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Sample records for anatomical hydroxyapatite-coated total

  1. The Effect of Hydroxyapatite Coating on Long-term Results of Total Hip Arthroplasty with Hydroxyapatite-coated Anatomic Femoral Stem

    Science.gov (United States)

    Im, Chae-Hyun; Kim, Dae-Hee; Heo, Ju-Yeong; Jang, Young-Jae

    2014-01-01

    Purpose To evaluate the clinical and radiological results, as well as the survival rate, associated with total hip arthroplasty using a hydroxyapatite (HA)-coated anatomical femoral stem at a follow-up of ≥12 years. Materials and Methods From April 1992 to May 1997, 86 patients (102 hips) underwent total hip arthroplasty with a HA-coated ABG I (Anatomical Benoist Giraud; Howmedica) hip prosthesis. The average age at the time of surgery was 53.4 years and the mean duration of follow-up was 17.1 years (range, 12.1-21.0 years). The Harris hip score (HHS) and radiographic assessments of thigh pain were used to evaluate the clinical results. We observed osteointegration, cortical hypertrophy, reactive line, calcar resorption and osteolysis around the femoral stems. The survival rate of the femoral stems was evaluated by using the span of time to a revision operation for any reasons was defined as the end point. Results The mean HHS was 50.5 preoperatively and 84.2 at the time of last follow-up. Osteolysis only around the HA-coated proximal portion of the femoral stem was observed in 72 hips, cortical hypertrophy all around the distal portion of the femoral stem was observed in 38 hips, and calcar resorption was observed in 44 hips. A reactive line was observed in 13 hips, but was unrelated to component loosening. Stem revision operations were performed in 24 (23%) hips due to osteolysis (14 hips), fracture (5 hips) and infection (5 hips). The femoral stem survival rate was 75% over the mean duration of follow-up. Conclusion Total hip arthroplasty using a HA-coated anatomical femoral stem showed necessitated a high rate of revision operations due to osteolysis around the femoral stem in this long term follow-up study.

  2. Clinical and roentgenographic evaluation of hydroxyapatite-coated and uncoated porous total hip arthroplasty: a preliminary report.

    Science.gov (United States)

    Ciccotti, M G; Rothman, R H; Veress, S A; Hozack, W J; Moriarty, L; Beight, J

    1991-10-01

    Sixty osteoarthritic patients undergoing primary uncemented total hip arthroplasty were matched for age and weight and randomized into one of four groups with respect to implant coating and postoperative protected weight-bearing status: group 1, hydroxyapatite, 12 weeks; group 2, uncoated, 12 weeks; group 3, hydroxyapatite, 6 weeks; group 4, uncoated, 6 weeks. Tantalum spheres were implanted periprosthetically into the femur at the time of arthroplasty, thus providing constant references for stereoscopic radiographs. Patients were then evaluated over a 1-year period with clinical examination, plain radiography, and roentgen stereophotogrammetric analysis (RSA). Clinical evaluation using Charnley scoring showed no significant preoperative or postoperative intergroup differences, whereas visual analog testing noted less thigh pain with hydroxyapatite-coated stems at 12 weeks and 6 months follow-up. Plain radiographic analysis produced no significant differences, with no instability detected and bony ingrowth noted uniformly in all groups. The preliminary stereographic evaluation showed migration in all groups, but there were no significant differences between coated and uncoated stems or 6-week and 12-week partial weightbearing protocols. The Charnley, plain radiographic, and preliminary stereogrammetric evaluations all suggest that migration is unaltered by enhanced surfaces and that early unprotected weightbearing does not jeopardize implant fixation regardless of coating design. The lower incidence of visual analog thigh pain with the hydroxyapatite-coated stems, however, may be a reflection of bony ingrowth and as such add some validity to the theoretical advantages of enhanced surface prostheses. PMID:10149615

  3. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available GLOBAL AP ANATOMIC TOTAL SHOULDER SYSTEM METHODIST HOSPITAL PHILADELPHIA, PA April 17, 2008 00:00:10 ANNOUNCER: ... you'll be able to watch a live global AP anatomic total shoulder surgery from Methodist Hospital ...

  4. Hydroxyapatite coatings for biomedical applications

    CERN Document Server

    Zhang, Sam

    2013-01-01

    Hydroxyapatite coatings are of great importance in the biological and biomedical coatings fields, especially in the current era of nanotechnology and bioapplications. With a bonelike structure that promotes osseointegration, hydroxyapatite coating can be applied to otherwise bioinactive implants to make their surface bioactive, thus achieving faster healing and recovery. In addition to applications in orthopedic and dental implants, this coating can also be used in drug delivery. Hydroxyapatite Coatings for Biomedical Applications explores developments in the processing and property characteri

  5. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available GLOBAL AP ANATOMIC TOTAL SHOULDER SYSTEM METHODIST HOSPITAL PHILADELPHIA, PA April 17, 2008 00:00:10 ANNOUNCER: DePuy Orthopedics is continually advancing the standard of orthopedic patient care. In a few ...

  6. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available GLOBAL AP ANATOMIC TOTAL SHOULDER SYSTEM METHODIST HOSPITAL PHILADELPHIA, PA April 17, 2008 00:00:10 ANNOUNCER: DePuy Orthopedics is continually advancing the standard of orthopedic patient ...

  7. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... advancing the standard of orthopedic patient care. In a few moments, you'll be able to watch a live global AP anatomic total shoulder surgery from Methodist Hospital in Philadelphia. A revolution in shoulder orthopedics, the Global AP gives ...

  8. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... to a patient's unique anatomical makeup. Dr. Gerald R. Williams, Jr., a shoulder specialist from the Rothman ... That might help. Could you raise the O.R. table, please? 00:28:35 WOMAN: Can you ...

  9. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... to longevity of total shoulders versus hips and knees. 00:46:20 GERALD WILLIAMS, MD: Well, obviously, ... ten years younger than the average hip or knee replacement patient. But if you look at the ...

  10. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... And we have Dr. Song visiting us from South Korea. This patient is a 78-year-old male ... there's probably six or eight articles in the literature right now that have compared hemis to totals. ...

  11. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... We had a question with regard to physical therapy after total shoulder arthroplasty: expectations and limitations. 00: ... opposite. We don't -- we do hardly any therapy at all to reverse. With reverse patients, they ...

  12. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... MD: This is Doug Boardman from Richmond, Virginia. We're here at Methodist Hospital in Philadelphia, where ... will be performing a total shoulder arthroplasty. Before we go to Dr. Williams, I'd like to ...

  13. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... you look anyplace, there's probably six or eight articles in the literature right now that have compared ... Dr. Rockwood, my friend and mentor, published an article that showed pain relief was better in totals. ...

  14. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... be performing a total shoulder arthroplasty. Before we go to Dr. Williams, I'd like to encourage ... It's always a question about how deep we go with this osteotomy. I tend to go almost ...

  15. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... WILLIAMS, MD: The patients that have a total shoulder replacement will come in on their first postoperative visit and tell you their pain's gone. The hemi arthroplasty without interposition will come ...

  16. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... compared hemis to totals. Even Dr. Rockwood, my friend and mentor, published an article that showed pain ... reasonably good cortices, I get a little more aggressive, but not a lot. This is not a ...

  17. Cementless Hydroxyapatite Coated Hip Prostheses

    Directory of Open Access Journals (Sweden)

    Antonio Herrera

    2015-01-01

    Full Text Available More than twenty years ago, hydroxyapatite (HA, calcium phosphate ceramics, was introduced as a coating for cementless hip prostheses. The choice of this ceramic is due to its composition being similar to organic apatite bone crystals. This ceramic is biocompatible, bioactive, and osteoconductive. These qualities facilitate the primary stability and osseointegration of implants. Our surgical experience includes the implantation of more than 4,000 cementless hydroxyapatite coated hip prostheses since 1990. The models implanted are coated with HA in the acetabulum and in the metaphyseal area of the stem. The results corresponding to survival and stability of implants were very satisfactory in the long-term. From our experience, HA-coated hip implants are a reliable alternative which can achieve long term survival, provided that certain requirements are met: good design selection, sound choice of bearing surfaces based on patient life expectancy, meticulous surgical technique, and indications based on adequate bone quality.

  18. Biomimetic Hydroxyapatite Coating on Metal Implants

    NARCIS (Netherlands)

    Habibovic, Pamela; Barrere, Florence; Blitterswijk, van Clemens A.; Groot, de Klaas; Layrolle, Pierre

    2002-01-01

    The combination of the high mechanical strength of metals with the osteoconductive properties of calcium phosphates make hydroxyapatite coatings on titanium implants widely used in orthopedic surgery. However, the most popular coating method, plasma spraying, exhibits some important drawbacks: the i

  19. Biomimetic Hydroxyapatite Coating on Metal Implants

    OpenAIRE

    Habibovic, Pamela; Barrere, Florence; Blitterswijk, van, H.; Groot, de, W.T.; Layrolle, Pierre

    2002-01-01

    The combination of the high mechanical strength of metals with the osteoconductive properties of calcium phosphates make hydroxyapatite coatings on titanium implants widely used in orthopedic surgery. However, the most popular coating method, plasma spraying, exhibits some important drawbacks: the inability to cover porous implants and to incorporate biologically active agents, delamination, and particle release. The aim of this study was to elaborate a dense, strong, and thick calcium-phosph...

  20. Effect of hydroxyapatite coating on risk of revision after primary total hip arthroplasty in younger patients: findings from the Danish Hip Arthroplasty Registry

    DEFF Research Database (Denmark)

    Paulsen, Aksel; Pedersen, Alma B; Johnsen, Søren P;

    2007-01-01

    BACKGROUND: The effect of hydroxyapatite (HA) on implant survival in the medium and long term is uncertain. We studied the effect of HA coating of uncemented implants on the risk of cup and stem revision in primary total hip arthroplasty (THA). PATIENTS AND METHODS: Using the Danish Hip Arthropla...

  1. Properties of Hydroxyapatite Coatings on Metal Oxide

    Directory of Open Access Journals (Sweden)

    V.V. Starikov

    2016-06-01

    Full Text Available The hydroxyapatite coating Ca10(PO46(OH2 was formed on the oxidized niobium surface by RF magnetron sputtering method using hydroxyapatite and three calcium phosphate targets. The structure, substructure and mechanical properties of the Nb-Nb2O5-HAP system were investigated by X-ray diffraction, atomic force microscopy, nanoindentation, as well as an assessment of the stress state in such system. Synthesized hydroxyapatite film had the following characteristics: the thermal expansion coefficient αHA = 1 × 10 – 5 К – 1; elasticity modulus ЕHA = 120 GPa; adhesive strength was not less than 0.45 kg/mm2; density 2900 kg/m3. The stress magnitude in the metal-oxide substrate was from 11 to 14 MPa at hydroxyapatite films deposition.

  2. Outcome of an uncemented hydroxyapatite coated hemiarthroplasty for displaced femoral neck fractures

    DEFF Research Database (Denmark)

    Eschen, Jacob; Kring, Søren; Brix, Michael;

    2012-01-01

    discouraged their use. There is limited evidence for the use of modern uncemented femoral stems in the treatment of DFNF, and we wished to investigate the clinical and radiographic performance of an uncemented hydroxyapatite coated hemiarthroplasty at 2-year follow-up. Patients and methods: We included 97...... consecutive patients who had an uncemented, hydroxyapatite coated hemiarthroplasty (Corail, Depuy) inserted during a 1-year period. Due to unwillingness or cognitive impairment (n = 6) and death before follow-up (n = 44), a total of 47 patients (39 females) with a mean age of 81 years were available. Results...... lateral thigh pain or groin pain was reported by 15 patients. The EQ-5D index score at follow-up was 0.72 (range: 0.16-1.00) and the EQ-5D Visual Analogue Score was 70 (range: 15-100). There were no signs of implant loosening in any of the 37 hips undergoing radiographic evaluation at follow...

  3. Hydroxyapatite-coated uncemented implants and peri-implant infection

    NARCIS (Netherlands)

    Oosterbos, Cornelis Johannes Maria

    2004-01-01

    One of the major complications of joint replacement surgery is a peri-implant infection. A hip prosthesis coated with hydroxyapatite, a calcium phosphate (found in human bone), may offer protection in this respect. In a series of patients who were treated with a hydroxyapatite-coated hip prosthesis

  4. Histologic analysis of a retrieved hydroxyapatite-coated femoral prosthesis

    DEFF Research Database (Denmark)

    Søballe, K; Gotfredsen, K; Brockstedt-Rasmussen, H;

    1991-01-01

    A hydroxyapatite-coated hip hemi-prosthesis was retrieved from a 98-year-old osteoporotic woman 12 weeks after implantation. Histologic analysis revealed bone and fibrous tissue almost evenly distributed around the surface of the implant circumference. Quantitative histologic analysis showed...

  5. 羟基磷灰石涂层股骨柄初次全髋关节置换随机对照试验的meta分析%Comparing hydroxyapatite coated versus non hydroxyapatite coated femoral stems in primary total hip arthroplasty: a meta analysis of randomized controlled trial

    Institute of Scientific and Technical Information of China (English)

    李书振; 林宗汉; 陈跃平; 高辉; 崔伟; 范锲

    2013-01-01

    Objective To evaluate the difference of clinical outcomes and radiological outcomes through meta-analysis on the total hip arthroplasty (THA) between hydroxyapatite (HA) coating and non-HA coating femoral stems.Methods We searched the MEDLINE,Embase,Cochrane library and CBM for published randomized controlled trial (RCT) comparing HA coating and non-HA coating femoral stems in primary THA clinical outcomes with Harris hip score and incidence postoperative thigh pain,radiological outcomes with presence of endosteal condensation and radioactive line on the prothesis,heterotopic ossification.Data analysis were performed using RevMan 5.0 (the Cochrane Collaboration).Results Ten studies and 917 hips into our analysis,with 464 hips in HA groups and 453 hips in non-HA groups.The combined results of the meta-analysis indicated there was no statistical differences between the two groups on postoperative Harris hip score (WMD =3.04,95% CI:-4.47-10.54,P =0.43),there was statistical difference on incidence postoperative thigh pain (RR =0.56,95 % CI:0.33-0.94,P =0.03).There were no significant differences between the two groups on presence of endosteal condensation(RR =1.01,95% CI:0.91-1.11,P =0.91),presence of radioactive line (RR =0.99,95% CI:0.88-1.11,P =0.83) and incidence of heterotopic ossification(RR =0.97,95% CI:0.77-1.21,P =0.77).Conclusions There are no clinical and radiological benefits in the use of HA coating femoral stems in Primary THA,there is not enough evidence prove the HA can reduce the incidence postoperative thigh pain.%目的 评价羟基磷灰石涂层与非羟基磷灰石涂层股骨柄初次全髋关节置换术的临床和放射学结果差异.方法 计算机检索MEDLINE、Embase、Cochrane图书馆、中国生物医学文献数据库,搜集比较羟基磷灰石涂层与非羟基磷灰石涂层股骨柄初次全髋关节置换术的随机对照试验,临床结果评价指标包括Harris评分、大腿疼痛发生率,放射学结果评价

  6. Electrophoretic deposition of zinc-substituted hydroxyapatite coatings

    Energy Technology Data Exchange (ETDEWEB)

    Sun, Guangfei [Advanced Biomaterials and Tissue Engineering Center, Huazhong University of Science and Technology, Wuhan 430074 (China); Ma, Jun, E-mail: caltary@gmail.com [Advanced Biomaterials and Tissue Engineering Center, Huazhong University of Science and Technology, Wuhan 430074 (China); Department of Biomedical Engineering, Huazhong University of Science and Technology, Wuhan 430074 (China); Zhang, Shengmin [Advanced Biomaterials and Tissue Engineering Center, Huazhong University of Science and Technology, Wuhan 430074 (China); Department of Biomedical Engineering, Huazhong University of Science and Technology, Wuhan 430074 (China)

    2014-06-01

    Zinc-substituted hydroxyapatite nanoparticles synthesized by the co-precipitation method were used to coat stainless steel plates by electrophoretic deposition in n-butanol with triethanolamine as a dispersant. The effect of zinc concentration in the synthesis on the morphology and microstructure of coatings was investigated. It is found that the deposition current densities significantly increase with the increasing zinc concentration. The zinc-substituted hydroxyapatite coatings were analyzed by X-ray diffraction, scanning electron microscopy and Fourier transform infrared spectroscopy. It is inferred that hydroxyapatite and triethanolamine predominate in the chemical composition of coatings. With the increasing Zn/Ca ratios, the contents of triethanolamine decrease in the final products. The triethanolamine can be burnt out by heat treatment. The tests of adhesive strength have confirmed good adhesion between the coatings and substrates. The formation of new apatite layer on the coatings has been observed after 7 days of immersion in a simulated body fluid. In summary, the results show that dense, uniform zinc-substituted hydroxyapatite coatings are obtained by electrophoretic deposition when the Zn/Ca ratio reaches 5%. - Highlights: • We investigate the Zn/Ca ratios for the synthesis of zinc-substituted HA. • Zinc-substituted HA nanoparticles are used for electrophoretic deposition. • Adding triethanolamine and HCl may aid electrophoretic deposition. • Uniform dense coatings of zinc-substituted HA are obtained when Zn/Ca = 5%.

  7. Performance of Non-Cemented, Hemispherical, Rim-Fit, Hydroxyapatite Coated Acetabular Component.

    Science.gov (United States)

    John, Thomas K; Ghosh, Gaurav; Ranawat, Chitranjan S; Ranawat, Amar S; Meftah, Morteza

    2015-12-01

    The purpose of this study was to assess the durability of a non-cemented, hemispherical rim-fit, hydroxyapatite coated cup with a highly cross-linked polyethylene in 223 total hip arthroplasties. At 6-years follow-up (range, 5-9), there were no cup revisions for osteolysis or loosening. Radiologic evidence of osseointegration was based on presence of Stress Induced Reactive Cancellous Bone and radial trabeculae, seen in 47% and 93% of cups, respectively; both were most prevalent in Zone 1. There was no interference demarcation in any zones. Two cups were revised (0.9%): one for dislocation and another for infection. The Kaplan-Meier survivorship for cup revision for any failure (infection, dislocation) was 99% and for mechanical failure (osteolysis, loosening) was 100%. This design has excellent safety, efficacy and durability. PMID:26235521

  8. Novel electrodeposition process for preparing hydroxyapatite coating on titanium substrate

    Institute of Scientific and Technical Information of China (English)

    ZHAO Zhong-wei; LI Hong-gui; SUN Pei-mei; CHEN Xing-yu; Okido Masazumi

    2005-01-01

    A novel process for electrodeposition of hydroxyapatite coating on titanium substrate was developed. The mechanism of the electrochemical reaction on the cathode was changed by adding H2O2 into the electrolyte. The evolution of H2 gas was erased. And owing to the fact that H2O2 posesses high tendency of being reduced, a fairly high cathodic current can be gained at a more positive potential than -1.0V. During the electrodeposition, 6%H2O2 is added, the temperature of deposition is fixed at 55℃ and pH of electrolyte is adjusted to 5.5. Dense and homogeneous film is crystallized at high rate. The mechanism of crystallize process was discussed.

  9. Synthesis and characterization of porous hydroxyapatite and hydroxyapatite coatings

    Energy Technology Data Exchange (ETDEWEB)

    Nieh, T G; Choi, B W; Jankowski, A F

    2000-10-25

    A technique is developed to construct bulk hydroxyapatite (HAp) with different cellular structures. The technique involves the initial synthesis of nanocrystalline hydroxyapatite powder from an aqueous solution using water-soluble compounds and then followed by spray drying into agglomerated granules. The granules were further cold pressed and sintered into bulks at elevated temperatures. The sintering behavior of the HAp granules was characterized and compared with those previously reported. Resulting from the fact that the starting HAp powders were extremely fine, a relatively low activation energy for sintering was obtained. In the present study, both porous and dense structures were produced by varying powder morphology and sintering parameters. Porous structures consisting of open cells were constructed. Sintered structures were characterized using scanning electron microscopy and x-ray tomography. In the present paper, hydroxyapatite coatings produced by magnetron sputtering on silicon and titanium substrates will also be presented. The mechanical properties of the coatings were measured using nanoindentation techniques and microstructures examined using transmission electron microscopy.

  10. Formation of Biomimetic Hydroxyapatite Coating on Titanium Plates

    Directory of Open Access Journals (Sweden)

    Ievgen Volodymyrovych PYLYPCHUK

    2014-09-01

    Full Text Available Hydroxyapatite (HA has long been used as a coating material in the implant industry for orthopedic implant applications. HA is the natural inorganic constituent of bone and teeth. By coating titanium (base material of implant engineering because of its lightness and durability with hydroxyapatite, we can provide higher biocompatibility of titanium implants, according to HA ability to form a direct biochemical bond with living tissues. This article reports a biomimetic approach for coating hydroxyapatite with titanium A method of modifying the surface of titanium by organic modifiers (for creating functional groups on the surface, followed by formation "self-assembled" layer of biomimetic hydroxyapatite in simulated body fluid (SBF. FTIR and XPS confirmed the formation of hydroxyapatite coatings on titanium surface. Comparative study of the formation of HA on the surface of titanium plates modified by different functional groups: Ti(≡OH, Ti/(≡Si-OH and Ti/(≡COOH is conducted. It was found that the closest to natural stoichiometric hydroxyapatite Ca/P ratio was obtained on Ti/(≡COOH samples. DOI: http://dx.doi.org/10.5755/j01.ms.20.3.4974

  11. Fabrication and Characterization of Hierarchically Nanostructured Porous Carbonated Hydroxyapatite Coatings

    Institute of Scientific and Technical Information of China (English)

    吕君英; 郭亚平

    2012-01-01

    Hierarchically nanostructured porous carbonated hydroxyapatite coatings (HNPCs) on Ti6A14V substrate were fabricated by a two-stage application route:fabrication of nacre coatings (NCs) on Ti6A14V substrate by electrophoretic technique,and conversion of NCs to HNPCs in a phosphate buffer solution (PBS) by microwave irradiation method.Their samples were characterized by using XRD,FT-IR,SEM,TEM,and N2 adsorption-desorption isotherms.The results show that the microwave irradiation technique improves obviously the conversion rate of NCs to HNPCs as compared with conventional method.After soaking the NCs in the PBS,calcium ions are released from the nacre particles and react with phosphate ions to form carbonated hydroxyapatite nanoparticles.These nanoparticles aggregate to form the plate-like carbonated apatite.The mesopores with a size of about 3.9 nm and macropores with the diameters of 1~4 μm exist within and among the carbonated apatite plates,respectively.Simulated body fluid immersion tests reveal that the HNPCs have a good in vitro bioactivity.

  12. Synthesis and characterization of biocompatible hydroxyapatite coated ferrite

    Indian Academy of Sciences (India)

    S Deb; J Giri; S Dasgupta; D Datta; D Bahadur

    2003-12-01

    Ferrite particles coated with biocompatible phases can be used for hyperthermia treatment of cancer. We have synthesized substituted calcium hexaferrite, which is not stable on its own but is stabilized with small substitution of La. Hexaferrite of chemical composition (CaO)0.75(La2O3)0.20(Fe2O3)6 was prepared using citrate gel method. Hydroxyapatite was prepared by precipitating it from aqueous solution of Ca(NO3)2 and (NH4)2HPO4 maintaining pH above 11. Four different methods were used for coating of hydroxyapatite on ferrite particles. SEM with EDX and X-ray diffraction analysis shows clear evidence of coating of hydroxy-apatite on ferrite particles. These coated ferrite particles exhibited coercive field up to 2 kOe, which could be made useful for hysteresis heating in hyperthermia. Studies by culturing BHK-21 cells and WBC over the samples show evidence of biocompatibility. SEM micrographs and cell counts give clear indication of cell growth on the surface of the sample. Finally coated ferrite particle was implanted in Kasaulli mouse to test its biocompatibility. The magnetic properties and biocompatibility studies show that these hydroxyapatite coated ferrites could be useful for hyperthermia.

  13. Failure of dual radius hydroxyapatite-coated acetabular cups

    Directory of Open Access Journals (Sweden)

    Zatti Giovanni

    2008-08-01

    Full Text Available Abstract Introduction Many kind of hydroxyapatite-coated cups were used, with favorable results in short term studies; it was supposed that its use could improve osteointegration of the cup, enhancing thus stability and survivorship. The purpose of this study is to analyze the long term behavior of the hemispheric HA coated, Dual Radius Osteonics cup and to discuss the way of failure through the exam of the revised components and of both periacetabular and osteolysis tissue. Materials and Methods Between 1994 and 1997, at the Department of Orthopedic Sciences of the Insubria University, using the posterolateral approach, were implanted 276 Dual Radius Osteonics® in 256 patients, with mean age of 63 years. Results At a mean follow-up of 10 years (range 8–12 years, 183 cups in 165 patients, were available for clinical and radiographical evaluation. 22 Cups among the 183 were revised (11%. The cause of revision was aseptic loosening in 17 cases, septic loosening in one case, periprosthetic fracture in another case, osteolysis and polyethylene wear in two cases and, finally, recurrent dislocations in the last one. In the remaining patients, mean HHS increased from a preoperative value of 50,15 to a postoperative value of 92,69. The mean polyethylene wear was 1,25 mm (min. 0,08, max. 3,9 mm, with a mean annual wear of 0,17 mm. The mean acetabular migration on the two axis was 1,6 mm and 1,8 mm. Peri-acetabular osteolysis were recorded in 89% of the implants (163 cases. The cumulative survivorship (revision as endpoint at the time was 88,9%. Conclusion Our study confirms the bad behavior of this type of cup probably related to the design, to the method of HA fixation. The observations carried out on the revised cup confirm these hypotheses but did not clarify if the third body wear could be a further problem. Another interesting aspect is the high incidence of osteolysis, which are often asymptomatic becoming a problem for the surgeon as the

  14. Can introduction of an uncemented, hydroxyapatite coated hemiarthroplasty for displaced femoral neck fractures be recommended?

    DEFF Research Database (Denmark)

    Hansen, Søren Kring; Brix, Michael; Birkelund, Lasse;

    2010-01-01

    procedures in the cemented group and following 2% of procedures in the uncemented group (p=0.48). Mortality rates did not differ statistically significant between groups. Outcomes were comparable. Introduction of an uncemented hydroxyapatite coated hemiarthroplasty for treatment of displaced femoral neck...

  15. Bone compaction enhances fixation of weight-bearing hydroxyapatite-coated implants

    DEFF Research Database (Denmark)

    Kold, Søren; Rahbek, Ole; Vestermark, Marianne;

    2006-01-01

    The effect of bone compaction vs conventional drilling on the fixation of hydroxyapatite-coated implants was examined in a weight-bearing canine model. In each dog, one knee joint had the implant cavity prepared with drilling, the other with compaction. Eight dogs were euthanized after 2 weeks...

  16. Hydroxyapatite coatings deposited by liquid precursor plasma spraying: controlled dense and porous microstructures and osteoblastic cell responses

    Energy Technology Data Exchange (ETDEWEB)

    Huang Yi; Song Lei; Liu Xiaoguang; Xiao Yanfeng; Wu Yao; Chen Jiyong; Wu Fang; Gu Zhongwei, E-mail: fangwu0808@yahoo.co, E-mail: fwu@scu.edu.c [National Engineering Research Center for Biomaterials, Sichuan University, Chengdu 610064 (China)

    2010-12-15

    Hydroxyapatite coatings were deposited on Ti-6Al-4V substrates by a novel plasma spraying process, the liquid precursor plasma spraying (LPPS) process. X-ray diffraction results showed that the coatings obtained by the LPPS process were mainly composed of hydroxyapatite. The LPPS process also showed excellent control on the coating microstructure, and both nearly fully dense and highly porous hydroxyapatite coatings were obtained by simply adjusting the solid content of the hydroxyapatite liquid precursor. Scanning electron microscope observations indicated that the porous hydroxyapatite coatings had pore size in the range of 10-200 {mu}m and an average porosity of 48.26 {+-} 0.10%. The osteoblastic cell responses to the dense and porous hydroxyapatite coatings were evaluated with human osteoblastic cell MG-63, in respect of the cell morphology, proliferation and differentiation, with the hydroxyapatite coatings deposited by the atmospheric plasma spraying (APS) process as control. The cell experiment results indicated that the heat-treated LPPS coatings with a porous structure showed the best cell proliferation and differentiation among all the hydroxyapatite coatings. Our results suggest that the LPPS process is a promising plasma spraying technique for fabricating hydroxyapatite coatings with a controllable microstructure, which has great potential in bone repair and replacement applications.

  17. Hydroxyapatite coatings deposited by liquid precursor plasma spraying: controlled dense and porous microstructures and osteoblastic cell responses

    International Nuclear Information System (INIS)

    Hydroxyapatite coatings were deposited on Ti-6Al-4V substrates by a novel plasma spraying process, the liquid precursor plasma spraying (LPPS) process. X-ray diffraction results showed that the coatings obtained by the LPPS process were mainly composed of hydroxyapatite. The LPPS process also showed excellent control on the coating microstructure, and both nearly fully dense and highly porous hydroxyapatite coatings were obtained by simply adjusting the solid content of the hydroxyapatite liquid precursor. Scanning electron microscope observations indicated that the porous hydroxyapatite coatings had pore size in the range of 10-200 μm and an average porosity of 48.26 ± 0.10%. The osteoblastic cell responses to the dense and porous hydroxyapatite coatings were evaluated with human osteoblastic cell MG-63, in respect of the cell morphology, proliferation and differentiation, with the hydroxyapatite coatings deposited by the atmospheric plasma spraying (APS) process as control. The cell experiment results indicated that the heat-treated LPPS coatings with a porous structure showed the best cell proliferation and differentiation among all the hydroxyapatite coatings. Our results suggest that the LPPS process is a promising plasma spraying technique for fabricating hydroxyapatite coatings with a controllable microstructure, which has great potential in bone repair and replacement applications.

  18. Crystalline hydroxyapatite coatings synthesized under hydrothermal conditions on modified titanium substrates

    Energy Technology Data Exchange (ETDEWEB)

    Suchanek, Katarzyna, E-mail: Katarzyna.Suchanek@ifj.edu.pl [The Henryk Niewodniczański Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego Street 152, 31-342 Krakow (Poland); Bartkowiak, Amanda [The Henryk Niewodniczański Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego Street 152, 31-342 Krakow (Poland); Gdowik, Agnieszka [Faculty of Physics and Applied Computer Science, AGH University of Science and Technology, Mickiewicza 30, 30-059 Krakow (Poland); Perzanowski, Marcin [The Henryk Niewodniczański Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego Street 152, 31-342 Krakow (Poland); Kąc, Sławomir [Faculty of Metals Engineering and Industrial Computer Science, AGH University of Science and Technology, Mickiewica 30, 30-059 Krakow (Poland); Szaraniec, Barbara [Department of Biomaterials, AGH University of Science and Technology, Mickiewicza 30, 30-059 Krakow (Poland); Suchanek, Mateusz [Department of Chemistry and Physics, University of Agriculture in Krakow, Mickiewicza 21, 31-120 Krakow (Poland); Marszałek, Marta [The Henryk Niewodniczański Institute of Nuclear Physics, Polish Academy of Sciences, Radzikowskiego Street 152, 31-342 Krakow (Poland)

    2015-06-01

    Hydroxyapatite coatings were successfully produced on modified titanium substrates via hydrothermal synthesis in a Ca(EDTA){sup 2−} and (NH{sub 4}){sub 2}HPO{sub 4} solution. The morphology of modified titanium substrates as well as hydroxyapatite coatings was studied using scanning electron microcopy and phase identification by X-ray diffraction, and Raman and FTIR spectroscopy. The results show that the nucleation and growth of hydroxyapatite needle-like crystals with hexagonal symmetry occurred only on titanium substrates both chemically and thermally treated. No hydroxyapatite phase was detected on only acid etched Ti metal. This finding demonstrates that only a particular titanium surface treatment can effectively induce the apatite nucleation under hydrothermal conditions. - Highlights: • Bioactivation of titanium substrate by chemical and heat treatments • Precipitation of hydroxyapatite on modified titanium plates • Hydrothermal crystallization of hydroxyapatite by chelate decomposition method.

  19. Crystalline hydroxyapatite coatings synthesized under hydrothermal conditions on modified titanium substrates

    International Nuclear Information System (INIS)

    Hydroxyapatite coatings were successfully produced on modified titanium substrates via hydrothermal synthesis in a Ca(EDTA)2− and (NH4)2HPO4 solution. The morphology of modified titanium substrates as well as hydroxyapatite coatings was studied using scanning electron microcopy and phase identification by X-ray diffraction, and Raman and FTIR spectroscopy. The results show that the nucleation and growth of hydroxyapatite needle-like crystals with hexagonal symmetry occurred only on titanium substrates both chemically and thermally treated. No hydroxyapatite phase was detected on only acid etched Ti metal. This finding demonstrates that only a particular titanium surface treatment can effectively induce the apatite nucleation under hydrothermal conditions. - Highlights: • Bioactivation of titanium substrate by chemical and heat treatments • Precipitation of hydroxyapatite on modified titanium plates • Hydrothermal crystallization of hydroxyapatite by chelate decomposition method

  20. Real-Time Protein and Cell Binding Measurements on Hydroxyapatite Coatings.

    Science.gov (United States)

    Vilardell, A M; Cinca, N; Jokinen, A; Garcia-Giralt, N; Dosta, S; Cano, I G; Guilemany, J M

    2016-01-01

    Although a lot of in vitro and in vivo assays have been performed during the last few decades years for hydroxyapatite bioactive coatings, there is a lack of exploitation of real-time in vitro interaction measurements. In the present work, real-time interactions for a plasma sprayed hydroxyapatite coating were measured by a Multi-Parametric Surface Plasmon Resonance (MP-SPR), and the results were compared with standard traditional cell viability in vitro assays. MP-SPR is proven to be suitable not only for measurement of molecule-molecule interactions but also molecule-material interaction measurements and cell interaction. Although SPR is extensively utilized in interaction studies, recent research of protein or cell adsorption on hydroxyapatite coatings for prostheses applications was not found. The as-sprayed hydroxyapatite coating resulted in 62.4% of crystalline phase and an average thickness of 24 ± 6 μm. The MP-SPR was used to measure lysozyme protein and human mesenchymal stem cells interaction to the hydroxyapatite coating. A comparison between the standard gold sensor and Hydroxyapatite (HA)-plasma coated sensor denoted a clearly favourable cell attachment on HA coated sensor as a significantly higher signal of cell binding was detected. Moreover, traditional cell viability and proliferation tests showed increased activity with culture time indicating that cells were proliferating on HA coating. Cells show homogeneous distribution and proliferation along the HA surface between one and seven days with no significant mortality. Cells were flattened and spread on rough surfaces from the first day, with increasing cytoplasmatic extensions during the culture time. PMID:27618911

  1. Comparison of titanium mesh implants with PLA-hydroxyapatite coatings for maxillofacial cancer reconstruction

    Science.gov (United States)

    Tverdokhlebov, S. I.; Choinzonov, E. L.; Kolokolova, O. V.; Cherdyntseva, N. V.

    2016-08-01

    Since 2013 physics of TPU and oncologists from the TCRI with participation of the "ConMet" company (Moscow) and the "Sintel" company (Tomsk Special Economic Zone resident) have been working on the theme entitled "Development of the composite implants for reconstructive surgery of a craniofacial areas of the traumatological and oncological patients" supported with the Federal Program "R&D, part 1.3". The goal was to develop the maxillo-facial implants on the basis of the transformable titanium mesh with PLA & hydroxyapatite coating. According to the Contract No. 14.578.21.0031, the team of developers had to start supplying these advanced implants to the industrial partners up to 2017. This research was supported with the preliminary market researches by the ISPMS SB RAS and the TP "MF". The stages of preliminary market researches were: 1) research of the Worldwide CMF market; 2) forecasting the BRIC CMF market up to 2020; 3) the total Russian market (epidemiology) estimation as a sum of official calculations and statistics; 4) looking for the best foreign analogue prices, comparing their and our implant properties; 5) search for the best Russian analogues; 6) the investigation of the world patent database Espacenet for the last years, and finding the owners and applicants of patents of CMF osteosynthesis plates on the basis of titanium coated with PLA & hydroxyapatite; 7) comparison of the domestic implants, and making conclusions. Several variants of the meshes have got the equal quality with the best foreign and Russian implants. The closest analogues were titanium, polyethylene, PEEK composite meshes suited to the patient shape by the Synthes company in 2014, and the only hybrid titanium "Grey" implant with layers of gelatin, dextran, collagen, HAP & BMP-2 was found. This implant was produced by Russian institution, and it was mentioned in the report on clinical trials by L.A. Pavlova et al., 2014 [1]. There are no manufacturers of the coated implants in Russia

  2. Adaptive Bone Remodeling of the Femoral Bone After Tumor Resection Arthroplasty With an Uncemented Proximally Hydroxyapatite-Coated Stem.

    Science.gov (United States)

    Andersen, Mikkel R; Petersen, Michael M

    2016-01-01

    Loss of bone stock and stress shielding is a significant challenge in limb salvage surgery. This study investigates the adaptive bone remodeling of the femoral bone after implantation of a tumor prosthesis with an uncemented press fit stem. We performed a prospective 1 yr follow-up of 6 patients (mean age: 55 (26-78) yr, female/male=3/3) who underwent bone tumor resection surgery of the proximal femur (n=3) or distal femur (n=3). Reconstruction was done using a Global Modular Replacement System (Stryker® Orthopaedics, Mahwah, NJ) tumor prosthesis, and all patients received a straight-fluted 125-mm uncemented press-fit titanium alloy stem with hydroxyapatite coating of the proximal part of the stem. Measurements of bone mineral density (BMD; g/cm2) were done postoperatively and after 3, 6, and 12 mo in the part of the femur bone containing the Global Modular Replacement System stem using dual-energy X-ray absorptiometry. BMD was measured in 3 regions of interest (ROIs) in the femur bone. Nonparametric analysis of variance (Friedman test) for evaluation of changes in BMD over time. BMD decreased in all 3 ROIs with time. In ROI 1 (p=0.01), BMD decreased by 10% after 3 mo and ended with a total decrease of 14% after 1 yr. In ROI 2 (p=0.006), BMD was decreased by 6% after 3 and 6 mo; after 1 yr of follow-up, BMD was 9% below the postoperative value. In ROI 3 (p=0.009), BMD decreased by 6% after 3 and 6 mo; after 1 yr of follow-up, BMD was 8% below the postoperative value. A bone loss of 8%-9% during the first postoperative year was seen along the femoral stem, but in the bone containing the hydroxyapatite-coated part of the stem, the decrease in BMD was 14%, thus indicating that stress shielding of this part of the bone may play a role for the adaptive bone remodeling. PMID:25843447

  3. In vitro fatigue behaviour of vacuum plasma and detonation gun sprayed hydroxyapatite coatings.

    Science.gov (United States)

    Gledhill, H C; Turner, I G; Doyle, C

    2001-06-01

    The fatigue behaviour of vacuum plasma sprayed (VPS) and detonation gun sprayed (DGUN) hydroxyapatite coatings on titanium substrates has been compared in air and in buffered Ringer's solution. There was an increase in the surface microcracking and bulk porosity of both types of coating tested in air. After 1 million cycles in Ringer's solution the VPS coatings had completely delaminated from their substrates. In contrast the DGUN coatings retained their integrity when tested up to 10 million cycles but were beginning to show signs of delamination at the interface.

  4. Direct morphological comparison of vacuum plasma sprayed and detonation gun sprayed hydroxyapatite coatings for orthopaedic applications.

    Science.gov (United States)

    Gledhill, H C; Turner, I G; Doyle, C

    1999-02-01

    Hydroxyapatite coatings on titanium substrates were produced using two thermal spray techniques vacuum plasma spraying and detonation gun spraying. X-ray diffraction was used to compare crystallinity and residual stresses in the coatings. Porosity was measured using optical microscopy in conjunction with an image analysis system. Scanning electron microscopy and surface roughness measurements were used to characterise the surface morphologies of the coatings. The vacuum plasma sprayed coatings were found to have a lower residual stress, a higher crystallinity and a higher level of porosity than the detonation gun coatings. It is concluded that consideration needs to be given to the significance of such variations within the clinical context.

  5. In vitro osteoblast-like cell proliferation on nano-hydroxyapatite coatings with different morphologies on a titanium-niobium shape memory alloy.

    Science.gov (United States)

    Xiong, Jianyu; Li, Yuncang; Hodgson, Peter D; Wen, Cui'e

    2010-12-01

    The morphology of nanomaterials significantly affects their physical, chemical, and biological properties. In the present study, nano-hydroxyapatite coatings with different morphologies were produced on the surface of a titanium-niobium shape memory alloy via a hydrothermal process. The effect of the nano-hydroxyapatite coatings on the in vitro proliferation of SaOS-2 osteoblast-like cells was investigated. Factors including crystallinity, surface micro-roughness, and surface energy of the nano-hydroxyapatite coatings were discussed. Results show that in vitro proliferation of the osteoblast-like cells was significantly enhanced on the nano-hydroxyapatite-coated titanium-niobium alloy compared to the titanium-niobium alloy without coating. The cell numbers on the nano-hydroxyapatite-coated titanium-niobium alloy changed consistently with the surface energy of the hydroxyapatite coatings. This study suggests that surface energy as a characteristic parameter influencing the in vitro proliferation of osteoblast-like cells was predominant over the crystallinity and surface micro-roughness of the nano-hydroxyapatite coatings. PMID:20725978

  6. Short Term Evaluation of an Anatomically Shaped Polycarbonate Urethane Total Meniscus Replacement in a Goat Model

    NARCIS (Netherlands)

    Vrancken, A.C.T.; Madej, W.; Hannink, G.; Verdonschot, N.J.; Tienen, T.G. van; Buma, P.

