• 제목/요약/키워드: Anatomical variations

검색결과 129건 처리시간 0.025초

Successful transradial intervention via a radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter

  • Yoon, Shin-Eui;Park, Sangwook;Ahn, Sung Gyun
    • Journal of Yeungnam Medical Science
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    • 제35권1호
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    • pp.94-98
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    • 2018
  • The radial artery is generally the preferred access route in coronary angiography and coronary intervention. However, small size, spasm, and anatomical variations concerning the radial artery are major limitations of transradial coronary intervention (TRI). We describe a successful case involving a patient with coronary artery disease who underwent TRI via a well-developed radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter.

Bilateral sternocleidomastoid variant with six distinct insertions along the superior nuchal line

  • Dupont, Graham;Iwanaga, Joe;Altafulla, Juan J.;Lachkar, Stefan;Oskouian, Rod J.;Tubbs, R. Shane
    • Anatomy and Cell Biology
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    • 제51권4호
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    • pp.305-308
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    • 2018
  • Anatomical variations of the sternocleidomastoid muscle (SCM) have been observed to occupy multiple origins and insertion points and have supernumerary heads, sometimes varying in thickness. During routine dissection, a SCM was observed to have six distinct insertions that interface with the course of the superior nuchal line, ending at the midline, bilaterally. This variation was also seen to receive innervation from the accessory nerve as well as the great auricular nerve. To our knowledge, this variant of supernumerary insertions and nerve innervations has not yet been reported. These variants may pose as problematic during surgical approaches to the upper neck and occiput, and should thus be appreciated by the clinician. Herein we discuss the case report, possible embryological origins, and the clinical significance of the observed variant SCM.

CBCT와 파노라마방사선영상에서 관찰된 상악동내 방사선불투과상 : 상악동석 (Antrolith on CBCT and panoramic radiographic image ; case report)

  • 한원정
    • 대한치과의사협회지
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    • 제57권2호
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    • pp.74-80
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    • 2019
  • Antrolith occurs within the maxillary sinuses and is circumscribed pathologic calcifications formed as a result of mineral salt deposition around an organic nucleus in the maxillary sinus. Radiographically, this lesion is a radiopaque mass showing variable sizes and shapes. Treatment by surgical removal is indicated only for large antrolith associated to clinical symptoms. CBCT should be required for treatment planning for implant-supported restorations in the maxilla because of the higher prevalence of anatomical variations and sinus disease. We report a 3 cases of antrolith which was found incidentally on panoramic images and CBCT, although there were no clinical symptoms.

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Non-conservative Management of Chylothorax

  • Ahn, Hyo Yeong;I, Hoseok
    • Journal of Chest Surgery
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    • 제54권4호
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    • pp.325-329
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    • 2021
  • Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

Genetic variations affecting response of radiotherapy

  • Choi, Eun Kyung
    • Journal of Genetic Medicine
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    • 제19권1호
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    • pp.1-6
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    • 2022
  • Radiation therapy (RT) is a very important treatment for cancer that irradiates a large amount of radiation to lead cancer cells and tissues to death. The progression of RT in the aspect of personalized medicine has greatly advanced over the past few decades in the field of technical precision responding anatomical characteristics of each patient. However, the consideration of biological heterogeneity that makes different effect in individual patients has not actually applied to clinical practice. There have been numerous discovery and validation of biomarkers that can be applied to improve the efficiency of radiotherapy, among which those related to genomic information are very promising developments. These genome-based biomarkers can be applied to identify patients who can benefit most from altering their therapeutic dose and to select the best chemotherapy improving sensitivity to radiotherapy. The genomics-based biomarkers in radiation oncology focus on mutational changes, particularly oncogenes and DNA damage response pathways. Although few have translated into clinically viable tools, there are many promising candidates in this field. In this review the prominent mutation-based biomarkers and their potential for clinical translation will be discussed.

Morphological Variations of Male Genitalia in Northeast Asian Wood-eating Cockroaches, Cryptocercus spp. (Insecta: Blattodea)

  • Park, Yung-Chul;Kim, Joo-Pil;Choe, Jae-Chun
    • Animal Systematics, Evolution and Diversity
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    • 제22권1호
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    • pp.23-27
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    • 2006
  • Subsocial woodroaches of Cryptocercus occur in high mountainous forests in temperate regions and they live in a family in complicated galleries of rotten logs. A prominent feature of the geographical distribution of Cryptocercus is the wide disjunction between the eastern and western species in North America, and between West China and Northeast Asia. Recently, five species of the genus were added from Asian areas and two of them are distributed in Northeast Asian areas. We examined morpho-anatomical structures of male genitalia in Manchurian and Korean Cryptocercus, focusing on male genital hooks and subgenital plates.

Anatomical variation of quadratus plantae in relation with flexor digitorum brevis

  • Punnapa Raviteja;Mrudula Chandrupatla;Ramoju Harshitha;Marni Sameer Chowdary
    • Anatomy and Cell Biology
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    • 제56권4호
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    • pp.562-565
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    • 2023
  • The muscles of the sole have been traditionally categorized into four layers, but it is more practical to divide them into peripheral and central groups. The peripheral groups include medial and lateral groups. The central plantar muscles are more numerous and divided into superficial and deep layers. During routine dissection in the Department of Anatomy, All India Institute of Medical Sciences Bibinagar, Hyderabad, variations are been observed in the plantar intrinsic muscle in the left foot & right foot of a 53-year-old male cadaver. This is the first cadaveric report of a combination of discrepancies especially the inter-tendinous connection between quadratus plantae and flexor digitorum brevis. Similar observations in the literature were not found by us. It is important to identify and study these dissimilarities of muscles of the sole for surgeons, anatomists, radiologists and orthopaedics as these muscles and tendons are used in foot reconstructive procedures, and for the treatment of some congenital anomalies.

