究了400条椎动脉(VAs)和200条基底动脉(BAs)。在V3段中,船舶的高骑航向确定为10.8%。12.0%的患者在V3段周围发现弓形孔(AF)。当AF存在时,V3直径变窄具有统计学意义(PP=0.002)。系统地观察VBS颅内段。对于解剖学家、放射科医生和临床医生来说,VBS的典型和变异解剖知识是必不可少的。最重要的发现是:(1)AF的存在使VA直径明显变窄,可能导致血管受压;(2)BA线性长度(弯曲或倾斜)与BA长度正相关;(3)V4长度与其直径正相关。
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引用次数: 0
The developmental bases of cleft lip and cleft palate: cellular and molecular mechanisms. 唇腭裂的发育基础:细胞和分子机制。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-30 Epub Date: 2025-07-16 DOI: 10.5115/acb.25.060
Marcello Guarino

Craniofacial development relies on proper growth and fusion during embryogenesis of initially distinct collections of mesenchyme derived from the cranial neural crest, covered by an epithelial lining of ectodermal origin. Fusion between these facial primordia implicates formation of an epithelial seam resulting from adherence and fusion between lining epithelia, and its subsequent removal to generate mesenchymal continuity. These embryonic processes involve a complex array of morphogenetic events requiring coordinated cell migration, survival, proliferation, death, patterning, adhesion, and differentiation, involving both the mesenchymal core and the primitive epithelial covering. Perturbation of any of these developmental events can lead to orofacial cleft phenotypes. Cleft lip and cleft palate are the most common congenital head deformities and, in general, among the commonest inborn defects. Indeed, due to the complexity of lip and palate development, the possibility of errors is a real event, therefore their relatively elevate frequency is not surprising. Understanding the pathogenesis of these malformations requires a thorough knowledge of the biological mechanisms underlying normal craniofacial embryogenesis and how they can be disturbed during development. An important contribution to our understanding of the fusion processes occurring in the orofacial district has come from studies on the role of the periderm in the adhesion between embryonic structures. This review summarises the normal morphogenesis of the upper lip/primary palate and secondary palate, as well as the mechanisms of aberrant development leading to cleft lip and palate, with particular attention to the role of the periderm, and cellular and molecular aspects of developmental pathogenesis.

颅面发育依赖于胚胎发生过程中来自颅神经嵴的最初不同的间质集合的适当生长和融合,由外胚层起源的上皮衬里覆盖。这些面部原基之间的融合暗示了上皮缝的形成,这是由于衬里上皮之间的粘附和融合,以及随后的去除以产生间质连续性。这些胚胎过程涉及一系列复杂的形态发生事件,需要协调细胞迁移、存活、增殖、死亡、形成模式、粘附和分化,涉及间充质核心和原始上皮覆盖。任何这些发育事件的扰动都可能导致口面裂表型。唇裂和腭裂是最常见的先天性头部畸形,也是最常见的先天缺陷之一。事实上,由于唇腭裂发育的复杂性,出现错误的可能性是真实存在的,因此其相对较高的频率也就不足为奇了。了解这些畸形的发病机制需要全面了解正常颅面胚胎发生的生物学机制,以及它们在发育过程中如何受到干扰。对我们理解发生在口面区融合过程的一个重要贡献来自于对胚胎结构间粘连中周皮作用的研究。本文综述了上唇/主腭和次腭的正常形态发生,以及导致唇腭裂的异常发育机制,特别关注了外周的作用,以及发育发病的细胞和分子方面。
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引用次数: 0
Challenging arterial patterns of renal and testicular arteries in a human cadaver: clinical significance and embryological bases revisited. 具有挑战性的人尸体肾和睾丸动脉的动脉模式:临床意义和胚胎学基础重新审视。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-30 Epub Date: 2025-04-30 DOI: 10.5115/acb.24.336
Wenshao Cai, Minyan Shi, David W Chan, Baohua Luo, Abudureyimujiang Ruze

Typically, a kidney gets its arterial supply from a single renal artery, and the testicular arteries originate from the anterolateral surface of the abdominal aorta. The present case describes a variation in the origin of the testicular artery, which originates from a right accessory renal artery. We observed two renal arteries with the inferior vena cava sandwiched in between. The testicular artery originates from the inferior margin of the accessory renal artery, coursing down alongside the testicular vein into the right testis. During cephalic migration in embryogenesis, the conjunction of the ascending kidney and the descending testis is considered an important factor contributing to variations in the number and location of the vasculature in the kidneys or the gonads. An elaborate description of these variations is clinically significant for surgical interventions, renal transplants, renal and testicular imaging, and pathology.