    2015-01-01

    PURPOSE: Since the treatment options for symptomatic total meniscectomy patients are still limited, an anatomically shaped, polycarbonate urethane (PCU), total meniscus replacement was developed. This study evaluates the in vivo performance of the implant in a goat model, with a specific focus on th

  7. Determination of the Mechanical Properties of Plasma-Sprayed Hydroxyapatite Coatings Using the Knoop Indentation Technique

    Science.gov (United States)

    Hasan, Md. Fahad; Wang, James; Berndt, Christopher

    2015-06-01

    The microhardness and elastic modulus of plasma-sprayed hydroxyapatite coatings were evaluated using Knoop indentation on the cross section and on the top surface. The effects of indentation angle, testing direction, measurement location and applied load on the microhardness and elastic modulus were investigated. The variability and distribution of the microhardness and elastic modulus data were statistically analysed using the Weibull modulus distribution. The results indicate that the dependence of microhardness and elastic modulus on the indentation angle exhibits a parabolic shape. Dependence of the microhardness values on the indentation angle follows Pythagoras's theorem. The microhardness, Weibull modulus of microhardness and Weibull modulus of elastic modulus reach their maximum at the central position (175 µm) on the cross section of the coatings. The Weibull modulus of microhardness revealed similar values throughout the thickness, and the Weibull modulus of elastic modulus shows higher values on the top surface compared to the cross section.

  8. Porous low modulus Ti40Nb compacts with electrodeposited hydroxyapatite coating for biomedical applications.

    Science.gov (United States)

    Zhuravleva, K; Chivu, A; Teresiak, A; Scudino, S; Calin, M; Schultz, L; Eckert, J; Gebert, A

    2013-05-01

    Porous ß-type non-toxic Ti40Nb alloy was prepared by compaction of mechanically alloyed powder mixed with NaCl or Mg particles as space-holder material. The compacts with porosity of 36-80% demonstrated a very low Young's modulus of ~1.5-3 GPa and compression strength of ~10-35 MPa, which is suitable for potential implant material application. Porous samples were electrochemically covered with hydroxyapatite. The influence of the deposition time and of the electrolyte concentrations on the morphology of the hydroxyapatite coating was studied. It is demonstrated that a homogenous coating of hydroxyapatite crystals with different shape and size can be obtained on the surface of the porous samples. PMID:23498259

  9. Functional biomechanical performance of a novel anatomically shaped polycarbonate urethane total meniscus replacement

    NARCIS (Netherlands)

    Vrancken, A.C.T.; Eggermont, F.; Tienen, van T.G.; Hannink, G.; Buma, P.; Janssen, D.; Verdonschot, N.J.J.

    2015-01-01

    Purpose: To evaluate the functional biomechanical performance of a novel anatomically shaped, polycarbonate urethane total meniscus implant. Methods: Five human cadaveric knees were flexed between 0° and 90° under compressive loads mimicking a squat movement. Anteroposterior (AP) laxity tests were

  10. REPARATIVE OSTEOGENESIS DURING TREATMENT OF FRACTURE UNDER TRANSOSSEOUS OSTEOSYNTHESIS AND INTRAMEDULLARY INSERTION OF WIRES WITH HYDROXYAPATITE COATING

    Directory of Open Access Journals (Sweden)

    Iurii M. Irianov, Arnold V. Popkov, Nikolay A. Kiryanov, Tatiana Iu. Karaseva, Evgenii A. Karasev

    2015-04-01

    Full Text Available Background: The problem of improving medical care for patients with the locomotor system injuries is very important especially last time. Material and Methods: Canine open comminuted tibial fractures modelled experimentally, wires with hydroxyapatite coating inserted intramedullary, osteosynthesis performed with the Ilizarov fixator. Regenerated bones investigated 14-360 days after surgery using the techniques of light microscopy, scanning and transmission electron microscopy, and X-ray electron probe microanalysis for histologic sections . Results: It has been found that a zone of active reparative osteo- and angiogenesis forms around the wires, as well as a bone sheath with the properties of osteogenesis conductor and inductor. Fracture consolidation occurs early according to the primary type without cartilaginous and connective tissue formation in bone adhesion. Presented morphological characteristics endovasal angiogenesis. Conclusion: The results of the study evidence of the positive effect of intramedullary wires with hydroxyapatite coating on the course and intensity of reparative osteogenesis during fracture healing

  11. In Vitro Wear Testing of a CoCr-UHMWPE Finger Prosthesis with Hydroxyapatite Coated CoCr Stems

    Directory of Open Access Journals (Sweden)

    Andrew Naylor

    2015-04-01

    Full Text Available A finger prosthesis consisting of a Cobalt-chromium (CoCr proximal component and an Ultra-high-molecular-weight-polyethylene (UHMWPE medial component (both mounted on hydroxyapatite coated stems was evaluated to 5,000,000 cycles in an in vitro finger simulator. One “test” prosthesis was cycled through flexion-extension (90°–30° with a dynamic load of 10 N, whilst immersed in a lubricant of dilute bovine serum. Additionally, a static load of 100 N was applied for 45 s every 3000 cycles to simulate a static gripping force. A second “control” prosthesis was immersed in the same lubricant to account for absorption. Gravimetric and Sa (3D roughness measurements were taken at 1,000,000 cycle intervals. Micrographs and Sa values revealed negligible change to the CoCr surfaces after 5,000,000 cycles. The UHMWPE also exhibited no distinctive Sa trend, however the micrographs indicate that polishing occurred. Both the CoCr and UHMWPE test components progressively decreased in weight. The CoCr control component did not change in weight, whilst the UHMWPE component gained weight through absorption. To account for the disparity between surface and gravimetric results, the hydroxyapatite coatings were examined. Micrographs of the test stems revealed that the hydroxyapatite coating was partially removed, whilst the micrographs of the control stems exhibited a uniform coating.

  12. Modeling the Effect of Temperature and Potential on the In Vitro Corrosion Performance of Biomedical Hydroxyapatite Coatings

    Science.gov (United States)

    Coşkun, M. İbrahim; Karahan, İsmail H.; Yücel, Yasin; Golden, Teresa D.

    2016-08-01

    CoCrMo biomedical alloys were coated with a hydroxyapatite layer to improve biocompatibility and in vitro corrosion performance. A fast electrodeposition process was completed in 5 minutes for the hydroxyapatite coating. Effect of the solution temperature and applied potential on the in vitro corrosion performance of the hydroxyapatite coatings was modeled by response surface methodology (RSM) coupled with central composite design (CCD). A 5-level-2-factor experimental plan designed by CCD was used; the experimental plan contained 13 coating experiments with a temperature range from 283 K to 347 K (10 °C to 74 °C) and potential range from -1.2 to -1.9 V. Corrosion potential (E corr) of the coatings in a simulated body fluid solution was chosen as response for the model. Predicted and experimental values fitted well with an R 2 value of 0.9481. Response surface plots of the impedance and polarization resistance (R P) were investigated. Optimized parameters for electrodeposition of hydroxyapatite were determined by RSM as solution temperature of 305.48 K (32.33 °C) and potential of -1.55 V. Hydroxyapatite coatings fabricated at optimized parameters showed excellent crystal formation and high in vitro corrosion resistance.

  13. Modeling the Effect of Temperature and Potential on the In Vitro Corrosion Performance of Biomedical Hydroxyapatite Coatings

    Science.gov (United States)

    Coşkun, M. İbrahim; Karahan, İsmail H.; Yücel, Yasin; Golden, Teresa D.

    2016-10-01

    CoCrMo biomedical alloys were coated with a hydroxyapatite layer to improve biocompatibility and in vitro corrosion performance. A fast electrodeposition process was completed in 5 minutes for the hydroxyapatite coating. Effect of the solution temperature and applied potential on the in vitro corrosion performance of the hydroxyapatite coatings was modeled by response surface methodology (RSM) coupled with central composite design (CCD). A 5-level-2-factor experimental plan designed by CCD was used; the experimental plan contained 13 coating experiments with a temperature range from 283 K to 347 K (10 °C to 74 °C) and potential range from -1.2 to -1.9 V. Corrosion potential ( E corr) of the coatings in a simulated body fluid solution was chosen as response for the model. Predicted and experimental values fitted well with an R 2 value of 0.9481. Response surface plots of the impedance and polarization resistance ( R P) were investigated. Optimized parameters for electrodeposition of hydroxyapatite were determined by RSM as solution temperature of 305.48 K (32.33 °C) and potential of -1.55 V. Hydroxyapatite coatings fabricated at optimized parameters showed excellent crystal formation and high in vitro corrosion resistance.

  14. Functional biomechanical performance of a novel anatomically shaped polycarbonate urethane total meniscus replacement

    OpenAIRE

    Vrancken, Anne Christiane Theodora Anne; Eggermont, F.; van Tienen, T. G.; Hannink, G.; Buma, P Pieter; Janssen, Dennis; Verdonschot, NJJ Nico

    2015-01-01

    Purpose To evaluate the functional biomechanical performance of a novel anatomically shaped, polycarbonate urethane total meniscus implant. Methods Five human cadaveric knees were flexed between 0° and 90° under compressive loads mimicking a squat movement. Anteroposterior (AP) laxity tests were performed in 30° and 90° flexion. Meniscal kinematics and knee laxity were quantified using roentgen stereophotogrammetric analysis. Tibial cartilage contact mechanics were determined in 90° flexion. ...

  15. Functional biomechanical performance of a novel anatomically shaped polycarbonate urethane total meniscus replacement

    OpenAIRE

    Vrancken, A. C. T.; Eggermont, F.; Tienen, van, T.G.; Hannink, G.; Buma, P.; Janssen, D; Verdonschot, N.J.J.

    2015-01-01

    Purpose: To evaluate the functional biomechanical performance of a novel anatomically shaped, polycarbonate urethane total meniscus implant. Methods: Five human cadaveric knees were flexed between 0° and 90° under compressive loads mimicking a squat movement. Anteroposterior (AP) laxity tests were performed in 30° and 90° flexion. Meniscal kinematics and knee laxity were quantified using roentgen stereophotogrammetric analysis. Tibial cartilage contact mechanics were determined in 90° flexion...

  16. Hydroxyapatite coating does not improve uncemented stem survival after total hip arthroplasty!

    DEFF Research Database (Denmark)

    Hailer, Nils P; Lazarinis, Stergios; Mäkelä, Keijo T;

    2015-01-01

    for the endpoint stem revision. Unadjusted survival rates were calculated according to Kaplan-Meier, and Cox proportional hazards models were fitted in order to calculate hazard ratios (HRs) for the risk of revision with 95% confidence intervals (CIs). Results - Unadjusted 10-year survival with the endpoint...

  17. Bioactivity assessment of hydroxyapatite coatings produced by alkali conversion of monetite

    Energy Technology Data Exchange (ETDEWEB)

    Silva, M.H.P. da [Military Inst. of Engineering, Rio de Janeiro, RJ (Brazil); Soares, G.A. [Federal Univ. of Rio de Janeiro, RJ (Brazil); Elias, C.N. [Universidade Federal Fluminense, Niteroi, RJ (Brazil). Dept. de Matematica; Gibson, I.R. [London Univ. (United Kingdom). IRC Biomedical Materials; Best, S.M. [Cambridge Univ. (United Kingdom). Dept. of Metallurgy and Materials Science

    2001-07-01

    Commercially pure titanium sheets were coated with hydroxyapatite using three different routes: alkali conversion of monetite to hydroxyapatite utilising NH{sub 4}OH, KOH and NaOH solutions with pH=12.5. The hydroxyapatite coatings produced by each of the three different routes all exhibited similar morphologies and crystallinities, and hydroxyapatite was the only crystalline phase observed in all the coatings. The crystallinity and identification of the phases present were obtained by X-ray diffraction (XRD) analysis and the bioactivity was assessed according to the method developed by KOKUBO and co-workers. SEM analysis showed that all specimens exhibited areas with apatite precipitation from the SBF solution after 3 days immersion in SBF solution, irrespective of the alkaline solution used for the conversion process. This finding was confirmed by XRD analysis, which revealed a pattern corresponding to poorly-crystallinity hydroxyapatite. There appeared to be no effect of the ammonium, sodium or potassium ions from the different alkaline solutions used on the chemical conversion of monetite to hydroxyapatite on the properties of the resulting coating. (orig.)

  18. Reducing bacteria and macrophage density on nanophase hydroxyapatite coated onto titanium surfaces without releasing pharmaceutical agents

    Science.gov (United States)

    Bhardwaj, Garima; Yazici, Hilal; Webster, Thomas J.

    2015-04-01

    Reducing bacterial density on titanium implant surfaces has been a major concern because of the increasing number of nosocomial infections. Controlling the inflammatory response post implantation has also been an important issue for medical devices due to the detrimental effects of chronic inflammation on device performance. It has recently been demonstrated that manipulating medical device surface properties including chemistry, roughness and wettability can control both infection and inflammation. Here, we synthesized nanophase (that is, materials with one dimension in the nanoscale) hydroxyapatite coatings on titanium to reduce bacterial adhesion and inflammatory responses (as measured by macrophage functions) and compared such results to bare titanium and plasma sprayed hydroxyapatite titanium coated surfaces used clinically today. This approach is a pharmaceutical-free approach to inhibit infection and inflammation due to the detrimental side effects of any drug released in the body. Here, nanophase hydroxyapatite was synthesized in sizes ranging from 110-170 nm and was subsequently coated onto titanium samples using electrophoretic deposition. Results indicated that smaller nanoscale hydroxyapatite features on titanium surfaces alone decreased bacterial attachment in the presence of gram negative (P. aeruginosa), gram positive (S. aureus) and ampicillin resistant gram-negative (E. coli) bacteria as well as were able to control inflammatory responses; properties which should lead to their further investigation for improved medical applications.

  19. Investigation on the effect of collagen and vitamins on biomimetic hydroxyapatite coating formation on titanium surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Ciobanu, Gabriela, E-mail: gciobanu03@yahoo.co.uk [“Gheorghe Asachi” Technical University of Iasi, Faculty of Chemical Engineering and Environmental Protection, Prof. dr. docent Dimitrie Mangeron Rd., no. 63, zip: 700050, Iasi (Romania); Ciobanu, Octavian [“Grigore T. Popa” University of Medicine and Pharmacy, Faculty of Medical Bioengineering, Universitatii Str., no. 16, zip: 700115, Iasi (Romania)

    2013-04-01

    This study uses an in vitro experimental approach to investigate the roles of collagen and vitamins in regulating the deposition of hydroxyapatite layer on the pure titanium surface. Titanium implants were coated with a hydroxyapatite layer under biomimetic conditions by using a supersaturated calcification solution (SCS), modified by adding vitamins A and D{sub 3}, and collagen. The hydroxyapatite deposits on titanium were investigated by means of scanning electron microscopy (SEM) coupled with X-ray analysis (EDX), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD) and Fourier transformed infrared (FTIR) spectroscopy. The results obtained have shown that hydroxyapatite coatings were produced in vitro under vitamins and collagen influence. - Highlights: ► Hydroxyapatite was grown on Ti using a modified supersaturated calcification solution (M-SCS). ► Vitamins (A and D3) and collagen in M-SCS have a significant effect on apatite precipitation. ► M-SCS stimulates a biomimetic apatite deposition with 0.5–1 μm thickness in a short time. ► Hydroxyapatite crystallites have thin plate morphologies and size below 1 μm.

  20. Investigation on the effect of collagen and vitamins on biomimetic hydroxyapatite coating formation on titanium surfaces

    International Nuclear Information System (INIS)

    This study uses an in vitro experimental approach to investigate the roles of collagen and vitamins in regulating the deposition of hydroxyapatite layer on the pure titanium surface. Titanium implants were coated with a hydroxyapatite layer under biomimetic conditions by using a supersaturated calcification solution (SCS), modified by adding vitamins A and D3, and collagen. The hydroxyapatite deposits on titanium were investigated by means of scanning electron microscopy (SEM) coupled with X-ray analysis (EDX), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD) and Fourier transformed infrared (FTIR) spectroscopy. The results obtained have shown that hydroxyapatite coatings were produced in vitro under vitamins and collagen influence. - Highlights: ► Hydroxyapatite was grown on Ti using a modified supersaturated calcification solution (M-SCS). ► Vitamins (A and D3) and collagen in M-SCS have a significant effect on apatite precipitation. ► M-SCS stimulates a biomimetic apatite deposition with 0.5–1 μm thickness in a short time. ► Hydroxyapatite crystallites have thin plate morphologies and size below 1 μm

  1. Early migration characteristics of a hydroxyapatite-coated femoral stem: an RSA study.

    Science.gov (United States)

    Campbell, David; Mercer, Graham; Nilsson, Kjell G; Wells, Vanessa; Field, John R; Callary, Stuart A

    2011-04-01

    Measurement of early stem subsidence can be used to predict the likelihood of long-term femoral component loosening and clinical failure. Data that examines the early migration pattern of clinically proven stems will provide clinicians with useful baseline data with which to compare new stem designs. This study was performed to evaluate the early migration pattern of a hydroxyapatite-coated press-fit femoral component that has been in use for over ten years. We enrolled 30 patients who underwent THA for osteoarthritis. The median age was 70 years (range, 55-80 years). Patients were clinically assessed using the Harris hip score. Radiostereometric analysis was used to evaluate stem migration at three to four days, six months, one year and two years. We observed a mean subsidence of 0.73 mm at six months, 0.62 mm at one year and 0.58 mm at two years and a mean retroversion of 1.82° at six months, 1.90° at one year and 1.59° at two years. This data suggests that subsidence is confined to the first six months after which there was no further subsidence. The results from this study can be compared with those from novel cementless stem designs to help predict the long-term outcome one may expect from new cementless stem designs. PMID:20012862

  2. Posterior shoulder instability following anatomic total shoulder arthroplasty: A case report and review of management

    Directory of Open Access Journals (Sweden)

    Joseph W Galvin

    2015-01-01

    Full Text Available We report a case of posterior shoulder instability following anatomic total shoulder arthroplasty (TSA. In addition, we present guidelines to aid in the management of posterior instability after TSA. A 50-year-old male underwent anatomic TSA for glenohumeral osteoarthritis. Postoperatively, the patient developed posterior instability secondary to glenoid retroversion. He did not improve despite conservative treatment. He underwent an arthroscopic posterior bone block procedure, 4-month after his index arthroplasty. At 14-month follow-up, the patient had regained near full motion and strength, and radiographs demonstrated osseous integration with no evidence of component loosening. Posterior instability following TSA is a relatively rare complication and challenging to manage. The posterior, arthroscopic iliac crest bone block grafting procedure represents a treatment option for posterior instability in the setting of a stable glenoid prosthesis following TSA.

  3. Anatomic total talar prosthesis replacement surgery and ankle arthroplasty: an early case series in Thailand

    Directory of Open Access Journals (Sweden)

    Chayanin Angthong

    2014-10-01

    Full Text Available Little is known about specific outcomes and early experiences of total talar prosthesis replacement surgery in the current literature, and ankle arthroplasty in Southeast Asia. This study reported on four patients with talar loss or ankle arthritis. Patients were treated with a custom total talar prosthesis (anatomic-metallic version replacement (TPR, n=1 or with total ankle replacement (TAR, n=3. Baseline data, including Visual-Analog-Scale Foot and Ankle (VAS-FA and Quality of Life scores via Short-Form-36 (SF-36, were collected for all patients. Mean follow-up time was 7.6 months. From preoperative to postoperative, VAS-FA score increased from 6.0 to 57.5, and SF-36 score increased from 19.3 to 73.7 in a patient with TPR. Mean VAS-FA scores increased from 51.5±15.6 to 85.7±4.7 (P=0.032, and mean SF-36 scores tended to increase from 65.2±13.3 to 99.3±1.2 (P=0.055 in TAR group. This study is the first report of anatomic-metallic TPR which appears to provide satisfactory outcomes for treatment of talar loss at a short-term follow-up. TAR also provides acceptable results for treatment of ankle arthritis at this point.

  4. Anatomic Total Talar Prosthesis Replacement Surgery and Ankle Arthroplasty: An Early Case Series in Thailand

    Science.gov (United States)

    2014-01-01

    Little is known about specific outcomes and early experiences of total talar prosthesis replacement surgery in the current literature, and ankle arthroplasty in Southeast Asia. This study reported on four patients with talar loss or ankle arthritis. Patients were treated with a custom total talar prosthesis (anatomic-metallic version) replacement (TPR, n=1) or with total ankle replacement (TAR, n=3). Baseline data, including Visual-Analog-Scale Foot and Ankle (VAS-FA) and Quality of Life scores via Short-Form-36 (SF-36), were collected for all patients. Mean follow-up time was 7.6 months. From preoperative to postoperative, VAS-FA score increased from 6.0 to 57.5, and SF-36 score increased from 19.3 to 73.7 in a patient with TPR. Mean VAS-FA scores increased from 51.5±15.6 to 85.7±4.7 (P=0.032), and mean SF-36 scores tended to increase from 65.2±13.3 to 99.3±1.2 (P=0.055) in TAR group. This study is the first report of anatomic-metallic TPR which appears to provide satisfactory outcomes for treatment of talar loss at a short-term follow-up. TAR also provides acceptable results for treatment of ankle arthritis at this point. PMID:25317313

  5. Mechanical properties and fractal analysis of the surface texture of sputtered hydroxyapatite coatings

    Science.gov (United States)

    Bramowicz, Miroslaw; Braic, Laurentiu; Azem, Funda Ak; Kulesza, Slawomir; Birlik, Isil; Vladescu, Alina

    2016-08-01

    This aim of this work is to establish a relationship between the surface morphology and mechanical properties of hydroxyapatite coatings prepared using RF magnetron sputtering at temperatures in the range from 400 to 800 °C. The topography of the samples was scanned using atomic force microscopy, and the obtained 3D maps were analyzed using fractal methods to derive the spatial characteristics of the surfaces. X-ray photoelectron spectroscopy revealed the strong influence of the deposition temperature on the Ca/P ratio in the growing films. The coatings deposited at 600-800 °C exhibited a Ca/P ratio between 1.63 and 1.69, close to the stoichiometric hydroxyapatite (Ca/P = 1.67), which is crucial for proper osseointegration. Fourier-transform infrared spectroscopy showed that the intensity of phosphate absorption bands increased with increasing substrate temperature. Each sample exhibited well defined and sharp hydroxyapatite band at 566 cm-1, although more pronounced for the coatings deposited above 500 °C. Both the hardness and elastic modulus of the coated samples decrease with increasing deposition temperature. The surface morphology strongly depends on the deposition temperature. The sample deposited at 400 °C exhibits circular cavities dug in an otherwise flat surface. At higher deposition temperatures, these cavities increase in size and start to overlap each other so that at 500 °C the surface is composed of closely packed peaks and ridges. At that point, the characteristics of the surface turns from the dominance of cavities to grains of similar size, and develops in a similar manner at higher temperatures.

  6. The Influence of the RF PACVD MS Process Parameters on the Physicochemical Properties of Hydroxyapatite Coatings

    Directory of Open Access Journals (Sweden)

    Niedzielska A.

    2015-12-01

    Full Text Available Hydroksyapatite (HAp as the coating, is produced using different methods of deposition, among others: laser ablation method, sol-gel, electrophoresis, thermal sputtering or magnetron spraying with the usage of high frequency. Attempts to benefit from such a wide spectrum of existing methods are related to the fact that this material possesses many advantages. We have to distinguish, among others, proper biological properties, i.e. both - high bio-tolerance and high osteo-inductivity [1,2]. However, it is worth mentioning that the material also presents disadvantages, i.e. it indicates too quick resorption within the biological environment, depending on its obtained form. In case when HAp is in the amorphous form, it undergoes a very rapid process of dissolving in the tissue environment. [3] In order to prevent the above, it is important to produce the coatings with a regulative level of cristallinity. In the presented research the hydroxyapatite coating produced using RF PACVD MS plasma method (Radio Frequency Plasma Assisted Chemical Vapor Deposition Magnetron Sputtering possesses the above mentioned amorphous form. Nevertheless, due to the usage of ‘bubbler’, allowing for delivery of hydroxyl groups into the operating chamber, it was possible to receive the Hap coatings in a crystalline form. Changing the operating pressure (the amount of bonds - OH, during sputtering, it was checked what is the influence of that parameter on the physicochemical properties of obtained coatings. Scanning electron microscopy (SEM was used for the founding research as well as the Roentgen Apparatus Analyser (EDS. The Phase composition of a created coating was researched using the Roentgen diffract-meter (XRD. The measures of thickness were conducted using contact-profilometry. Nano-indentation technique was used to assess the mechanical properties. Obtained results of research encourage for further researches related to the influence of hydroxyl groups on the

  7. Short Term Evaluation of an Anatomically Shaped Polycarbonate Urethane Total Meniscus Replacement in a Goat Model.

    Directory of Open Access Journals (Sweden)

    A C T Vrancken

    Full Text Available Since the treatment options for symptomatic total meniscectomy patients are still limited, an anatomically shaped, polycarbonate urethane (PCU, total meniscus replacement was developed. This study evaluates the in vivo performance of the implant in a goat model, with a specific focus on the implant location in the joint, geometrical integrity of the implant and the effect of the implant on synovial membrane and articular cartilage histopathological condition.The right medial meniscus of seven Saanen goats was replaced by the implant. Sham surgery (transection of the MCL, arthrotomy and MCL suturing was performed in six animals. The contralateral knee joints of both groups served as control groups. After three months follow-up the following aspects of implant performance were evaluated: implant position, implant deformation and the histopathological condition of the synovium and cartilage.Implant geometry was well maintained during the three month implantation period. No signs of PCU wear were found and the implant did not induce an inflammatory response in the knee joint. In all animals, implant fixation was compromised due to suture breakage, wear or elongation, likely causing the increase in extrusion observed in the implant group. Both the femoral cartilage and tibial cartilage in direct contact with the implant showed increased damage compared to the sham and sham-control groups.This study demonstrates that the novel, anatomically shaped PCU total meniscal replacement is biocompatible and resistant to three months of physiological loading. Failure of the fixation sutures may have increased implant mobility, which probably induced implant extrusion and potentially stimulated cartilage degeneration. Evidently, redesigning the fixation method is necessary. Future animal studies should evaluate the improved fixation method and compare implant performance to current treatment standards, such as allografts.

  8. Implanting hydroxyapatite-coated porous titanium with bone morphogenetic protein-2 and hyaluronic acid into distal femoral metaphysis of rabbits

    Institute of Scientific and Technical Information of China (English)

    PENG Lei; BIAN Wei-guo; LIANG Fang-hui; XU Hua-zi

    2008-01-01

    Objective: To assess the osseointegration capability of hydroxyapatite-coated porous titanium with bone morphogenetic protein-2 (BMP-2) and hyaluronic acid to repair defects in the distal femur metaphysis in rabbits. Methods: Porous titanium implants were made by sintering titanium powder at high temperature, which were coated with hydroxyapatite by alkali and heat treatment and with BMP-2 combined with bone regeneration materials. And hyaluronic acid was further used as delivery system to prolong the effect of BMP-2. The implants were inserted into the metaphysis of the distal femur of rabbits. The animals were killed at 6, 12 and 24 weeks to accomplish histological and biomechanical analyses. Results: According to the result of histological analysis, the osseointegration in BMP-2 group was better than that of the HA-coated porous titanium group. In push-out test, all the samples had bigger shear stress as time passed by. There was statistical difference between the two groups in 6 and 12 weeks but not in 24 weeks. Conclusion: Hydroxyapatite-coated porous titanium with BMP-2 and hyaluronic acid has a good effect in repairing defects of distal fumur in rabbits, which is a fine biotechnology for future clinical application.

  9. Ability of lower teardrop edge to restore anatomical hip center height in total hip arthroplasty

    Institute of Scientific and Technical Information of China (English)

    Lu Yufeng; Cheng Liming; Guo Wanshou; Yu Qingsheng; Gao Fuqiang; Zhang Qidong; Liu Zhaohui

    2014-01-01

    Background The acetabular teardrop is often used to guide acetabular component placement in total hip arthroplasty (THA).Placing the lower acetabular component aspect at the same level as the lower teardrop edge was assumed to restore the hip center of rotation.Here we radiographically analyzed the relationship between cup center and normal contralateral acetabulum center height on unilateral THA using this placement method.Methods A total of 106 unilateral THA cases with normal contralateral acetabula were reviewed and the vertical and horizontal distances in relation to the lower acetabular teardrop edge from both hip joint centers,cup inclination,and anteversion were measured radiographically.The paired t-test was used to compare left and right hip center heights.Scatter plots and Pearson's correlation coefficients were used to evaluate differences in hip center heights,cup anteversion,inclination angles,and medialized cup center distance compared to the contralateral hip joint.Results Cup center height was significantly greater (P <0.01) than contralateral hip joint center height (93.4% in the 0-5 mm range,6.6% >5 mm).There was a weak correlation between hip center height difference and inclination (r=0.376,P <0.01) and between difference and anteversion (r=0.310,P <0.01) but no correlation between difference and outer cup diameter (r=0.184,P=0.058) or difference and medialized cup center distance (r=-0.098,P=0.318).Conclusions Although this method did not exactly replicate anatomic hip center height,the clinical significance of cup center height and anatomic hip center height differences is negligible.This acetabular component placement method has high simplicity,reliability,and stability.

  10. Anterolateral muscle sparing approach total hip arthroplasty: an anatomic and clinical study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xian-long; SHEN Hao; QIN Xiao-long; WANG Qi

    2008-01-01

    Background Many kinds of approaches have been used for minimally invasive surgery of total hip arthroplasty (MIS-THA). However, until now when considering the balance of efficacy and associated surgical injury there is no approach widely accepted for MIS-THA. In this study, a modified anterolateral muscle sparing approach was developed to optimize MIS-THA. Methods Twenty adult cadaver specimens (40 hips) were used for anatomic research. The distance from anterior origin of the gluteus medius on the lilac crest to the anterior superior lilac spine was measured; the course of the superior gluteal nerve and the distances from the nerve to the regional anatomic landmarks were recorded. Simulated surgeries were performed in three fresh cadaver specimens to evaluate the soft tissues injury around incisions. From October 2004 to June 2006, 57 patients (57 hips) were treated with anterolateral muscle sparing minimally invasive total hip arthroplasty, of which 17 were femoral neck fractures, 9 osteoarthritis, 16 developmental dysplasia of hip (DDH) and 15 avascular necrosis (AVN). All the operations were performed by the same senior surgeon. Operation time, blood loss and drainage volume were recorded and the correlation between the local complications and the native anatomical characteristics was especially noted. All cases were followed for at least 12 months.Results The distance from the anterior origin of the gluteus medius to anterior superior lilac spine along the lilac crest was (61±4) mm (range, 55-68 mm), and the distance from inferior branch of the superior gluteal nerve to the anterior tubercle of the greater trochanter was (74±6)mm (range, 60-88 mm). In simulated surgeries, excessive distraction of tissue was found to be the main cause of the anterior border injury of the gluteus medius muscle. Of the 57 patients treated with anterolateral muscle sparing MIS-THA, the average incision length was 9 cm (range 7.5-13 cm). Blood transfusions were performed in 11

  11. Dilemmas in Uncemented Total Hip Arthroplasty

    NARCIS (Netherlands)

    Goosen, J.H.M.

    2009-01-01

    In this thesis, different aspects that are related to the survivorship and clinical outcome in uncemented total hip arthroplasty are analysed. In Chapter 2, the survival rate, Harris Hip score and radiographic features of a proximally hydroxyapatite coated titanium alloy femoral stem (Bi-Metric, Bio

  12. Preparation and characterization of hydroxyapatite-coated iron oxide particles by spray-drying technique

    Directory of Open Access Journals (Sweden)

    karina Donadel

    2009-06-01

    Full Text Available Magnetic particles of iron oxide have been increasingly used in medical diagnosis by magnetic resonance imaging and in cancer therapies involving targeted drug delivery and magnetic hyperthermia. In this study we report the preparation and characterization of iron oxide particles coated with bioceramic hydroxyapatite by spray-drying. The iron oxide magnetic particles (IOMP were coated with hydroxyapatite (HAp by spray-drying using two IOMP/HAp ratios (0.7 and 3.2. The magnetic particles were characterized by way of scanning electronic microscopy, energy dispersive X-ray, X-ray diffraction, Fourier transformed infrared spectroscopy, flame atomic absorption spectrometry,vibrating sample magnetometry and particle size distribution (laser diffraction. The surface morphology of the coated samples is different from that of the iron oxide due to formation of hydroxyapatite coating. From an EDX analysis, it was verified that the surface of the coated magnetic particles is composed only of HAp, while the interior containsiron oxide and a few layers of HAp as expected. The results showed that spray-drying technique is an efficient and relatively inexpensive method for forming spherical particles with a core/shell structure.As partículas de óxido de ferro têm sido extensivamente usadas em diagnósticos médicos como agente de contraste para imagem por ressonância magnética e na terapia do câncer, dentre estas, liberação de fármacos em sitos alvos e hipertermia magnética. Neste estudo nós reportamos a preparação e caracterização de partículas magnéticas de óxido de ferro revestidas com a biocerâmica hidroxiapatita. As partículas magnéticasde óxido de ferro (PMOF foram revestidas com hidroxiapatita por spray-drying usando duas razões PMOF/HAp (0,7 e 3,2. As partículas magnéticas foram caracterizadas por microscopia eletrônica de varredura, energia dispersiva de raios X, difração de raios X, espectroscopia de absorção no infra

  13. Preparation and properties of a cerium-containing hydroxyapatite coating on commercially pure titanium by micro-arc oxidation

    Institute of Scientific and Technical Information of China (English)

    HUANG Yong; WANG Yingjun; NING Chengyun; NAN Kaihui; HAN Yong

    2008-01-01

    A porous cerium-containing hydroxyapatite coating on commercially pure titanium was prepared by micro-arc oxidation (MAO) in an electrolytic solution containing calcium acetate, β-glycerol phosphate disodium salt pentahydrate (β-GP), and cerium nitrate. The thickness, phase, composition morphology, and biocompatibility of the oxide coating were characterized by X-ray diffraction (XRD), electron probe microanalysis (EPMA), scanning electron microscopy (SEM) with energy dispersive X-ray spectrometer (EDS), and cell culture. The thickness of the MAO film is about 15-25μm, and the coating is porous and uneven, without any apparent interface to the titanium substrates. The results of XRD and EDS show that the porous coating is made up of hydroxyapatite (HA) film containing Ce. The favorable osteoblast cell affinity makes the Ce-HA film have a good biocompatibility. The Ce-HA film is expected to have significant medical applications as dental implants and artificial bone joints.

  14. The effect of hydroxyapatite coated screw in the lateral fragility fractures of the femur. A prospective randomized clinical study.

    Science.gov (United States)

    Pesce, V; Maccagnano, G; Vicenti, G; Notarnicola, A; Moretti, L; Tafuri, S; Vanni, D; Salini, V; Moretti, B

    2014-01-01

    Due to a growing numbers of lateral fragility fractures of the femur and their high social costs the need to work out an effective strategy in order to find a better solution for these patients is warranted. From January 2010 to July 2011, we carried out a prospective randomized clinical study comparing the results of patients with femoral lateral fractures treated by nail and cephalic hydroxyapatite coated screws (study group including 27 patients) compared to the patients with the same fractures treated with nail and head standard screws (control group including 27 patients). We defined the two parts of the femoral neck as ROI 1 (under the head screw) and ROI 2 (above the femoral screw) on the AP view. The bone density of the two areas was calculated using DEXA at T0 (1st day post-surgery), at T1 (40th day post-surgery), at T2 (3 months later), at T3 (1 year later). The clinical-radiography evaluations were based on the Harris Hip Score (HHS), ADL test and x-ray views of the hip. As far as the bone mineral density average of ROI 1 and ROI 2 is concerned, we found a significant statistical increase at T1 and T3 in the study group, while it was not significant in the control group. We could account for this data through the higher mechanical stability of hydroxyapatite coated screws than standard screws. In fact, this material was responsible for improved implant osteointegration. Thanks to a 1 year follow-up we were able to demonstrate the implant utility associated with augmentation and the importance of densitometry exams such as easily repeatable and low cost diagnostics to prevent the onset of complications linked to screw loosening.

  15. Clinical Outcomes of Anatomical Total Shoulder Arthroplasty in a Young, Active Population.

    Science.gov (United States)

    Kusnezov, Nicholas; Dunn, John C; Parada, Stephen A; Kilcoyne, Kelly; Waterman, Brian R

    2016-01-01

    Glenohumeral arthritis in young, active patients poses many treatment challenges, and significant concerns about component loosening and failure limit the available surgical options. We conducted a study of the clinical outcomes of total shoulder arthroplasty (TSA) for glenohumeral arthritis in a young, high-demand population. We searched the Military Health System Management Analysis and Reporting Tool database to retrospectively review the cases of all US military service members who had undergone anatomical TSA (Current Procedural Terminology code 23472) between 2007 and 2014. Demographic information, occupational parameters, and clinical outcomes were extracted from electronic medical records. Twenty-four service members (26 shoulders) met the inclusion criteria. The cohort was predominantly male (n = 25). Mean age was 45.8 years (range, 35-54 years). The most common etiology of glenohumeral arthritis was post-instability arthropathy (50.0%). At mean follow-up of 41 months, 9 patients had a total of 12 complications (46.2%), including 6 component failures caused by neurologic injury (2 cases), adhesive capsulitis (2), and venous thrombosis (2). The reoperation rate for all component failures was 23.1% (6 cases, 5 patients). Ten patients (41.7%) remained on active duty at 2 years, and 5 (20.8%) were subsequently deployed. Ultimately, 9 patients (37.5%) underwent medical discharge for persistent shoulder disability. TSA in young, active patients provides reliable improvements in range of motion and pain. However, roughly one-third of patients in this study were unable to continue high-demand activities by 2 years after surgery. The short-term complication profile (46.2%) and reoperation rate for component failure (23.1%) should be emphasized during preoperative counseling. PMID:27552465

  16. Comparison of Different Materials and Proximal Coatings Used for Femoral Components in One-Stage Bilateral Total Hip Arthroplasty.

    Science.gov (United States)

    Miyatake, Kazumasa; Jinno, Tetsuya; Koga, Daisuke; Yamauchi, Yuki; Muneta, Takeshi; Okawa, Atsushi

    2015-12-01

    To evaluate the mid-term effects of different materials and coatings used for femoral components, we prospectively performed 21 one-stage bilateral total hip arthroplasties using 2 anatomical stems which have identical geometries, randomized to side. One stem was made of Ti6Al4V alloy and had a hydroxyapatite coating on grit-blasted surface proximally, and the other was made of TMZF™ alloy and had a proximal coating of hydroxyapatite in addition to an arc-deposited titanium surface coating. Although we found extensions of radiopaque lines to the surface of coatings of seven grit-blasted stems whereas we found none in the case of the arc-deposited titanium stems, all hips showed excellent clinical and radiological outcomes as shown by radiographs and bone mineral density at the final follow-up, average 5.5 years postoperatively. PMID:26190568

  17. Long-term follow-up of anatomic graduated component total knee arthroplasty : a 15- to 20-year survival analysis

    NARCIS (Netherlands)

    Huizinga, M.R.; Brouwer, R.W.; Bisschop, R.; van der Veen, H.C.; van den Akker-Scheek, I.; van Raay, J.J.