A Morphometric Study on Cadaveric Aortic Arch and Its Major Branches in 25 Korean Adults : The Perspective of Endovascular Surgery

  • Shin, Il-Young;Chung, Yong-Gu;Shin, Won-Han;Im, Soo-Bin;Hwang, Sun-Chul;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • 제44권2호
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    • pp.78-83
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    • 2008
  • Objective : To understand the anatomic characteristics of the aortic arch (AA) and its major branches to build a foundation toward performing endovascular surgery safely. Methods : A total of 25 formalin fixed Korean adult cadavers were used. The authors investigated : anatomical variations of the AA and its major branches; curvature of the AA; distance from the mid-vertebrae line to the origin of the major branches; distances from the origin of the major branches of AA to the origin of its distal branches; and the angle of the three major branches, the brachiocephalic trunk (BCT), the left common carotid artery (LCCA) and the left subclavian artery (LSCA) arising from AA. Results : The three major branches directly originated from AA in 21 (84%) of the cadavers. In two (8%) of remaining four cadavers. orifice of LCCA was slightly above the stem of BCT. In remaining two (8%) cadavers, the left vertebral artery (LVA) was directly originated from AA. Average angle of AA curvature to the coronal plane was 62.2 degrees. BCT originated 0.92 mm on the right of the mid-vertebrae line. LCCA and LSCA originated from 12.3 mm and 22.8 mm on the left of the mid-vertebrae line. Mean distance from the origin of the BCT to the origin of the RCCA was 32.5 mm. Mean distance from the origin of the LSCA to the origin of the LVA was 33.8 mm. Average angles at which the major branches arise from the AA were 65.3, 46.9 and 63.8 degrees. Conclusion : This study may provides a basic anatomical information to catheterize AA and its branches for safely performing endovascular surgery.

통계적 형상 분석을 이용한 대퇴골의 파라메트릭 형상 모델링 (Parametric Shape Modeling of Femurs Using Statistical Shape Analysis)

  • 최명환;구본열;채제욱;김재정
    • 대한기계학회논문집A
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    • 제38권10호
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    • pp.1139-1145
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    • 2014
  • 인체 골격의 모델생성과 형상변동을 파악하는 것은 생체역학의 응용분야에서 중요한 부분을 차지한다. 본 논문에서는 3 차원 대퇴골 모델의 데이터베이스로부터 대퇴골의 형상변동을 통계적으로 분석하고, 추출된 주요 파라미터를 사용하여 대퇴골의 형상을 직관적으로 모델링 할 수 있는 방법을 제안한다. 이를 위해서 먼저 통계적 기법 중에 하나인 주성분 분석(PCA)을 이용하여 대퇴골의 형상변동을 파악하였다. 주성분 분석을 수행하기 위해서는 3 차원 대퇴골 모델 간에 토폴로지(Topology)의 일치가 필요하다. 따라서 대퇴골의 형상에 해부학적 기준점(Landmark)을 정의하여 템플릿 모델이 대상 대퇴골 모델로 변형되기 위한 방향을 결정한 후 곡면 피팅(Surface fitting)을 수행하였다. 다음으로 주성분 분석을 통해 도출된 주성분과 대퇴골의 형상을 대표할 수 있는 해부학적 파라미터와의 상관관계를 정의하였다. 마지막으로 해부학적 파라미터로 대퇴골 모델의 생성 및 형상변동을 가시화 할 수 있는 프로그램을 개발하였다.

안면 비대칭 환자에서 Cone Beam Computed Tomography를 이용한 하악골 해부학적 변이의 분석 (Cone Beam Computed Tomography Analysis of Mandibular Anatomical Variation in a Patient with Facial Asymmetry)

  • 박성원;오승환;이재인
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권1호
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    • pp.34-40
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    • 2012
  • Purpose: The study was performed to compare patients with anatomical variations in facial asymmetry with patients in the normal range using cone-beam computed tomography (CBCT) and to take the preoperative condition into consideration in the case of a sagittal split ramus osteotomy (SSRO). Methods: The study was conducted on 46 adult patients composed of 2 subdivided groups, an asymmetry group (n=26) and a symmetry group (n=20). The asymmetry group was divided between patients with hemimandibular hyperplasia (HH, n=8) and hemimandibular elongation (HE, n=18). Using cross-sectional computed tomography images, the thickness of cancelleous bone in the buccal area of the mandible, thickness of buccal cortex in the buccal aspect of the mandible, thickness of cancellous bone in the inferior aspect of the mandible, thickness of buccal cortex in the inferior aspect of the mandible, and cross-sectional surface area of the mandible were measured. Results: In the asymmetry group, the cross-sectional area of the mandible including the inferior alveolar nerve positioned on the affected side was significantly different from the symmetry group. Thickness of cancelleous bone in the buccal aspect of the mandible, thickness of cancelleous bone in the inferior aspect of the mandible, and cross-sectional surface area of the mandible in the affected site of hemimandibular hyperplasia was significantly smaller than in the symmetry group. Conclusion: The inferior alveolar nerve runs lower and in a more buccal direction and shows a smaller cross-sectional surface of the mandible in the hemimandibular hyperplasia patients with asymmetry.