通常,肾脏的动脉供应来自单一的肾动脉,而睾丸动脉起源于腹主动脉的前外侧表面。本病例描述了睾丸动脉起源的变异,起源于右侧副肾动脉。我们观察到两条肾动脉,下腔静脉夹在中间。睾丸动脉起源于肾副动脉下缘,沿睾丸静脉下行至右侧睾丸。在胚胎发生的头向迁移过程中,升肾和降睾丸的连接被认为是导致肾脏或性腺血管数量和位置变化的重要因素。对这些变异的详细描述对外科干预、肾移植、肾和睾丸成像以及病理具有临床意义。
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引用次数: 0
Double profunda femoris artery: a unique anatomical variation with surgical significance. 双股深动脉:一种独特的解剖变异,具有外科意义。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-18 DOI: 10.5115/acb.25.213
Punnapa Raviteja, Mrudula Chandrupatla, Alka Vithalrao Bhingardeo

The profunda femoris artery (PFA) originates from the femoral artery, supplying crucial blood flow to thigh muscles, hip joint, and femur. We report a rare unilateral anatomical variation involving an accessory profunda femoris artery (APFA) originating 0.5 cm from the mid-inguinal point (MIP) and a main PFA arising 3.6 cm from the MIP. The APFA supplies the pectineus, adductor longus, and adductor magnus muscles, and gives off the superficial circumflex iliac artery. The main PFA gives rise to circumflex and perforating branches. This variation highlights the complexity of human anatomy and has significant clinical implications, particularly in vascular surgery, plastic surgery, and interventional radiology. Understanding anatomical variations, such as dual PFAs, is crucial for preventing complications during vascular procedures like catheterization and SCIP flap reconstruction. Preoperative assessment and intraoperative adaptability are essential to mitigate risks of arterial injury, dissection, or inadequate perfusion.

股深动脉(PFA)起源于股动脉,为大腿肌肉、髋关节和股骨提供重要的血液流动。我们报告一例罕见的单侧解剖变异,涉及股深副动脉(APFA)起源于距腹股沟中点(MIP) 0.5 cm处,主PFA起源于距MIP 3.6 cm处。APFA支配耻骨肌、长内收肌和大收肌,并发出旋髂浅动脉。主PFA产生旋支和射孔分支。这种变异突出了人体解剖学的复杂性,具有重要的临床意义,特别是在血管外科、整形外科和介入放射学方面。了解解剖变异,如双PFAs,对于预防导管置入和SCIP皮瓣重建等血管手术中的并发症至关重要。术前评估和术中适应性对于降低动脉损伤、夹层或灌注不足的风险至关重要。
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引用次数: 0
A rare anatomical variation of the deep femoral vein with aneurysm: a case report with clinical significance. 股深静脉少见解剖变异伴动脉瘤1例,具有临床意义。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-09-10 DOI: 10.5115/acb.25.175
Punnapa Raviteja, Mrudula Chandrupatla, Rohini Motwani, Saravana Kumar Mg

We present a rare anatomical variation of the deep femoral vein (DFV) originating from the popliteal vein (PV) with an associated aneurysm. The DFV arose from the PV at the adductor hiatus, exhibited an aneurysm, and coursed upward through the fourth osseo-aponeurotic opening of the adductor magnus muscle to enter the anterior thigh compartment before draining into the femoral vein. This unique variation likely resulted from developmental deviations during intrauterine life. The anomalous origin and aneurysm of the DFV may potentially cause venous hemodynamic disturbances, chronic venous insufficiency, increased risk of deep vein thrombosis, and potentially life-threatening pulmonary embolism. Anatomical variations of the DFV in terms of origin, course, or termination are rare but clinically relevant, especially in the context of vascular surgeries, imaging, and interventional procedures involving the femoral region. This case highlights the importance of recognizing venous anatomical variations and their clinical implications.

我们提出一个罕见的解剖学变异的股深静脉(DFV)起源于腘静脉(PV)与相关的动脉瘤。DFV起源于内收肌裂孔处的PV,表现为动脉瘤,并向上通过大收肌的第四个骨筋膜开口进入股前腔室,然后汇入股静脉。这种独特的变异可能是由于子宫内生活的发育偏差。DFV的异常起源和动脉瘤可能会导致静脉血流动力学紊乱,慢性静脉功能不全,增加深静脉血栓形成的风险,并可能危及生命的肺栓塞。在起源、病程或终止方面,DFV的解剖变异是罕见的,但与临床相关,特别是在涉及股骨区域的血管手术、成像和介入手术的背景下。这个病例强调了认识静脉解剖变异及其临床意义的重要性。
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引用次数: 0
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 : 2025-06-30 Epub 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.