    2012-01-01

    The aims of this study were to determine survival rate, the clinical performance, and radiologic results of an Anatomic Graduated Component (AGC) total knee arthroplasty (TKA). Survival analysis was assessed by analyzing all hospital records of 211 AGC TKAs in 177 patients after 15 to 20 years. The

  18. Anatomic Mesenchymal Stem Cell-Based Engineered Cartilage Constructs for Biologic Total Joint Replacement.

    Science.gov (United States)

    Saxena, Vishal; Kim, Minwook; Keah, Niobra M; Neuwirth, Alexander L; Stoeckl, Brendan D; Bickard, Kevin; Restle, David J; Salowe, Rebecca; Wang, Margaret Ye; Steinberg, David R; Mauck, Robert L

    2016-02-01

    Cartilage has a poor healing response, and few viable options exist for repair of extensive damage. Hyaluronic acid (HA) hydrogels seeded with mesenchymal stem cells (MSCs) polymerized through UV crosslinking can generate functional tissue, but this crosslinking is not compatible with indirect rapid prototyping utilizing opaque anatomic molds. Methacrylate-modified polymers can also be chemically crosslinked in a cytocompatible manner using ammonium persulfate (APS) and N,N,N',N'-tetramethylethylenediamine (TEMED). The objectives of this study were to (1) compare APS/TEMED crosslinking with UV crosslinking in terms of functional maturation of MSC-seeded HA hydrogels; (2) generate an anatomic mold of a complex joint surface through rapid prototyping; and (3) grow anatomic MSC-seeded HA hydrogel constructs using this alternative crosslinking method. Juvenile bovine MSCs were suspended in methacrylated HA (MeHA) and crosslinked either through UV polymerization or chemically with APS/TEMED to generate cylindrical constructs. Minipig porcine femoral heads were imaged using microCT, and anatomic negative molds were generated by three-dimensional printing using fused deposition modeling. Molded HA constructs were produced using the APS/TEMED method. All constructs were cultured for up to 12 weeks in a chemically defined medium supplemented with TGF-β3 and characterized by mechanical testing, biochemical assays, and histologic analysis. Both UV- and APS/TEMED-polymerized constructs showed increasing mechanical properties and robust proteoglycan and collagen deposition over time. At 12 weeks, APS/TEMED-polymerized constructs had higher equilibrium and dynamic moduli than UV-polymerized constructs, with no differences in proteoglycan or collagen content. Molded HA constructs retained their hemispherical shape in culture and demonstrated increasing mechanical properties and proteoglycan and collagen deposition, especially at the edges compared to the center of these larger

  19. Highly dispersive α″-Fe{sub 16}N{sub 2} particle synthesis using hydroxyapatite coating

    Energy Technology Data Exchange (ETDEWEB)

    Nagai, Daisuke; Kinemuchi, Yoshiaki, E-mail: y.kinemuchi@aist.go.jp; Suzuki, Kazuyuki; Towata, Atsuya; Yasuoka, Masaki

    2015-05-15

    Alpha″-Fe{sub 16}N{sub 2} nanoparticles (NPs) with high magnetic crystalline anisotropy are useful for practical applications such as recording media. However, due to their strongly aggregated and/or sintered form, which occurs during synthesis, the utilization of the NPs has been limited thus far. Here, we report a method for synthesizing highly dispersive α″-Fe{sub 16}N{sub 2} NPs using hydroxyapatite (HAp). The chemically and thermally stable structure of the HAp coating results in the isolation of individual NPs, such that sintering is prevented during synthesis. Additionally, the acicular shape of the HAp crystal did not hinder gas diffusion during the gas reaction. Finally, HAp can be removed by a chelating agent without deteriorating the magnetic properties, resulting in highly dispersive α″-Fe{sub 16}N{sub 2} NPs. - Graphical abstract: Synthesis process of highly dispersive α″-Fe{sub 16}N{sub 2} particles using hydroxyapatite coating and SEM images of nanoparticles. - Highlights: • Highly dispersed α″-Fe{sub 16}N{sub 2} NPs were synthesized using hydroxyapatite (HAp). • HAp coating was stable chemically and thermally during gas reaction of α″-Fe{sub 16}N{sub 2} synthesis. • The magnetic property of the resultant Fe{sub 16}N{sub 2} NPs are M{sub s} of 170 emu/g and H{sub C} of 2450 Oe.

  20. Controlling the degradation rate of AZ91 magnesium alloy via sol–gel derived nanostructured hydroxyapatite coating

    Energy Technology Data Exchange (ETDEWEB)

    Rojaee, Ramin, E-mail: raminrojaee@aim.com [Biomaterials Research Group, Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of); Fathi, Mohammadhossein [Biomaterials Research Group, Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of); Dental Materials Research Center, Isfahan University of Medical Sciences, Isfahan (Iran, Islamic Republic of); Raeissi, Keyvan [Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of)

    2013-10-15

    Magnesium (Mg) alloys have been introduced as new generation of biodegradable orthopedic materials in recent years since it has been proved that Mg is one of the main minerals required for osseous tissue revival. The main goal of the present study was to establish a desired harmony between the necessities of orthopedic patient body to Mg{sup 2+} ions and degradation rate of the Mg based implants as a new class of biodegradable/bioresorbable materials. This prospect was followed by providing a sol–gel derived nanostructured hydroxyapatite (n-HAp) coating on AZ91 alloy using dip coating technique. Phase structural analysis, morphology study, microstructure characterization, and functional group identification were performed using X-ray diffraction (XRD), Fourier transform infrared (FTIR), scanning electron microscopy (SEM), and transmission electron microscopy (TEM) techniques. The prepared samples were immersed in simulated body fluid in order to study the formation of apatite-like precipitations, barricade properties of the n-HAp coating, and to estimate the dosage of released Mg{sup 2+} ions within a specified and limited time of implantation. Electrochemical polarization tests were carried out to evaluate and compare the corrosion behavior of the n-HAp coated and uncoated samples. The changes of the in vitro pH values were also evaluated. Results posed the noticeable capability of n-HAp coating on stabilizing alkalization behavior and improving the corrosion resistance of AZ91 alloy. It was concluded that n-HAp coated AZ91 alloy could be a good candidate as a type of biodegradable implant material for biomedical applications. - Highlights: • Nanostructured hydroxyapatite coatings were applied on Mg based alloy. • The whole corrosion process of Mg based alloy was controlled in body fluid. • This coating was able to act as a barrier against further release of Mg{sup 2+} ions. • The coating improved the stabilization of Mg alkalization behavior.

  1. Morphology of hydroxyapatite coated nanotube surface of Ti-35Nb-xHf alloys for implant materials

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae-Un [Functional Coatings Group, Materials Processing Division, Korea Institute of Materials Science (KIMS), Changwon, Kyungnam (Korea, Republic of); Jeong, Yong-Hoon [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials and Research Center for Oral Disease Regulation of the Aged, Chosun University, Gwangju (Korea, Republic of); Division of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, 305 W. 12th Ave. Columbus, OH (United States); Choe, Han-Cheol, E-mail: hcchoe@chosun.ac.kr [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials and Research Center for Oral Disease Regulation of the Aged, Chosun University, Gwangju (Korea, Republic of)

    2011-11-01

    The purpose of this research is to study the morphology of hydroxyapatite coated nanotube surface of Ti-35Nb-xHf for implant materials using various experiments. For this study, Ti-35Nb-xHf (x = 0, 3, 7 and 15 wt.%) alloys were prepared by arc melting and heat treated for 12 h at 1000 Degree-Sign C in an argon atmosphere and then water quenching. Nanotube formation on the Ti-35Nb-xHf alloys was achieved by anodizing in H{sub 3}PO{sub 4} electrolytes containing 0.8 wt.% NaF at room temperature. Anodization was carried out using an electrochemical method and all experiments were conducted at room temperature. Hydroxyapatite (HA) was deposited on the nanotubular Ti-35Nb-xHf alloys surface for the biomaterials by radio-frequency (RF) magnetron sputtering method. The morphologies of nanotubular and HA coated surface were characterized by X-ray diffractometer (XRD), optical microscopy (OM), field emission scanning electron microscopy (FE-SEM), energy dispersive X-ray spectroscopy (EDS), X-ray photoelectron spectroscopy (XPS) and scanning transmission electron microscopy (STEM). The wettability of HA coated surface was measured by contact angle goniometer. The microstructure of Ti-35Nb-xHf alloys was transformed needle-like to equiaxed structure with Hf content and {alpha} Double-Prime phase decreased, whereas {beta} phase increased as Hf content increased. HA coating surface was affected by microstructure of bulk and morphology of nanotube formation. In case of low Hf content, tip of nanotube formed at {beta} phase was coated with HA film, whereas {alpha} Double-Prime phase was not coated with HA film. In case of high Hf content, nanotube surface was coated uniformly with HA film. The wettability of HA coated nanotubular surface was higher than that of non coated samples.

  2. Hydroxyapatite coating on the Ti-35Nb-xZr alloy by electron beam-physical vapor deposition

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Yong-Hoon [Division of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, 305 W. 12th Ave. Columbus, OH (United States); Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials and Research Center for Oral Disease Regulation of the Aged, Chosun University, Gwangju (Korea, Republic of); Choe, Han-Cheol, E-mail: hcchoe@chosun.ac.kr [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials and Research Center for Oral Disease Regulation of the Aged, Chosun University, Gwangju (Korea, Republic of); Eun, Sang-Won [Department of Applied Advanced Materials, Korea Polytechnic V Colleges (Korea, Republic of)

    2011-08-01

    The aim of this study was to investigate the hydroxyapatite coating on the Ti-35Nb-xZr alloy by electron beam-physical vapor deposition. The Ti-35Nb-xZr ternary alloys contained from 3 wt.% to 10 wt.% Zr content were manufactured by arc melting furnace. Hydroxyapatite (HA) coatings were prepared by electron-beam physical vapor deposition (EB-PVD) method, and crystallization treatment was performed in Ar atmosphere at 300 and 500 deg. C for 1 h. The coated surface morphology of Ti-35Nb-xZr alloy was examined by FE-SEM, EDX and XRD, respectively. In order to evaluate the corrosion behavior, the tests were performed by potentiodynamic, cyclic polarization and AC impedance test. All the electrochemical data were obtained using a potentiostat. The Ti-35Nb-xZr alloys exhibited equiaxed structure with {beta} phase, the peak of {beta} phase increased with Zr contents. The hardness and elastic modulus of Ti-35Nb-xZr alloys decreased as Zr content increased. The HA coated layer was approximately 150 nm and Ca/P ratio of HA coated surface after heat treatment at 500 deg. C was around 1.67. The HA thin film consisted of small droplets with spherical shape by crystallization. From the anodic polarization curves, HA coated and heat treated Ti-35Nb-10Zr alloy showed higher corrosion potential than other samples. HA coated film on the Ti-35Nb-10Zr alloy can be shown high polarization resistance by crystallization.

  3. Preparation of silicon-substituted hydroxyapatite coatings on Ti–30Nb–xTa alloys using cyclic electrochemical deposition method

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun-Sil [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials, School of Dentistry, Chosun University (Korea, Republic of); Jeong, Yong-Hoon [Biomechanics and Tissue Engineering Laboratory, Division of Orthodontics, College of Dentistry, The Ohio State University, Columbus, OH (United States); Choe, Han-Cheol, E-mail: hcchoe@chosun.ac.kr [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials, School of Dentistry, Chosun University (Korea, Republic of); Brantley, William A. [Division of Restorative Science and Prosthodontics, College of Dentistry, The Ohio State University, Columbus, OH (United States)

    2014-12-01

    Silicon-substituted hydroxyapatite coatings on Ti–30Nb–xTa alloys, prepared using a cyclic electrochemical deposition method, have been investigated using a variety of surface analytical experimental methods. The silicon-substituted hydroxyapatite (Si-HA) coatings were prepared by electrolytic deposition in electrolytes containing Ca{sup 2+}, PO{sub 4}{sup 3−} and SiO{sub 3}{sup 2−} ions. The deposited layers were characterized by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), field emission scanning electron microscopy (FE-SEM), energy-dispersive X-ray spectroscopy (EDS), and a wettability test. Phase transformation from (α″ + β) to largely β occurred with increasing Ta content in the Ti –30Nb–xTa alloys, yielding larger grain size. The morphology of the Si-HA coatings was changed by increasing the number of deposition cycles, with the initial plate-like structures changing to mixed rod-like and plate-like shapes, and finally to a rod-like structure. From the ATR-FTIR spectra, Si existed in the form of SiO{sub 4}{sup 4−} groups in Si-HA coating layer. The lowest aqueous contact angles and best wettability were found for the Si-HA coatings prepared with 30 deposition cycles. - Highlights: • Electrochemically deposited Si-HA coatings on Ti –30Nb–xTa alloys were investigated. • The Si-HA coatings were initially precipitated along the martensitic structure. • The morphology of the Si-HA coating changed with the deposition cycles. • Si existed in the form of SiO{sub 4}{sup 4−} groups in the Si-HA coating.

  4. Duplex Prepared Hydroxyapatite Coating and Its Biocompatibility%羟基磷灰石生物涂层的复合制备与生物相容性

    Institute of Scientific and Technical Information of China (English)

    付涛; 张玉梅; 等

    2001-01-01

    采用等离子喷涂CaHPO4和水热处理复合制备羟基磷灰石生物涂层,研究了羟基磷灰石涂层的结合强度和溶解性,用成骨细胞考察了生物相容性。结果表明:喷涂涂层由CaHPO4、β-Ca2P2O7和α-Ca3(PO4)2组成,其相比例、结晶性和形貌取决于喷涂电流和喷涂距离;喷涂涂层经过水热处理可转化为针状结晶的缺钙羟基磷灰石;这种羟基磷灰石涂层具有高的结合强度和稳定性,与成骨细胞的生物相容性良好。%The hydroxyapatite coating was hydrothermally prepared from plasma sprayed CaHPO4 coating and its bonding strength and solubility were studied. The osteoblast culture test was also produced in order to examine the biocompatibility of the coating. The as-sprayed coating consists of CaHPO4, β-Ca2P2O7 and α-Ca3(PO4)2, and the phase ratio, crystallity and morphology are dependent on spraying current and stand-off distance. The as-spayed coating can be converted to calcium-deficient hydroxyapatite coating with needle-like crystals by hydrothermal treatment. The hydrothermally synthesized hydroxyapatite coating having high bonding strength and stability, possesses good biocompatibility with the osteoblast.

  5. Anatomical references for tibial sagittal alignment in total knee arthroplasty: A comparison of three anatomical axes based on 3D reconstructed CT images

    Institute of Scientific and Technical Information of China (English)

    SHAO Jun-jie; Thomas Parker Vail; WANG Qiao-jie; SHEN Hao; CHEN Yun-su; WANG Qi; JIANG Yao

    2013-01-01

    Background This study was designed to analyze three tibial axis reference lines including the anterior tibial cortex (ATC) line,the fibular line (FL),and the anatomical axis of tibia (AAT) line,to determine which line most closely parallels the mechanical axis (MA) of the tibia in the sagittal plane.The clinical relevance of the study is that through finding a reliable landmark on the leg,a surgeon may minimize posterior tibial slope measurement errors thereby and improving the technique for assuring proper alignment of total knee arthroplasty.Methods The material for this study included CT scans of the tibia from 85 consecutive patients and 168 knees (78 without osteoarthritis (OA) and 90 knees with OA).Measurements of the angles between the tibial mechanical axis and each of three reference lines in the sagittal plane were carried out using 3D imaging software.Results Mean angles of 168 knees were as follows:aMT (3.96±0.85)°,aMF (0.70±0.58)°,and aMA (1.40±0.66)°,(aMT:an angle between MA and ATC,aMF:an angle between MA and FL,aMA:an angle between MA and AAT.All abovementioned angles were measured in the sagittal plane of tibia) and the aMF was significantly smaller than the others (P <0.0001).The mean value of the medial tibial slope angle vs.the MA was (9.19±3.97)°,and this was significantly larger than the mean lateral slope angle of (6.62±4.23)° (P <0.0001).The difference between aMF without OA and with OA was not statistically significant (P=0.5015) and the association between the aMT and aMA was strong (r=0.82,P <0.01).Conclusions FL was more closely parallel to the MA of tibia,and more showed less variation between OA and nonOA controls than ATC and AAT lines.Furthermore,the amount of posterior slope in medial plateau was greater than that in lateral plateau.The findings of this analysis suggest that when using the anterior tibial cortex line as is commonly done with extramedullary tibial resection guides,the tibial resection should be sloped

  6. An Investigation on the Wear Resistance and Fatigue Behaviour of Ti-6Al-4V Notched Members Coated with Hydroxyapatite Coatings

    Directory of Open Access Journals (Sweden)

    Reza H Oskouei

    2016-02-01

    Full Text Available In this study, surface properties of Ti-6Al-4V alloy coated with hydroxyapatite coatings were investigated. Wear resistance and fatigue behaviour of samples with coating thicknesses of 10 and 50 µm as well as uncoated samples were examined. Wear experiments demonstrated that the friction factor of the uncoated titanium decreased from 0.31 to 0.06, through a fluctuating trend, after 50 cycles of wear tests. However, the friction factor of both the coated samples (10 and 50 µm gradually decreased from 0.20 to 0.12 after 50 cycles. At the end of the 50th cycle, the penetration depth of the 10 and 50 µm coated samples were 7.69 and 6.06 µm, respectively. Fatigue tests showed that hydroxyapatite coatings could improve fatigue life of a notched Ti-6Al-4V member in both low and high cycle fatigue zones. It was understood, from fractography of the fracture surfaces, that the fatigue zone of the uncoated specimens was generally smaller in comparison with that of the coated specimens. No significant difference was observed between the fatigue life of coated specimens with 10 and 50 µm thicknesses.

  7. A clinical comparative study of anatomic parameters before and after total hip replacement on congenital dysplasia.

    Science.gov (United States)

    Huang, Ziqiang; Zhou, Yonggang; Chai, Wei; Ji, Weiping; Cui, Guopeng; Ma, Miaoqun; Zhu, Yin

    2016-07-01

    [Purpose] To study preoperative and postoperative hip circumference data of various types of congenital dysplasia of the hip treated with total hip replacement, including the femoral offset, femoral neck length, height, and hip abductor arm parameters. [Subjects and Methods] This study included seventy-eight cases of congenital dysplasia of the hip (I-III type). Furthermore, four parameters were measured, including the preoperative and postoperative femoral offset. Statistical data analysis was performed using the SPSS 13.0 software. [Results] The femoral offset was 33.3 ± 8.4 mm (preoperative) and 39.1 ± 7.1 mm (postoperative). The femoral head height was 59.5 ± 8.7 mm (preoperative) and 68.8 ± 11.0 mm (postoperative). The femoral neck length was 50.8 ± 10.8 mm (preoperative) and 61.5 ± 10.4 mm (postoperative). The hip abductor arm was 54.3 ± 9.6 mm (preoperative) 64.7 ± 10.1 mm (postoperative). The preoperative and postoperative parameters showed statistical differences. Furthermore, no significant differences were evidenced when comparing the postoperative hip parameters with the normal data parameters. [Conclusion] Total hip replacement on congenital dysplasia of the hip could lead to the rebuilt of an almost normal physiological anatomy for each hip case (type I-III). PMID:27512242

  8. Roles of Sagittal Anatomical Parameters of the Pelvis in Primary Total Hip Replacement for Patients with Ankylosing Spondylitis.

    Science.gov (United States)

    Gu, Minghui; Zhang, Zhiqi; Kang, Yan; Sheng, Puyi; Yang, Zibo; Zhang, Ziji; Liao, Weiming

    2015-12-01

    We examined the correlation between acetabular prostheses and sagittal anatomical parameters of the pelvis for the preoperative evaluation of total hip arthroplasty in 29 patients with ankylosing spondylitis between April 2004 and November 2011. No implant dislocation or subsidence was observed at 4.18 years. The relationship between sagittal parameters conformed to the equation Pelvic incidence (PI)=Pelvic tilt (PT)+Sacral slope (SS). Better outcomes were achieved in the SS>PT group, postoperative function was positively correlated with SS/PI. Functional abduction and anteversion were positively correlated with PT but negatively correlated with SS. Due to the compensatory changes in the pelvis and spine of patients with AS, the preoperative assessment of sagittal parameters plays pivotal roles in placing acetabular prostheses in optimal positions and preventing postoperative impingement and dislocation. PMID:26164560

  9. Effects of zinc-substituted nano-hydroxyapatite coatings on bone integration with implant surfaces

    Institute of Scientific and Technical Information of China (English)

    Shi-fang ZHAO; Wen-jing DONG; Qiao-hong JIANG; Fu-ming HE; Xiao-xiang WANG; Guo-li YANG

    2013-01-01

    Objective:The purpose of this study was to investigate the effects of a zinc-substituted nano-hydroxyapatite (Zn-HA) coating,applied by an electrochemical process,on implant osseointegraton in a rabbit model.Methods:A Zn-HA coating or an HA coating was deposited using an electrochemical process.Surface morphology was examined using field-emission scanning electron microscopy.The crystal structure and chemical composition of the coatings were examined using an X-ray diffractometer (XRD) and Fourier transform infrared spectroscopy (FTIR).A total of 78 implants were inserted into femurs and tibias of rabbits.After two,four,and eight weeks,femurs and tibias were retrieved and prepared for histomorphometric evaluation and removal torque (RTQ) tests.Results:Rod-like HA crystals appeared on both implant surfaces.The dimensions of the Zn-HA crystals seemed to be smaller than those of HA.XRD patterns showed that the peaks of both coatings matched well with standard HA patterns.FTIR spectra showed that both coatings consisted of HA crystals.The Zn-HA coating significantly improved the bone area within all threads after four and eight weeks (P<0.05),the bone to implant contact (BIC) at four weeks (P<0.05),and RTQ values after four and eight weeks (P<0.05).Conclusions:The study showed that an electrochemically deposited Zn-HA coating has potential for improving bone integration with an implant surface.

  10. Fabrication and characterization of hydroxyapatite-coated forsterite scaffold for tissue regeneration applications

    Indian Academy of Sciences (India)

    Roya Saidi; Mohammad Hossein Fathi; Hamidreza Salimijazi

    2015-09-01

    In this study, a novel hydroxyapatite (HA)-coated forsterite scaffold with a desired porous structure, high mechanical properties and good bioactivity was successfully fabricated via gel-casting and sol–gel in low pressure methods. X-ray diffraction, scanning electron microscopy, transmission electron microscopy and X-ray map techniques were utilized in order to evaluate the phase composition, dimension, morphology, interconnectivity of the pores and state of the coating on the porosities of the synthesized scaffold. The porosity and compressive strength of the scaffolds were measured and the bioactivity was investigated by soaking the scaffolds in simulated body fluid (SBF). The results show that the prepared scaffolds had highly interconnected spherical pores with size in the range of 65–245 μm. Additionally, compressive strength and elastic modulus were 7.5 ± 0.2 and 291 ± 10 MPa, respectively. The crystallite size of the scaffolds was less than 60 nm. True (total) and apparent (interconnected) porosity of the scaffolds were in the range of 75–80 and 65–70%, respectively. In vitro tests in the SBF also confirmed good bioactivity of the prepared scaffolds. While bone-like apatite formation started from the first day of soaking and apatite covered the entire surface and inner wall of the scaffolds pores at long immersion time. Conclusion suggested that HA coating on forsterite scaffolds could significantly improve the mechanical properties and bioactivity, which might be promising for tissue engineering applications.

  11. Anatomic Total Shoulder System

    Medline Plus

    Full Text Available ... What they need to see right in the middle of their picture is that white, round thing. ... T-handled screwdriver. This set screw in the middle, we usually back up just a little bit, ...

  12. Anatomic Total Shoulder System

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    Full Text Available ... lean a little bit. Good. Let's have a de-rotation peg. Tamp. Mallet. Good. Drill. De-rotation peg. Tamp. Hit me. Good, suction. Let's ... and tamp it in with one of the de-rotation pegs. And I'll put cement back ...

  13. Anatomic Total Shoulder System

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    Full Text Available ... N. DOUGLAS BOARDMAN III, MD: That's an occupational hazard of shoulder surgery. 00:50:53 GERALD WILLIAMS, MD: That's an occupational hazard. I'm going to become disabled at some ...

  14. Anatomic Total Shoulder System

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    Full Text Available ... ll usually advance them a little bit by hand. And then we'll get somebody to hit me. Mitzi, you're going to have to let Brent do that, I think, because your arm's in the way. Now stop for a second. You'll notice on the side of this ...

  15. Anatomic Total Shoulder System

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    Full Text Available ... got chewed up just as much as the plastic did and I wound up having to go ... the glenoid, they're probably too young for plastic, but I think that the interposition probably gives ...

  16. Anatomic Total Shoulder System

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    Full Text Available ... Let's have a 48 by 18. Doesn't matter whether it's offset for now. So we'll ... got our glenoid in place. Let's have a black Derra retractor. We use a black plastic retractor ...

  17. Anatomic Total Shoulder System

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    Full Text Available ... sphere. It actually is elliptical in the AP plane, so there actually is a little bit farther ... And it's important, if one is to calcar plane, to do that by hand not by power. ...

  18. Anatomic Total Shoulder System

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    Full Text Available ... neck shaft angle of where I want to make my cut. And when you have a device that has a -- the ability to give you a variable neck shaft angle, you don't have to be perfect, because there's a little bit of flexibility. In ...

  19. Anatomic Total Shoulder System

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    Full Text Available ... WILLIAMS, MD: Okay, great. Just remember that my face mask is contaminated. So there are several keys. ... MD: Should anyone be putting cement on the face of the glenoid? 00:49:04 GERALD WILLIAMS, ...

  20. Anatomic Total Shoulder System

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    Full Text Available ... 00:01:03 N. DOUGLAS BOARDMAN III, MD: This is Doug Boardman from Richmond, Virginia. We're ... have Dr. Song visiting us from South Korea. This patient is a 78-year-old male who ...

  1. Anatomic Total Shoulder System

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    Full Text Available ... from South Korea. This patient is a 78-year-old male who has osteoarthritis of his left ... like I'll give you an example: 26-year-old juvenile rheumatoid arthritic. You can pulse-irrigate ...

  2. Anatomic Total Shoulder System

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    Full Text Available ... We have taken out his biceps and tenodisted right here to the upper border of pec major. ... freer -- we do have -- that's superior glenohumeral ligament right there. So let's see a knife. So the ...

  3. Anatomic Total Shoulder System

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    Full Text Available ... arthroplasty. Before we go to Dr. Williams, I'd like to encourage viewers to feel free to ... nice piece. Everybody always asks how wide, I'd say usually about 5 millimeters. Large straight osteotome. ...

  4. Anatomic Total Shoulder System

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    Full Text Available ... to learn more. Just click on the "Request Information" button on your webcast screen and open the ... mail questions. And should anyone require any additional information, please feel free to request that information utilizing ...

  5. Anatomic Total Shoulder System

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    Full Text Available ... And if we come over here to his MRI scan, we normally would have a CAT scan, but he came to see me with an MRI. You can see that he has a Walsh- ... large Cobb. So we saw from our preoperative MRI scan that there was a little bit of ...

  6. Anatomic Total Shoulder System

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    Full Text Available ... severe osteoarthritis. He does not have a really big inferior osteophyte. Has a little bit of proximal ... that you can do to give yourself a big break as far as glenoid exposure is concerned ...

  7. Anatomic Total Shoulder System

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    Full Text Available ... side of this box osteotome, there's a little V. I don't know -- can you see that V? 00:58:42 N. DOUGLAS BOARDMAN III, MD: ... is if you put the apex of that V on the cut surface of the osteotomy, in ...

  8. Anatomic Total Shoulder System

    Science.gov (United States)

    ... wide osteotome so you don't make a bunch of small passes at the lesser tuberosity and make it a bunch of small pieces. And I think it's important ... externally rotate it to bring the subscap muscle fibers out to see us. Let me see a ...

  9. Anatomic Total Shoulder System

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    Full Text Available ... wide osteotome so you don't make a bunch of small passes at the lesser tuberosity and make it a bunch of small pieces. And I think it's important ... externally rotate it to bring the subscap muscle fibers out to see us. Let me see a ...

  10. Anatomic Total Shoulder System

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    Full Text Available ... 52 by 21. Remember, there's a pretty narrow relationship between the radius of curvature and the neck ... side of this box osteotome, there's a little V. I don't know -- can you see that ...

  11. Anatomic Total Shoulder System

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    Full Text Available ... 10 ANNOUNCER: DePuy Orthopedics is continually advancing the standard of orthopedic patient care. In a few moments, ... pretty much done. We'll now do a standard closure, we'll pulse irrigate the rest of ...

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    Full Text Available ... 10 ANNOUNCER: DePuy Orthopedics is continually advancing the standard of orthopedic patient care. In a few moments, ... by almost ten years, is shoulders. So by definition, the average shoulder-replacement patient is almost ten ...

  13. Anatomic Total Shoulder System

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    Full Text Available ... can't do this operation without a Cobb elevator. That gives our flex-- that gives us nice ... going to go through those muscle fibers. Cobb elevator, large. So now we're going to peel ...

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    Full Text Available ... going. Keep going, perfect. Okay? Now, the arm -- people talk about putting the arm in abduction, extension, ... little bit of time here for our camera people to get a good angle for this glenoid ...

  15. Anatomic Total Shoulder System

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    Full Text Available ... by almost ten years, is shoulders. So by definition, the average shoulder-replacement patient is almost ten ... DOUGLAS BOARDMAN III, MD: Exactly. Choices -- selection of primary versus reverse shoulder arthroplasty. 00:51:24 GERALD ...

  16. Anatomic Total Shoulder System

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    Full Text Available ... is continually advancing the standard of orthopedic patient care. In a few moments, you'll be able ... screen and open the door to informed medical care. Now let's join the doctors. 00:01:03 ...

  17. Anatomic Total Shoulder System

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    Full Text Available ... webcast screen and open the door to informed medical care. Now let's join the doctors. 00:01: ... Welcome to Methodist Hospital and Thomas Jefferson University Medical Center. I'm Jerry Williams. I'll be ...

  18. Anatomic Total Shoulder System

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    Full Text Available ... shoulder arthroplasty. Before we go to Dr. Williams, I'd like to encourage viewers to feel free ... utilizing the buttons on your screen. And now I'll turn it over to Dr. Williams. 00: ...

  19. Anatomic Total Shoulder System

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    Full Text Available ... First of all, the young-- the youngest patient population for joint replacement in the United States by ... he does it. That's a very difficult patient population. On the other hand, it's hard for me ...

  20. Anatomic Total Shoulder System

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    Full Text Available ... down his subscapularis with a lesser tuberosity osteotomy. Large curved osteotome, please. It's always a question about ... wide, I'd say usually about 5 millimeters. Large straight osteotome. We use that only to get ...

  1. Anatomic Total Shoulder System

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    Full Text Available ... this sponge under the Fukuda retractor because the edge of the Fukuda can sometimes rip through the ... should be trying to look right over the edge of that retractor. Let me see a Kocher. ...

  2. Anatomic Total Shoulder System

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    Full Text Available ... One millimeter Dacron tape. We will now pass three sutures around the lesser tuberosity to use not ... 37:25 GERALD WILLIAMS, MD: I use my three-dimensional study from preoperatively quite a bit. I ...

  3. Anatomic Total Shoulder System

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    Full Text Available ... MD: Welcome to Methodist Hospital and Thomas Jefferson University Medical Center. I'm Jerry Williams. I'll ... We have taken out his biceps and tenodisted right here to the upper border of pec major. ...

  4. Anatomic Total Shoulder System

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    Full Text Available ... GERALD WILLIAMS, MD: I use my three-dimensional study from preoperatively quite a bit. I notice from looking at my preoperative study that I had probably three or four millimeters ...

  5. Anatomic Total Shoulder System

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    Full Text Available ... patient is a 78-year-old male who has osteoarthritis of his left shoulder. If you look ... does not have a really big inferior osteophyte. Has a little bit of proximal migration and even ...

  6. Anatomic Total Shoulder System

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    Full Text Available ... 4-5 millimeters of posterior wear. And the goal of our procedure on the glenoid side will ... releasing the posterior capsule and why in this setting one might not wish to do that. 00: ...

  7. Anatomic Total Shoulder System

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    Full Text Available ... we'll solve that sometime in the near future, but don't forget that hemis against the ... of the humeral head, just like the Global Advantage or any other fixed neck shaft angle device. ...

  8. Anatomic Total Shoulder System

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    Full Text Available ... relief is not a mystery. It's actually very well known at this point. I'd be the first to admit that we still have ... again, I'll try to pressurize that pretty well. So that's the superior one. Now ... III, MD: Should anyone be putting cement on the face of the glenoid? ...

  9. Anatomic Total Shoulder System

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    Full Text Available ... plane, to do that by hand not by power. 01:01:47 GERALD WILLIAMS, MD: Yeah, I would say that's a good idea. Let's have a T-handle screwdriver. So now we take out this collar. The other thing ...

  10. Anatomic Total Shoulder System

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    Full Text Available ... the top of the humerus. This is a self-retaining retractor called a Kobel retractor. We'll ... wound. We're going to take out our self-retaining retractor. Mitzi, for now, take out the ...

  11. Anatomic Total Shoulder System

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    Full Text Available ... the things that you can do to give yourself a big break as far as glenoid exposure ... reaming techniques and glenoid preparation, do you find yourself doing many glenoid bone grafts now? 00:52: ...

  12. Anatomic Total Shoulder System

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    Full Text Available ... Erika, she must've left. She got scared. Kevin from DePuy. And we have Dr. Song visiting us from South Korea. This patient is a 78-year-old male who has osteoarthritis of his left shoulder. If you look at his AP view here, what we can see is that he doesn't have quite the ...

  13. Anatomic Total Shoulder System

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    Full Text Available ... please, Tiffany? Blunt Hohmann back. I don't mind going out with the central peg. If the ... I thought it was. And her arm fell out and crushed the Fukuda against the ... having to push and pull and work real hard. And secondly, when you get the ...

  14. Anatomic Total Shoulder System

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    Full Text Available ... day. And then they go with that passive exercise program for the next couple of weeks. At ... point. Six or seven weeks, we add strengthening exercises and active exercises. By three months, they're ...

  15. Anatomic Total Shoulder System

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    Full Text Available ... we pass it around the neck of the prosthesis, as this will go into our closure of ... superior one that's gone through the -- through the prosthesis. Next we'll pass this inferior one that's ...

  16. Anatomic Total Shoulder System

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    Full Text Available ... what that's done is that's cut the fin tracks and made the footprint for our implant. Now ... re going to make sure that our fin tracks line up exactly. Brent, can you tell if ...

  17. Anatomic Total Shoulder System

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    Full Text Available ... got our glenoid in place. Let's have a black Derra retractor. We use a black plastic retractor as our Derra after we put ... we're going to use. Let's have the black Derra. Now a blunt Hohmann right on bone. ...

  18. Anatomic Total Shoulder System

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    Full Text Available ... feeling is probably no, but there's really no data, quite frankly. I don't put it on ... to take the top one. Let's have a big free needle, please. I drive these sutures right ...

  19. Anatomic Total Shoulder System

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    Full Text Available ... you get the pieces in in the appropriate orientation with good technique, you've got an 87% ... of the humerus. I know -- I know the orientation of my humerus by being able to palpate ...

  20. Microplasma sprayed hydroxyapatite coatings

    CERN Document Server

    Dey, Arjun

    2015-01-01

    ""This unique book on development of microplasma sprayed HAp coating has been organized in a very compact yet comprehensive manner. This book also highlights the horizons of future research that invites the attention of global community, particularly those in bio-medical materials and bio-medical engineering field. This book will surely act as a very useful reference material for both graduate/post-graduate students and researchers in the field of biomedical, orthopedic and manufacturing engineering and research. I truly believ that this is the first ever effort which covers almost all the

  1. Lanthanum-containing hydroxyapatite coating on ultrafine-grained titanium by micro-arc oxidation: a promising strategy to enhance overall performance of titanium.

    Science.gov (United States)

    Deng, Zhennan; Wang, LiLi; Zhang, Dafeng; Liu, Jinsong; Liu, Chuantong; Ma, Jianfeng

    2014-01-01

    Titanium is widely used in biomedical materials, particularly in dental implants, because of its excellent biocompatibility and mechanical characteristics. However, titanium implant failures still remain in some cases, varying with implantation sites and patients. Improving its overall performance is a major focus of dental implant research. Equal-channel angular pressing (ECAP) can result in ultrafine-grained titanium with superior mechanical properties and better biocompatibility, which significantly benefits dental implants, and without any harmful alloying elements. Lanthanum (La) can inhibit the acidogenicity of dental plaque and La-containing hydroxyapatite (La-HA) possesses a series of attractive properties, in contrast to La-free HA. Micro-arc oxidation (MAO) is a promising technology that can produce porous and firmly adherent hydroxyapatite (HA) coatings on titanium substrates. Therefore, we hypothesize that porous La-containing hydroxyapatite coatings with different La content (0.89%, 1.3% and 1.79%) can be prepared on ultrafine-grained (~200-400 nm) titanium by ECAP and MAO in electrolytic solution containing 0.2 mol/L calcium acetate, 0.02 mol/L beta-glycerol phosphate disodium salt pentahydrate (beta-GP), and lanthanum nitrate with different concentrations to further improve the overall performance of titanium, which are expected to have great potential in medical applications as a dental implant. PMID:24487779

  2. Mechanical properties, electrochemical corrosion and in-vitro bioactivity of yttria stabilized zirconia reinforced hydroxyapatite coatings prepared by gas tunnel type plasma spraying.

    Science.gov (United States)

    Yugeswaran, S; Yoganand, C P; Kobayashi, A; Paraskevopoulos, K M; Subramanian, B

    2012-05-01

    Yttria stabilized zirconia reinforced hydroxyapatite coatings were deposited by a gas tunnel type plasma spray torch under optimum spraying conditions. For this purpose, 10, 20 and 30 wt% of yttria stabilized zirconia (YSZ) powders were premixed individually with hydroxyapatite (HA) powder and were used as the feedstocks for the coatings. The effect of YSZ reinforcement on the phase formation and mechanical properties of the coatings such as hardness, adhesive strength and sliding wear rates was examined. The results showed that the reinforcement of YSZ in HA could significantly enhance the hardness and adhesive strength of the coatings. The potentiodynamic polarization and impedance measurements showed that the reinforced coatings exhibited superior corrosion resistance compared to the HA coating in SBF solution. Further the results of the bioactivity test conducted by immersion of coatings in SBF showed that after 10 days of immersion of the obtained coatings with all the above compositions commonly exhibited the onset of bioactive apatite formation except for HA+10%YSZ coating. The cytocompatibility was investigated by culturing the green fluorescent protein (GFP)-labeled marrow stromal cells (MSCs) on the coating surface. The cell culture results revealed that the reinforced coatings have superior cell growth than the pure HA coatings.

  3. Silicon-substituted hydroxyapatite coating with Si content on the nanotube-formed Ti–Nb–Zr alloy using electron beam-physical vapor deposition

    International Nuclear Information System (INIS)

    The purpose of this study was to investigate the electrochemical characteristics of silicon-substituted hydroxyapatite coatings on the nanotube-formed Ti–35Nb–10Zr alloy. The silicon-substituted hydroxyapatite (Si–HA) coatings on the nanotube structure were deposited by electron beam-physical vapor deposition and anodization methods, and biodegradation properties were analyzed by potentiodynamic polarization and electrochemical impedance spectroscopy measurement. The surface characteristics were analyzed by field-emission scanning electron microscopy, energy-dispersive X-ray spectroscopy and X-ray diffraction (XRD). The Si–HA layers were deposited with rough features having highly ordered nanotube structures on the titanium alloy substrate. The thickness of the Si–HA coating was less than that of the HA coating. The XRD results confirmed that the Si–HA coating on the nanotube structure consisted of TiO2 anatase, TiO2 rutile, hydroxyapatite, and calcium phosphate silicate. The Si–HA coating surface exhibited lower Icorr than the HA coating, and the polarization resistance was increased by substitution of silicon in hydroxyapatite. - Highlights: • Silicon substituted hydroxyapatite (Si–HA) was coated on nanotubular titanium alloy. • The Si–HA coating thickness was less than single hydroxyapatite (HA) coating. • Si–HA coatings consisted of TiO2, HA, and Ca5(PO4)2SiO4. • Polarization resistance of the coating was increased by Si substitution in HA

  4. A unified deformable (UD) segment model for quantifying total power of anatomical and prosthetic below-knee structures during stance in gait.

    Science.gov (United States)

    Takahashi, Kota Z; Kepple, Thomas M; Stanhope, Steven J

    2012-10-11

    Anatomically-relevant (AR) biomechanical models are traditionally used to quantify joint powers and segmental energies of lower extremity structures during gait. While AR models contain a series of rigid body segments linked together via mechanical joints, prosthetic below-knee structures are often deformable objects without a definable ankle joint. Consequently, the application of AR models for the study of prosthetic limbs has been problematic. The purpose of this study was to develop and validate a unified deformable (UD) segment model for quantifying the total power of below-knee structures. Estimates of total below-knee power derived via the UD segment model were compared to those derived via an AR model during stance in gait of eleven healthy subjects. The UD segment model achieved similar results to the AR model. Differences in peak power, total positive work, and total negative work were 1.91±0.31%, 3.97±0.49%, and 1.39±0.33%, relative to the AR model estimates. The main advantage of the UD segment model is that it does not require the definition of an ankle joint or foot structures. Therefore, this technique may be valuable for facilitating direct comparisons between anatomical and disparate prosthetic below-knee structures in future studies.

  5. Improving osteointegration and osteogenesis of three-dimensional porous Ti6Al4V scaffolds by polydopamine-assisted biomimetic hydroxyapatite coating.

    Science.gov (United States)

    Li, Yong; Yang, Wei; Li, Xiaokang; Zhang, Xing; Wang, Cairu; Meng, Xiangfei; Pei, Yifeng; Fan, Xiangli; Lan, Pingheng; Wang, Chunhui; Li, Xiaojie; Guo, Zheng

    2015-03-18

    Titanium alloys with various porous structures can be fabricated by advanced additive manufacturing techniques, which are attractive for use as scaffolds for bone defect repair. However, modification of the scaffold surfaces, particularly inner surfaces, is critical to improve the osteointegration of these scaffolds. In this study, a biomimetic approach was employed to construct polydopamine-assisted hydroxyapatite coating (HA/pDA) onto porous Ti6Al4V scaffolds fabricated by the electron beam melting method. The surface modification was characterized with the field emission scanning electron microscopy, energy dispersive spectroscopy, water contact angle measurement, and confocal laser scanning microscopy. Attachment and proliferation of MC3T3-E1 cells on the scaffold surface were significantly enhanced by the HA/pDA coating compared to the unmodified surfaces. Additionally, MC3T3-E1 cells grown on the HA/pDA-coated Ti6Al4V scaffolds displayed significantly higher expression of runt-related transcription factor-2, alkaline phosphatase, osteocalcin, osteopontin, and collagen type-1 compared with bare Ti6Al4V scaffolds after culture for 14 days. Moreover, microcomputed tomography analysis and Van-Gieson staining of histological sections showed that HA/pDA coating on surfaces of porous Ti6Al4V scaffolds enhanced osteointegration and significantly promoted bone regeneration after implantation in rabbit femoral condylar defects for 4 and 12 weeks. Therefore, this study provides an alternative to biofunctionalized porous Ti6Al4V scaffolds with improved osteointegration and osteogenesis functions for orthopedic applications.

  6. Silicon-substituted hydroxyapatite coating with Si content on the nanotube-formed Ti–Nb–Zr alloy using electron beam-physical vapor deposition

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Yong-Hoon [Division of Restorative, Prosthetic and Primary Care Dentistry, College of Dentistry, The Ohio State University, 305 W. 12th Ave., Columbus, OH (United States); Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials, and Research Center for Oral Disease Regulation of the Aged, School of Dentistry, Chosun University, Gwangju (Korea, Republic of); Choe, Han-Cheol, E-mail: hcchoe@chosun.ac.kr [Department of Dental Materials, Research Center of Nano-Interface Activation for Biomaterials, and Research Center for Oral Disease Regulation of the Aged, School of Dentistry, Chosun University, Gwangju (Korea, Republic of); Brantley, William A. [Division of Restorative, Prosthetic and Primary Care Dentistry, College of Dentistry, The Ohio State University, 305 W. 12th Ave., Columbus, OH (United States)

    2013-11-01

    The purpose of this study was to investigate the electrochemical characteristics of silicon-substituted hydroxyapatite coatings on the nanotube-formed Ti–35Nb–10Zr alloy. The silicon-substituted hydroxyapatite (Si–HA) coatings on the nanotube structure were deposited by electron beam-physical vapor deposition and anodization methods, and biodegradation properties were analyzed by potentiodynamic polarization and electrochemical impedance spectroscopy measurement. The surface characteristics were analyzed by field-emission scanning electron microscopy, energy-dispersive X-ray spectroscopy and X-ray diffraction (XRD). The Si–HA layers were deposited with rough features having highly ordered nanotube structures on the titanium alloy substrate. The thickness of the Si–HA coating was less than that of the HA coating. The XRD results confirmed that the Si–HA coating on the nanotube structure consisted of TiO{sub 2} anatase, TiO{sub 2} rutile, hydroxyapatite, and calcium phosphate silicate. The Si–HA coating surface exhibited lower I{sub corr} than the HA coating, and the polarization resistance was increased by substitution of silicon in hydroxyapatite. - Highlights: • Silicon substituted hydroxyapatite (Si–HA) was coated on nanotubular titanium alloy. • The Si–HA coating thickness was less than single hydroxyapatite (HA) coating. • Si–HA coatings consisted of TiO{sub 2}, HA, and Ca{sub 5}(PO{sub 4}){sub 2}SiO{sub 4}. • Polarization resistance of the coating was increased by Si substitution in HA.

  7. Improving time to continence after robot-assisted laparoscopic prostatectomy: augmentation of the total anatomic reconstruction technique by adding dynamic detrusor cuff trigonoplasty and suprapubic tube placement.

    Science.gov (United States)

    Tewari, Ashutosh K; Ali, Adnan; Ghareeb, George; Ludwig, Wesley; Metgud, Sheela; Theckumparampil, Nithin; Takenaka, Atsushi; Chugtai, Bilal; Shrivastava, Abhishek; Kaplan, Steve A; Leung, Robert; Paryani, Rahul; Grushow, Siobhan; Durand, Matthieu; Peyser, Alexandra; Chopra, Sameer; Harneja, Niyati; Lee, Richard K; Herman, Michael; Robinson, Brian; Shevchuck, Maria M

    2012-12-01

    After robot-assisted laparoscopic prostatectomy, total anatomic reconstruction (TR) with the additions of a circumapical urethral dissection, a dynamic detrusor cuff trigonoplasty, and placement of a suprapubic catheter was performed in 49 patients from June to July 2012. Continence at 6 weeks after catheter removal was assessed for an initial group of 23 patients, and also at 2 weeks in an additional 26 patients who most recently had undergone surgery. Follow-up appointments and telephone interviews were used to assess pad use and continence. Of the initial 23 patients receiving the modified TR, 60.9% had 0 pad use at 6 weeks. By 2 weeks, 65.4% of the most recent 26 patients operated on achieved continence with 0-1 pad use. Preservation and reconstruction of the pelvic floor and supporting bladder structures leads to an earlier return of continence. These key steps need to be validated and confirmed in larger and randomized trials. PMID:23230868

  8. Antibacterial and mechanical properties of ceramic orthodontic brackets with nano silver hydroxyapatite coating%纳米银羟基磷灰石涂层正畸陶瓷托槽的抗菌与力学性能

    Institute of Scientific and Technical Information of China (English)

    周冠军; 杨大鹏; 刘新芳; 胡博

    2015-01-01

    背景:临床口腔正畸过程中,陶瓷托槽存在抗菌性能和力学性能不足的情况,容易导致各种不良事件的出现,影响正畸效果。目的:观察纳米银羟基磷灰石涂层陶瓷托槽的抗菌与力学性能。方法:制备纳米银羟基磷灰石涂层陶瓷托槽,采用扫描电镜观察涂层表面,并进行涂层表面定量抗菌实验。将50颗离体人上颌前磨牙随机分为2组,实验组(n=25)粘接纳米银羟基磷灰石涂层陶瓷托槽,对照组(n=25)粘接普通陶瓷托槽,检测两组抗剪切强度。结果与结论:纳米银羟基磷灰石涂层整体结构有序,均匀致密,羟基磷灰石具有多孔状结构,孔径属于微纳米级别,其中均匀分布大量纳米银颗粒。定量抗菌实验显示,纳米银羟基磷灰石涂层陶瓷托槽对大肠杆菌、白色葡萄球菌有较强的抑制作用,抗菌率均在95%以上。实验组抗剪切强度低于对照组(P <0.05)。表明纳米银羟基磷灰石涂层陶瓷托槽具有良好的抗菌和力学性能,满足临床正畸过程中力学变化的需求。%BACKGROUND:In the clinical orthodontics, ceramic brackets have deficiencies in the aspects of antibacterial and mechanical properties, which easily lead to the emergence of a variety of adverse events and influence the orthodontic effect. OBJECTIVE:To observe the antibacterial and mechanical properties of nano silver hydroxyapatite coating ceramic brackets. METHODS:The nano silver hydroxyapatite coating ceramic brackets were prepared. Scanning electron microscopy was used to observe the coating surface. Coating antibacterial experiment was conducted. Totaly 50 in vitro human maxilary premolars were randomly divided into two groups (n=25 per group): experimental and control groups. Premolars in the experimental group were bonded to nano silver coating hydroxyapatite ceramic brackets, and premolars in the control group were bonded to ordinary ceramic brackets. The

  9. Nanosized Hydroxyapatite Coating on PEEK Implants Enhances Early Bone Formation: A Histological and Three-Dimensional Investigation in Rabbit Bone

    Directory of Open Access Journals (Sweden)

    Pär Johansson

    2015-06-01

    Full Text Available Polyether ether ketone (PEEK has been frequently used in spinal surgery with good clinical results. The material has a low elastic modulus and is radiolucent. However, in oral implantology PEEK has displayed inferior ability to osseointegrate compared to titanium materials. One idea to reinforce PEEK would be to coat it with hydroxyapatite (HA, a ceramic material of good biocompatibility. In the present study we analyzed HA-coated PEEK tibial implants via histology and radiography when following up at 3 and 12 weeks. Of the 48 implants, 24 were HA-coated PEEK screws (test and another 24 implants served as uncoated PEEK controls. HA-coated PEEK implants were always osseointegrated. The total bone area (BA was higher for test compared to control implants at 3 (p < 0.05 and 12 weeks (p < 0.05. Mean bone implant contact (BIC percentage was significantly higher (p = 0.024 for the test compared to control implants at 3 weeks and higher without statistical significance at 12 weeks. The effect of HA-coating was concluded to be significant with respect to early bone formation, and HA-coated PEEK implants may represent a good material to serve as bone anchored clinical devices.

  10. The electrochemical impedance spectroscopy of silver doped hydroxyapatite coating in simulated body fluid used as corrosive agent

    Directory of Open Access Journals (Sweden)

    Mišković-Stanković Vesna

    2012-01-01

    Full Text Available Titanium is a key biomedical material due its good biocompatibility, mechanical properties and corrosion stability, but infections of the implantation site still pose serious threat. One approach to prevent infection is to improve antimicrobial ability of the coating material. Silver doped hydroxyapatite (Ag/HAP nanoparticles were synthesized by new modified precipitation method. The synthesized powder was used for preparation of Ag/HAP coating on titanium by electrophoretic deposition. The coating was characterized in terms of phase composition and structure by Attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR and X-ray diffraction (XRD; surface morphology and chemical composition was assessed using scanning electron microscopy (SEM and energy dispersive spectroscopy (EDS. Research focused on evaluation of the corrosion behaviour of Ag/HAP coating in simulated body fluid (SBF at 37 ºC during prolonged immersion time by electrochemical impedance spectroscopy (EIS. Silver doped HAP coating provided good corrosion protection in SBF solution. [Acknowledgements. This research was financed by the Ministry of Education, Science and Technological Development of the Republic of Serbia, contracts No. III 45019 and by National Sciences and Engineering Research Council of Canada (NSERC. Dr Ana Jankovic was financed by the FP7 Nanotech FTM Grant Agreement 245916

  11. Electrophoretic Deposition of Hydroxyapatite Coating

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    Hydroxyapatite (HAP) coatings were deposited onto titanium substrates by electrophoretic deposition (EPD) fromethanol. The results indicated that the addition of very small amount of HCI resulted in a decrease in the aging timeas well as the suspension concentration required to obtain a coating. In addition, the results revealed the existenceof a critical saturated voltage (Vsat), which had significant effect on the quality of deposition. The mean interfacialshear strengths of HAP coatings after sintering were found to be greater than 13 MPa.

  12. Biocompatibility of hydroxyapatite coated titanium alloy material%羟基磷灰石涂层钛合金材料生物相容性研究初探

    Institute of Scientific and Technical Information of China (English)

    朱丽丽; 姜华

    2014-01-01

    目的:探讨一种新型的代骨材料--羟基磷灰石涂层的钛合金材料的生物相容性。方法制备羟基磷灰石涂层钛合金材料浸提液后,采用细胞毒性实验以观察实验样品浸提液对L929小鼠成纤维细胞的毒性反应;通过对小鼠尾静脉及腹腔注射试验样品浸提液后,观察其对小鼠的急性全身毒性反应;Ames实验及迟发型超敏反应实验对其遗传毒性及致敏性进行安全性评价。结果羟基磷灰石涂层钛合金材料浸提液对L929小鼠成纤维细胞的相对增殖率(RGR)为96.9%,细胞毒性反应为1级,无细胞毒性反应;对小鼠亦无明显的急性全身毒性作用,实验样品组与阴性对照组动物体质量差异无统计学意义(P>0.05);遗传毒性Ames实验表明,在活化与非活化条件下,该材料浸提液对鼠伤寒沙门氏菌株的回变菌落数与对照组比均未增加2倍,对该菌株无诱变性;迟发型超敏反应实验显示,该材料浸提液无潜在的皮肤接触致敏性。结论羟基磷灰石涂层的钛合金材料具有良好的生物相容性。%Objective To investigate the biocompatibility of newly type bone-substitute material, titanium alloy with hydroxyapatite coating. Methods The extract of hydroxyapatite coated titanium material was prepared, and its cytotoxicity against L929 cells was tested. The extract was injected into mice by intravenous and intraperitineal route to observe the acute systemic toxicity. Ames test and delayed-type hypersensitivity were used to evaluate gene toxicity and its sensitization. Results The relative growth rate(RGR) of L929 cells treated with the extract of the material was 96.9%, and the cytotoxicity reaction was grade 1(non-toxic)(P>0.05). Ames test showed that no more than 2-fold increase(as compared with the control) was observed in the revertant colonies of Salmonella typhimurim strain after treated with the extract either under activated or non

  13. Ballooning osteolysis in 71 failed total ankle arthroplasties.

    Science.gov (United States)

    Singh, Gurpal; Reichard, Theresa; Hameister, Rita; Awiszus, Friedemann; Schenk, Katja; Feuerstein, Bernd; Roessner, Albert; Lohmann, Christoph

    2016-08-01

    Background and purpose - Aseptic loosening is a major cause of failure in total ankle arthroplasty (TAA). In contrast to other total joint replacements, large periarticular cysts (ballooning osteolysis) have frequently been observed in this context. We investigated periprosthetic tissue responses in failed TAA, and performed an element analysis of retrieved tissues in failed TAA. Patients and methods - The study cohort consisted of 71 patients undergoing revision surgery for failed TAA, all with hydroxyapatite-coated implants. In addition, 5 patients undergoing primary TAA served as a control group. Radiologically, patients were classified into those with ballooning osteolysis and those without, according to defined criteria. Histomorphometric, immunohistochemical, and elemental analysis of tissues was performed. Von Kossa staining and digital microscopy was performed on all tissue samples. Results - Patients without ballooning osteolysis showed a generally higher expression of lymphocytes, and CD3+, CD11c+, CD20+, and CD68+ cells in a perivascular distribution, compared to diffuse expression. The odds of having ballooning osteolysis was 300 times higher in patients with calcium content >0.5 mg/g in periprosthetic tissue than in patients with calcium content ≤0.5 mg/g (p < 0.001). Interpretation - There have been very few studies investigating the pathomechanisms of failed TAA and the cause-effect nature of ballooning osteolysis in this context. Our data suggest that the hydroxyapatite coating of the implant may be a contributory factor.

  14. 含La羟基磷灰石生物活性膜层的制备与性能研究%PREPARATION AND PROPERTIES OF LANTHANUM-DOPED HYDROXYAPATITE COATING ON COMMERCIALLY PURE TITANIUM

    Institute of Scientific and Technical Information of China (English)

    黄勇; 王迎军; 宁成云; 南开辉; 尹诗衡; 憨勇

    2007-01-01

    A porous lanthanum-doped hydroxyapatite coating on commercially pure titanium was prepared by micro-arc oxidation (MAO) in electrolytic solution containing calcium acetate, β-glycerol phosphate disodium salt pentahydrate (β-GP) and lanthanum nitrate. The thickness, phase, composition morphology and biocompatibility of the oxide coating were characterized by X-ray diffraction (XRD), electron probe microanalysis (EPMA) scanning electron microscopy (SEM) with energy dispersive X-ray spectrometer (EDS) and cell culture. The thickness of the MAO film was about 10μm and the coating was porous and uneven, without apparent interface to the titanium substrates. XRD and EDX results showed that the porous coating was made up of HA film doped with La. The favorable osteoblast cell affinity makes La-HA film a good biocompatibility. La-HA film are expected to have significant medical applications as dental implants and artificial bone joints.%采用微弧氧化法在含有乙酸钙、β-甘油磷酸钙、硝酸镧的电解液中在纯钛金属表面原位生成了多孔含La羟基磷灰石的生物涂层.用XRD、SEM、EDS、细胞培养等方法对膜层的厚度、物相、成分组成及生物相容性进行了研究.结果表明,膜层粗糙多孔,厚度在15 μm左右,与钛基体之间无明显界面;膜层表面主要物相为含La的羟基磷灰石.细胞培养结果表明,膜层有良好的生物相容性.

  15. Preparation of Fluoridated Hydroxyapatite Coatings on Titanium by Electrolytic Deposition and Its FTIR Characteristics%钛表面FHAP涂层的电沉积制备及其FTIR特征研究

    Institute of Scientific and Technical Information of China (English)

    黄勇; 庞小峰; 李滚; 严雅静; 韩曙光; 曾红娟

    2012-01-01

    在含有Ca2+,PO43-和F-的电解液中,用电化学恒电流方法,在工作电流为0.9mA温度为60℃的条件下沉积60 min,在医用钛(Ti)表面上制得含氟羟基磷灰石(FHAP)涂层.采用扫描电镜(SEM)、能量弥散X射线谱(EDS)、X射线衍射(XRD)对涂层进行表征,用傅里叶变换红外光谱(FTIR)考察了氟离子的引入对涂层构象和生物活性的影响.结果表明:氟部分取代磷灰石中的羟基,FHAP晶格常数变小,涂层相貌由疏松的微米级的菊花瓣状变化为致密的纳米级的尖锥状.FTIR分析表明,涂层中羟基的伸缩和弯曲振动模式的对称性发生了改变,模拟体液浸泡后涂层覆盖碳磷灰石,涂层生物活性良好.%Fluoridated hydroxyapatite coatings (FHAP) were prepared on titanium substrate by electrochemical deposition technique containing Ca2+ , PO43- , and F- ions. The deposition was all conducted at a constant current of 0. 9 mA for 60 min at 60 C The as-prepared coatings were exa mined by scanning electron microscope (SEM), energy-dispersive Xray spectroscopy (EDS), Fourier transform infrared spectroscopy (FTIR) and Xray diffraction (XRD) tests. The results indicate that the FHAP cryatals take the morphology of nanoscale-rodlike cone rather than the micron-daisy petal, and the composite coating becomes more compact The FTIR test indicates that the symmetry of stretching and bending vibration modes of hydroxyl changed,simulated body fluid immersion test proved that the FHAP coating had induced carbonate-apatite formation, indicating that the composite coating possesses excellent biocompatibility.

  16. Avaliação da influência dos parâmetros de spray a plasma sobre a cristalinidade de recobrimentos de hidroxiapatita Effect of plasma spray process parameters on the crystallinity of hydroxyapatite coatings

    Directory of Open Access Journals (Sweden)

    S. N. da Silva

    1999-05-01

    Full Text Available Os parâmetros de spray a plasma influenciam na cristalinidade do recobrimento na medida em que determinadas condições de operação alteram a entalpia da tocha, produzindo variado grau de fusão das partículas do pó, além em de poder ainda causar modificações nas condições de resfriamento e solidificação. Neste trabalho, os efeitos dos principais parâmetros - corrente elétrica de ionização do plasma, proporção da mistura dos gases de reação e distância do bico da tocha (anodo até o substrato - sobre a cristalinidade de recobrimentos de hidroxiapatita foram avaliados. Os experimentos foram conduzidos utilizando o planejamento fatorial a três variáveis em dois níveis, com réplicas. O pó de hidroxiapatita utilizado foi da Calcitek-USA. O índice de cristalinidade dos recobrimentos nas diferentes condições foi determinado com base em método de análise quantitativa utilizando espectros de difração de raios X. O parâmetro de processo que mostrou ter maior efeito sobre a cristalinidade foi a distância tocha-substrato. O índice de cristalinidade medido para os recobrimentos produzidos variou de 20-68%. O tratamento térmico dos recobrimentos elevou o índice de cristalinidade para 99%.Plasma spraying process parameters greatly affect the coatings crystallinity since they can change the torch enthalpy, causing substantial melting of the particles and also affecting their cooling and solidification processes. In this work, the effect of the process parameters - current, proportion of primary/secondary gases and distance torch-substrate - on the crystallinity of hydroxyapatite coatings were evaluated. The experiments were carried out using a complete factorial design, with three parameters in two levels. The hydroxyapatite powder used was from Calcitek-USA. The crystallinity index was determined based on a quantitative procedure using the x-ray diffraction spectra. The process parameter which had the major effect on the

  17. Experimental infection of commercial layers with wild or attenuated Salmonella Gallinarum mutant strains: anatomic pathology, total blood cell count and serum protein levels

    Directory of Open Access Journals (Sweden)

    KO Garcia

    2013-06-01

    Full Text Available The aim of the present study was to comparatively evaluate hemogram, blood serum components and anatomopathologic alterations in commercial layers experimentally challenged with an attenuated vaccine candidate strain (SG∆cobS∆cbiA and other two pathogenic strains (SGDcobS and SGNalr of Gallinarum (SG. In total, 280 commercial layers were randomly divided into 4 groups (G1, G2, G3 and G4. At five days of age, birds from groups G1 received approximately 107 colony forming units (CFU of SGDcobS; meanwhile birds from group G2 and G3 received the same dose of SGNalr and SG∆cobS∆cbiA, respectively. Birds from G4 were not infected. At 24 hours before (DBI and 24 hours after (1 DAI, and three (3 DAI, five (5 DAI, seven (7 DAI ten (10 DAI, and fifteen (15 DAI days after the infection, 10 birds of each group were humanely killed and blood samples collected to hematological and serum tests. Samples of liver, spleen, thymus, bursa of Fabricius, kidney and heart were also collected for the histological examination. Birds inoculated with SGDcobS and SGNalr showed similar alterations in hemogram, blood serum components and anatomopathologic exams. On the other hand, the exams of birds inoculated with SG∆cobS∆cbiA strain were similar to those of the uninfected birds. However, changes could be noticed in levels of uric acid and cholesterol during the course of the infection of birds from G3. Decrease in levels of light IgG 3 DAI was also observed in birds from this group. Pyknosis in kidney cells was a microscopic alteration found in birds from G3. Further studies must be done to verify if these alterations will not interfere in the performance of the vaccinate birds with SG∆cobS∆cbiA strain.

  18. Anatomical basis for pelvic autonomic nerve preservation in total mesorectal excision of adult male%全直肠系膜切除术中保留男性盆腔自主神经的解剖基础

    Institute of Scientific and Technical Information of China (English)

    刘念; 林谋斌; 张浩波; 陆兴生; 吕克之; 尹路

    2012-01-01

    Objective To study the pelvic fascia related to pelvic autonomic nerve and detect the anatomical localization of pelvic autonomic nerve by marker in adult male.Methods Twelve pelvises of adult male harvested from cadavers were studied by dissection.Results Hypogastric nerve was embedded in the posterior leaf of the visceral pelvic fascia.Pelvic plexus was situated between vesicohypogastric fascia and visceral fascia.Pelvic nerve branch of seminal vesicle and prostate was located at the anterolateral part of Denonvilliers fascia.Sacral promontory,ureter,junction of Denonvilliers fascia,visceral fascia and seminal vesicle could be regarded as anatomical markers for pelvic autonomic nerve.Conclusion The anatomical characteristics of pelvic autonomic nerve can be used for protecting and isolating pelvic autonomic nerve in total mesorectal excision of adult male.%目的 探讨成年男性盆腔自主神经的筋膜层次及其解剖标记,明确全直肠系膜切除术中保留男性盆腔自主神经的解剖基础.方法 对12具男性尸体盆腔(24侧半盆腔)进行解剖.结果 盆腔自主神经走行筋膜层次为:腹下神经走行于脏筋膜后叶内,盆丛位于膀胱腹下筋膜与脏筋膜间,精囊前列腺分支位于Denonvilliers筋膜前侧方.骶骨岬、输尿管、Denonvilliers筋膜与脏筋膜交汇处、精囊腺等都可作为男性盆腔自主神经定位标记.结论 男性盆腔自主神经的筋膜层次和解剖标记可用于男性全直肠系膜切除术中盆腔自主神经的定位和保护.

  19. 直肠全系膜切除术中安全平面的解剖学观察%Anatomical observation of the 'holy plane' for total mesorectal excision

    Institute of Scientific and Technical Information of China (English)

    王世栋; 邓雪飞; 韩卉; 常家聪; 曹先东; 张铭

    2011-01-01

    Objective To provide anatomic evidence for identification of "holy plane" between fascia propria and its adjacent fascias in total mesorectal excision. Methods A total of 26 pelvic specimens of adult male preserved in 10% formalin solution were used in this study. Twenty pelvises were employed for topographic anatomy, six for sectional anatomy. Results Rectovesical septum was formed by the ventral part of the fascia propria and Denonvilliers' fascia, with no blood vessel and nerve coursed between two layers. Dorsal part of the fascia propria parallelled with the presacral fascia,with no blood vessel and nerve coursed between two layers in 80% of the pelvises. However, anatomic variations was encountered occasionally--with muscle-like tissue or fusion of presacral fascia interposed between them for 20%. The lateral space of rectum was between lateral part of the fascia propria and parietal fascia which witnessed pelvic nerve plexus and lateral ligament of the rectum traveling. Pelvic nerve plexus was categorized as two types according the relation between fascia propria and nerve plexus:fusion type accounting for 85% and rarefaction type for 15%. Conclusion 'Holy plane' is sandwiched between the fascia propria and its adjacent fascia-ventrally Denonvilliers fascia,dorsally presacral fascia and laterally parietal fascia.%目的 明确直肠固有筋膜与周围结构的关系,寻找无血管、神经的间隙,为直肠全系膜切除术中"安全平面"的选择提供解剖学依据.方法 选择26例10%甲醛固定的成年男性盆腔标本进行研究,20例沿正中切开行局部解剖观察,6例行断层解剖观察.结果 直肠固有筋膜腹侧与Denonvilliers筋膜相邻,共同构成直肠膀胱隔,两者之间为无血管、神经的潜在间隙.直肠固有筋膜背侧与骶前筋膜水平走行,构成无血管、神经的骶前间隙,此间隙解剖变异较大,16例(80%)标本筋膜间隙明显,内有板层状直肠骶骨韧带走行(分层型);4例(20

  20. 解剖型生物固定股骨柄假体的设计特征与临床应用效果%Design features and clinical results of anatomic femoral stem in total hip arthroplasty

    Institute of Scientific and Technical Information of China (English)

    蒋涛; 孙俊英; 查国春; 游镇君; 王涛

    2014-01-01

    BACKGROUND:Ribbed anatomic femoral stem meets the biomechanical features of the femur, and has achieved satisfactory clinical efficacy with good initial stability, rapid bone growth and low stress shielding. OBJECTIVE:To evaluate the design features and clinical results of the cementless anatomic Ribbed femoral stem (Ribbed stem) in total hip arthroplasty. METHODWe retrospectively analyzed 52 patients (52 hips) with hip joint disease who were treated with Ribbed stem in total hip arthroplasty between March 2010 and March 2012. There were 20 males and 32 females. The mean age was 59 years (range 22-78 years). The mean fol ow-up was 3.1 years (range 2-4 years). The preoperative and postoperative Harris hip scores, the rate of postoperative thigh pain, the incidence of intraoperative femoral fracture, wound healing, dislocation and revision were recorded. Radiographic evaluation was used to evaluate the rate of stem fil , subsidence of femoral stem, periprosthetic radiolucent line, bone ingrowth, stress shielding, and osteolysis. RESULTS AND CONCLUSION:The incidence of intraoperative femoral fracture was 6%. Al incisions were healed. There were no cases of hip dislocation and revision;the rate of thigh pain was 6%, no patient had thigh pain after 1 year postoperatively. The mean preoperative Harris hip score was 48 points, which improved to a mean of 96 points at the final fol ow-up. Postoperative X-ray showed that al patients had a satisfactory femoral fil in both planes and al of the femoral stems were wel-fixed at the final fol ow-up. The average fil ing rate was 91%, 88%and 86%by normotopia imaging, while 88%, 85%and 81%by lateral imaging, at the metaphysic, middle and distal ends respectively. At the final fol ow-up, 49 hips (92%) showed stable bone ingrowth, 3 hips showed stable fiber ingrowth. No osteolysis around the components at the femur or acetabulum was observed. 5 (10%) hips appeared the subsidence of femoral stems, which were  目的:探

  1. Early fetal anatomical sonography.

    LENUS (Irish Health Repository)

    Donnelly, Jennifer C

    2012-10-01

    Over the past decade, prenatal screening and diagnosis has moved from the second into the first trimester, with aneuploidy screening becoming both feasible and effective. With vast improvements in ultrasound technology, sonologists can now image the fetus in greater detail at all gestational ages. In the hands of experienced sonographers, anatomic surveys between 11 and 14 weeks can be carried out with good visualisation rates of many structures. It is important to be familiar with the normal development of the embryo and fetus, and to be aware of the major anatomical landmarks whose absence or presence may be deemed normal or abnormal depending on the gestational age. Some structural abnormalities will nearly always be detected, some will never be and some are potentially detectable depending on a number of factors.

  2. Reference Man anatomical model

    Energy Technology Data Exchange (ETDEWEB)

    Cristy, M.

    1994-10-01

    The 70-kg Standard Man or Reference Man has been used in physiological models since at least the 1920s to represent adult males. It came into use in radiation protection in the late 1940s and was developed extensively during the 1950s and used by the International Commission on Radiological Protection (ICRP) in its Publication 2 in 1959. The current Reference Man for Purposes of Radiation Protection is a monumental book published in 1975 by the ICRP as ICRP Publication 23. It has a wealth of information useful for radiation dosimetry, including anatomical and physiological data, gross and elemental composition of the body and organs and tissues of the body. The anatomical data includes specified reference values for an adult male and an adult female. Other reference values are primarily for the adult male. The anatomical data include much data on fetuses and children, although reference values are not established. There is an ICRP task group currently working on revising selected parts of the Reference Man document.

  3. Anatomical imaging for radiotherapy

    Energy Technology Data Exchange (ETDEWEB)

    Evans, Philip M [Joint Physics Department, Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Downs Road, Sutton, Surrey SM2 5PT (United Kingdom)], E-mail: phil.evans@icr.ac.uk

    2008-06-21

    The goal of radiation therapy is to achieve maximal therapeutic benefit expressed in terms of a high probability of local control of disease with minimal side effects. Physically this often equates to the delivery of a high dose of radiation to the tumour or target region whilst maintaining an acceptably low dose to other tissues, particularly those adjacent to the target. Techniques such as intensity modulated radiotherapy (IMRT), stereotactic radiosurgery and computer planned brachytherapy provide the means to calculate the radiation dose delivery to achieve the desired dose distribution. Imaging is an essential tool in all state of the art planning and delivery techniques: (i) to enable planning of the desired treatment, (ii) to verify the treatment is delivered as planned and (iii) to follow-up treatment outcome to monitor that the treatment has had the desired effect. Clinical imaging techniques can be loosely classified into anatomic methods which measure the basic physical characteristics of tissue such as their density and biological imaging techniques which measure functional characteristics such as metabolism. In this review we consider anatomical imaging techniques. Biological imaging is considered in another article. Anatomical imaging is generally used for goals (i) and (ii) above. Computed tomography (CT) has been the mainstay of anatomical treatment planning for many years, enabling some delineation of soft tissue as well as radiation attenuation estimation for dose prediction. Magnetic resonance imaging is fast becoming widespread alongside CT, enabling superior soft-tissue visualization. Traditionally scanning for treatment planning has relied on the use of a single snapshot scan. Recent years have seen the development of techniques such as 4D CT and adaptive radiotherapy (ART). In 4D CT raw data are encoded with phase information and reconstructed to yield a set of scans detailing motion through the breathing, or cardiac, cycle. In ART a set of

  4. ANATOMICAL PROPERTIES OF PLANTAGO ARENARIA

    OpenAIRE

    Nicoleta IANOVICI; SINITEAN, Adrian; Aurel FAUR

    2011-01-01

    Psammophytes are marked by a number of adaptations that enable them to exist in the hard environmental conditions of the sand habitats. In this study, the anatomical characteristics of Plantago arenaria were examined. Studies were conducted to assess the diversity of anatomical adaptations of vegetative organs in this taxa. Results are presented with original photographs. The analysis of leaf anatomy in P. arenaria showed that the leaves contained a contained xeromorphic traits. Arbuscular my...

  5. Osteogenic Responses to Zirconia with Hydroxyapatite Coating by Aerosol Deposition

    OpenAIRE

    Cho, Y.; Hong, J.; Ryoo, H.; Kim, D.; Park, J.; Han, J.

    2015-01-01

    Previously, we found that osteogenic responses to zirconia co-doped with niobium oxide (Nb2O5) or tantalum oxide (Ta2O5) are comparable with responses to titanium, which is widely used as a dental implant material. The present study aimed to evaluate the in vitro osteogenic potential of hydroxyapatite (HA)-coated zirconia by an aerosol deposition method for improved osseointegration. Surface analysis by scanning electron microscopy and x-ray diffraction proved that a thin as-deposited HA film...

  6. Osteogenic responses to zirconia with hydroxyapatite coating by aerosol deposition.

    Science.gov (United States)

    Cho, Y; Hong, J; Ryoo, H; Kim, D; Park, J; Han, J

    2015-03-01

    Previously, we found that osteogenic responses to zirconia co-doped with niobium oxide (Nb2O5) or tantalum oxide (Ta2O5) are comparable with responses to titanium, which is widely used as a dental implant material. The present study aimed to evaluate the in vitro osteogenic potential of hydroxyapatite (HA)-coated zirconia by an aerosol deposition method for improved osseointegration. Surface analysis by scanning electron microscopy and x-ray diffraction proved that a thin as-deposited HA film on zirconia showed a shallow, regular, crater-like surface. Deposition of dense and uniform HA films was measured by SEM, and the contact angle test demonstrated improved wettability of the HA-coated surface. Confocal laser scanning microscopy indicated that MC3T3-E1 pre-osteoblast attachment did not differ notably between the titanium and zirconia surfaces; however, cells on the HA-coated zirconia exhibited a lower proliferation than those on the uncoated zirconia late in the culture. Nevertheless, ALP, alizarin red S staining, and bone marker gene expression analysis indicated good osteogenic responses on HA-coated zirconia. Our results suggest that HA-coating by aerosol deposition improves the quality of surface modification and is favorable to osteogenesis. PMID:25586588

  7. Osteoconductive hydroxyapatite coated PEEK for spinal fusion surgery

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, Byung-Dong, E-mail: cera72@kims.re.kr [Functional Ceramics Group, Korea Institute of Materials Science, 797 Changwon-daero, Seongsan-gu, Changwon, Gyeong-Nam, 641-010 (Korea, Republic of); Park, Dong-Soo; Choi, Jong-Jin; Ryu, Jungho; Yoon, Woon-Ha; Choi, Joon-Hwan; Kim, Jong-Woo; Ahn, Cheol-Woo [Functional Ceramics Group, Korea Institute of Materials Science, 797 Changwon-daero, Seongsan-gu, Changwon, Gyeong-Nam, 641-010 (Korea, Republic of); Kim, Hyoun-Ee [School of Materials Science and Engineering, Seoul National University, San 56-1 Sillim-Dong, Gwanak-gu, Seoul, 151-742 (Korea, Republic of); Yoon, Byung-Ho; Jung, In-Kwon [GENOSS, Gyeonggi R and DB Center, Iui-dong, Yeongtong-gu, Suwon, Gyeonggi-do, 443-270 (Korea, Republic of)

    2013-10-15

    Polyetheretherketone (PEEK) has attracted much interest as biomaterial for interbody fusion cages due to its similar stiffness to bone and good radio-transparency for post-op visualization. Hydroxyapatite (HA) coating stimulates bone growth to the medical implant. The objective of this work is to make an implant consisting of biocompatible PEEK with an osteoconductive HA surface for spinal or orthopedic applications. Highly dense and well-adhered HA coating was developed on medical-grade PEEK using aerosol deposition (AD) without thermal degradation of the PEEK. The HA coating had a dense microstructure with no cracks or pores, and showed good adhesion to PEEK at adhesion strengths above 14.3 MPa. The crystallinity of the HA coating was remarkably enhanced by hydrothermal annealing as post-deposition heat-treatment. In addition, in vitro and in vivo biocompatibility of PEEK, in terms of cell adhesion morphology, cell proliferation, differentiation, and bone-to-implant contact ratio, were remarkably enhanced by the HA coating through AD.

  8. Interfacial bond strength of electrophoretically deposited hydroxyapatite coatings on metals.

    Science.gov (United States)

    Wei, M; Ruys, A J; Swain, M V; Kim, S H; Milthorpe, B K; Sorrell, C C

    1999-07-01

    Hydroxyapatite (HAp) coatings were deposited onto substrates of metal biomaterials (Ti, Ti6Al4V, and 316L stainless steel) by electrophoretic deposition (EPD). Only ultra-high surface area HAp powder, prepared by the metathesis method 10Ca(NO3)2 + 6(NH4)2HPO4 + 8NH4OH), could produce dense coatings when sintered at 875-1000degreesC. Single EPD coatings cracked during sintering owing to the 15-18% sintering shrinkage, but the HAp did not decompose. The use of dual coatings (coat, sinter, coat, sinter) resolved the cracking problem. Scanning electron microscopy/energy dispersive spectroscopy (SEM/EDS) inspection revealed that the second coating filled in the "valleys" in the cracks of the first coating. The interfacial shear strength of the dual coatings was found, by ASTM F1044-87, to be approximately 12 MPa on a titanium substrate and approximately 22 MPa on 316L stainless steel, comparing quite favorably with the 34 MPa benchmark (the shear strength of bovine cortical bone was found to be 34 MPa). Stainless steel gave the better result since -316L (20.5 microm mK(-1)) > alpha-HAp (approximately 14 microm mK(-1)), resulting in residual compressive stresses in the coating, whereas alpha-titanium (approximately 10.3 microm mK(-1)) < alpha-HAp, resulting in residual tensile stresses in the coating. PMID:15348125

  9. Hydroxyapatite coating on pretreated CoNiCrMo prosthesis

    Institute of Scientific and Technical Information of China (English)

    WANG Tao; A. Dorner-Reisel

    2005-01-01

    In order to improve the quality of the bio-active coating on medical grade CoNiCrMo substrate, hydroxyapatite(HA) coatings were produced via low-temperature dip-coating route on substrates treated using various surface pre-treating methods. The surface and cross-sectional morphologies of HA coatings were observed by SEM, as well as the bonding strength between coatings and substrates after different pre-treatments were characterized according to ASTM C633. The low-temperature HA dip-coating method with the substrate merely oxidized at 600℃ can provide a high quality HA coating for CoNiCrMo, of which the bonding strength reaches (58±5)MPa, higher than that of the clinically used HA coatings on Ti-alloys produced via plasma spray route, as well as a HA coating with full crystallinity and high phase-purity, which is more in-vivo stable than plasma sprayed HA coating.

  10. Osteogenic Responses to Zirconia with Hydroxyapatite Coating by Aerosol Deposition

    Science.gov (United States)

    Cho, Y.; Hong, J.; Ryoo, H.; Kim, D.; Park, J.

    2015-01-01

    Previously, we found that osteogenic responses to zirconia co-doped with niobium oxide (Nb2O5) or tantalum oxide (Ta2O5) are comparable with responses to titanium, which is widely used as a dental implant material. The present study aimed to evaluate the in vitro osteogenic potential of hydroxyapatite (HA)-coated zirconia by an aerosol deposition method for improved osseointegration. Surface analysis by scanning electron microscopy and x-ray diffraction proved that a thin as-deposited HA film on zirconia showed a shallow, regular, crater-like surface. Deposition of dense and uniform HA films was measured by SEM, and the contact angle test demonstrated improved wettability of the HA-coated surface. Confocal laser scanning microscopy indicated that MC3T3-E1 pre-osteoblast attachment did not differ notably between the titanium and zirconia surfaces; however, cells on the HA-coated zirconia exhibited a lower proliferation than those on the uncoated zirconia late in the culture. Nevertheless, ALP, alizarin red S staining, and bone marker gene expression analysis indicated good osteogenic responses on HA-coated zirconia. Our results suggest that HA-coating by aerosol deposition improves the quality of surface modification and is favorable to osteogenesis. PMID:25586588

  11. Nanostructured Si-substituted hydroxyapatite coatings for biomedical applications

    Energy Technology Data Exchange (ETDEWEB)

    Rau, Julietta V., E-mail: giulietta.rau@ism.cnr.it [Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche, Via del Fosso del Cavaliere, 100-00133 Rome (Italy); Fosca, Marco [Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche, Via del Fosso del Cavaliere, 100-00133 Rome (Italy); Cacciotti, Ilaria [Università di Roma “Tor Vergata”, Dipartimento di Ingegneria Industriale,UR INSTM “Roma Tor Vergata”, Via del Politecnico, 1-00133 Rome (Italy); Laureti, Sara [Istituto di Struttura della Materia, Consiglio Nazionale delle Ricerche, Via Salaria km 29.300-00016 Monterotondo Scalo (RM) (Italy); Bianco, Alessandra [Università di Roma “Tor Vergata”, Dipartimento di Ingegneria Industriale,UR INSTM “Roma Tor Vergata”, Via del Politecnico, 1-00133 Rome (Italy); Teghil, Roberto [Università della Basilicata, Dipartimento di Scienze, Via dell' Ateneo Lucano 10-85100, Potenza (Italy)

    2013-09-30

    In the present work, the Si-HAp coatings were deposited on titanium substrates by Pulsed Laser Deposition technique. For deposition, the Si-HAp targets (1.4 wt.% of Si), produced starting from wet synthesized powders, were used. The properties of coatings were investigated by X-ray diffraction, Fourier transform infrared spectroscopy, scanning electron microscopy, atomic force microscopy and Vickers microhardness. The obtained Si-HAp coatings presented a nanosized structure, proper thickness and hardness for applications in orthopedical and dental surgery, aimed at improving the stability and the osteointegration of bone implants. - Highlights: ► Pulsed Laser Deposition method was applied to coat heated Titanium supports. ► Films were deposited using a target of Silicon-Hydroxyapatite sintered ceramics. ► Nanostructured crystalline hard film was grown replicating target composition. ► Prepared coating could be used for orthopedic and dental implants applications.

  12. Characterisation of hydroxyapatite-coated titanium for biomedical applications

    OpenAIRE

    Lee, Jiin Woei

    2014-01-01

    Orthopaedic implants function to replace or support damaged or diseased bone. Due to a global rise in demand, there is a need to prolong the service life of these implants. The current work focuses on crystallised hydroxyapatite (HA)-coated titanium (Ti) implants. One specific problem during the annealing of as-deposited amorphous HA, to induce crystallisation, is the formation of unwanted titanium oxide (Ti-O) species at the HA/Ti interface that leads to HA layer disruption. This necessitate...