在当今的数字时代,解剖学教育已经引入了各种信息技术,包括三维(3D)虚拟现实、移动增强现实和3D打印。虽然这些技术提高了教育效果,但其高昂的成本往往限制了其可及性。相反,使用日常用品的低成本方法在解剖学教育中被证明是有效的。介绍了解剖手语(ASL)方法,该方法使用手指、手和手臂来表示解剖结构,利用肌肉记忆来帮助保留和理解复杂的解剖结构,并为解剖学教育提供了一种全面和互动的方法。本研究旨在扩大美国手语的表达能力,包括上肢和下肢,面部和大脑。结果表明,ASL有效地说明了各种结构的解剖。本文讨论了美国手语在解剖学和放射学解剖学教学中的教学效益。
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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 : 2025-06-30 Epub 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
Peripheral neuroprotective potential and toxicological profile of fascaplysin in zebrafish models. fascaplysin在斑马鱼模型中的周围神经保护潜力和毒理学分析。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-06-30 Epub Date: 2025-02-21 DOI: 10.5115/acb.24.290
Ki-Hoon Park, Youngbuhm Huh, Hyung-Joo Chung, Hiroyuki Konishi, Junyang Jung, Na Young Jeong

Fascaplysin is a bioactive compound derived from marine sponges, which have anticancer properties and potential neuroprotective effects mediated by mitigation of oxidative stress-induced neurotoxicity. This study investigated the concentration-dependent effects of fascaplysin in zebrafish models, focusing on embryonic survival, cardiac function, melanocyte formation, and peripheral nerve health. Zebrafish embryos were exposed to fascaplysin at concentrations ranging from 10 nM to 100 μM, and developmental parameters were assessed. At higher concentrations (≥1 μM), fascaplysin significantly decreased embryo survival rates, delayed hatching, impaired cardiac function, and caused morphological abnormalities, including disruption of melanocyte formation and structural deformities. By contrast, lower concentrations (10 nM and 100 nM) did not exhibit significant toxicity. In adult zebrafish, fascaplysin at 100 nM reduced the expression of superoxide-producing enzymes and preserved peripheral nerve integrity following injury, as demonstrated by maintenance of fluorescence in transgenic zebrafish with expression of green fluorescent protein in Schwann cells. These findings suggest that fascaplysin exhibits peripheral neuroprotective effects at low concentrations, potentially through the reduction of oxidative stress and preservation of Schwann cell function. However, the toxicity observed at higher concentrations highlights the importance of dose optimization. Fascaplysin is a promising candidate for the development of new therapeutic strategies for peripheral neuropathies, and further studies are required to elucidate the underlying mechanisms and validate its efficacy in mammalian models.

Fascaplysin是一种从海绵中提取的生物活性化合物,具有抗癌特性和潜在的神经保护作用,可以减轻氧化应激诱导的神经毒性。本研究研究了fascaplysin在斑马鱼模型中的浓度依赖性作用,重点关注胚胎存活、心功能、黑素细胞形成和周围神经健康。将斑马鱼胚胎暴露于10 nM至100 μM浓度的fascaplysin中,并评估其发育参数。在较高浓度(≥1 μM)下,fascaplysin显著降低胚胎存活率,延迟孵化,损害心功能,并引起形态学异常,包括黑素细胞形成中断和结构畸形。相比之下,较低浓度(10 nM和100 nM)没有表现出明显的毒性。在成年斑马鱼中,100 nM的fascaplysin降低了产生超氧化物酶的表达,并保护了损伤后周围神经的完整性,这在转基因斑马鱼的雪旺细胞中表达了绿色荧光蛋白,从而维持了荧光。这些发现表明,fascaplysin在低浓度下表现出周围神经保护作用,可能通过减少氧化应激和保存雪旺细胞功能。然而,在较高浓度下观察到的毒性突出了剂量优化的重要性。Fascaplysin是开发周围神经病变新治疗策略的有希望的候选药物,需要进一步研究阐明其潜在机制并验证其在哺乳动物模型中的有效性。
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引用次数: 0
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