  13. Imaging reasons for periprosthetic femoral fractures during the operation of total hip arthroplasty with anatomic prosthesis%全髋关节置换术中解剖柄股骨假体周围骨折的影像学分析

    Institute of Scientific and Technical Information of China (English)

    张道俭; 朱天岳; 柴卫兵; 卢宏章; 李军; 刘震宁; 叶一林

    2013-01-01

    目的 分析全髋关节置换术中解剖柄引起股骨假体周围骨折的影像学测量的意义.方法 回顾性分析2001年1月至2011年1月北京大学第一医院骨科144例使用解剖柄初次全髋关节置换中7例术中发生股骨假体周围骨折的骨折组病例及21例未发生骨折的非骨折组病例,测量术前髋关节X线片的髋臼Sharp's角、CE角、股骨颈干角、前倾角、股骨干近段的前弓角度、股骨近段最窄髓腔直径,查阅病历,记录患者身高、体重,并了解手术细节.对测量结果用SPSS 17.0进行独立样本t检验统计学分析.结果 骨折组与非骨折组一般情况及髋臼Sharp's角、CE角差异无统计学意义,测量比较股骨颈前倾角(25.7±8.7)°比(14.9±3.2)°,(P =0.040)、颈干角(138.9±7.1)°比(134.4±4.0)°,(P=0.026)、股骨干前弓角(173.6±3.5)°比(171.2±1.4)°,(P=0.024)、峡部髓腔直径(11.5±1.9)°比(12.2±1.0)°,(P =0.021),差异有统计学意义.结论 股骨近段发育异常是导致全髋关节置换术中使用解剖柄股骨假体周围骨折的主要原因.%Objective To explore the imaging reasons for periprosthetic femoral fractures during the operation of total hip arthroplasty with anatomic prosthesis.Methods The fracture group consisted of 7 cases with periprosthetic femoral fracture (PPFF) and the non-fracture group 21 cases without PPFF during the operation of total hip arthoplasty (THA) among the 144 cases of primary THA with anatomic prosthesis.The preoperative plain films of hip joint were taken to calibrate the Sharp's angle,centre edge (CE) angle,femoral neck shaft angle,femoral anteversion angle of neck,bowing angle of proximal femoral shaft part,width of narrowest part in proximal femoral shaft.For each case,surgical details,age,height and weight were recorded.The results were analyzed with independent sample t test by software SPSS 17.0.Results No significant difference existed in general situation,Sharp's angle and CE

  14. ANATOMICAL PROPERTIES OF PLANTAGO ARENARIA

    Directory of Open Access Journals (Sweden)

    Nicoleta IANOVICI

    2011-01-01

    Full Text Available Psammophytes are marked by a number of adaptations that enable them to exist in the hard environmental conditions of the sand habitats. In this study, the anatomical characteristics of Plantago arenaria were examined. Studies were conducted to assess the diversity of anatomical adaptations of vegetative organs in this taxa. Results are presented with original photographs. The analysis of leaf anatomy in P. arenaria showed that the leaves contained a contained xeromorphic traits. Arbuscular mycorrhizal symbiosis seems to be critical for their survival.

  15. Introducing International Journal of Anatomical Variations

    Directory of Open Access Journals (Sweden)

    Tunali S

    2008-06-01

    Full Text Available Welcome to International Journal of Anatomical Variations (IJAV - an annual journal of anatomical variations and clinical anatomy case reports. After having a notable experience for eight years in NEUROANATOMY, we are pleased to introduce you IJAV. We are eventually announcing our new journal after three years of feasibility and background study period. We hope that IJAV will fill in the gap in anatomy journals’ bunch. IJAV is an annual, open access journal having electronic version only. Despite of unavailability of a budget for publishing IJAV, the evaluation of submissions and access to the full text articles is totally free of charge.Our vision for IJAV is to constitute an online compendium for anatomical variations in gross, radiological and surgical anatomy, neuroanatomy and case reports in clinical anatomy. We believe that cases have an important role in clinical anatomy education. In this aspect, we aim to serve as an open source of case reports. We hope that IJAV will be cited in most of the case reports related to clinical anatomy and anatomical variations in near future.In NEUROANATOMY, we encouraged the submission of case reports in the area of neuroanatomy. Whereas in IJAV, besides neuroanatomy, we will consider case reports in any area related to human anatomy. The scope of IJAV will encompass any anatomical variations in gross, radiological and surgical anatomy. Case reports in clinical anatomy are also welcome.All submitted articles will be peer-reviewed. No processing fee will be charged from authors. One of the most important features of IJAV will be speedy review and rapid publication. We strive to publish an accepted manuscript within three weeks of initial submission. Our young and dynamic Scientific Advisory Board will achieve this objective.A few remarks about our logo and page design: Prof. Dr. M. Mustafa ALDUR designed our logo, being inspired by a quadricuspid aortic valve case, reported by Francesco FORMICA et al

  16. Total Thyroidectomy

    Directory of Open Access Journals (Sweden)

    Lopez Moris E

    2016-06-01

    Full Text Available Total thyroidectomy is a surgery that removes all the thyroid tissue from the patient. The suspect of cancer in a thyroid nodule is the most frequent indication and it is presume when previous fine needle puncture is positive or a goiter has significant volume increase or symptomes. Less frequent indications are hyperthyroidism when it is refractory to treatment with Iodine 131 or it is contraindicated, and in cases of symptomatic thyroiditis. The thyroid gland has an important anatomic relation whith the inferior laryngeal nerve and the parathyroid glands, for this reason it is imperative to perform extremely meticulous dissection to recognize each one of these elements and ensure their preservation. It is also essential to maintain strict hemostasis, in order to avoid any postoperative bleeding that could lead to a suffocating neck hematoma, feared complication that represents a surgical emergency and endangers the patient’s life.It is essential to run a formal technique, without skipping steps, and maintain prudence and patience that should rule any surgical act.

  17. Anatomical structure of Polystichum Roth ferns rachises

    Directory of Open Access Journals (Sweden)

    Oksana V. Tyshchenko

    2012-03-01

    Full Text Available The morpho-anatomical characteristics of rachis cross sections of five Polystichum species is presented. The main and auxiliary anatomical features which help to distinguish investigated species are revealed.

  18. Anatomic study of infrapopliteal vessels.

    Science.gov (United States)

    Lappas, D; Stavropoulos, N A; Noussios, G; Sakellariou, V; Skandalakis, P

    2012-08-01

    The purpose of this project is to study and analyse the anatomical variations of the infrapopliteal vessels concerning their branching pattern. A reliable sample of one hundred formalin-fixed adult cadavers was dissected by the Anatomical Laboratory of Athens University. The variations can be classified in the following way: the normal branching of the popliteal artery was present in 90%. The remainder revealed variant branching patterns: hypoplastic or aplastic posterior tibial artery and the pedis arteries arising from the peroneal (3%); hypoplastic or aplastic anterior tibial artery (1.5%); and the dorsalis pedis formed by two equal branches, arising from the peroneal and the anterior tibial artery (2%). The variations were more frequent in females and in short-height individuals. Knowledge of these variations is rather important for any invasive technic concerning lower extremities.

  19. Variability of acorn anatomical characteristics in Quercus robur L. genotypes

    OpenAIRE

    Nikolić Nataša P.; Merkulov Ljiljana S.; Krstić Borivoj Đ.; Pajević Slobodanka P.; Borišev Milan K.; Orlović Saša S.

    2010-01-01

    The aim of this study was to examine variability of acorn anatomical characteristics in seventeen Quercus robur L. genotypes. Acorns were collected in clonal seed orchard Banov Brod (Srem, Vojvodina, Serbia). Microscopic measurements were done for pericarp (total thickness, thickness of exocarp and mesocarp), seed coat (total thickness, thickness of outer epidermis, parenchyma, and inner epidermis), and embryo axis (diameter, thickness of cortical region, and diameter of stellar zone). Obtain...

  20. 含庆大霉素羟基磷灰石涂层假体控制关节置换术后感染的实验研究%The effect of hydroxyapatite-coating prosthesis combined gentamicin on the control of infection after total joint arthroplasty

    Institute of Scientific and Technical Information of China (English)

    张道俭; 朱天岳; 蔡彦丽; 卢宏章; 梁春永

    2009-01-01

    Objective To assess the effect of the prosthesis costed with hydroxyapatite (HA) combined with gentamicin on preventing infections after arthroplasty. Methods Examining the concentration and the time of gentamicin released from the prosthesis. Fifty Chinese white rabbits were divided into five groups averagnly. All rabbits in each group were processed according to the experimental designs. The rabbits were taken X-ray examination on the operation day and the postoperative 28th day on the left tibia and radiological assessment was done. Blood routine examination, erythrocyte sediment rate (ESR), body temperature and weight were examined before the operation and on the 3rd, 7th, 14th, 21st, 28th day after the operation. Microbiological examination was done both on the bone and the prosthesis at the 28th days postoperatively. Calculating the clonal formation unit (CFU) number if there is colony emerging from the blood culture medium. And histology inspection was also done on the samples. Results The gentamicin released from the prosthesis with gentamicin-HA coating could reach the minimum inhibition concentration (MIC) of the staphylococcus and could persist for more than I0 days in vitro. There was no infected rabbit in group 1, 10 in group 2, 6 in group 3, 6 in group 4 and 3 in group 5. The mean body temperature of group 2 and group 3 is higher than that of group 4 and group 5; there, is no significant difference among the groups in terms of radiological assessment, blood routine examination, ESR and weight. The CFU number of bacteria cultured both from marrow cavity and prosthesis in group 2 is higher than that of group 4 which is higher than that of group 3 and group 5, while group 3's is higher than that of group 5. Conclusion The gentamicin released from the prosthesis with gentamicin-HA coating could reach the MIC of the staphylococcus and could persist for more than 10 days in vitro. The prosthesis with gentamicin-HA coating could locally help to reduce infection at a certain extent in collaboration with general antibiotics.%目的 评价含庆大霉素羟基磷灰石(hydroxyapatite,HA)涂层假体控制关节置换术后感染的效果.方法 采用仿生溶液法制备含庆大霉素HA涂层假体,在体外实验中检测庆大霉素的释放情况.将50只中国白兔分成5组,每组10只,第1组植入HA假体,第2组带菌植入HA假体,第3组带菌植入含庆大霉素HA假体,第4组带菌植入HA假体并肌内注射庆大霉素,第5组带菌植入含庆大霉素HA假体并肌内注射庆大霉素.手术当天及术后第28天拍摄左胫骨X线片,进行评分;术前、术后第3、7、14、21、28天检测血常规、红细胞沉降率、肛温和体重;术后第28天处死动物.对髓腔和假体进行细菌培养,对骨标本进行组织学观察.结果 含庆大霉素HA涂层假体在体外释放庆大霉素可达到金黄色葡萄球菌的最低抑菌浓度.并可持续10 d以上.第1组无感染,第2组全部感染,第3组6只感染,第4组6只感染,第5组3只感染.第2、3组体温比第4、5组高;影像学评分、血常规、红细胞沉降率和体重各项组间比较差异均无统计学意义;细菌菌落数比较,第2组>第4组>第3组>第5组.结论 含庆大霉素HA涂层假体能够和全身应用抗生素协同,较好地控制局部感染.

  1. Clinical research of measurement of anatomical proximal femor using X ray in equalizing limb length in total hip arthroplasty%应用股骨近端解剖X线测量均衡全髋关节置换术双下肢长度的临床分析

    Institute of Scientific and Technical Information of China (English)

    陈成旺; 潘孝云; 薛恩兴; 温宏

    2014-01-01

    目的:结合股骨近端解剖X线测量,均衡全髋关节置换术(THA)双下肢的长度。方法:将2011年2月至2012年12月120例接受单侧初次THA的患者作为研究对象,其中男65例,女55例。术前临床测量患者双下肢不等长数据,并拍摄双髋标准正位片,在PACS系统上测量双下肢不等长程度及手术对侧股骨头中心和大粗隆顶点连线与股骨纵轴的夹角并记录,术中使用定点测量法结合术前测量的上述交角的恢复程度作为均衡肢体长度的参考依据,通过股骨假体头部或颈部长度进行调节纠正,并结合Shuck实验、稳定实验进行评估。结果:所有患者创口均一期愈合。术后2周测量,双下肢长度相差<0.5 cm者68例,相差0.5~1.0 cm者40例,相差>1.0 cm者12例。其中102例患者随访至今,除4例长度差异超过1.0 cm的患者外,其余患者均无明显跛行或疼痛。患者Harris评分从术前(46.2±7.2)分,提高到(86.5±6.9)分。结论:术前对髋关节进行正位X线测量,结合术中综合定点测量法,股骨近端角度的恢复及各种辅助实验,可以使THA后双下肢均衡的问题得到很好的解决。%Objective:To explore the clinical meaning of measurement of anatomical proximal femor in equalizing limb length in total hip arthroplasty. MethodFrom Feburary 2011 to December 2012, 120 patients including 65 males and 55 females underwent unilateral THA. The clinical measurement and radiographic exami-nation were accomplished. The discrepancy of limb length was measured using PACS system in computer, and at the meantime, from the other hip, the angle of the anatomical axis of femur and the line linked the center of femo-ral head and the top of great trochant was measured. Based on these results, the surgical protocols were designed, the type of hip prosthesis was chosen, and the neck length of femoral prothesis, and the position of osteotomy were

  2. Digital imaging in anatomic pathology.

    Science.gov (United States)

    O'Brien, M J; Sotnikov, A V

    1996-10-01

    Advances in computer technology continue to bring new innovations to departments of anatomic pathology. This article briefly reviews the present status of digital optical imaging, and explores the directions that this technology may lead over the next several years. Technical requirements for digital microscopic and gross imaging, and the available options for image archival and retrieval are summarized. The advantages of digital images over conventional photography in the conference room, and the usefulness of digital imaging in the frozen section suite and gross room, as an adjunct to surgical signout and as a resource for training and education, are discussed. An approach to the future construction of digital histologic sections and the computer as microscope is described. The digital technologic applications that are now available as components of the surgical pathologist's workstation are enumerated. These include laboratory information systems, computerized voice recognition, and on-line or CD-based literature searching, texts and atlases and, in some departments, on-line image databases. The authors suggest that, in addition to these resources that are already available, tomorrow's surgical pathology workstation will include network-linked digital histologic databases, on-line software for image analysis and 3-D image enhancement, expert systems, and ultimately, advanced pattern recognition capabilities. In conclusion, the authors submit that digital optical imaging is likely to have a significant and positive impact on the future development of anatomic pathology. PMID:8853053

  3. 胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析%The tibialis anterior tendon as anatomical landmark in the extramedullary alignment system of the total knee arthroplasty

    Institute of Scientific and Technical Information of China (English)

    王新光; 郭汉明; 肖军; 郑少伟; 史占军

    2015-01-01

    Objective To explore the effect of the tibialis anterior tendon in the total knee arthroplasty of the extramedullary alignment. Methods The ankle center and the tibial coronal alignment in 59 lower limbs of the 59 osteoarthritis were confirmed with X-ray and was marked in the skin, the medial border of tibialis anterior tendon was also marked in the skin. The distance of the tibialis anterior tendon to the ankle center was measured at the ankle line, the distance of junction of tibialis anterior tendon and tibial coronal alignment to the ankle line also was measured. The independent t test was performed for both distances. Results The distance of the tibialis anterior tendon to the ankle center was (13.32±2.75) mm (P<0.001), and the distance of the junction of the tibialis anterior tendon and the tibial alignment to the ankle line was (71.23 ± 6.45) mm (P<0.001). Conclusion The tibialis anterior tendon has 2 points that could serve as the distal tibial anatomical landmark in extramedullary alignment of total knee arthroplasty, it could be applied in the total knee arthroplasty clinically.%目的:探讨胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统的作用。方法59例行膝关节置换术中患者的59个下肢,用X线定位胫骨冠状位力线以及踝关节中点,并在皮肤上标志,标志胫骨前肌肌腱内侧缘纵轴,在内、外踝连线上测量胫骨前肌肌腱内侧缘距离踝关节中点的距离,测量胫骨力线与胫骨前肌肌腱交点到内、外踝连线距离,并用独立t检验做统计学分析。结果胫骨前肌肌腱内侧缘在内、外踝连线上与踝关节中点距离为(13.32±2.75) mm,胫骨前肌与胫骨力线交点与内外踝连线距离(71.23±6.45) mm,均有统计学意义(P<0.001)。结论胫骨前肌肌腱在胫骨远端有2个可以作为膝关节置换术中髓外定位系统中胫骨远端解剖标记,具有实际应用价值。

  4. UNCEMENTED PRIMARY TOTAL HIP ARTHROPLASTY FOR OSTEONECROSIS OF HIP WITH SECONDARY OSTEOARTHRITIS IN YOUNG ADULTS

    Directory of Open Access Journals (Sweden)

    Chatla

    2016-03-01

    Full Text Available BACKGROUND Osteonecrosis of the femoral head is a progressive disease that generally affects patients in the third through fifth decade of life, if left untreated. Currently, 18% of all Total Hip Arthroplasty performed in USA are done for Osteonecrosis.(1 The aetiology for the Osteonecrosis varies from idiopathic, alcohol intoxication, steroid abuse or due to childhood hip disorders and hip trauma. We have selected 40 patients suffering from advanced femoral head osteonecrosis with subchondral collapse leading to Osteoarthritis of hip in young adults, treated by uncemented primary total hip replacement. This study is aimed to suggest that uncemented total hip arthroplasty can be applied predictably to this younger, potentially more active patient population. MATERIAL AND METHODS We have done 54 uncemented primary hips in 40 cases with mean follow-up of 5.5 years. The average age of the patient at the time of surgery was 43 years. All the hips are clinically and radiologically examined both pre- and post-operatively. All the cases are operated through postero-lateral approach and have used the fully Hydroxyapatite coated femoral straight stem designed for press fit insertion and hemispherical HA-coated cup inserted with press fit and in few cases we used an HA-coated screw. The patients are under regular follow-up. RESULTS All the patients are reviewed at 6 weeks, 3 months, 6 months and yearly thereafter. The clinical and functional status was recorded using the Harris Hip Score and WOMAC Hip Score. The mean Harris score has improved from an average of 44 points to an average of 93 points postoperatively; 94% showed good-to-excellent results, 2% of cases had shortening, one case developed hip dislocation after two weeks due to unguarded physiotherapy. CONCLUSION The short-term results of cementless total hip arthroplasty in patients with Osteonecrosis of the femoral head were encouraging. We await further follow-up to see if these promising

  5. Anatomical Variations of Cerebral MR Venography: Is Gender Matter?

    Science.gov (United States)

    Singh, Rambir; Bansal, Nikhil; Paliwal, Vimal Kumar

    2016-01-01

    Purpose Knowledge of variations in the cerebral dural venous sinus anatomy seen on magnetic resonance (MR) venography is essential to avoid over-diagnosis of cerebral venous sinus thrombosis (CVST). Very limited data is available on gender difference of the cerebral dural venous sinus anatomy variations. Materials and Methods A retrospective study was conducted to study the normal anatomy of the intracranial venous system and its normal variation, as depicted by 3D MR venography, in normal adults and any gender-related differences. Results A total of 1654 patients (582 men, 1072 women, age range 19 to 86 years, mean age: 37.98±13.83 years) were included in the study. Most common indication for MR venography was headache (75.4%). Hypoplastic left transverse sinus was the most common anatomical variation in 352 (21.3%) patients. Left transverse sinus was hypoplastic in more commonly in male in comparison to female (24.9% versus 19.3%, p = 0.009). Most common variation of superior sagittal sinus (SSS) was atresia of anterior one third SSS (15, 0.9%). Except hypoplastic left transverse sinus, rest of anatomical variations of the transverse and other sinuses were not significantly differ among both genders. Conclusion Hypoplastic left transverse sinus is the most common anatomical variation and more common in male compared to female in the present study. Other anatomical variations of dural venous sinuses are not significantly differ among both genders. PMID:27621945

  6. Brain Morphometry Using Anatomical Magnetic Resonance Imaging

    Science.gov (United States)

    Bansal, Ravi; Gerber, Andrew J.; Peterson, Bradley S.

    2008-01-01

    The efficacy of anatomical magnetic resonance imaging (MRI) in studying the morphological features of various regions of the brain is described, also providing the steps used in the processing and studying of the images. The ability to correlate these features with several clinical and psychological measures can help in using anatomical MRI to…

  7. Are the Genitalia of Anatomical Dolls Distorted?

    Science.gov (United States)

    Bays, Jan

    1990-01-01

    To determine whether the genitalia of anatomical dolls are disproportionately large and may suggest sexual activity to children who have not been abused, the genitalia and breasts of 17 sets of anatomical dolls were measured. When the measurements were extrapolated to adult human proportions, the sizes were not found to be exaggerated. (Author/JDD)

  8. 膝关节置换术髓外定位系统中三种胫骨远端解剖标志物的对比研究%Comparison of three anatomical structures as a distal landmark for extramedullary tibial alignment in total knee arthroplasty

    Institute of Scientific and Technical Information of China (English)

    王新光; 史占军; 郭汉明; 肖军; 黄玉良; 陈秋兰

    2015-01-01

    flexion with 30° external rotation and 90° dorsal flexion with 30° internal rotation).The distances between the ankle centre and 3 landmarks at 3 positions were measured and compared by analysis of variance with repeated measurements and one way analysis of variance.Results Analyses of variance with repeated measurements showed significant differences between the distances to the ankle center of the 3 landmarks at tbe 3 positions (P < 0.05).The dorsal pedis artery lay the closest to the ankle center (0.20 ± 0.21 cm lateral),followed by the extensor hallucis longus tendon (0.46 ± 0.36 cm medial) and the extensor digitorum longus tendon (0.63 ± 0.30 cm lateral).One way analysis of variance showed significant differences in distance from each landmark to the ankle center at different ankle positions (P < 0.05).There were significant differences between 3 anatomical landmarks in distance to the ankle center at the same ankle position (P < 0.05).The dorsal pedis artery was the closest to the ankle center at all ankle positions.Conclusion Since the dorsal pedis artery lies closer to the ankle center than the extensor hallucis longus tendon and the extensor digitorum longus tendon at different ankle positions,it can be a reliable distal landmark for extramedullary tibial alignment in total knee arthroplasty.

  9. Effects of Anatomical Characteristics of Ethiopian Lowland Bamboo on Physical and Mechanical Properties

    Institute of Scientific and Technical Information of China (English)

    SEYOUM; Kelemwork

    2009-01-01

    The main aim of this study was to evaluate the effects of anatomical characteristics of Ethiopian lowland bamboo on selected physical and mechanical properties. A total of 45 solid culms from three different age groups (2-, 3- and 4- year-old) were harvested from natural bamboo forest in Ethiopia and then samples were transported to China for carrying out anatomical characteristics test. Physical and mechanical properties testing were conducted in Ethiopia. The result indicates that age and height had signi...

  10. Anatomic Eponyms in Neuroradiology: Head and Neck.

    Science.gov (United States)

    Bunch, Paul M

    2016-10-01

    In medicine, an eponym is a word-typically referring to an anatomic structure, disease, or syndrome-that is derived from a person's name. Medical eponyms are ubiquitous and numerous. They are also at times controversial. Eponyms reflect medicine's rich and colorful history and can be useful for concisely conveying complex concepts. Familiarity with eponyms facilitates correct usage and accurate communication. In this article, 22 eponyms used to describe anatomic structures of the head and neck are discussed. For each structure, the author first provides a biographical account of the individual for whom the structure is named. An anatomic description and brief discussion of the structure's clinical relevance follow. PMID:27283070

  11. Complex anatomic variation in the brachial region.

    Science.gov (United States)

    Troupis, Th; Michalinos, A; Protogerou, V; Mazarakis, A; Skandalakis, P

    2015-01-01

    Authors describe a case of a complex anatomic variation discovered during dissection of the humeral region. On the right side, brachial artery followed a superficial course. Musculocutaneous nerve did not pierce coracobrachialis muscle but instead passed below the muscle before continuing in the forearm. On the left side, a communication between musculocutaneous and median nerve was dissected. Those variations are analytically presented with a brief review on their anatomic and clinical implications. Considerations on their embryological origin are attempted.

  12. Anatomic double-bundle anterior cruciate ligament reconstruction

    Institute of Scientific and Technical Information of China (English)

    DAI Xue-song

    2012-01-01

    Objective: To retrospectively evaluate the early results of anatomic double-bundle anterior cruciate ligament (ACL) reconstruction and compare with the results of native ACL of the contralateral knee.Methods: The results of a consecutive series of 118 patients receiving arthroscopic ACL reconstruction were evaluated.Eight patients were lost to the latest follow-up,leaving a total of 110 patients available for study within at least 3 years' clinical follow-up.Among them,63 patients underwent postoperative MRI and CT scan,as well as clinical evaluation.Results: After reconstruction,the knees were stable and pain-free.Mean postoperative Lysholm score was 95.54 in 110 patients after 3 years.CT and MRI assessment showed that the reconstruction centered in the femoral footprint of ACL (n=63).The sagittal ACL angle in the reconstructed ACL (52.16°±2.45°) was much close to that in the contralateral intact ACL (51.31 °±2.18°,P>0.05).By ACL-Blumensaat line angle analysis,there was no difference between doublebundle reconstructed knees and their contralateral normal knees (4.67°±0.43° vs.4.62°±0.60°,P>0.05).Conclusion:Anatomic double-bundle ACL reconstruction can place grafts more precisely in the anatomic footprint of the ACL and better restore knee kinematics.

  13. Total protein

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003483.htm Total protein To use the sharing features on this page, please enable JavaScript. The total protein test measures the total amount of two classes ...

  14. Lateral laryngopharyngeal diverticulum: anatomical and videofluoroscopic study

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Milton Melciades Barbosa [Universidade Federal do Rio de Janeiro ICB/CCS/UFRJ, Laboratorio de Motilidade Digestiva e Imagem, S. F1-008, Departamento de Anatomia, Rio de Janeiro (Brazil); Koch, Hilton Augusto [Universidade Federal do Rio de Janeiro ICB/CCS/UFRJ, Departamento de Radiologia, Rio de Janeiro (Brazil)

    2005-07-01

    The aims were to characterize the anatomical region where the lateral laryngopharyngeal protrusion occurs and to define if this protrusion is a normal or a pathological entity. This protrusion was observed on frontal contrasted radiographs as an addition image on the upper portion of the laryngopharynx. We carried out a plane-by-plane qualitative anatomical study through macroscopic and mesoscopic surgical dissection on 12 pieces and analyzed through a videofluoroscopic method on frontal incidence the pharyngeal phase of the swallowing process of 33 patients who had a lateral laryngopharyngeal protrusion. The anatomical study allowed us to identify the morphological characteristics that configure the high portion of the piriform recess as a weak anatomical point. The videofluoroscopic study allowed us to observe the laryngopharyngeal protrusion and its relation to pharyngeal repletion of the contrast medium. All kinds of the observed protrusions could be classified as ''lateral laryngopharyngeal diverticula.'' The lateral diverticula were more frequent in older people. These lateral protrusions can be found on one or both sides, usually with a small volume, without sex or side prevalence. This formation is probably a sign of a pharyngeal transference difficulty associated with a deficient tissue resistance in the weak anatomical point of the high portion of the piriform recess. (orig.)

  15. Variability of acorn anatomical characteristics in Quercus robur L. genotypes

    Directory of Open Access Journals (Sweden)

    Nikolić Nataša P.

    2010-01-01

    Full Text Available The aim of this study was to examine variability of acorn anatomical characteristics in seventeen Quercus robur L. genotypes. Acorns were collected in clonal seed orchard Banov Brod (Srem, Vojvodina, Serbia. Microscopic measurements were done for pericarp (total thickness, thickness of exocarp and mesocarp, seed coat (total thickness, thickness of outer epidermis, parenchyma, and inner epidermis, and embryo axis (diameter, thickness of cortical region, and diameter of stellar zone. Obtained results revealed certain divergence between genotypes. The thickness of pericarp varied from 418 to 559 mm (genotypes 20 and 22, respectively. On average, the participation of exocarp in the total thickness of pericarp was 36.3%, of mesocarp 61.0%, while of endocarp 2.6%. The thickness of seed coat for individual genotypes ranged from 71 mm (genotype 28 to 157 mm (genotype 38. In addition, anatomic parameters of embryo axis varied among studied genotypes. The lowest cortical zone thickness and stellar zone diameter were measured in genotype 40, while the highest values in genotype 33.

  16. Anatomic Breast Coordinate System for Mammogram Analysis

    DEFF Research Database (Denmark)

    Karemore, Gopal Raghunath; Brandt, S; Karssemeijer, N;

    2011-01-01

    inside the breast. Most of the risk assessment and CAD modules use a breast region in a image centered Cartesian x,y coordinate system. Nevertheless, anatomical structure follows curve-linear trajectories. We examined an anatomical breast coordinate system that preserves the anatomical correspondence...... between the mammograms and allows extracting not only the aligned position but also the orientation aligned with the anatomy of the breast tissue structure. Materials and Methods The coordinate system used the nipple location as the point A and the border of the pectoral muscle as a line BC. The skin air...... was represented by geodesic distance (s) from nipple and parametric angle (¿) as shown in figure 1. The scoring technique called MTR (mammographic texture resemblance marker) used this breast coordinate system to extract Gaussian derivative features. The features extracted using the (x,y) and the curve...

  17. Standardized anatomic space for abdominal fat quantification

    Science.gov (United States)

    Tong, Yubing; Udupa, Jayaram K.; Torigian, Drew A.

    2014-03-01

    The ability to accurately measure subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) from images is important for improved assessment and management of patients with various conditions such as obesity, diabetes mellitus, obstructive sleep apnea, cardiovascular disease, kidney disease, and degenerative disease. Although imaging and analysis methods to measure the volume of these tissue components have been developed [1, 2], in clinical practice, an estimate of the amount of fat is obtained from just one transverse abdominal CT slice typically acquired at the level of the L4-L5 vertebrae for various reasons including decreased radiation exposure and cost [3-5]. It is generally assumed that such an estimate reliably depicts the burden of fat in the body. This paper sets out to answer two questions related to this issue which have not been addressed in the literature. How does one ensure that the slices used for correlation calculation from different subjects are at the same anatomic location? At what anatomic location do the volumes of SAT and VAT correlate maximally with the corresponding single-slice area measures? To answer these questions, we propose two approaches for slice localization: linear mapping and non-linear mapping which is a novel learning based strategy for mapping slice locations to a standardized anatomic space so that same anatomic slice locations are identified in different subjects. We then study the volume-to-area correlations and determine where they become maximal. We demonstrate on 50 abdominal CT data sets that this mapping achieves significantly improved consistency of anatomic localization compared to current practice. Our results also indicate that maximum correlations are achieved at different anatomic locations for SAT and VAT which are both different from the L4-L5 junction commonly utilized.

  18. Congenital neck masses: embryological and anatomical perspectives

    Directory of Open Access Journals (Sweden)

    Zahida Rasool

    2013-08-01

    Full Text Available Neck masses are a common problem in paediatric age group. They tend to occur frequently and pose a diagnostic dilemma to the ENT surgeons. Although the midline and lateral neck masses differ considerably in their texture and presentation but the embryological perspective of these masses is not mostly understood along with the fundamental anatomical knowledge. The article tries to correlate the embryological, anatomical and clinical perspectives for the same. [Int J Res Med Sci 2013; 1(4.000: 329-332

  19. Anatomical basis for Wilms tumor surgery

    Directory of Open Access Journals (Sweden)

    Trobs R

    2009-01-01

    Full Text Available Wilms tumor surgery requires meticulous planning and sophisticated surgical technique. Detailed anatomical knowledge can facilitate the uneventful performance of tumor nephrectomy and cannot be replaced by advanced and sophisticated imaging techniques. We can define two main goals for surgery: (1 exact staging as well as (2 safe and complete resection of tumor without spillage. This review aims to review the anatomical basis for Wilms tumor surgery. It focuses on the surgical anatomy of retroperitoneal space, aorta, vena cava and their large branches with lymphatics. Types and management of vascular injuries are discussed.

  20. Total algorithms

    NARCIS (Netherlands)

    Tel, G.

    1993-01-01

    We define the notion of total algorithms for networks of processes. A total algorithm enforces that a "decision" is taken by a subset of the processes, and that participation of all processes is required to reach this decision. Total algorithms are an important building block in the design of distri

  1. Handbook of anatomical models for radiation dosimetry

    CERN Document Server

    Eckerman, Keith F

    2010-01-01

    Covering the history of human model development, this title presents the major anatomical and physical models that have been developed for human body radiation protection, diagnostic imaging, and nuclear medicine therapy. It explores how these models have evolved and the role that modern technologies have played in this development.

  2. Anatomically Plausible Surface Alignment and Reconstruction

    DEFF Research Database (Denmark)

    Paulsen, Rasmus R.; Larsen, Rasmus

    2010-01-01

    With the increasing clinical use of 3D surface scanners, there is a need for accurate and reliable algorithms that can produce anatomically plausible surfaces. In this paper, a combined method for surface alignment and reconstruction is proposed. It is based on an implicit surface representation...

  3. HPV Vaccine Effective at Multiple Anatomic Sites

    Science.gov (United States)

    A new study from NCI researchers finds that the HPV vaccine protects young women from infection with high-risk HPV types at the three primary anatomic sites where persistent HPV infections can cause cancer. The multi-site protection also was observed at l

  4. Influences on anatomical knowledge: The complete arguments

    NARCIS (Netherlands)

    Bergman, E.M.; Verheijen, I.W.; Scherpbier, A.J.J.A.; Vleuten, C.P.M. van der; Bruin, A.B. De

    2014-01-01

    Eight factors are claimed to have a negative influence on anatomical knowledge of medical students: (1) teaching by nonmedically qualified teachers, (2) the absence of a core anatomy curriculum, (3) decreased use of dissection as a teaching tool, (4) lack of teaching anatomy in context, (5) integrat

  5. Report of a rare anatomic variant

    DEFF Research Database (Denmark)

    De Brucker, Y; Ilsen, B; Muylaert, C;

    2015-01-01

    We report the CT findings in a case of partial anomalous pulmonary venous return (PAPVR) from the left upper lobe in an adult. PAPVR is an anatomic variant in which one to three pulmonary veins drain into the right atrium or its tributaries, rather than into the left atrium. This results in a lef...

  6. Medical Education in the Anatomical Sciences: The Winds of Change Continue to Blow

    Science.gov (United States)

    Drake, Richard L.; McBride, Jennifer M.; Lachman, Nirusha; Pawlina, Wojciech

    2009-01-01

    At most institutions, education in the anatomical sciences has undergone several changes over the last decade. To identify the changes that have occurred in gross anatomy, microscopic anatomy, neuroscience/neuroanatomy, and embryology courses, directors of these courses were asked to respond to a survey with questions pertaining to total course…

  7. The effect of adhesive strength of hydroxyapatite coating on the stability of hydroxyapatite-coated prostheses in vivo at the early stage of implantation

    OpenAIRE

    Duan, Yonghong; Zhu, Shu; Guo, Fei; Zhu, Jinyu; Li,Mao; Ma, Jie; Zhu, Qingsheng

    2012-01-01

    Introduction With the increase in joint revision surgery after arthroplasty, defects of hydroxyapatite (HA)-coated prostheses have been observed increasingly often. These defects adversely affect the prosthetic stability in vivo. This study has analyzed the potential effect of the adhesive strength of HA coating on the stability of HA-coated prostheses in vivo after its implantation. Material and methods Sixty experimental rabbits were divided into HA- and Ti-coated groups. HA-coated prosthes...

  8. ANATOMIC RESEARCH OF SUPERIOR CLUNIAL NERVE TRAUMA

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    In order to find the mechanism of superior clunial nerve (SCN) trauma, we dissected and revealed SCN from 12 corpses (24 sides). Combining 100 sides of SCN trauma, we inspected the course of SCN, the relation between SCN and it's neighbour tissues with the situation of SCN when being subjected to force. We found that the following special anatomic characteristics and mechanical elements such as the course of SCN, it's turning angles, the bony fibrous tube at the iliac crest, the posterior layer of the lumbodorsal fascia and SCN neighbour adipose tissue, are the causes of external force inducing SCN trauma. The anatomic revealment is the guidance of SCN trauma treatment with edged needle.

  9. Integrating anatomical pathology to the healthcare enterprise.

    Science.gov (United States)

    Daniel-Le Bozec, Christel; Henin, Dominique; Fabiani, Bettina; Bourquard, Karima; Ouagne, David; Degoulet, Patrice; Jaulent, Marie-Christine

    2006-01-01

    For medical decisions, healthcare professionals need that all required information is both correct and easily available. We address the issue of integrating anatomical pathology department to the healthcare enterprise. The pathology workflow from order to report, including specimen process and image acquisition was modeled. Corresponding integration profiles were addressed by expansion of the IHE (Integrating the Healthcare Enterprise) initiative. Implementation using respectively DICOM Structured Report (SR) and DICOM Slide-Coordinate Microscopy (SM) was tested. The two main integration profiles--pathology general workflow and pathology image workflow--rely on 13 transactions based on HL7 or DICOM standard. We propose a model of the case in anatomical pathology and of other information entities (orders, image folders and reports) and real-world objects (specimen, tissue samples, slides, etc). Cases representation in XML schemas, based on DICOM specification, allows producing DICOM image files and reports to be stored into a PACS (Picture Archiving and Communication System. PMID:17108550

  10. ACCESSORY SPLEEN: A CLINICALLY RELEVANT ANATOMIC ANOMALY

    OpenAIRE

    Prachi Saffar; Amit Kumar; Ankur

    2016-01-01

    The purpose of our study is to emphasize on the clinical relevance of the presence of accessory spleen. It is not only a well-documented anatomic anomaly, it holds special significance in the differential diagnosis of intra-abdominal tumours and lymphadenopathy. MATERIALS AND METHODS Thirty male cadavers from North Indian population above the age of 60 yrs. were dissected in the Anatomy Department of FMHS, SGT University, Gurgaon, over a period of 5 yrs. (Sep 2010-Aug 2015) and presence...

  11. Microstructure and Anatomical Characteristics of Daemonorops margaritae

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Daemonorops margaritae is among the most important commercial rattan in South China. Its microstructure and basic anatomical characteristics as well as variation were investigated. Results show that: 1)The variation along the height is small, while the variation along the radial direction is significant; 2) The fibre length, fibre ratio and distribution density of the vascular bundles in the cross section decrease from cortex to core, while the fibre width, vessel element length and width, parenchyma ratio,...

  12. Pure endoscopic endonasal odontoidectomy: anatomical study

    OpenAIRE

    Messina, Andrea; Bruno, Maria Carmela; Decq, Philippe; Coste, Andre; Cavallo, Luigi Maria; de Divittis, Enrico; Cappabianca, Paolo; Tschabitscher, Manfred

    2007-01-01

    Different disorders may produce irreducible atlanto-axial dislocation with compression of the ventral spinal cord. Among the surgical approaches available for a such condition, the transoral resection of the odontoid process is the most often used. The aim of this anatomical study is to demonstrate the possibility of an anterior cervico-medullary decompression through an endoscopic endonasal approach. Three fresh cadaver heads were used. A modified endonasal endoscopic approach was made in al...

  13. Quantifying anatomical shape variations in neurological disorders.

    Science.gov (United States)

    Singh, Nikhil; Fletcher, P Thomas; Preston, J Samuel; King, Richard D; Marron, J S; Weiner, Michael W; Joshi, Sarang

    2014-04-01

    We develop a multivariate analysis of brain anatomy to identify the relevant shape deformation patterns and quantify the shape changes that explain corresponding variations in clinical neuropsychological measures. We use kernel Partial Least Squares (PLS) and formulate a regression model in the tangent space of the manifold of diffeomorphisms characterized by deformation momenta. The scalar deformation momenta completely encode the diffeomorphic changes in anatomical shape. In this model, the clinical measures are the response variables, while the anatomical variability is treated as the independent variable. To better understand the "shape-clinical response" relationship, we also control for demographic confounders, such as age, gender, and years of education in our regression model. We evaluate the proposed methodology on the Alzheimer's Disease Neuroimaging Initiative (ADNI) database using baseline structural MR imaging data and neuropsychological evaluation test scores. We demonstrate the ability of our model to quantify the anatomical deformations in units of clinical response. Our results also demonstrate that the proposed method is generic and generates reliable shape deformations both in terms of the extracted patterns and the amount of shape changes. We found that while the hippocampus and amygdala emerge as mainly responsible for changes in test scores for global measures of dementia and memory function, they are not a determinant factor for executive function. Another critical finding was the appearance of thalamus and putamen as most important regions that relate to executive function. These resulting anatomical regions were consistent with very high confidence irrespective of the size of the population used in the study. This data-driven global analysis of brain anatomy was able to reach similar conclusions as other studies in Alzheimer's disease based on predefined ROIs, together with the identification of other new patterns of deformation. The

  14. Variations in meniscofemoral ligaments at anatomical study and MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Cho, J.M.; Suh, J.S. [Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Na, J.B. [Department of Diagnostic Radiology, Kyungsang National University, College of Medicine, Jinju (Korea, Republic of); Cho, J.H. [Department of Diagnostic Radiology, Ajou University College of Medicine, Suwon (Korea, Republic of); Kim, Y.; Yoo, W.K. [Department of Rehabilitation, Yonsei University College of Medicine, Seoul (Korea, Republic of); Lee, H.Y.; Chung, I.H. [Department of Anatomy, Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1999-04-01

    Purpose To demonstrate variations in the meniscofemoral ligaments (ligaments of Wrisberg and Humphrey) at anatomical study and magnetic resonance (MR) imaging. Design Twenty-eight cadaveric knees were partially dissected for the examination of the meniscofemoral ligaments. One hundred knee MR examinations were reviewed by two experienced musculoskeletal radiologists. Proximal variations in the meniscofemoral ligaments at MR imaging were classified into three types according to the attachment site: type I, medial femoral condyle; type II, proximal half of the posterior cruciate ligament (PCL); type III, distal half of the PCL. Distal variations were classified into vertical or oblique types according to the orientation of the intermediate signal at the interface of the ligament and lateral meniscus. Results At anatomical study, six cases showed variations in the proximal insertion site of the meniscofemoral ligaments. At MR imaging 93 cases had one or more meniscofemoral ligaments, giving a total of 107 ligaments: 90 ligaments of Wrisberg and 17 ligaments of Humphrey. Forty-one ligaments of Wrisberg were type I, 28 type II, 19 type III, and with two indeterminate type, while 6 ligaments of Humphrey were type I and the remaining 11 were indeterminate. Seven cases showed no meniscofemoral ligament. Of the 107 meniscofemoral ligaments, the distal insertion orientation was of vertical type in 10 ligaments, oblique type in 70 and unidentified in 27. Conclusion An understanding of the high incidence of meniscofemoral ligament variations may help in the interpretation of knee MR studies. (orig.) With 7 figs., 1 tab., 16 refs.

  15. Exploring brain function from anatomical connectivity

    Directory of Open Access Journals (Sweden)

    Gorka eZamora-López

    2011-06-01

    Full Text Available The intrinsic relationship between the architecture of the brain and the range of sensory and behavioral phenomena it produces is a relevant question in neuroscience. Here, we review recent knowledge gained on the architecture of the anatomical connectivity by means of complex network analysis. It has been found that corticocortical networks display a few prominent characteristics: (i modular organization, (ii abundant alternative processing paths and (iii the presence of highly connected hubs. Additionally, we present a novel classification of cortical areas of the cat according to the role they play in multisensory connectivity. All these properties represent an ideal anatomical substrate supporting rich dynamical behaviors, as-well-as facilitating the capacity of the brain to process sensory information of different modalities segregated and to integrate them towards a comprehensive perception of the real world. The result here exposed are mainly based in anatomical data of cats’ brain, but we show how further observations suggest that, from worms to humans, the nervous system of all animals might share fundamental principles of organization.

  16. Shape analysis of simulated breast anatomical structures

    Science.gov (United States)

    Contijoch, Francisco; Lynch, Jennifer M.; Pokrajac, David D.; Maidment, Andrew D. A.; Bakic, Predrag R.

    2012-03-01

    Recent advances in high-resolution 3D breast imaging, namely, digital breast tomosynthesis and dedicated breast CT, have enabled detailed analysis of the shape and distribution of anatomical structures in the breast. Such analysis is critically important, since the projections of breast anatomical structures make up the parenchymal pattern in clinical images which can mask the existing abnormalities or introduce false alarms; the parenchymal pattern is also correlated with the risk of cancer. As a first step towards the shape analysis of anatomical structures in the breast, we have analyzed an anthropomorphic software breast phantom. The phantom generation is based upon the recursive splitting of the phantom volume using octrees, which produces irregularly shaped tissue compartments, qualitatively mimicking the breast anatomy. The shape analysis was performed by fitting ellipsoids to the simulated tissue compartments. The ellipsoidal semi-axes were calculated by matching the moments of inertia of each individual compartment and of an ellipsoid. The distribution of Dice coefficients, measuring volumetric overlap between the compartment and the corresponding ellipsoid, as well as the distribution of aspect ratios, measuring relative orientations of the ellipsoids, were used to characterize various classes of phantoms with qualitatively distinctive appearance. A comparison between input parameters for phantom generation and the properties of fitted ellipsoids indicated the high level of user control in the design of software breast phantoms. The proposed shape analysis could be extended to clinical breast images, and used to inform the selection of simulation parameters for improved realism.

  17. Anatomical MRI with an atomic magnetometer

    CERN Document Server

    Savukov, I

    2012-01-01

    Ultra-low field (ULF) MRI is a promising method for inexpensive medical imaging with various additional advantages over conventional instruments such as low weight, low power, portability, absence of artifacts from metals, and high contrast. Anatomical ULF MRI has been successfully implemented with SQUIDs, but SQUIDs have the drawback of cryogen requirement. Atomic magnetometers have sensitivity comparable to SQUIDs and can be in principle used for ULF MRI to replace SQUIDs. Unfortunately some problems exist due to the sensitivity of atomic magnetometers to magnetic field and gradients. At low frequency, noise is also substantial and a shielded room is needed for improving sensitivity. In this paper, we show that at 85 kHz, the atomic magnetometer can be used to obtain anatomical images. This is the first demonstration of any use of atomic magnetometers for anatomical MRI. The demonstrated resolution is 1.1x1.4 mm2 in about six minutes of acquisition with SNR of 10. Some applications of the method are discuss...

  18. Probabilistic anatomical labeling of brain structures using statistical probabilistic anatomical maps

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Su; Lee, Dong Soo; Lee, Byung Il; Lee, Jae Sung; Shin, Hee Won; Chung, June Key; Lee, Myung Chul [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2002-12-01

    The use of statistical parametric mapping (SPM) program has increased for the analysis of brain PET and SPECT images. Montreal neurological institute (MNI) coordinate is used in SPM program as a standard anatomical framework. While the most researchers look up Talairach atlas to report the localization of the activations detected in SPM program, there is significant disparity between MNI templates and Talairach atlas. That disparity between Talairach and MNI coordinates makes the interpretation of SPM result time consuming, subjective and inaccurate. The purpose of this study was to develop a program to provide objective anatomical information of each x-y-z position in ICBM coordinate. Program was designed to provide the anatomical information for the given x-y-z position in MNI coordinate based on the statistical probabilistic anatomical map (SPAM) images of ICBM. When x-y-z position was given to the program, names of the anatomical structures with non-zero probability and the probabilities that the given position belongs to the structures were tabulated. The program was coded using IDL and JAVA language for the easy transplantation to any operating system or platform. Utility of this program was shown by comparing the results of this program to those of SPM program. Preliminary validation study was performed by applying this program to the analysis of PET brain activation study of human memory in which the anatomical information on the activated areas are previously known. Real time retrieval of probabilistic information with 1 mm spatial resolution was archived using the programs. Validation study showed the relevance of this program: probability that the activated area for memory belonged to hippocampal formation was more than 80%. These programs will be useful for the result interpretation of the image analysis performed on MNI coordinate, as done in SPM program.

  19. TOPICAL REVIEW: Anatomical imaging for radiotherapy

    Science.gov (United States)

    Evans, Philip M.

    2008-06-01

    The goal of radiation therapy is to achieve maximal therapeutic benefit expressed in terms of a high probability of local control of disease with minimal side effects. Physically this often equates to the delivery of a high dose of radiation to the tumour or target region whilst maintaining an acceptably low dose to other tissues, particularly those adjacent to the target. Techniques such as intensity modulated radiotherapy (IMRT), stereotactic radiosurgery and computer planned brachytherapy provide the means to calculate the radiation dose delivery to achieve the desired dose distribution. Imaging is an essential tool in all state of the art planning and delivery techniques: (i) to enable planning of the desired treatment, (ii) to verify the treatment is delivered as planned and (iii) to follow-up treatment outcome to monitor that the treatment has had the desired effect. Clinical imaging techniques can be loosely classified into anatomic methods which measure the basic physical characteristics of tissue such as their density and biological imaging techniques which measure functional characteristics such as metabolism. In this review we consider anatomical imaging techniques. Biological imaging is considered in another article. Anatomical imaging is generally used for goals (i) and (ii) above. Computed tomography (CT) has been the mainstay of anatomical treatment planning for many years, enabling some delineation of soft tissue as well as radiation attenuation estimation for dose prediction. Magnetic resonance imaging is fast becoming widespread alongside CT, enabling superior soft-tissue visualization. Traditionally scanning for treatment planning has relied on the use of a single snapshot scan. Recent years have seen the development of techniques such as 4D CT and adaptive radiotherapy (ART). In 4D CT raw data are encoded with phase information and reconstructed to yield a set of scans detailing motion through the breathing, or cardiac, cycle. In ART a set of

  20. [Sigismund Laskowski and his anatomical preparations technique].

    Science.gov (United States)

    Gryglewski, Ryszard W

    2015-01-01

    Fixation of the entire bodies or individual organs, and later as well tissues and cellular structures, was and still is often a challenge for anatomists and histologists. Technique that combines extensive knowledge of natural sciences, as well as technical skills, was by those best researchers as Frederik Ruysch, brought to perfection. Preparations, if done with care and talent, are really propelling progress in anatomical studies and determining the quality of education for medical students and young physicians. And as it is true for many of today's medical disciplines and natural sciences, the nineteenth century was in many ways a breaking point for preparatory techniques in the realm of anatomy and histology. Among those who have achieved success, earning notoriety during their lifetime and often going into the annals of European most distinguished scholars were some Polish names: Louis Maurice Hirschfeld, whose preparations of the nervous system earned him well-deserved, international fame, Louis Charles Teichmann, who was the very first so precisely describing the lymphatic system and a creator of unique injection mass, Henry Kadyi, known for his outstanding preparations, especially of vascular system. Henry Frederick Hoyer sen., who was one of the first to use formalin regularly for accurate microscopic preparations, is seen by many as the founder of the Polish histology. In this group of innovators and precursors of modern preparation techniques place should be reserved for Zygmunt (Sigismund) Laskowski, Polish patriot, fighting in January Uprising, later an immigrant, a professor at the university sequentially Paris and Geneva. Acclaimed author of anatomical tables and certainly creator of one of the groundbreaking techniques in anatomical preparations. Based after many years of research on the simple glycerine-phenol mixture achieved excellent results both in fixation of entire bodies and organs or tissues. Quality of those preparations was as high and

  1. Tennis elbow. Anatomical, epidemiological and therapeutic aspects.

    Science.gov (United States)

    Verhaar, J A

    1994-10-01

    Five studies of tennis elbow are presented. Epidemiological studies showed an incidence of tennis elbow between 1 and 2%. The prevalence of tennis elbow in women between 40 and 50 years of age was 10%. Half of the patients with tennis elbow seek medical attention. Local corticosteroid injections were superior to the physiotherapy regime of Cyriax. Release of the common forearm extensor origin resulted in 70% excellent or good results one year after operation and 89% at five years. Anatomical investigations and nerve conduction studies of the Radial Tunnel Syndrome supported the hypothesis that the Lateral Cubital Force Transmission System is involved in the pathogenesis of tennis elbow.

  2. Constitutional and Anatomical Characteristics of Mature Women

    Institute of Scientific and Technical Information of China (English)

    Vladimir NNikolenko; DmitryBNikityuk; SvetlanaVKlochkova; AnastasiaABahmet

    2015-01-01

    Objective To identify the constitutional and anatomical peculiarities of constitution of women of mature age.Methods There was completed comprehensive anthropometric and bio-electrical survey of 651 mature women ( relative norm) living in the Moscow region .Results The quantitative distribution of women by somatotypological affiliation was revealed;anthropometric and body component composition in representatives of different somatotypes were defined .Conclusion Thus, the performed study revealed and quantiely character-ised the distribution of women according to their constitutional types in the studied population of mature age women living in Moscow region under the relative norm conditions .

  3. Ecophysiological and anatomical responses of Vallisneria natans to nitrogen and phosphorus enrichment

    Directory of Open Access Journals (Sweden)

    Wang Y.

    2012-06-01

    Full Text Available Here, we describe an experiment using four nitrogen (N and phosphorus (P concentrations to investigate the effects of nutrient enrichment on the submersed macrophyte Vallisneria natans (tape grass grown in a sand culture medium. The objective of this study was to examine the influence of nutrient enrichment in the water column on V. natans, especially with regard to anatomical structures. The results showed both the absolute growth rate (AGR and intrinsic efficiency of light energy conversion of PSII (Fv/Fm decreased with increasing nutrient levels. Root morphological characteristics, including the total root length (L, root surface area (SA, projected root area (PA, total root volume (V, average root diameter (AD, total root length per volume (LPV, total tips (T and total forks (F, also showed a generally negative relationship with increasing nutrient concentrations. The anatomical structures of stolons and leaves also changed with nutrient enrichment. The shrinkage of aerenchyma and disappearance of starches and chloroplasts were the main structural changes leading to poor growth. These phenomena, especially the anatomical changes, might be the mechanism underlying the effect of nutrient enrichment on V. natans growth.

  4. Pterion: An anatomical variation and surgical landmark

    Directory of Open Access Journals (Sweden)

    Prashant E Natekar

    2011-01-01

    Full Text Available Introduction : The frontal and the parietal bones superiorly and the greater wing of the sphenoid and the squamous temporal inferiorly of one side meet at an H-shaped sutural junction termed the pterion. This is an important anatomical and anthropological landmark as it overlies both the anterior branch of middle meningeal artery and the lateral fissure of the cerebral hemisphere. The knowledge of sutural joints between frontal, parietal, sphenoid and temporal bones at pterion is clinically, radiologically and surgically important during surgical interventions involving burr hole surgeries. Materials and Methods : Study performed on 150 dry temporal bones. The pterion, and its sutural articulations with frontal, parietal, sphenoid and temporal bones and also anatomical variations, if any, were studied. Results : Four types of pterion, i.e. sphenoparietal, frontotemporal, stellate and epipteric, were observed. Conclusions : The knowledge of the variations of pterion and its surgical anatomy, in Indian population are important for surgeons operating in the fieldThe present study will also contribute additional information of skull bone fractures in infancy and early childhood, which may be associated with large intersutural bones giving false appearance of fracture radiologically and also during surgical interventions involving burr hole surgeries, as their extensions may lead to continuation of fracture lines.

  5. Applied Endoscopic Anatomical Evaluation of the Lacrimal Sac

    Directory of Open Access Journals (Sweden)

    Seyyed Mostafa Hashemi

    2015-05-01

    Full Text Available Introduction: Dacryocystorhinostomy (DCR, a popular surgical procedure, has been performed using an endoscopic approach over recent years. Excellent anatomical knowledge is required for this endoscopic surgical approach. This study was performed in order to better evaluate the anatomical features of the lacrimal apparatus from cadavers in the Isfahan forensic center as a sample of the Iranian population.   Materials and Methods: DCR was performed using a standard method on 26 cadaver eyes from the forensic center of Isfahan. The lacrimal sac was exposed completely, then the anatomical features of the lacrimal sac and canaliculus were measured using a specified ruler.   Results: A total of 26 male cadaveric eyes were used, of which four (16.7% were probably non-Caucasian. Two (8% of the eyes needed septoplasty, one (4% needed uncinectomy, and none needed turbinoplasty. Four (16% lacrimal sacs were anterior to axilla, one (4% was posterior and 20 (80% were at the level of the axilla of the middle turbinate. The distance  from the nasal sill to the anterior edge of the lacrimal sac (from its mid-height was 39.04 (±4.92 mm. The distance from the nasal sill to the posterior edge of the lacrimal sac (from its mid-height was 45.50 (±4.47 mm. The width and length of the lacrimal sac was 7.54 (±1.44 mm and 13.16 (±5.37 mm, respectively. The distance from the anterior edge of the lacrimal sac to the posterior edge of the uncinate process was 14.06 (±3.00 mm, while the distance from the anterior nasal spine to the anterior edge of the lacrimal sac (from its mid-height was 37.20 (±5.37 mm.The height of the fundus was 3.26 (±1.09 mm. The distance from the superior punctum to the fundus was 12.70 (±1.45 mm, and the distance from the inferior punctum to the fundus was 11.10 (±2.02 mm.   Conclusion:  Given the differences between the various studies conducted in order to evaluate the position of the lacrimal sac, studies such as this can help to

  6. Anatomical and Radiological Aspects of the Supratrochlear Foramen in Brazilians

    Science.gov (United States)

    Gutfiten-Schlesinger, Gabriel; Leite, Túlio FO; Pires, Lucas AS; Silva, Julio G.

    2016-01-01

    Introduction The supratrochlear foramen is an anatomic variation of great clinical and anthropologic interest. Although many studies addressed this subject in different ethnic groups, there are no studies regarding Brazilians. Aim To verify the incidence and morphometric measures of the supratrochlear foramen in Brazilian humeri. Materials and Methods A total of 330 dry humeri were analysed and divided in three groups: bones presenting the supratrochlear foramen (Group 1), bones displaying a translucent foramen (Group 2) and humeri without the foramen (Group 3). The aperture was measured with a digital vernier caliper. Radiographic pictures with different incidences were taken. Results Our analysis showed that 22.5% of humeri belonged in Group 1, 41.2% in Group 2, and 36.3% in Group 3. The mean vertical diameter and the mean horizontal diameter of the supratrochlear foramen on the left side were 2.779±2.050 mm and 2.332±1.23 mm, respectively. The mean vertical diameter and the mean horizontal diameter of the foramen on the right side were 2.778±2.197 mm, and 2.365±1.396 mm, respectively. The student’s t-test showed that there was no significant difference regarding the size of the foramen between both sides. The best X-ray machine setup was 50 kilo voltage and 0.08 milliamperage per second, associated with a slight increase in the distance of the x-ray tube. Conclusion The aperture seems to be the key point during the pre-operative planning of intramedullary fixation, since it has direct relation to the size of the intramedullary canal, thus, being an entity of clinical, anatomical, anthropological, radiological, and surgical interest. PMID:27790415

  7. Anatomic correlations in radiogallium imaging of the peritoneum and retroperitoneum

    International Nuclear Information System (INIS)

    Radiogallium (67Ga) imaging of the abdomen and pelvis has been useful not only in detecting inflammations in these regions, but in pointing out their precise anatomic localization. Once the anatomic site is determined, it is often possible to infer the source of origin of the problem (such as ruptured viscus or pancreatitis). Interpretation of the images depends on recognition of patterns that define known anatomic boundaries such as the transverse mesocolon, root of the small mesentery, perirenal space, and pararenal space, or else show diffuse peritoneal uptake. The anatomic patterns may have continued usefulness in future studies, such as when radiolabeled leukocytes are employed to localize inflammations

  8. Do retractile testes have anatomical anomalies?

    Science.gov (United States)

    Anderson, Kleber M.; Costa, Suelen F.; Sampaio, Francisco J.B.; Favorito, Luciano A.

    2016-01-01

    ABSTRACT Objectives: To assess the incidence of anatomical anomalies in patients with retractile testis. Materials and Methods: We studied prospectively 20 patients (28 testes) with truly retractile testis and compared them with 25 human fetuses (50 testes) with testis in scrotal position. We analyzed the relations among the testis, epididymis and patency of the processus vaginalis (PV). To analyze the relations between the testis and epididymis, we used a previous classification according to epididymis attachment to the testis and the presence of epididymis atresia. To analyze the structure of the PV, we considered two situations: obliteration of the PV and patency of the PV. We used the Chi-square test for contingency analysis of the populations under study (p patent processus vaginalis and epididymal anomalies. PMID:27564294

  9. [Antique anatomical collections for contemporary museums].

    Science.gov (United States)

    Nesi, Gabriella; Santi, Raffaella

    2013-01-01

    Anatomy and Pathology Museum collections display a great biological value and offer unique samples for research purposes. Pathological specimens may be investigated by means of modern radiological and molecular biology techniques in order to provide the etiological background of disease, with relevance to present-day knowledge. Meanwhile, historical resources provide epidemiologic data regarding the socio-economic conditions of the resident populations, the more frequently encountered illnesses and dietary habits. These multidisciplinary approaches lead to more accurate diagnoses also allowing new strategies in cataloguing and musealization of anatomical specimens. Further, once these data are gathered, they may constitute the basis of riedited Museum catalogues feasible to be digitalized and displayed via the Web.

  10. Normal anatomical measurements in cervical computerized tomography

    Energy Technology Data Exchange (ETDEWEB)

    Zaunbauer, W.; Daepp, S.; Haertel, M.

    1985-11-01

    Radiodiagnostically relevant normal values and variations for measurements of the cervical region, the arithmetical average and the standard deviation were determined from adequate computer tomograms on 60 healthy women and men, aged 20 to 83 years. The sagittal diameter of the prevertebral soft tissue and the lumina of the upper respiratory tract were evaluated at exactly defined levels between the hyoid bone and the incisura jugularis sterni. - The thickness of the aryepiglottic folds, the maximal sagittal and transverse diameters of the thyroid gland and the calibre of the great cervical vessels were defined. - To assess information about laryngeal function in computerized tomography, measurements of distances between the cervical spine and anatomical fixed points of the larynx and hypopharynx were made as well as of the degree of vocal cord movement during normal respiration and phonation.

  11. Anatomical Study of Sacral Hiatus for Caudal Epidural Block

    Directory of Open Access Journals (Sweden)

    Dhananjay S Patil

    2012-06-01

    Full Text Available Introduction: Anatomy of the sacral hiatus is having clinical importance during caudal epidural block. Present study is aimed at determining anatomy of sacrum specially sacral hiatus for caudal epidural block, with the help of morphometric measurements of the sacrum in relation to sacral hiatus in dry sacral bones. Material & method: Total 103 complete and undamaged adult, dry sacral bones were measured with Vernier caliper (accuracy 0.1 mm and anatomical measurements were obtained. Results: Three bones were excluded because of total posterior closure defect. Agenesis of the sacral hiatus was detected in three sacral bones. Right and left superolateral sacral crests of the sacrum were taken as two points on dorsal surface of sacrum (forming the base of a triangle because posterior superior iliac spines impose on the superolateral sacral crests. The distance between the two superolateral sacral crests (base of a triangle, the distances between the right and left superolateral sacral crest and the sacral apex were on average 60.61(SD 6.71, 61.95 (11.71 and 61.4 (11.98 mm respectively.. Summary: An equilateral triangle formed between the apex of the sacral hiatus and right and left superolateral sacral crests. This equilateral triangle will help in determining the location of the sacral hiatus during caudal epidural block. [National J of Med Res 2012; 2(3.000: 272-275

  12. The knee in full flexion: an anatomical study.

    Science.gov (United States)

    Pinskerova, V; Samuelson, K M; Stammers, J; Maruthainar, K; Sosna, A; Freeman, M A R

    2009-06-01

    There has been only one limited report dating from 1941 using dissection which has described the tibiofemoral joint between 120 degrees and 160 degrees of flexion despite the relevance of this arc to total knee replacement. We now provide a full description having examined one living and eight cadaver knees using MRI, dissection and previously published cryosections in one knee. In the range of flexion from 120 degrees to 160 degrees the flexion facet centre of the medial femoral condyle moves back 5 mm and rises up on to the posterior horn of the medial meniscus. At 160 degrees the posterior horn is compressed in a synovial recess between the femoral cortex and the tibia. This limits flexion. The lateral femoral condyle also rolls back with the posterior horn of the lateral meniscus moving with the condyle. Both move down over the posterior tibia at 160 degrees of flexion. Neither the events between 120 degrees and 160 degrees nor the anatomy at 160 degrees could result from a continuation of the kinematics up to 120 degrees . Therefore hyperflexion is a separate arc. The anatomical and functional features of this arc suggest that it would be difficult to design an implant for total knee replacement giving physiological movement from 0 degrees to 160 degrees .

  13. Anatomic study of the lacrimal fossa and lacrimal pathway for bypass surgery with autogenous tissue grafting

    OpenAIRE

    Hai Tao; Zhi-zhong Ma; Hai-Yang Wu; Peng Wang; Cui Han

    2014-01-01

    Purpose: To study the microsurgical anatomy of the lacrimal drainage system and to provide anatomical evidence for transnasal endoscopic lacrimal drainage system bypass surgery by autogenous tissue grafting. Materials and Methods: A total of 20 Chinese adult cadaveric heads in 10% formaldehyde, comprising 40 lacrimal ducts were used. The middle third section of the specimens were examined for the following features: the thickness of the lacrimal fossa at the anterior lacrimal crest, vertical ...

  14. Parametric Anatomical Modeling: A method for modeling the anatomical layout of neurons and their projections

    Directory of Open Access Journals (Sweden)

    Martin ePyka

    2014-09-01

    Full Text Available Computational models of neural networks can be based on a variety of different parameters. These parameters include, for example, the 3d shape of neuron layers, the neurons' spatial projection patterns, spiking dynamics and neurotransmitter systems. While many well-developed approaches are available to model, for example, the spiking dynamics, there is a lack of approaches for modeling the anatomical layout of neurons and their projections. We present a new method, called Parametric Anatomical Modeling (PAM, to fill this gap. PAM can be used to derive network connectivities and conduction delays from anatomical data, such as the position and shape of the neuronal layers and the dendritic and axonal projection patterns. Within the PAM framework, several mapping techniques between layers can account for a large variety of connection properties between pre- and post-synaptic neuron layers. PAM is implemented as a Python tool and integrated in the 3d modeling software Blender. We demonstrate on a 3d model of the hippocampal formation how PAM can help reveal complex properties of the synaptic connectivity and conduction delays, properties that might be relevant to uncover the function of the hippocampus. Based on these analyses, two experimentally testable predictions arose: i the number of neurons and the spread of connections is heterogeneously distributed across the main anatomical axes, ii the distribution of connection lengths in CA3-CA1 differ qualitatively from those between DG-CA3 and CA3-CA3. Models created by PAM can also serve as an educational tool to visualize the 3d connectivity of brain regions. The low-dimensional, but yet biologically plausible, parameter space renders PAM suitable to analyse allometric and evolutionary factors in networks and to model the complexity of real networks with comparatively little effort.

  15. Parametric Anatomical Modeling: a method for modeling the anatomical layout of neurons and their projections.

    Science.gov (United States)

    Pyka, Martin; Klatt, Sebastian; Cheng, Sen

    2014-01-01

    Computational models of neural networks can be based on a variety of different parameters. These parameters include, for example, the 3d shape of neuron layers, the neurons' spatial projection patterns, spiking dynamics and neurotransmitter systems. While many well-developed approaches are available to model, for example, the spiking dynamics, there is a lack of approaches for modeling the anatomical layout of neurons and their projections. We present a new method, called Parametric Anatomical Modeling (PAM), to fill this gap. PAM can be used to derive network connectivities and conduction delays from anatomical data, such as the position and shape of the neuronal layers and the dendritic and axonal projection patterns. Within the PAM framework, several mapping techniques between layers can account for a large variety of connection properties between pre- and post-synaptic neuron layers. PAM is implemented as a Python tool and integrated in the 3d modeling software Blender. We demonstrate on a 3d model of the hippocampal formation how PAM can help reveal complex properties of the synaptic connectivity and conduction delays, properties that might be relevant to uncover the function of the hippocampus. Based on these analyses, two experimentally testable predictions arose: (i) the number of neurons and the spread of connections is heterogeneously distributed across the main anatomical axes, (ii) the distribution of connection lengths in CA3-CA1 differ qualitatively from those between DG-CA3 and CA3-CA3. Models created by PAM can also serve as an educational tool to visualize the 3d connectivity of brain regions. The low-dimensional, but yet biologically plausible, parameter space renders PAM suitable to analyse allometric and evolutionary factors in networks and to model the complexity of real networks with comparatively little effort.

  16. 16 CFR Figure 1 to Part 1203 - Anatomical Planes

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Anatomical Planes 1 Figure 1 to Part 1203 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SAFETY STANDARD FOR BICYCLE HELMETS Pt. 1203, Fig. 1 Figure 1 to Part 1203—Anatomical Planes ER10MR98.001...

  17. PC Assisted Anatomical Measurements in 3D Using CT Data

    DEFF Research Database (Denmark)

    Hvidtfeldt, Mogens; Pedersen, Steen

    1999-01-01

    To assess facilities and applications of a programme for a PC based CT measurements in 3D of anatomical angelse in the skeleton.......To assess facilities and applications of a programme for a PC based CT measurements in 3D of anatomical angelse in the skeleton....

  18. An Investigation of Anatomical Competence in Junior Medical Doctors

    Science.gov (United States)

    Vorstenbosch, Marc A. T. M.; Kooloos, Jan G. M.; Bolhuis, Sanneke M.; Laan, Roland F. J. M.

    2016-01-01

    Because of a decrease of the time available for anatomy education, decisions need to be made to reduce the relevant content of the anatomy curriculum. Several expert consensus initiatives resulted in lists of structures, lacking analysis of anatomical competence. This study aims to explore the use of anatomical knowledge by medical doctors in an…

  19. Total Hip Arthroplasty Using the S-ROM-A Prosthesis for Anatomically Difficult Asian Patients

    Directory of Open Access Journals (Sweden)

    Akira Hozumi

    2015-01-01

    Full Text Available Background. The S-ROM-A prosthesis has been designed for the Asian proximal femur with a small deformed shape and narrow canal. In this study, the clinical and radiological results using the S-ROM-A prosthesis for Japanese patients with severe deformity due to dysplasia and excessive posterior pelvic tilt were examined. Methods. 94 hips were followed up for a mean of 55 months, with a mean age at surgery of 61 years. The primary diagnoses were 94 coxarthritis cases, including 51 dysplasia and 37 primary OA, 1 avascular necrosis, 2 traumatic arthritis, and 3 Perthes disease. Thirty-one hips had been treated with osteotomy of the hip joints. Preoperative intramedullary canal shapes were stovepipe in 23 hips, normal in 51 hips, and champagne-flute in 5 hips. The maximum pelvic inclination angle was 56°. Results. The mean JOA score improved from 46 points preoperatively to 80 points at final follow-up. On radiological evaluation of the fixation of the implants according to the Engh classification, 92 (97% hips were classified as “bone ingrown fixation.” Conclusion. In primary THA, using the S-ROM-A prosthesis for Asian patients with proximal femoral deformity, even after osteotomy and with posterior pelvic tilt, provided good short- to midterm results.

  20. Strontium-substituted hydroxyapatite coatings deposited via a co-deposition sputter technique

    Energy Technology Data Exchange (ETDEWEB)

    Boyd, A.R., E-mail: ar.boyd@ulster.ac.uk [Nanotechnology and Integrated Bioengineering Centre (NIBEC), School of Engineering, University of Ulster, Shore Road, Newtownabbey, Co. Antrim, BT37 0QB Northern Ireland (United Kingdom); Rutledge, L. [Nanotechnology and Integrated Bioengineering Centre (NIBEC), School of Engineering, University of Ulster, Shore Road, Newtownabbey, Co. Antrim, BT37 0QB Northern Ireland (United Kingdom); Randolph, L.D. [Louvain Drug Research Institute, Université Catholique de Louvain, Brussels (Belgium); Meenan, B.J. [Nanotechnology and Integrated Bioengineering Centre (NIBEC), School of Engineering, University of Ulster, Shore Road, Newtownabbey, Co. Antrim, BT37 0QB Northern Ireland (United Kingdom)

    2015-01-01

    The bioactivity of hydroxyapatite (HA) coatings can be modified by the addition of different ions, such as silicon (Si), lithium (Li), magnesium (Mg), zinc (Zn) or strontium (Sr) into the HA lattice. Of the ions listed here, strontium substituted hydroxyapatite (SrHA) coatings have received a lot of interest recently as Sr has been shown to promote osteoblast proliferation and differentiation, and reduce osteoclast activity. In this study, SrHA coatings were deposited onto titanium substrates using radio frequency (RF) magnetron co-sputtering (and compared to those surfaces deposited from HA alone). FTIR, XPS, XRD, and SEM techniques were used to analyse the different coatings produced, whereby different combinations of pure HA and 13% Sr-substituted HA targets were investigated. The results highlight that Sr could be successfully incorporated into the HA lattice to form SrHA coatings. It was observed that as the number of SrHA sputtering targets in the study were increased (increasing Sr content), the deposition rate decreased. It was also shown that as the Sr content of the coatings increased, so did the degree of preferred 002 orientation of the coating (along with obvious changes in the surface morphology). This study has shown that RF magnetron sputtering (specifically co-sputtering), offers an appropriate methodology to control the surface properties of Sr-substituted HA, such as the crystallinity, stoichiometry, phase purity and surface morphology. - Graphical abstract: (a) SEM image shows homogeneous hydroxyapatite (HA) micro-crystallites (< 300 nm in diameter) for a HA sputter deposited coating. (b) SEM image showing more heterogeneous surface features on a Sr-substituted HA (SrHA) coating. The XPS spectra in (a) confirms the presence of a HA coating as opposed to (b) XPS spectra for a SrHA coating. - Highlights: • First attempt to sputter strontium substituted hydroxyapatite thin films using RF magnetron co-deposition • Strontium content of coatings is influenced by the target composition and configuration. • Increased preferred orientation (002) with increasing strontium content within the coatings • Strontium content of the coatings influences the coating morphology.

  1. XPS and bioactivity study of the bisphosphonate pamidronate adsorbed onto plasma sprayed hydroxyapatite coatings

    Energy Technology Data Exchange (ETDEWEB)

    McLeod, Kate [Ian Wark Research Institute, University of South Australia, Mawson Lakes, SA 5095 (Australia); Kumar, Sunil [Ian Wark Research Institute, University of South Australia, Mawson Lakes, SA 5095 (Australia)]. E-mail: sunil.kumar@unisa.edu.au; Smart, Roger St.C. [Applied Centre for Structural and Synchrotron Studies (ACeSSS), University of South Australia, Mawson Lakes, SA 5095 (Australia); Dutta, Naba [Ian Wark Research Institute, University of South Australia, Mawson Lakes, SA 5095 (Australia); Voelcker, Nicolas H. [School of Chemistry, Physics and Earth Sciences, Flinders University, Bedford Park, SA 5042 (Australia); Anderson, Gail I. [Department of Surgery, Flinders Medical Centre, Flinders University, Bedford Park, SA 5042 (Australia); Sekel, Ron [St. George Hospital, Kogarah, Sydney, NSW 2217 (Australia)

    2006-12-30

    This paper reports the use of X-ray photoelectron spectroscopy (XPS) to investigate bisphosphonate (BP) adsorption onto plasma sprayed hydroxyapatite (HA) coatings commonly used for orthopaedic implants. BPs exhibit high binding affinity for the calcium present in HA and hence can be adsorbed onto HA-coated implants to exploit their beneficial properties for improved bone growth at the implant interface. A rigorous XPS analysis of pamidronate, a commonly used nitrogenous BP, adsorbed onto plasma sprayed HA-coated cobalt-chromium substrates has been carried out, aimed at: (a) confirming the adsorption of this BP onto HA; (b) studying the BP diffusion profile in the HA coating by employing the technique of XPS depth profiling; (c) confirming the bioactivity of the adsorbed BP. XPS spectra of plasma sprayed HA-coated discs exposed to a 10 mM aqueous BP solution (pamidronate) for periods of 1, 2 and 24 h showed nitrogen and phosphorous photoelectron signals corresponding to the BP, confirming its adsorption onto the HA substrate. XPS depth profiling of the 2 h BP-exposed HA discs showed penetration of the BP into the HA matrix to depths of at least 260 nm. The bioactivity of the adsorbed BP was confirmed by the observed inhibition of osteoclast (bone resorbing) cell activity. In comparison to the HA sample, the HA sample with adsorbed BP exhibited a 25-fold decrease in primary osteoclast cells.

  2. XPS and bioactivity study of the bisphosphonate pamidronate adsorbed onto plasma sprayed hydroxyapatite coatings

    Science.gov (United States)

    McLeod, Kate; Kumar, Sunil; Smart, Roger St. C.; Dutta, Naba; Voelcker, Nicolas H.; Anderson, Gail I.; Sekel, Ron

    2006-12-01

    This paper reports the use of X-ray photoelectron spectroscopy (XPS) to investigate bisphosphonate (BP) adsorption onto plasma sprayed hydroxyapatite (HA) coatings commonly used for orthopaedic implants. BPs exhibit high binding affinity for the calcium present in HA and hence can be adsorbed onto HA-coated implants to exploit their beneficial properties for improved bone growth at the implant interface. A rigorous XPS analysis of pamidronate, a commonly used nitrogenous BP, adsorbed onto plasma sprayed HA-coated cobalt-chromium substrates has been carried out, aimed at: (a) confirming the adsorption of this BP onto HA; (b) studying the BP diffusion profile in the HA coating by employing the technique of XPS depth profiling; (c) confirming the bioactivity of the adsorbed BP. XPS spectra of plasma sprayed HA-coated discs exposed to a 10 mM aqueous BP solution (pamidronate) for periods of 1, 2 and 24 h showed nitrogen and phosphorous photoelectron signals corresponding to the BP, confirming its adsorption onto the HA substrate. XPS depth profiling of the 2 h BP-exposed HA discs showed penetration of the BP into the HA matrix to depths of at least 260 nm. The bioactivity of the adsorbed BP was confirmed by the observed inhibition of osteoclast (bone resorbing) cell activity. In comparison to the HA sample, the HA sample with adsorbed BP exhibited a 25-fold decrease in primary osteoclast cells.

  3. Electrophoretic deposition of nanostructured hydroxyapatite coating on AZ91 magnesium alloy implants with different surface treatments

    Energy Technology Data Exchange (ETDEWEB)

    Rojaee, Ramin, E-mail: raminrojaee@aim.com [Biomaterials Research Group, Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of); Fathi, Mohammadhossein [Biomaterials Research Group, Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of); Dental Materials Research Center, Isfahan University of Medical Sciences, Isfahan (Iran, Islamic Republic of); Raeissi, Keyvan [Department of Materials Engineering, Isfahan University of Technology, Isfahan, 84156-83111 (Iran, Islamic Republic of)

    2013-11-15

    Bio-absorbable magnesium (Mg) based alloys have been introduced as innovative orthopedic implants during recent years. It has been specified that rapid degradation of Mg based alloys in physiological environment should be restrained in order to be utilized in orthopedic trauma fixation and vascular intervention. In this developing field of healthcare materials, micro-arc oxidation (MAO), and MgF{sub 2} conversion coating were exploited as surface pre-treatment of AZ91 magnesium alloy to generate a nanostructured hydroxyapatite (n-HAp) coating via electrophoretic deposition (EPD) method. X-ray diffraction (XRD), scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FT-IR), and transmission electron microscopy (TEM) techniques were used to characterize the obtained powder and coatings. The potentiodynamic polarization tests were carried out to evaluate the corrosion behavior of the coated and uncoated specimens, and in vitro bioactivity evaluation were performed in simulated body fluid. Results revealed that the MAO/n-HAp coated AZ91 Mg alloy samples with a rough topography and lower corrosion current density leads to a lower Mg degradation rate accompanied by high bioactivity.

  4. A mechanical and histomorphometric analysis of bone bonding by hydroxyapatite-coated strain gages.

    Science.gov (United States)

    Wilson, D L; Szivek, J A; Anderson, P L; Miera, V L; Battraw, G A

    1998-01-01

    Identification of the strains controlling bone remodeling is important for determining ways to prevent bone loss due to load deprivation, or implant placement. Long-term monitoring of strains can potentially provide the best information. Glues are resorbed within 2-3 weeks. Two formulations of microcrystalline hydroxyapatite (HA) were used to attach strain gages to rat femora to assess their long-term in vivo strain measurement capability. Seven male rats received HA-coated gages, and 2 animals underwent a sham procedure. The gages were prepared using a published technique and placed on the antero-lateral aspect of the left femora. After 6-7 weeks, the animals were euthanized and both femora explanted. Gages were attached to the right femora with cyanoacrylate. All femora were tested in cantilever bending, then embedded, sectioned, and stained with mineralized bone stain. The undecalcified sections were examined using transmitted and ultraviolet light microscopy. Mechanical testing showed one HA formulation provided 70-100% bonding. Histology showed intimate contact between the gage and bone surface. Histomorphometry indicated increased bone activity under the gage compared to the remaining bone, the controls, and the shams. The results indicate that microcrystalline HAs bond to bone quickly and can allow long term in vivo measurements. PMID:9659635

  5. Microstructures, hardness and bioactivity of hydroxyapatite coatings deposited by direct laser melting process

    Energy Technology Data Exchange (ETDEWEB)

    Tlotleng, Monnamme, E-mail: MTlotleng@csir.co.za [Laser Materials Processing Group, National Laser Center CSIR, Pretoria 0001 (South Africa); Department of Mechanical Engineering Science, University of Johannesburg, Auckland Park, Kingsway Campus, Johannesburg 2006 (South Africa); Akinlabi, Esther [Department of Mechanical Engineering Science, University of Johannesburg, Auckland Park, Kingsway Campus, Johannesburg 2006 (South Africa); Shukla, Mukul [Department of Mechanical Engineering Technology, University of Johannesburg, Doornfontein Campus, Johannesburg 2006 (South Africa); Department of Mechanical Engineering, MNNIT, Allahabad, UP 211004 (India); Pityana, Sisa [Laser Materials Processing Group, National Laser Center CSIR, Pretoria 0001 (South Africa); Department of Chemical and Metallurgical Engineering, Tshwane University of Technology, Pretoria 0001 (South Africa)

    2014-10-01

    Hydroxyapatite (HAP) coatings on bioinert metals such as Ti–6Al–4V are necessary for biomedical applications. Together, HAP and Ti–6Al–4V are biocompatible and bioactive. The challenges of depositing HAP on Ti–6Al–4V with traditional thermal spraying techniques are well founded. In this paper, HAP was coated on Ti–6Al–4V using direct laser melting (DLM) process. This process, unlike the traditional coating processes, is able to achieve coatings with good metallurgical bonding and little dilution. The microstructural and mechanical properties, chemical composition and bio-activities of the produced coatings were studied with optical microscopy, scanning electron microscope equipped with energy dispersive X-ray spectroscopy, and Vickers hardness machine, and by immersion test in Hanks' solution. The results showed that the choice of the laser power has much influence on the evolving microstructure, the mechanical properties and the retainment of HAP on the surface of the coating. Also, the choice of laser power of 750 W led to no dilution. The microhardness results inferred a strong intermetallic–ceramic interfacial bonding; which meant that the 750 W coating could survive long in service. Also, the coating was softer at the surface and stronger in the heat affected zones. Hence, this process parameter setting can be considered as an optimal setting. The soak tests revealed that the surface of the coating had unmelted crystals of HAP. The CaP ratio conducted on the soaked coating was 2.00 which corresponded to tetra calcium phosphate. This coating seems attractive for metallic implant applications. - Highlights: • Characteristics of HAP coatings produced on Ti-6Al-4V achieved with direct laser melting are reported. • Optimal process parameters necessary to achieve biocompatible coating are reported. • The SEM micrograph of the soaked HAP coating revealed partially melted crystals of HAP. • The HAP coating was retained at the surface of the coating that was produced with 750 W laser power. • The 750W produced coating was deemed necessary for the biomedical applications.

  6. Hydroxyapatite Coating of Titanium Implants Using Hydroprocessing and Evaluation of Their Osteoconductivity

    Directory of Open Access Journals (Sweden)

    Kensuke Kuroda

    2012-01-01

    Full Text Available Many techniques for the surface modification of titanium and its alloys have been proposed from the viewpoint of improving bioactivity. This paper contains an overview of surface treatment methods, including coating with hydroxyapatite (HAp, an osteoconductive compound. There are two types of coating methods: pyroprocessing and hydroprocessing. In this paper, hydroprocessing for coating on the titanium substrate with HAp, carbonate apatite (CO3–Ap, a CO3–Ap/CaCO3 composite, HAp/collagen, and a HAp/gelatin composite is outlined. Moreover, evaluation by implantation of surface-modified samples in rat tibiae is described.

  7. Synthesis of calcium hydrogen phosphate and hydroxyapatite coating on SS316 substrate through pulsed electrodeposition.

    Science.gov (United States)

    Chakraborty, Rajib; Sengupta, Srijan; Saha, Partha; Das, Karabi; Das, Siddhartha

    2016-12-01

    The orthopaedic implants for human body are generally made of different biomaterials like stainless steels or Ti based alloys. However, it has been found that from surface properties point of view, none of these materials is attractive for fast tissue or cell growth on the surface of implant. This is one of the most important criteria to assure quick bonding between implant and body tissues vis-à-vis minimum recovery time for the patient. Keeping in view of the above facts, this work involves the pulsed electro-deposition coating of biocompatible hydroxyapatite and its group compounds from a diluted bath of calcium and phosphate salt at various current densities over the biomaterial sheet of SS316. SEM study confirms different morphologies of the coatings at different current densities. Characterization techniques like X-ray diffraction, SEM with EDX and FTIR have been used to confirm the phase and percentage quantity of hydroxyapatite compound in the depositions. This coating can serve as a medium for faster tissue growth over the metallic implants. PMID:27612782

  8. Microstructures, hardness and bioactivity of hydroxyapatite coatings deposited by direct laser melting process.

    Science.gov (United States)

    Tlotleng, Monnamme; Akinlabi, Esther; Shukla, Mukul; Pityana, Sisa

    2014-10-01

    Hydroxyapatite (HAP) coatings on bioinert metals such as Ti-6Al-4V are necessary for biomedical applications. Together, HAP and Ti-6Al-4V are biocompatible and bioactive. The challenges of depositing HAP on Ti-6Al-4V with traditional thermal spraying techniques are well founded. In this paper, HAP was coated on Ti-6Al-4V using direct laser melting (DLM) process. This process, unlike the traditional coating processes, is able to achieve coatings with good metallurgical bonding and little dilution. The microstructural and mechanical properties, chemical composition and bio-activities of the produced coatings were studied with optical microscopy, scanning electron microscope equipped with energy dispersive X-ray spectroscopy, and Vickers hardness machine, and by immersion test in Hanks' solution. The results showed that the choice of the laser power has much influence on the evolving microstructure, the mechanical properties and the retainment of HAP on the surface of the coating. Also, the choice of laser power of 750 W led to no dilution. The microhardness results inferred a strong intermetallic-ceramic interfacial bonding; which meant that the 750 W coating could survive long in service. Also, the coating was softer at the surface and stronger in the heat affected zones. Hence, this process parameter setting can be considered as an optimal setting. The soak tests revealed that the surface of the coating had unmelted crystals of HAP. The CaP ratio conducted on the soaked coating was 2.00 which corresponded to tetra calcium phosphate. This coating seems attractive for metallic implant applications.

  9. Study of the growth kinetics of biomimetically grown hydroxyapatite coatings in large gradient magnetic fields

    Energy Technology Data Exchange (ETDEWEB)

    Ye, Ya-Jing; Liu, Yang-Yang [School of Life Sciences, Key Laboratory for Space Bioscience and Biotechnology, Northwestern Polytechnical University, Xi’an, 710072 (China); Institute of Special Environmental Biophysics, Northwestern Polytechnical University, Xi’an, 710072 (China); Yin, Da-Chuan, E-mail: yindc@nwpu.edu.cn [School of Life Sciences, Key Laboratory for Space Bioscience and Biotechnology, Northwestern Polytechnical University, Xi’an, 710072 (China); Institute of Special Environmental Biophysics, Northwestern Polytechnical University, Xi’an, 710072 (China)

    2015-10-01

    Highlights: • Inducing ability of self-assembly monolayers in large gradient magnetic fields. • Bonding information of functional groups obtained by first principles calculations. • The gravity fields affected the compositions of the apatite layers. - Abstract: Large gradient magnetic fields simultaneously provide both strong magnetic and simulated gravitational fields. Processes in such environments are subject to the influences of these two fields. Previous studies have shown that the deposition of hydroxyapatite (HAp) coatings induced by self-assembled monolayers (SAMs) is affected by large gradient magnetic fields. To further clarify the mechanism, we examined the effects of gravitational and magnetic fields on the deposition kinetics of the SAMs and the HAp coatings via surface analysis and molecular simulation. The chemical compositions of the SAMs and the HAp coatings in the fields were detected by X-ray photoelectron spectroscopy (XPS). The ability of the SAMs to induce the deposition of apatite was investigated via first principles calculations, which were performed to obtain information about the bonding interactions between the self-assembled functional groups and the –PO{sub 4}{sup 3−} ions in simulated body fluid (SBF). The experimental results showed that the fields affected the compositions of the apatite layers. The first principles calculation results showed that the –PO{sub 4}H{sup 2−} functional group exhibited a stronger ability to induce apatite deposition than the –COOH functional group. This result suggested that hydrogen phosphate root groups are better nucleation sites than carboxyl root groups.

  10. Hydroxyapatite coatings with oriented nanoplate and nanorod arrays: Fabrication, morphology, cytocompatibility and osteogenic differentiation.

    Science.gov (United States)

    Chen, Wei; Tian, Bo; Lei, Yong; Ke, Qin-Fei; Zhu, Zhen-An; Guo, Ya-Ping

    2016-10-01

    Hydroxyapatite (HA) crystals exhibit rod-like shape with c-axis orientation and plate-like shape with a(b)-axis orientation in vertebrate bones and tooth enamel surfaces, respectively. Herein, we report the synthesis of HA coatings with the oriented nanorod arrays (RHACs) and HA coatings with oriented nanoplate arrays (PHACs) by using bioglass coatings as sacrificial templates. After soaking in simulated body fluid (SBF) at 120°C, the bioglass coatings are hydrothermally converted into the HA coatings via a dissolution-precipitation reaction. If the Ca/P ratios in SBF are 2.50 and 1.25, the HA crystals on the coatings are oriented nanorod arrays and oriented nanoplate arrays, respectively. Moreover, the bioglass coatings are treated with SBF at 37°C, plate-like HA coatings with a low crystallinity (SHACs) are prepared. As compared with the Ti6Al4V and SHACs, the human bone marrow stromal cells (hBMSCs) on the RHACs and PHACs have better cell adhesion, spreading, proliferation and osteogenic differentiation because of their moderately hydrophilic surfaces and similar chemical composition, morphology and crystal orientation to human hard tissues. Notably, the morphologies of HA crystals have no obvious effects on cytocompatibility and osteogenic differentiation. Hence, the HA coatings with oriented nanoplate arrays or oriented nanorod arrays have a great potential for orthopedic applications. PMID:27287136

  11. Effect of substrate preheating temperature and coating thickness on residual stress in plasma sprayed hydroxyapatite coating

    Science.gov (United States)

    Tang, Dapei

    2015-07-01

    A thermal-mechanical coupling model was developed based on thermal-elastic- plastic theory according the special process of plasma spraying Hydroxyapatite (HA) coating upon Ti-6Al-4V substrate. On the one hand, the classical Fourier transient heat conduction equation was modified by introducing the effect item of deformation on temperature, on the other hand, the Johnson-Cook model, suitable for high temperature and high strain rate conditions, was used as constitutive equation after considering temperature softening effect, strain hardening effect and strain rate reinforcement effect. Based on the above coupling model, the residual stress field within the HA coating was simulated by using finite element method (FEM). Meanwhile, the substrate preheating temperature and coating thickness on the influence of residual stress components were calculated, respectively. The failure modes of coating were also preliminary analyzed. In addition, in order to verify the reliability of calculation, the material removal measurement technique was applied to determine the residual stress of HA coating near the interface. Some important conclusions are obtained.

  12. Hydroxyapatite coating on titanium by a low energy plasma spraying mini-gun

    OpenAIRE

    Demnati, Imane; Parco, Maria; Grossin, David; Fagoaga, Ignacio; Drouet, Christophe; Barykin, George; Combes, Christèle; Braceras, Inigo; Gonçalvès, Stéphane; Rey, Christian

    2012-01-01

    Plasma-sprayed hydroxyapatite (HA) coatings are used on metallic implants to improve osseointegration and bone growth. The purpose of this work was to determine the microstructure and composition of HA coatings obtained with a newly developed low energy plasma spray mini-gun employing an HA feedstock powder with smaller granulometry than that commonly used. The microstructure and the phase composition of the coatings obtained by varying the number of mini-gun runs were examined using scann...

  13. Biomimetic hydroxyapatite coating on pore walls improves osteointegration of poly(L-lactic acid) scaffolds.

    Science.gov (United States)

    Deplaine, H; Lebourg, M; Ripalda, P; Vidaurre, A; Sanz-Ramos, P; Mora, G; Prósper, F; Ochoa, I; Doblaré, M; Gómez Ribelles, J L; Izal-Azcárate, I; Gallego Ferrer, G

    2013-01-01

    Polymer-ceramic composites obtained as the result of a mineralization process hold great promise for the future of tissue engineering. Simulated body fluids (SBFs) are widely used for the mineralization of polymer scaffolds. In this work an exhaustive study with the aim of optimizing the mineralization process on a poly(L-lactic acid) (PLLA) macroporous scaffold has been performed. We observed that when an air plasma treatment is applied to the PLLA scaffold its hydroxyapatite nucleation ability is considerably improved. However, plasma treatment only allows apatite deposition on the surface of the scaffold but not in its interior. When a 5 wt % of synthetic hydroxyapatite (HAp) nanoparticles is mixed with PLLA a more abundant biomimetic hydroxyapatite layer grows inside the scaffold in SBF. The morphology, amount, and composition of the generated biomimetic hydroxyapatite layer on the pores' surface have been analyzed. Large mineralization times are harmful to pure PLLA as it rapidly degrades and its elastic compression modulus significantly decreases. Degradation is retarded in the composite scaffolds because of the faster and extensive biomimetic apatite deposition and the role of HAp to control the pH. Mineralized scaffolds, covered by an apatite layer in SBF, were implanted in osteochondral lesions performed in the medial femoral condyle of healthy sheep. We observed that the presence of biomimetic hydroxyapatite on the pore's surface of the composite scaffold produces a better integration in the subchondral bone, in comparison to bare PLLA scaffolds. PMID:23152082

  14. Bone properties surrounding hydroxyapatite-coated custom osseous integrated dental implants.

    Science.gov (United States)

    Baker, M I; Eberhardt, A W; Martin, D M; McGwin, G; Lemons, J E

    2010-10-01

    Calcium phosphate (hydroxyapatite or HA) coatings have been applied to Custom Osseous Integrated Implants (COIIs) to improve the quality of the bone-implant integration, yet little is known concerning the biomechanical properties of bone surrounding the HA-coated implants in humans over the long term. The purpose of this study was to characterize the mechanical and histomorphometric properties of the bone along the implant interface. Specimens were prepared from three similar mandibular implants that were functional in three female patients for about 11 years. Histomorphometric analyses showed bone-implant contact averaging 75% for all specimens. Area coverage of residual HA-coating ranged from 52 to 70%. When compared with previous studies, these results show a relatively high percentage of residual HA after a decade in vivo. Nanoindentation showed similar average values of hardness and modulus (p = 0.53 and p = 0.56, respectively) comparing bone adjacent to residual HA-coating and regions where the coating was absent. The elastic modulus was significantly lower for bone near the bone-implant interface (1000 μm) from the interface (p = 0.05), thereby reflecting different properties of the bone near these interfaces. Backscattered electron imaging showed darker gray levels which indicated decreased mineral content in bone adjacent to the implant, consistent with the nanoindentation results. PMID:20725958

  15. Microstructural inhomogeneity in plasma-sprayed hydroxyapatite coatings and effect of post-heat treatment

    International Nuclear Information System (INIS)

    The microstructural inhomogeneity in the plasma-sprayed hydroxyapatite (HA) coatings was characterized by using electron probe microanalyser (EPMA). A simple and artful method was developed to detect the interface characteristics. All the samples for observation were ground and polished along the direction parallel to the coating surfaces. The BSE images directly and clearly showed the inhomogeneity in the as-sprayed coatings with the amorphous regions being bright gray and crystalline regions being dark gray. X-ray diffractometer (XRD) patterns indicated that after immersion in deionized water for 20 days, bone-like apatite and α-Ca2P2O7 precipitated on the polished surfaces of the as-sprayed HA coatings. The post-heat treatment could eliminate the microstructural inhomogeneity in the coatings. Only β-Ca2P2O7 precipitated on the surfaces of the heat-treated HA coatings. The immersed samples were re-polished till tiny substrate was bared to investigate the effect of immersion on interface. It was shown that the immersion decreased the cohesive strength of the as-sprayed coatings. There were more and broader cracks in the splats that came into contact with the substrate and amorphous phase increased toward the coating-substrate interface. Post-heat treatment was proved to reduce the peeling off of coating during re-polishing operation. It was proposed that the distributions of amorphous phase and cracks in as-sprayed coatings are detrimental to coating properties and should be modified through improving the plasma spraying processing

  16. Encapsulation and release of a hydrophobic drug from hydroxyapatite coated liposomes.

    Science.gov (United States)

    Xu, Qingguo; Tanaka, Yasuhiro; Czernuszka, Jan T

    2007-06-01

    Hydroxyapatite (HA) coated liposomes (HACL) have been successfully manufactured and filled with a model hydrophobic (lipophilic) drug, indomethacin (IMC). These HACL particles have been characterized in terms of particle size and zeta-potential. The liposomes are formed from 1,2-dimyristoyl-sn-glycero-3-phosphate (DMPA) and 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC). Altering their relative proportions caused the zeta-potential to change from -38.8 to -67.0 mV, with a concomitant change in phase transition temperature from 36.4 to 53.3 degrees C. These changes also affect the drug loading efficiency. The release profiles of IMC have been measured. HA coating of the liposome reduces the release rate of IMC over uncoated liposomes. Under the present experimental conditions 70% of the drug is released after approximately 5h from the liposome, but coating with HA changes this time to over 20 h. Perhaps most importantly, it has been observed that for uncoated liposomes, IMC is released at a greater rate at pH=7.4 than at pH=4. However, coating with HA reduced the rate at pH=7.4 compared to pH=4. This behaviour arises because IMC is more soluble under basic conditions, but HA is more soluble under acidic conditions. This behaviour shows that it is now possible to have environmental control over the release of drugs from HA-coated liposomes. PMID:17331574

  17. Hydroxyapatite coatings for marble protection: Optimization of calcite covering and acid resistance

    Science.gov (United States)

    Graziani, Gabriela; Sassoni, Enrico; Franzoni, Elisa; Scherer, George W.

    2016-04-01

    Hydroxyapatite (HAP) has a much lower dissolution rate and solubility than calcite, especially in an acidic environment, so it has been proposed for the protection of marble against acidic rain corrosion. Promising results were obtained, but further optimization is necessary as the treated layer is often incomplete, cracked and/or porous. In this paper, several parameters were investigated to obtain a coherent, uncracked layer, and to avoid the formation of metastable, soluble phases instead of HAP: the role of the pH of the starting solution; the effect of organic and inorganic additions, and in particular that of ethanol, as it is reported to adsorb on calcite, hence possibly favoring the growth of the HAP layer. Finally, a double application of the treatment was tested. Results were compared to those obtained with ammonium oxalate treatment, widely investigated for marble protection. Results indicate that adding small amounts of ethanol to the formulation remarkably increases the acid resistance of treated samples, and yields better coverage of the surface without crack formation. The effectiveness of the treatment is further enhanced when a second treatment is applied. The efficacy of ethanol-doped DAP mixtures was found to be remarkably higher than that of ammonium oxalate based treatments.

  18. Effect of nano-hydroxyapatite coating on the osteoinductivity of porous biphasic calcium phosphate ceramics

    Science.gov (United States)

    2014-01-01

    Background Porous biphasic calcium phosphate (BCP) ceramics exhibit good biocompatibility and bone conduction but are not inherently osteoinductive. To overcome this disadvantage, we coated conventional porous BCP ceramics with nano-hydroxyapatite (nHA). nHA was chosen as a coating material due to its high osteoinductive potential. Methods We used a hydrothermal deposition method to coat conventional porous BCP ceramics with nHA and assessed the effects of the coating on the physical and mechanical properties of the underlying BCP. Next, its effects on mesenchymal stem cell (MSC) attachment, proliferation, viability, and osteogenic differentiation were investigated. Results nHA formed a deposited layer on the BCP surface, and synthesized nHA had a rod-like shape with lengths ranging from ~50–200 nm and diameters from ~15–30 mm. The nHA coating did not significantly affect the density, porosity, flexural strength, or compressive strength of the underlying BCP (P > 0.1). Scanning electron microscopy showed MSC attachment to the scaffolds, with a healthy morphology and anchorage to nHA crystals via cytoplasmic processes. The densities of MSCs attached on BCP and nHA-coated BCP scaffolds were 62 ± 26 cells/mm2 and 63 ± 27 cells/mm2 (P > 0.1), respectively, after 1 day and 415 ± 62 cells/mm2 and 541 ± 35 cells/mm2 (P < 0.05) respectively, after 14 days. According to an MTT assay, MSC viability was higher on nHA-coated BCP scaffolds than on BCP scaffolds (P < 0.05). In addition, MSCs on nHA-coated BCP scaffolds produced more alkaline phosphatase, collagen type I, and osteocalcin than MSCs on BCP scaffolds (P < 0.05). Conclusions Our results demonstrate that BCP scaffolds coated with nHA were more conducive for MSC adhesion, proliferation, and osteogenic differentiation than conventional, uncoated BCP scaffolds, indicating that nHA coating can enhance the osteoinductive potential of BCP ceramics, making this material more suitable for applications in bone tissue engineering. PMID:24690170

  19. Synthetic tooth enamel: SEM characterization of a fluoride hydroxyapatite coating for dentistry applications

    Directory of Open Access Journals (Sweden)

    Marise Oliveira

    2007-06-01

    Full Text Available An alternative to etching enamel for retention of an adhesive is to grow crystals on the enamel surface. The potential advantages of crystal growth include easy procedure and less damage to the enamel. These crystals retain the adhesive or are the actual dental restoration. In this work, a paste of synthetic enamel was used to grow crystals of fluoride hydroxyapatite (F-HA onto the human tooth surface. This technique can be used for several dentistry applications like enamel whitening, strengthening and restoration of early carie lesions. The low cost of reagents and simplicity of the technique along with the biocompatibility of the paste render possible the utilization on the market. The samples were prepared through the application of the paste by the incremental technique. The results obtained by scanning electron microscope (SEM/EDX have indicated the deposition of a homogeneous layer of calcium phosphate that was grown onto the enamel substrate. The average thickness of the deposited film was in the range of 50-100 µm and with a similar density from the natural enamel observed by radiographic images.

  20. A biodegradable gentamicin-hydroxyapatite-coating for infection prophylaxis in cementless hip prostheses

    NARCIS (Netherlands)

    Neut, D.; Dijkstra, R. J. B.; Thompson, J. I.; Kavanagh, C.; van der Mei, H. C.; Busscher, H. J.

    2015-01-01

    A degradable, poly (lactic-co-glycolic acid) (PLGA), gentamicin-loaded prophylactic coating for hydroxyapatite (HA)-coated cementless hip prostheses is developed with similar antibacterial efficacy as offered by gentamicin-loaded cements for fixing traditional, cemented prostheses in bone. We descri

  1. Corrosion protection performance of porous strontium hydroxyapatite coating on polypyrrole coated 316L stainless steel.

    Science.gov (United States)

    Gopi, D; Ramya, S; Rajeswari, D; Kavitha, L

    2013-07-01

    Polypyrrole/strontium hydroxyapatite bilayer coatings were achieved on 316L stainless steel (316L SS) by the electropolymerisation of pyrrole from sodium salicylate solution followed by the electrodeposition of porous strontium hydroxyapatite. The formation and the morphology of the bilayer coatings were characterised by Fourier transform infrared spectroscopy (FT-IR) and high resolution scanning electron microscopy (HRSEM), respectively. The corrosion resistance of the coated 316L SS specimens was investigated in Ringer's solution by electrochemical techniques and the results were substantiated with inductively coupled plasma atomic emission spectrometry (ICP-AES). The passive film underneath the polypyrrole layer is effective in protecting 316L SS against corrosion in Ringer's solution. Moreover, we believe that the top porous strontium hydroxyapatite layer can provide potential bioactivity to the 316L SS. PMID:23475060

  2. Computer-Assisted Optimization of Electrodeposited Hydroxyapatite Coating Parameters on Medical Alloys

    Science.gov (United States)

    Coşkun, M. İbrahim; Karahan, İsmail H.; Yücel, Yasin; Golden, Teresa D.

    2016-04-01

    CoCrMo bio-metallic alloys were coated with a hydroxyapatite (HA) film by electrodeposition using various electrochemical parameters. Response surface methodology and central composite design were used to optimize deposition parameters such as electrolyte pH, deposition potential, and deposition time. The effects of the coating parameters were evaluated within the limits of solution pH (3.66 to 5.34), deposition potential (-1.13 to -1.97 V), and deposition time (6.36 to 73.64 minutes). A 5-level-3-factor experimental plan was used to determine ideal deposition parameters. Optimum conditions for the deposition parameters of the HA coating with high in vitro corrosion performance were determined as electrolyte pH of 5.00, deposition potential of -1.8 V, and deposition time of 20 minutes.

  3. Evaluation in vitro and in vivo of biomimetic hydroxyapatite coated on titanium dental implants

    International Nuclear Information System (INIS)

    Among several materials used as dental implants, metals present relatively high tensile strengths. Although metals are biotolerable, they do not adhere to bone tissues. On the other hand, bioactive ceramics are known to chemically bind to bone tissues, but they are not enough mechanically resistant to tension stresses. To overcome this drawback, biotolerable metals can be coated with bioactive ceramics. Various methods can be employed for coating ceramic layers on metal substrates, among them ion sputtering, plasma spray, sol-gel, electrodeposition and a biomimetic process [E.C.S. Rigo, L.C. Oliveira, L.A. Santos, A.O. Boschi, R.G. Carrodeguas. Implantes metalicos recobertos com hidroxiapatita. Revista de Engenharia Biomedica, vol. 15 (1999), numeros 1-2, 21-29. Rio de Janeiro]. The aim of this work was to study the effect of the substitution of G glass, employed in the conventional biomimetic method during the nucleation stage, by a solution of sodium silicate (SS) on the chemical and morphological characteristics, and the adhesion of biomimetic coatings deposited on Ti implants. The obtained coatings were analyzed by diffuse reflectance FTIR spectroscopy (DRIFT) and scanning electron microscopy (SEM). Titanium implants were immersed in synthetic body fluid (SBF) and SS. All implants were left inside an incubator at 37 deg. C for 7 days, followed by immersion in 1.5 SBF and taken back to the incubator for additional 6 days at 37 deg. C. The 1.5 SBF were refreshed every 2 days. At the end of the treatment, the implants were washed in distilled and deionized water and dried at room temperature. To check the osseointegration, titanium implants coated with biomimetic method were inserted in rabbit's tibia, remaining there for 8 weeks. During the healing period, polyfluorochrome sequential labeling was inoculated in the rabbits to determine the period of bone remodeling. Results from DRIFT and SEM showed that, for all processing variants employed, a HA coating was always obtained on the Ti implants. Besides, G glass employed during the nucleation stage can be effectively substituted by a sodium silicate solution according to these results. The presence of implants stimulated the bone growth in the medullar region and the use of polyfluorochrome sequential labeling allowed the identification of the period of bone deposition and bone reorganization

  4. Galvanic deposition and characterization of brushite/hydroxyapatite coatings on 316L stainless steel.

    Science.gov (United States)

    Blanda, Giuseppe; Brucato, Valerio; Pavia, Francesco Carfì; Greco, Silvia; Piazza, Salvatore; Sunseri, Carmelo; Inguanta, Rosalinda

    2016-07-01

    In this work, brushite and brushite/hydroxyapatite (BS, CaHPO4·H2O; HA, Ca10(PO4)6(OH)2) coatings were deposited on 316L stainless steel (316LSS) from a solution containing Ca(NO3)2·4H2O and NH4H2PO4 by a displacement reaction based on a galvanic contact, where zinc acts as sacrificial anode. Driving force for the cementation reaction arises from the difference in the electrochemical standard potentials of two different metallic materials (316LSS and Zn) immersed in an electrolyte, so forming a galvanic contact leading to the deposition of BS/HA on nobler metal. We found that temperature and deposition time affect coating features (morphology, structure, and composition). Deposits were characterized by means of several techniques. The morphology was investigated by scanning electron microscopy, the elemental composition was obtained by X-ray energy dispersive spectroscopy, whilst the structure was identified by Raman spectroscopy and X-ray diffraction. BS was deposited at all investigated temperatures covering the 316LSS surface. At low and moderate temperature, BS coatings were compact, uniform and with good crystalline degree. On BS layers, HA crystals were obtained at 50°C for all deposition times, while at 25°C, its presence was revealed only after long deposition time. Electrochemical studies show remarkable improvement in corrosion resistance. PMID:27127032

  5. Hydroxyapatite coating on the titanium substrate modulated by a recombinant collagen-like protein

    International Nuclear Information System (INIS)

    Research highlights: → Hydroxyapatite was deposited on alkali-heat treated Ti substrate by immersing in 1.5 x SBF solution containing the recombinant collagen-like protein. → The recombinant collagen-like protein accelerated the preferential nucleation and growth of hydroxyapatite along c axis on the Ti substrate. → Hydroxyapatite-collagen composite on the Ti substrate promoted the attachment, subsequently proliferation and differentiation of MG-63 cells. - Abstract: Plenty of techniques have been developed to modify the surface character of titanium (Ti) and its alloys in order to realize their biological bond to natural bone. In this work, a biomimetic process was employed to form a hydroxyapatite (HAp) coating on the alkali-heat treated Ti substrate in 1.5 times simulated body fluid (1.5 x SBF) with the addition of a recombinant collagen-like protein. The coating was characterized using SEM-EDX, FESEM, and XRD. Results showed that the recombinant collagen-like protein could accelerate the preferential nucleation and directional growth along c axis of HAp on the pretreated Ti substrates. The investigation of in vitro cell cultivation showed that the existence of recombinant collagen-like protein in coating could improve the initial cell adhesion, proliferation and differentiation of MG-63 cells, which implied the materials possessed excellent biocompatibility and had a wide potential in biomedical application.

  6. Influence of Zirconia on Hydroxyapatite Coating on Ti-Alloy by Laser Cladding

    Institute of Scientific and Technical Information of China (English)

    杜海燕; 霍伟荣; 高海; 王丽娟; 邱世鹏; 刘家臣

    2003-01-01

    Coating titanium alloy with the bioceramic material hydroxyapatite(HAP) has been used to improve the poor osteoinductive properties of pure titanium alloy. But in clinical applications, the mechanical failure of HAP-coated titanium alloy implant suffered at the interface of the HAP coatings and titanium alloy substrate will be a potential weakness in prosthesis. Yttria-stablized zirconia (YSZ) is expected to enhance the mechanical properties of the HAP coating and reduce the coefficient of thermal expansion difference between the coated layer and the substrate. These may reinforce the bonding strength between the coatings and the substrate. In this paper, HAP/YSZ composite coatings were cladded by laser. The effects of zirconia on the microstructure, mechanical properties and formation of tricalcium phosphate (TCP, Ca3(PO4)2) of the HAP/YSZ composite coatings were evaluated. XRD, SEM and TEM were used to investigate the phase composition, microstructure and morphology of the coatings. The experimental results showed that adding YSZ in coatings was favorable to the composition and stability of HAP, and to the improvement of the adhesion strength, microhardness and microtoughness. A well uniform, crack-free coating of HAP/YSZ composites was formed on Ti-alloy substrate by laser cladding.

  7. Hydroxyapatite coating on PEEK implants: Biomechanical and histological study in a rabbit model.

    Science.gov (United States)

    Durham, John W; Montelongo, Sergio A; Ong, Joo L; Guda, Teja; Allen, Matthew J; Rabiei, Afsaneh

    2016-11-01

    A bioactive two-layer coating consisting of hydroxyapatite (HA) and yttria-stabilized zirconia (YSZ) was investigated on cylindrical polyetheretherketone (PEEK) implants using ion beam assisted deposition (IBAD). Post-deposition heat treatments via variable frequency microwave annealing with and without subsequent autoclaving were used to crystallize the as-deposited amorphous HA layer. Microstructural analysis, performed by TEM and EDS, showed that these methods were capable of crystallizing HA coating on PEEK. The in vivo response to cylindrical PEEK samples with and without coating was studied by implanting uncoated PEEK and coated PEEK implants in the lateral femoral condyle of 18 rabbits. Animals were studied in two groups of 9 for observation at 6 or 18weeks post surgery. Micro-CT analysis, histology, and mechanical pull-out tests were performed to determine the effect of the coating on osseointegration. The heat-treated HA/YSZ coatings showed improved implant fixation as well as higher bone regeneration and bone-implant contact area compared to uncoated PEEK. The study offers a novel method to coat PEEK implants with improved osseointegration. PMID:27524073

  8. Adhesion of composite carbon/hydroxyapatite coatings on AISI 316L medical steel

    Directory of Open Access Journals (Sweden)

    J. Gawroński

    2009-07-01

    Full Text Available In this paper are contains the results of studies concerning the problems associated with increased of hydroxyapatite (HAp adhesion, manufactured by using Pulse Laser Deposition (PLD method, to the austenitic steel (AISI 316L through the coating of carbon interlayer on it. Carbon coating was deposited by Radio Frequency Plasma Assisted Chemical Vapour Deposition (RF PACVD method.Test results unequivocally showed that the intermediate carbon layer in a determined manner increase the adhesion of hydroxyapatite to the metallic substrate. Obtained results give rise to deal with issues of manufacturing composite bilayer – carbon film/HAp – on ready implants, casted from austenitic cast steel by lost-wax process method as well as in gypsum forms.

  9. Hydroxyapatite coating by biomimetic method on titanium alloy using concentrated SBF

    Indian Academy of Sciences (India)

    S Bharati; M K Sinha; D Basu

    2005-10-01

    This article reports a biomimetic approach for coating hydroxyapatite on titanium alloy at ambient temperature. In the present study, coating was obtained by soaking the substrate in a 5 times concentrated simulated body fluid (5XSBF) solution for different periods of time with and without the use of CaO–SiO2 based glass as a possible source of nucleating agent of apatite formation. Optical microscopic and SEM observations revealed the deposition of Ca–P layer on the titanium alloy by both the methods. Thickness of coating was found to increase with the increase in immersion time. The use of glass did not help the formation of apatite nuclei on the substrate and the coating obtained by this method was also not uniform. EDX analysis indicated that the coating consisted of Ca–P based apatite globules, mostly in agglomerated form, and its crystallinity was poor as revealed by XRD.

  10. Induction Plasma Sprayed Nano Hydroxyapatite Coatings on Titanium for Orthopaedic and Dental Implants

    OpenAIRE

    Roy, Mangal; Bandyopadhyay, Amit; Bose, Susmita

    2011-01-01

    This paper reports preparation of a highly crystalline nano hydroxyapatite (HA) coating on commercially pure titanium (Cp-Ti) using inductively coupled radio frequency (RF) plasma spray and their in vitro and in vivo biological response. HA coatings were prepared on Ti using normal and supersonic plasma nozzles at different plate powers and working distances. X-ray diffraction (XRD) and Fourier transformed infrared spectroscopic (FTIR) analysis show that the normal plasma nozzle lead to incre...

  11. Effect of morselized bones on binding of the canine hydroxyapatite-coated femoral stem

    Institute of Scientific and Technical Information of China (English)

    SONG Ke-guan; MA De-sheng; HOU Jian-wen; WANG Huan; YAN Jing-long; YU Zhan-ge; LIANG Zhi-zhong

    2010-01-01

    Background Non-cement femoral stems are recognized in clinical use, but there are still some problems. The aim of this research was to make non-cement femoral stems to be press-fit with the medullary cavity. Methods Twenty-four healthy adult mongrel dogs were randomly divided into experimental and control groups. In the right hip joint, an artificial femoral bone replacement surgery was conducted. For the experimental group, the replacement surgery of hydroxyapatite (HA)-coated femoral stems was done, while autogeneous morselized bone was implanted into the medullary cavity. For the control group, morselized bone was not implanted. At postoperative 1, 3, 6 months, a test for interfacial shear characteristics was conducted in the MTS810 Tester. The comparison between the two groups' bone-prostheses in shear strength for their interface from shearing destruction was made. A histological observation to check prosthesis-bone interface contact ratios and bone growth was carried out. Results For the experimental group, shear strength was 0.317 MPa in 1 month, 1.447 MPa in 3 months, and 1.621 MPa in 6 months. For the control group, shear strength was 0.195 MPa in 1 month, 1.023 MPa in 3 months, and 1.483 MPa in 6 months. The difference was statistically significant. Stereomicroscope-based observation showed that the number of trabecular bones in the experimental group was larger than that of the control group, and bone growth of the former group was better than that of the latter group. Inverted microscopic observation showed that the binding degree between the prosthesis and trabecular bone of the experimental group was higher than that of the control group. Comparatively, the experimental group's trabecular bone had more stromal cells. Conclusions The morselized bones can effectively improve the biological bonding strength and bone-contact ratios in the short term for the HA-coated femoral stem and accelerate the bonding process. The use of morselized autogenous bones played a good role in bone in-growth of the femoral bone stem surface.

  12. Bone integration capability of nanopolymorphic crystalline hydroxyapatite coated on titanium implants

    Directory of Open Access Journals (Sweden)

    Suzuki T

    2012-02-01

    Full Text Available Masahiro Yamada*, Takeshi Ueno*, Naoki Tsukimura, Takayuki Ikeda, Kaori Nakagawa, Norio Hori, Takeo Suzuki, Takahiro OgawaLaboratory of Bone and Implant Sciences, The Weintraub Center for Reconstructive Biotechnology, Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry, UCLA School of Dentistry, Los Angeles, CA, USA *These authors contributed equally to this workAbstract: The mechanism by which hydroxyapatite (HA-coated titanium promotes bone–implant integration is largely unknown. Furthermore, refining the fabrication of nanostructured HA to the level applicable to the mass production process for titanium implants is challenging. This study reports successful creation of nanopolymorphic crystalline HA on microroughened titanium surfaces using a combination of flame spray and low-temperature calcination and tests its biological capability to enhance bone–implant integration. Sandblasted microroughened titanium implants and sandblasted + HA-coated titanium implants were subjected to biomechanical and histomorphometric analyses in a rat model. The HA was 55% crystallized and consisted of nanoscale needle-like architectures developed in various diameters, lengths, and orientations, which resulted in a 70% increase in surface area compared to noncoated microroughened surfaces. The HA was free from impurity contaminants, with a calcium/phosphorus ratio of 1.66 being equivalent to that of stoichiometric HA. As compared to microroughened implants, HA-coated implants increased the strength of bone–implant integration consistently at both early and late stages of healing. HA-coated implants showed an increased percentage of bone–implant contact and bone volume within 50 µm proximity of the implant surface, as well as a remarkably reduced percentage of soft tissue intervention between bone and the implant surface. In contrast, bone volume outside the 50 µm border was lower around HA-coated implants. Thus, this study demonstrated that the addition of pure nanopolymorphic crystalline HA to microroughened titanium not only accelerates but also enhances the level of bone–implant integration and identified the specific tissue morphogenesis parameters modulated by HA coating. In particular, the nanocrystalline HA was proven to be drastic in increasing osteoconductivity and inhibiting soft tissue infiltration, but the effect was limited to the immediate microenvironment surrounding the implant.Keywords: osseointegration, dental and orthopedic implant, nanotechnology, bone–implant integration, HA, calcium phosphate

  13. Review of the Historical Evolution of Anatomical Terms

    Directory of Open Access Journals (Sweden)

    Algieri, Rubén D.

    2011-12-01

    Full Text Available Most of the medical terms of Greek origin are traditionally attributed to Hippocrates (460-370 BC. Claudius Galen of Pergamum (130-200 BC developed a classification of bones and joints and described different brain areas. His teachings have remained unchanged for over a thousand years. Andreas Vesalius of Brussels (1514-1564, through the systematic study of human body structure, changed many concepts. He published his work in his production "De humani corporis fabrica libri septem", where a special attention is evident to the discovery and description of new anatomical facts. From here there is a revolution in the morphological sciences, where the same anatomical structure passed to receive different names. In the nineteenth century, the different anatomists in the world decide to meet in order to unify criteria regarding the anatomical structures and determine a only one universal language in the anatomical sciences. In 1895, in Basel (Switzerland it’s approved a list of 5.573 terms, called Basle Nomina Anatomica (BNA and was written in Latin. Eponyms were deleted. In 1903, he founded the International Federation of Associations of anatomists (IFAA. In 1935, in Jena (Germany, approving the Jena Nomina Anatomica (JNA. In 1950, in Oxford, formed the Committee of the International Anatomical Nomenclature (IANC. In 1955, in Paris (France it is agreed to adopt a Latin nomenclature based on the BNA, the Paris Nomina Anatomica (PNA. In 1980, for the first time in Latin America, takes place on the 11th International Congress of Anatomists, Mexico. In 1989, the International Committee of Anatomical Nomenclature, published the sixth edition of the Nomina Anatomica, without review by the IFAA. The same year, the latter established a Federative International Committee of Anatomical Terminology (FICAT. In 1998, he published a new list FICAT: International Anatomical Terminology (TAI, with the structures named in Latin language and their equivalence in

  14. Anatomical imbalance between cortical networks in autism

    Science.gov (United States)

    Watanabe, Takamitsu; Rees, Geraint

    2016-01-01

    Influential psychological models of autism spectrum disorder (ASD) have proposed that this prevalent developmental disorder results from impairment of global (integrative) information processing and overload of local (sensory) information. However, little neuroanatomical evidence consistent with this account has been reported. Here, we examined relative grey matter volumes (rGMVs) between three cortical networks, how they changed with age, and their relationship with core symptomatology. Using public neuroimaging data of high-functioning ASD males and age-/sex-/IQ-matched controls, we first identified age-associated atypical increases in rGMVs of the regions of two sensory systems (auditory and visual networks), and an age-related aberrant decrease in rGMV of a task-control system (fronto-parietal network, FPN) in ASD children. While the enlarged rGMV of the auditory network in ASD adults was associated with the severity of autistic socio-communicational core symptom, that of the visual network was instead correlated with the severity of restricted and repetitive behaviours in ASD. Notably, the atypically decreased rGMV of FPN predicted both of the two core symptoms. These findings suggest that disproportionate undergrowth of a task-control system (FPN) may be a common anatomical basis for the two ASD core symptoms, and relative overgrowth of the two different sensory systems selectively compounds the distinct symptoms. PMID:27484308

  15. Employing anatomical knowledge in vertebral column labeling

    Science.gov (United States)

    Yao, Jianhua; Summers, Ronald M.

    2009-02-01

    The spinal column constitutes the central axis of human torso and is often used by radiologists to reference the location of organs in the chest and abdomen. However, visually identifying and labeling vertebrae is not trivial and can be timeconsuming. This paper presents an approach to automatically label vertebrae based on two pieces of anatomical knowledge: one vertebra has at most two attached ribs, and ribs are attached only to thoracic vertebrae. The spinal column is first extracted by a hybrid method using the watershed algorithm, directed acyclic graph search and a four-part vertebra model. Then curved reformations in sagittal and coronal directions are computed and aggregated intensity profiles along the spinal cord are analyzed to partition the spinal column into vertebrae. After that, candidates for rib bones are detected using features such as location, orientation, shape, size and density. Then a correspondence matrix is established to match ribs and vertebrae. The last vertebra (from thoracic to lumbar) with attached ribs is identified and labeled as T12. The rest of vertebrae are labeled accordingly. The method was tested on 50 CT scans and successfully labeled 48 of them. The two failed cases were mainly due to rudimentary ribs.

  16. Anatomical imbalance between cortical networks in autism.

    Science.gov (United States)

    Watanabe, Takamitsu; Rees, Geraint

    2016-01-01

    Influential psychological models of autism spectrum disorder (ASD) have proposed that this prevalent developmental disorder results from impairment of global (integrative) information processing and overload of local (sensory) information. However, little neuroanatomical evidence consistent with this account has been reported. Here, we examined relative grey matter volumes (rGMVs) between three cortical networks, how they changed with age, and their relationship with core symptomatology. Using public neuroimaging data of high-functioning ASD males and age-/sex-/IQ-matched controls, we first identified age-associated atypical increases in rGMVs of the regions of two sensory systems (auditory and visual networks), and an age-related aberrant decrease in rGMV of a task-control system (fronto-parietal network, FPN) in ASD children. While the enlarged rGMV of the auditory network in ASD adults was associated with the severity of autistic socio-communicational core symptom, that of the visual network was instead correlated with the severity of restricted and repetitive behaviours in ASD. Notably, the atypically decreased rGMV of FPN predicted both of the two core symptoms. These findings suggest that disproportionate undergrowth of a task-control system (FPN) may be a common anatomical basis for the two ASD core symptoms, and relative overgrowth of the two different sensory systems selectively compounds the distinct symptoms. PMID:27484308

  17. Hamstring tendons insertion - an anatomical study

    Directory of Open Access Journals (Sweden)

    Cristiano Antonio Grassi

    2013-09-01

    Full Text Available OBJECTIVE: To study the anatomy of the hamstring tendons insertion and anatomical rela-tionships. METHODS: Ten cadaver knees with medial and anterior intact structures were selected. The dissection was performed from anteromedial access to exposure of the insertion of the flexor tendons (FT, tibial plateau (TP and tibial tuberosity (TT. A needle of 40 × 12 and a caliper were used to measure the distance of the tibial plateau of the knee flexor tendons insertion at 15 mm from the medial border of the patellar tendon and tibial tuberosity to the insertion of the flexor tendons of the knee. The angle between tibial plateau and the insertion of the flexor tendons of the knee (A-TP-FT was calculated using Image Pro Plus software. RESULTS: The mean distance TP-FT was 41 ± 4.6 mm. The distance between the TT-FT was 6.88 ± 1 mm. The (A-TP-FT was 20.3 ± 4.9°. CONCLUSION: In the anterior tibial flexor tendons are about 40 mm from the plateau with an average of 20°.

  18. Anatomic Reconstruction of the Proximal Tibiofibular Joint.

    Science.gov (United States)

    Warner, Brent T; Moulton, Samuel G; Cram, Tyler R; LaPrade, Robert F

    2016-02-01

    Proximal tibiofibular joint (PTFJ) instability can be easily missed or confused for other, more common lateral knee pathologies such as meniscal tears, fibular collateral ligament injury, biceps femoris pathology, or iliotibial band syndrome. Because of this confusion, some authors believe that PTFJ instability is more common than initially appreciated. Patients with PTFJ subluxation may have no history of inciting trauma or injury, and it is not uncommon for these patients to have bilateral symptoms and generalized ligamentous laxity. Currently, the optimal surgical treatment for patients with chronic PTFJ instability is unknown. Historically, a variety of surgical treatments have been reported. Initially, joint arthrodesis and fibular head resection were recommended. More recently, temporary screw fixation, nonanatomic reconstruction with strips of the biceps femoris tendon or iliotibial band, and reconstruction with free hamstring autograft have been described. The purpose of this report is to present our surgical technique for treatment of chronic PTFJ instability using an anatomic reconstruction of the posterior ligamentous structures of the PTFJ with a semitendinosus autograft. PMID:27274455

  19. Is the cervical fascia an anatomical proteus?

    Science.gov (United States)

    Natale, Gianfranco; Condino, Sara; Stecco, Antonio; Soldani, Paola; Belmonte, Monica Mattioli; Gesi, Marco

    2015-11-01

    The cervical fasciae have always represented a matter of debate. Indeed, in the literature, it is quite impossible to find two authors reporting the same description of the neck fascia. In the present review, a historical background was outlined, confirming that the Malgaigne's definition of the cervical fascia as an anatomical Proteus is widely justified. In an attempt to provide an essential and a more comprehensive classification, a fixed pattern of description of cervical fasciae is proposed. Based on the morphogenetic criteria, two fascial groups have been recognized: (1) fasciae which derive from primitive fibro-muscular laminae (muscular fasciae or myofasciae); (2) fasciae which derive from connective thickening (visceral fasciae). Topographic and comparative approaches allowed to distinguish three different types of fasciae in the neck: the superficial, the deep and the visceral fasciae. The first is most connected to the skin, the second to the muscles and the third to the viscera. The muscular fascia could be further divided into three layers according to the relationship with the different muscles.

  20. Lateral femoral cutaneous neuralgia: an anatomical insight.

    Science.gov (United States)

    Dias Filho, L C; Valença, M M; Guimarães Filho, F A V; Medeiros, R C; Silva, R A M; Morais, M G V; Valente, F P; França, S M L

    2003-07-01

    A detailed anatomic study was carried out on the lateral femoral cutaneous nerve to better understand the etiology and treatment of lateral femoral cutaneous neuralgia. As it passed from the pelvis into the thigh, the lateral femoral cutaneous nerve ran through an "aponeuroticofascial tunnel," beginning at the iliopubic tract and ending at the inguinal ligament; as it passed through the tunnel, an enlargement in its side-to-side diameter was observed, suggesting that the fascial structures proximal to the inguinal ligament may be implicated in the genesis of lateral femoral cutaneous neuralgia. The finding of pseudoneuromas at this location, distant from the inguinal ligament, supports this hypothesis. The anterior superior iliac spine is located approximately 0.7 cm from the lateral femoral cutaneous nerve and serves as the bony landmark for nerve localization. Within the first 3 cm of leaving the pelvis, the lateral femoral cutaneous nerve was observed deep to the fascia lata; therefore, surgical dissection within the subcutaneous fascia may be conducted with relative impunity near the anterior superior iliac spine just inferior to the inguinal ligament. In 36% of cases there was no posterior branch of the nerve, which is correlated to lateral femoral cutaneous neuralgia symptoms often being limited to the anterior branch region. An accessory nerve was found in 30% of cases. PMID:12794914

  1. INFLUENCE OF ANATOMICAL FEATURES AND EXTRACTIVES CONTENT WOOD OF Eucalyptus grandis W. Hill ex Maiden IN QUALITY BONDING

    Directory of Open Access Journals (Sweden)

    Vanessa Cristina do Sacramento Albino

    2012-12-01

    Full Text Available http://dx.doi.org/10.5902/198050987561The study aimed to anatomically characterize and to quantify the total extractives in different positions of the log of Eucalyptus grandis W. Hill ex Maiden with 18 years of age and to assess their influence on the shear strength and percentage of wood failure in adhesive bonded joints with thermosetting resorcinol-formaldehyde. Histological slides were prepared for an anatomical study and determined the total extractive content. The preparation of bonded joints was made according to ASTM D 2339-98(2000. It was used the correlation coefficient of Pearson, 1% probability by t test to evaluate the correlation between the anatomical and extractives content with the quality of the glued joints. It was found that there was a correlation between the shear strength with the following characteristics: vessel diameter, wall width, length and width of the fiber, the width of the radius and total extractives content. For the percentage of wood failure, there was a correlation between this with the following characteristics: the frequency of vessels, thickness of the heat of fiber, and high frequency of lightning. Both the radial direction as in the longitudinal direction of the logs there was change in the values found for the measurement of the anatomical elements, the total amount of extractives, the shear test strength and the percentage of wood failure.

  2. [Linburg-Comstock syndrome. Epidemiologic and anatomic study, clinical applications].

    Science.gov (United States)

    Hamitouche, K; Roux, J L; Baeten, Y; Allieu, Y

    2000-05-01

    The Linburg-Comstock (LC) syndrome is distinguished by the inability to actively flex the interphalangeal (IP) joint of the thumb without simultaneously flexing the distal IP joint of the index finger. Any resistance to this 'parasitic' reaction causes pain on the palmar side of the wrist or in the distal part of the forearm; this is due to an anomalous tendinous connection between the flexor pollicus longus (FPL) and the flexor digitorum profundus (FDP). An epidemiological study was carried out on 264 individuals (a total of 528 hands were examined), and the LC syndrome was found in 98 subjects (37%); women were more frequently affected than men, and bilaterally rather than unilaterally. In addition, we dissected 26 fresh cadaver upper limbs, and in seven cases found an anomalous connection between FPL and FDP. We also examined the case of a young violinist with bilateral LC syndrome, who complained of pain in the distal part of the left forearm after prolonged musical exercises. Surgical investigation determined a complete fusion between FPL and FDP of the index with a common tendon. Treatment consisted of splitting this common tendon to form two separate tendons, thereby permitting a certain degree of independence between the thumb and index finger, and which considerably improved the violinist's musical performance. A review of the literature showed that there was a large quantity of anatomical descriptions available on these types of connection. Certain publications also provide an extremely precise report on the anthropological significance of these anomalies.

  3. Embryologic and anatomic basis of duodenal surgery.

    Science.gov (United States)

    Androulakis, J; Colborn, G L; Skandalakis, P N; Skandalakis, L J; Skandalakis, J E

    2000-02-01

    The following points should be remembered by surgeons (Table 1). In writing about the head of the pancreas, the common bile duct, and the duodenum in 1979, the authors stated that Embryologically, anatomically and surgically these three entities form an inseparable unit. Their relations and blood supply make it impossible for the surgeon to remove completely the head of the pancreas without removing the duodenum and the distal part of the common bile duct. Here embryology and anatomy conspire to produce some of the most difficult surgery of the abdominal cavity. The only alternative procedure, the so-called 95% pancreatectomy, leaves a rim of pancreas along the medial border of the duodenum to preserve the duodenal blood supply. The authors had several conversations with Child, one of the pioneers of this procedure, whose constant message was to always be careful with the blood supply of the duodenum (personal communication, 1970). Beger et al popularized duodenum-preserving resection of the pancreatic head, emphasizing preservation of endocrine pancreatic function. They reported that ampullectomy (removal of the papilla and ampulla of Vater) carries a mortality rate of less than 0.4% and a morbidity rate of less than 10.0%. Surgeons should not ligate the superior and inferior pancreaticoduodenal arteries because such ligation may cause necrosis of the head of the pancreas and of much of the duodenum. The accessory pancreatic duct of Santorini passes under the gastrointestinal artery. For safety, surgeons should ligate the artery away from the anterior medial duodenal wall, where the papilla is located, thereby avoiding injury to or ligation of the duct. "Water under the bridge" applies not only to the relationship of the uterine artery and ureter but also to the gastroduodenal artery and the accessory pancreatic duct. In 10% of cases, the duct of Santorini is the only duct draining the pancreas, so ligation of the gastroduodenal artery with accidental inclusion of

  4. Collaborative regression-based anatomical landmark detection

    Science.gov (United States)

    Gao, Yaozong; Shen, Dinggang

    2015-12-01

    Anatomical landmark detection plays an important role in medical image analysis, e.g. for registration, segmentation and quantitative analysis. Among the various existing methods for landmark detection, regression-based methods have recently attracted much attention due to their robustness and efficiency. In these methods, landmarks are localised through voting from all image voxels, which is completely different from the classification-based methods that use voxel-wise classification to detect landmarks. Despite their robustness, the accuracy of regression-based landmark detection methods is often limited due to (1) the inclusion of uninformative image voxels in the voting procedure, and (2) the lack of effective ways to incorporate inter-landmark spatial dependency into the detection step. In this paper, we propose a collaborative landmark detection framework to address these limitations. The concept of collaboration is reflected in two aspects. (1) Multi-resolution collaboration. A multi-resolution strategy is proposed to hierarchically localise landmarks by gradually excluding uninformative votes from faraway voxels. Moreover, for informative voxels near the landmark, a spherical sampling strategy is also designed at the training stage to improve their prediction accuracy. (2) Inter-landmark collaboration. A confidence-based landmark detection strategy is proposed to improve the detection accuracy of ‘difficult-to-detect’ landmarks by using spatial guidance from ‘easy-to-detect’ landmarks. To evaluate our method, we conducted experiments extensively on three datasets for detecting prostate landmarks and head & neck landmarks in computed tomography images, and also dental landmarks in cone beam computed tomography images. The results show the effectiveness of our collaborative landmark detection framework in improving landmark detection accuracy, compared to other state-of-the-art methods.

  5. ACCESSORY SPLEEN: A CLINICALLY RELEVANT ANATOMIC ANOMALY

    Directory of Open Access Journals (Sweden)

    Prachi Saffar

    2016-02-01

    Full Text Available The purpose of our study is to emphasize on the clinical relevance of the presence of accessory spleen. It is not only a well-documented anatomic anomaly, it holds special significance in the differential diagnosis of intra-abdominal tumours and lymphadenopathy. MATERIALS AND METHODS Thirty male cadavers from North Indian population above the age of 60 yrs. were dissected in the Anatomy Department of FMHS, SGT University, Gurgaon, over a period of 5 yrs. (Sep 2010-Aug 2015 and presence of accessory spleen recorded. Tissue from the accessory spleen was also subjected to routine histological processing and slide prepared by haematoxylin and eosin staining. RESULTS Accessory spleen was present in two cadavers near the splenic hilum. One was 3.9 cm in the long axis and weighed about 48.4 grams, while the other was 1.2 cm in long axis and weighed about 12.5 grams. One had a separate arterial branch from the main splenic artery; that it was splenic tissue was confirmed histologically. DISCUSSION The presence of accessory spleen is considered to be due to embryonic non-fusion of the splenic aggregate with the main mass. CONCLUSION Though accessory spleen in itself pose no clinical problems, its significance cannot be undermined. Surgeons and radiologists are advised to look for and rule out the presence of accessory spleen, especially while evaluating a case of abdominal and perineal pathology, else it may be wrongly diagnosed as malignant tumour or enlarged lymph node leading to grave consequences.

  6. An anatomically oriented breast model for MRI

    Science.gov (United States)

    Kutra, Dominik; Bergtholdt, Martin; Sabczynski, Jörg; Dössel, Olaf; Buelow, Thomas

    2015-03-01

    Breast cancer is the most common cancer in women in the western world. In the breast cancer care-cycle, MRIis e.g. employed in lesion characterization and therapy assessment. Reading of a single three dimensional image or comparing a multitude of such images in a time series is a time consuming task. Radiological reporting is done manually by translating the spatial position of a finding in an image to a generic representation in the form of a breast diagram, outlining quadrants or clock positions. Currently, registration algorithms are employed to aid with the reading and interpretation of longitudinal studies by providing positional correspondence. To aid with the reporting of findings, knowledge about the breast anatomy has to be introduced to translate from patient specific positions to a generic representation. In our approach we fit a geometric primitive, the semi-super-ellipsoid to patient data. Anatomical knowledge is incorporated by fixing the tip of the super-ellipsoid to the mammilla position and constraining its center-point to a reference plane defined by landmarks on the sternum. A coordinate system is then constructed by linearly scaling the fitted super-ellipsoid, defining a unique set of parameters to each point in the image volume. By fitting such a coordinate system to a different image of the same patient, positional correspondence can be generated. We have validated our method on eight pairs of baseline and follow-up scans (16 breasts) that were acquired for the assessment of neo-adjuvant chemotherapy. On average, the location predicted and the actual location of manually set landmarks are within a distance of 5.6 mm. Our proposed method allows for automatic reporting simply by uniformly dividing the super-ellipsoid around its main axis.

  7. Probabilistic MRI brain anatomical atlases based on 1,000 Chinese subjects.

    Directory of Open Access Journals (Sweden)

    Xing Wang

    Full Text Available Brain atlases are designed to provide a standard reference coordinate system of the brain for neuroscience research. Existing human brain atlases are widely used to provide anatomical references and information regarding structural characteristics of the brain. The majority of them, however, are derived from one paticipant or small samples of the Western population. This poses a limitation for scientific studies on Eastern subjects. In this study, 10 new Chinese brain atlases for different ages and genders were constructed using MR anatomical images based on HAMMER (Hierarchical Attribute Matching Mechanism for Elastic Registration. A total of 1,000 Chinese volunteers ranging from 18 to 70 years old participated in this study. These population-specific brain atlases represent the basic structural characteristics of the Chinese population. They may be utilized for basic neuroscience studies and clinical diagnosis, including evaluation of neurological and neuropsychiatric disorders, in Chinese patients and those from other Eastern countries.

  8. Radiofrequency identification specimen tracking in anatomical pathology: pilot study of 1067 consecutive prostate biopsies.

    Science.gov (United States)

    Bostwick, David G

    2013-10-01

    Improved methods such as radiofrequency identification (RFID) are needed to optimize specimen tracking in anatomical pathology. We undertook a study of RFID in an effort to optimize specimen tracking and patient identification, including the following: (1) creation of workflow process maps, (2) evaluation of existing RFID hardware technologies, (3) creation of Web-based software to support the RFID-enabled workflow, and (4) assessment of the impact with a series of prostate biopsies. We identified multiple steps in the workflow process in which RFID enhanced specimen tracking. Multiple product choices were found that could withstand the harsh heat and chemical environments encountered in pathology processing, and software that was compatible with our laboratory information system was designed in-house. A total of 1067 prostate biopsies were received, and 78.3% were successfully processed with the RFID system. Radiofrequency identification allowed dynamic specimen tracking throughout the workflow process in anatomical pathology. PMID:23796559

  9. ANATOMICAL LANDMARKS FOR ROBOTIC NERVE SPARING RADICAL PROSTATECTOMY

    Directory of Open Access Journals (Sweden)

    T. N. Moiseenko

    2013-01-01

    Full Text Available A detailed anatomical study of the prostate and pelvic organs has been recently relevant. Their anatomical knowledge is directly associated with the improved procedure of nerve-sparing robot-assisted radical prostatectomy, which contributes to the preservation of the anatomical structures responsible for postsurgical erection and urinary continence. The main tasks of radical prostatectomy are effective cancer control, early recovery of urinary continence, and recovery of erectile function.The literature on the anatomy of the prostate and its adjacent structures is analyzed in the context of nerve-sparing robot-assisted radical prostatectomy.

  10. A reusable anatomically segmented digital mannequin for public health communication.

    Science.gov (United States)

    Fujieda, Kaori; Okubo, Kosaku

    2016-01-01

    The ongoing development of world wide web technologies has facilitated a change in health communication, which has now become bi-directional and encompasses people with diverse backgrounds. To enable an even greater role for medical illustrations, a data set, BodyParts3D, has been generated and its data set can be used by anyone to create and exchange customised three-dimensional (3D) anatomical images. BP3D comprises more than 3000 3D object files created by segmenting a digital mannequin in accordance with anatomical naming conventions. This paper describes the methodologies and features used to generate an anatomically correct male mannequin.

  11. Anatomic changes due to interspecific grafting in cassava (Manihot esculenta).

    Science.gov (United States)

    Bomfim, N; Ribeiro, D G; Nassar, N M A

    2011-05-31

    Cassava rootstocks of varieties UnB 201 and UnB 122 grafted with scions of Manihot fortalezensis were prepared for anatomic study. The roots were cut, stained with safranin and alcian blue, and examined microscopically, comparing them with sections taken from ungrafted roots. There was a significant decrease in number of pericyclic fibers, vascular vessels and tyloses in rootstocks. They exhibited significant larger vessels. These changes in anatomic structure are a consequence of genetic effects caused by transference of genetic material from scion to rootstock. The same ungrafted species was compared. This is the first report on anatomic changes due to grafting in cassava.

  12. Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction.

    Science.gov (United States)

    Chahla, Jorge; Nitri, Marco; Civitarese, David; Dean, Chase S; Moulton, Samuel G; LaPrade, Robert F

    2016-02-01

    The posterior cruciate ligament (PCL) is known to be the main posterior stabilizer of the knee. Anatomic single-bundle PCL reconstruction, focusing on reconstruction of the larger anterolateral bundle, is the most commonly performed procedure. Because of the residual posterior and rotational tibial instability after the single-bundle procedure and the inability to restore the normal knee kinematics, an anatomic double-bundle PCL reconstruction has been proposed in an effort to re-create the native PCL footprint more closely and to restore normal knee kinematics. We detail our technique for an anatomic double-bundle PCL reconstruction using Achilles and anterior tibialis tendon allografts. PMID:27284530

  13. Changes of Polyphenolic Substances in the Anatomical Parts of Buckwheat (Fagopyrum esculentum Moench.) during Its Growth Phases

    OpenAIRE

    Judita Bystricka; Janette Musilova; Jan Tomas; Alena Vollmannova; Jaromir Lachman; Petra Kavalcova

    2014-01-01

    In this study the changes of total polyphenolics in different anatomical parts (stems, leaves, flowers and seeds) of common buckwheat (Fagopyrum esculentum Moench.) during vegetation period were analysed. The content of total polyphenolics was evaluated in growth phase I (formation of buds), phase II (at the beginning of flowering), phase III (full blossoming) and phase IV (full ripeness). In all growth phases (GP) the stems and leaves were evaluated and statistically significant differences ...

  14. Stability of Uncemented Cups - Long-Term Effect of Screws, Pegs and HA Coating: A 14-Year RSA Follow-Up of Total Hip Arthroplasty.

    Science.gov (United States)

    Otten, Volker T C; Crnalic, Sead; Röhrl, Stephan M; Nivbrant, Bo; Nilsson, Kjell G

    2016-01-01

    Screws, pegs and hydroxyapatite-coating are used to enhance the primary stability of uncemented cups. We present a 14-year follow-up of 48 hips randomized to four groups: press-fit only, press-fit plus screws, press-fit plus pegs and hydroxyapatite-coated cups. Radiostereometric migration measurements showed equally good stability regardless cup augmentation. The mean wear rate was high, 0.21 mm/year, with no differences between the groups. Seven hips had radiographical osteolysis but only in hips with augmented cups. Cups without screw-holes compared with cups with screw-holes resulted in better clinical outcome at the 14-year follow-up. Thus, augmentation of uncemented cups with screws, pegs, or hydroxyapatite did not appear to improve the long-term stability compared with press-fit only. PMID:26260783

  15. Anatomically-aided PET reconstruction using the kernel method

    Science.gov (United States)

    Hutchcroft, Will; Wang, Guobao; Chen, Kevin T.; Catana, Ciprian; Qi, Jinyi

    2016-09-01

    This paper extends the kernel method that was proposed previously for dynamic PET reconstruction, to incorporate anatomical side information into the PET reconstruction model. In contrast to existing methods that incorporate anatomical information using a penalized likelihood framework, the proposed method incorporates this information in the simpler maximum likelihood (ML) formulation and is amenable to ordered subsets. The new method also does not require any segmentation of the anatomical image to obtain edge information. We compare the kernel method with the Bowsher method for anatomically-aided PET image reconstruction through a simulated data set. Computer simulations demonstrate that the kernel method offers advantages over the Bowsher method in region of interest quantification. Additionally the kernel method is applied to a 3D patient data set. The kernel method results in reduced noise at a matched contrast level compared with the conventional ML expectation maximization algorithm.

  16. Anatomical features and clinical relevance of a persistent trigeminal artery

    Science.gov (United States)

    Alcalá-Cerra, Gabriel; Tubbs, R S; Niño-Hernández, Lucía M

    2012-01-01

    Background: Although persistent trigeminal artery (PTA) is uncommonly identified, knowledge of this structure is essential for clinicians who interpret cranial imaging, perform invasive studies of the cerebral vasculature, and operate this region. Methods: A review of the medical literature using standard search engines was performed to locate articles regarding the PTA, with special attention with anatomical descriptions. Results: Although anatomical reports of PTA anatomy are very scarce, those were analyzed to describe in detail the current knowledge about its anatomical relationships and variants. Additionally, the embryology, classification, clinical implications, and imaging modalities of this vessel are extensively discussed. Conclusions: Through a comprehensive review of isolated reports of the PTA, the clinician can better understand and treat patients with such an anatomical derailment. PMID:23087827

  17. Anatomic Dead Space Cannot Be Predicted by Body Weight

    OpenAIRE

    Brewer, Lara M.; Orr, Joseph A.

    2007-01-01

    Anatomic, airway, or tracheal, dead space is the part of the tidal volume that does not participate in gas exchange. Knowledge of the size of the dead space is important for proper mechanical ventilation, especially if small tidal volumes are used. Respiratory and medical textbooks state that anatomic dead space can be estimated from the patient’s body weight. Specifically, these references suggest dead space can be predicted using a relationship of one milliliter per pound of body weight. Us...

  18. Anatomic anterior cruciate ligament reconstruction using an individualized approach

    Directory of Open Access Journals (Sweden)

    Carola F. van Eck

    2014-01-01

    Full Text Available Anterior cruciate ligament (ACL reconstruction is one of the most commonly performed orthopaedic procedures. Recently, there has been a shift in interest towards reconstruction techniques that more closely restore the native anatomy of the ACL. This review paper discusses our approach to individualized anatomic ACL reconstruction, including the anatomy of the ACL, the physical exam, imaging modalities, the surgical technique for anatomic reconstruction including pre- and intraoperative considerations and our postoperative rehabilitation protocol.

  19. Detection and Analysis of Statistical Differences in Anatomical Shape

    OpenAIRE

    Golland, Polina; Grimson, W. Eric L.; Martha E. Shenton; Kikinis, Ron

    2005-01-01

    We present a computational framework for image-based analysis and interpretation of statistical differences in anatomical shape between populations. Applications of such analysis include understanding developmental and anatomical aspects of disorders when comparing patients vs. normal controls, studying morphological changes caused by aging, or even differences in normal anatomy, for example, differences between genders. Once a quantitative description of organ shape is extracted from input i...

  20. Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction

    OpenAIRE

    Chahla, Jorge; Nitri, Marco; Civitarese, David; Dean, Chase S.; Moulton, Samuel G.; LaPrade, Robert F.

    2016-01-01

    The posterior cruciate ligament (PCL) is known to be the main posterior stabilizer of the knee. Anatomic single-bundle PCL reconstruction, focusing on reconstruction of the larger anterolateral bundle, is the most commonly performed procedure. Because of the residual posterior and rotational tibial instability after the single-bundle procedure and the inability to restore the normal knee kinematics, an anatomic double-bundle PCL reconstruction has been proposed in an effort to re-create the n...

  1. Toledo School of Translators and their influence on anatomical terminology.

    Science.gov (United States)

    Arráez-Aybar, Luis-Alfonso; Bueno-López, José-L; Raio, Nicolas

    2015-03-01

    Translation facilitates transmission of knowledge between cultures. The fundamental transfer of anatomic terminology from the Ancient Greek and Islamic Golden Age cultures, to medieval Latin Christendom took place in the so-called Toledo School of Translators in the 12th-13th centuries. Translations made in Toledo circulated widely across Europe. They were the foundation of scientific thinking that was born in the boards of first universities. In Toledo, Gerard of Cremona translated Avicenna's Canon of Medicine, the key work of Islamic Golden Age of medicine. Albertus Magnus, Mondino de Luzzi and Guy de Chauliac, the leading authors of anatomical Latin words in the Middle Ages, founded their books on Gerard's translations. The anatomical terms of the Canon retain auctoritas up to the Renaissance. Thus, terms coined by Gerard such as diaphragm, orbit, pupil or sagittal remain relevant in the current official anatomical terminology. The aim of the present paper is to bring new attention to the highly significant influence that the Toledo School of Translators had in anatomical terminology. For this, we shall review here the onomastic origins of a number of anatomical terms (additamentum; coracoid process; coxal; false ribs; femur; panniculus; spondylus; squamous sutures; thorax; xiphoid process, etc.) which are still used today. PMID:25667112

  2. Anatomical Findings in Patients with Infective Endocarditis Diagnosed at Autopsy

    Directory of Open Access Journals (Sweden)

    Miguel Angel Serra Valdés

    2013-12-01

    Full Text Available Background: Infective endocarditis continues to challenge modern medicine despite its rare occurrence in the general population. Its incidence depends on risk groups. Correlation of anatomical and pathological findings with clinical and epidemiological elements may explain the current features of this condition. Objective: to describe the anatomical features of patients with infective endocarditis diagnosed at autopsy. Methods: A descriptive study including cases of infective endocarditis diagnosed at autopsy between 1986 and 2008 was conducted in the Provincial Clinical-Surgical Hospital Celia Sanchez, Granma. The variables analyzed were: age, sex, previous anatomical lesions, location of vegetations, multi-organ embolic infarcts and embolic abscesses, complications, culture of lesions and direct causes of death. Results: frequency of infective endocarditis diagnosed at necropsy ranged annually from 0.4 to 1.5%. Native valve endocarditis without previous damage was the most frequent. The anatomical findings were more common in the left side of the heart. Right-sided nosocomial endocarditis accounted for almost a third of the deceased patients and risk factors were identified. Embolic lesions affecting various organs, systemic complications and direct causes of death showed acute infectious endocarditis. The most common pathogen was Staphylococcus aureus. Conclusion: knowing the anatomical findings may contribute to the understanding of the clinical and epidemiological aspects of this condition. Correlation between anatomical and clinical findings was low; therefore difficulties in establishing the diagnosis during life are inferred.

  3. [The anatomical revolution and the transition of anatomical conception in late imperial china].

    Science.gov (United States)

    Sihn, Kyu Hwan

    2012-04-30

    This paper aimed to examine the anatomical revolution from Yilingaicuo (Correcting the Errors of Medicine) and Quantixinlun(Outline of Anatomy and Physiology) in late imperial China. As the cephalocentrism which the brain superintend human operation of the mind was diffused in China since 16th century, the cephalocentrism and the cardiocentrism had competed for the hegemony of anatomical conception. Because of the advent of Yilingaicuo and Quantixinlun, the cephalocentrism became the main stream in the anatomical conception. The supporters of the Wang Yangming's Xinxue(the Learning of Heart and Mind) argued that the heart was the central organ of perception, sensitivity, and morality of the human body in medicine since 16th century. Even reformist and revolutionary intellectuals like Tan sitong and Mao zedong who had supported the Wang Yangming's Xinxue embraced the cephalocentrism in the late 19th century and the early 20th century. May Fourth intellectuals had not obsessed metaphysical interpretation of human body any more in the New Culture Movement in 1910s. They regarded human body as the object of research and writing. The anatomy was transformed into the instrumental knowledge for mutilation of the body. Yilingaicuo challenged the traditional conception of body, and Chinese intellectuals drew interest in the anatomy knowledge based on real mutilation. Quantixinlun based on Western medicine fueled a controversy about anatomy. Though new knowledge of anatomy was criticized by traditional Chinese medical doctors from the usefulness and morality of anatomy, nobody disavowed new knowledge of anatomy from the institutionalization of Western medicine in medical school. The internal development of cephalocentrism and positivism had influence on anatomy in China since 16th century. The advent of Yilingaicuo and Quantixinlun provided the milestone of new anatomy, though both sides represented traditional Chinese medicine and Western medicine respectively. They

  4. Population of anatomically variable 4D XCAT adult phantoms for imaging research and optimization

    Energy Technology Data Exchange (ETDEWEB)

    Segars, W. P.; Bond, Jason; Frush, Jack; Hon, Sylvia; Eckersley, Chris; Samei, E. [Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Duke University Medical Center, Durham, North Carolina 27705 (United States); Williams, Cameron H.; Frush, D. [Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710 (United States); Feng Jianqiao; Tward, Daniel J.; Ratnanather, J. T.; Miller, M. I. [Center for Imaging Science, Johns Hopkins University, Baltimore, Maryland 21218 (United States)

    2013-04-15

    Purpose: The authors previously developed the 4D extended cardiac-torso (XCAT) phantom for multimodality imaging research. The XCAT consisted of highly detailed whole-body models for the standard male and female adult, including the cardiac and respiratory motions. In this work, the authors extend the XCAT beyond these reference anatomies by developing a series of anatomically variable 4D XCAT adult phantoms for imaging research, the first library of 4D computational phantoms. Methods: The initial anatomy of each phantom was based on chest-abdomen-pelvis computed tomography data from normal patients obtained from the Duke University database. The major organs and structures for each phantom were segmented from the corresponding data and defined using nonuniform rational B-spline surfaces. To complete the body, the authors manually added on the head, arms, and legs using the original XCAT adult male and female anatomies. The structures were scaled to best match the age and anatomy of the patient. A multichannel large deformation diffeomorphic metric mapping algorithm was then used to calculate the transform from the template XCAT phantom (male or female) to the target patient model. The transform was applied to the template XCAT to fill in any unsegmented structures within the target phantom and to implement the 4D cardiac and respiratory models in the new anatomy. Each new phantom was refined by checking for anatomical accuracy via inspection of the models. Results: Using these methods, the authors created a series of computerized phantoms with thousands of anatomical structures and modeling cardiac and respiratory motions. The database consists of 58 (35 male and 23 female) anatomically variable phantoms in total. Like the original XCAT, these phantoms can be combined with existing simulation packages to simulate realistic imaging data. Each new phantom contains parameterized models for the anatomy and the cardiac and respiratory motions and can, therefore, serve

  5. MR neurography with multiplanar reconstruction of 3D MRI datasets: an anatomical study and clinical applications

    Energy Technology Data Exchange (ETDEWEB)

    Freund, Wolfgang; Aschoff, Andrik J.; Stuber, Gregor; Schmitz, Bernd [University Hospitals Ulm, Clinic for Diagnostic and Interventional Radiology, Ulm (Germany); Brinkmann, Alexander; Wagner, Florian; Dinse, Alexander [University Hospitals Ulm, Department of Anesthesiology, Ulm (Germany)

    2007-04-15

    Extracranial MR neurography has so far mainly been used with 2D datasets. We investigated the use of 3D datasets for peripheral neurography of the sciatic nerve. A total of 40 thighs (20 healthy volunteers) were examined with a coronally oriented magnetization-prepared rapid acquisition gradient echo sequence with isotropic voxels of 1 x 1 x 1 mm and a field of view of 500 mm. Anatomical landmarks were palpated and marked with MRI markers. After MR scanning, the sciatic nerve was identified by two readers independently in the resulting 3D dataset. In every volunteer, the sciatic nerve could be identified bilaterally over the whole length of the thigh, even in areas of close contact to isointense muscles. The landmark of the greater trochanter was falsely palpated by 2.2 cm, and the knee joint by 1 cm. The mean distance between the bifurcation of the sciatic nerve and the knee-joint gap was 6 cm ({+-}1.8 cm). The mean results of the two readers differed by 1-6%. With the described method of MR neurography, the sciatic nerve was depicted reliably and objectively in great anatomical detail over the whole length of the thigh. Important anatomical information can be obtained. The clinical applications of MR neurography for the brachial plexus and lumbosacral plexus/sciatic nerve are discussed. (orig.)

  6. Comparative anatomical and ecological investigations on some centaurea (asteracae) taxa from turkey and their taxonomic significance

    International Nuclear Information System (INIS)

    The anatomical and ecological characteristics of 7 Centaurea L. s. l. taxa (C. urvillei DC. ssp. stepposa Wagenitz, C. pseudoreflexa Hayek, C. simplicicaulis Boiss. and Huet, C. pecho Albow, C. hypoleuca DC., C. cheiranthifolia Willd.var. purpurascens (DC.) Wagenitz, C. woronowii Bornm.), which three of them are endemic (C. pseudoreflexa, C. pecho, C. woronowii) to Turkey has been carried out. Cross sections of stem, leaf blade and midrib and peripheral sections of the leaves, and pH, total N, P, K and organic matter contents of soil samples have been investigated. Variance analysis and Tukey's Honest Significant Difference test were performed on ecological and anatomical data. Ecological characteristics obtained in this investigation were found mostly similar. On the other hand, anatomically important differences were determined in diversity of anticlinal cell walls, length and width of abaxial epidermis, number of bundles in the midrib and number of stomata per mm/sup 2/ both on the epidermis of the leaf, and the shape of transverse section of stem. According to Tukey's Honest Significant Difference test, especially length and width of abaxial epidermis, number of stomata both on the adaxial and abaxial epidermises have displayed three distinct groups. These results are in accordance with sectional delimitation in the Flora of Turkey and also support upgrading the sum of species of the genus Centaurea. (author)

  7. Morpho-anatomical and physicochemical studies of Fumaria indica (Hausskn.) Pugsley

    Institute of Scientific and Technical Information of China (English)

    Prakash Chandra Gupta; Ch V Rao

    2012-01-01

    To study morpho-anatomical characters and physicochemical analysis ofFumaria indica (F. indica) (Hausskn.) Pugsley, (Fumariaceae), an important medicinal plant used extensively for treating a variety of ailments in various system of indigenous medicine.Methods:Evaluation of the different parts of the plant was carried out to determine the morpho-anatomical, physicochemical, phytochemical and HPTLC fingerprinting profile of F. indica and other WHO recommended methods were performed for standardization. Results: Morpho-anatomical studies showed compound and pinnatifid leaf, 4 to 6 cm in length, linear and oblong in shape and anomocytic arrangement of stomata, thin walled parenchymatous cells, scattered, sclerenchymatous, capped vascular bundles and radiating medullary rays. Physicochemical studies showed foreign matter 0.2%, loss on drying 6.8%, total ash 16.77%, alcohol and water soluble extractives 8.92% and 20.26%, respectively, sugar 17.75%, starch 22.97% and tannins 2.37%. Phytochemical evaluation revealed the presence of carbohydrate, alkaloids, flavonoids, saponins, tannins and sterol. Thin layer chromatography was carried out with different solvents and the best solvent system was chloroform and methanol in 80:20 ratio and revealed 12 spots with different Rf value under UV light 366λ. Conclusions: The results of the study can serve as a valuable source of information and provide suitable standards for identification of this plant material for future investigations and applications.

  8. The Use of Calcaneal Anatomic Plate in Arthroscopically-assisted Open Reduction and Internal Fixation of Intra-articular Calcaneal Fractures

    Institute of Scientific and Technical Information of China (English)

    WANG Hong; ZHANG Qingsong; DUAN Deyu; YAN Lijun

    2006-01-01

    To discuss and evaluate the method and effect of using calcaneal anatomic plate in treatment of intra-articular fractures of the calcaneus with assistant of arthroscope, 86 intra-articular fractures of the calcaneus in 78 patients were reduced by open reduction, and rigid fixation was made with calcaneal anatomic plate under assistant of arthroscope. The average follow-up duration was 18 months (range 12-30 months). The effect of treatment was evaluated according to AOFAS and X-ray before and after operation. The results showed that 86 patients have obtained satisfactory reduction according to X-ray, and there was significant difference before and after operation (P<0.01), the total excellent and fine rate was 91.86 %. Treating intra-articular fractures of the calcaneus with calcaneal anatomic plate under arthroscope may provide more chance to achieve anatomical reconstruction, which can lead to satisfied recovery of function and few complication.

  9. Students perception about the clinico-anatomical conferences as a teaching methodology

    International Nuclear Information System (INIS)

    Anatomy has always been considered as an essential basis for clinical sciences. In recent decades there has been an increased trend towards incorporation of clinical problems in the teaching of anatomy. To promote clinical knowledge clinico-anatomical conferences have been conducted in our department for the last five years. This study has been undertaken to determine perception of medical students regarding these conferences and to formulate recommendations for their improvement based on feedback obtained from students. Method: A cross-sectional study was conducted from December 2013 to January 2014 at the Lahore Medical and Dental College (LMDC), Lahore. A sample of 200 students of first and second year MBBS classes was selected for the study through convenience sampling technique. A 5-point Likert scale ranging from 1 (strongly agree) to 5 (strongly disagree) was used to determine students perception about clinic-anatomical conferences, using a self-administered questionnaire. Data was analysed using SPSS-19.0. Results: Out of total 144 (72%) students were of the opinion that clinico-anatomical conferences were a good source of clinical knowledge, 126 (63%) opined that these conferences promoted understanding rather than memorization, 122 (61%) found them interesting, and 15 (30%) found improvement in their grades in the subject of anatomy after attending the conferences. Conclusion: The clinico-anatomical conferences were found interesting and reported to be a good source of clinical knowledge. It is recommended that these conferences should be conducted frequently, made interactive and patients should be presented as case studies during the conferences. (author)

  10. Anatomical analysis of human masseter using MRI

    International Nuclear Information System (INIS)

    To quantitatively elucidate individual variation in human masseter muscle, the cross sectional area of this muscle was measured in situ with MRI apparatus. The results were analyzed against age, body build and laterality in habitual mastication by bivariate correlation analysis. Materials included 52 healthy volunteers (26 males, 26 females). Right and left masseter areas and total cross sectional area of the face were measured in the same horizontal plane, and directly displayed on the console of the MRI apparatus. The areas of masseter muscles were not correlated with age or body build, but were positively correlated with the total cross sectional area of the face in the same horizontal plane. Because the left masseters tended to be larger than right, a method for evaluation of the relative size of each side of the messeters was established. This analysis revealed that the corrected dominance of the masseter corresponded, with high probability, to the habitual laterality in mastication. (author)

  11. Evolving anatomic and electrophysiologic considerations associated with Fontan conversion.

    Science.gov (United States)

    Mavroudis, Constantine; Backer, Carl Lewis; Deal, Barbara J; Stewart, Robert D; Franklin, Wayne H; Tsao, Sabrina; Ward, Kendra

    2007-01-01

    The principles of Fontan conversion with arrhythmia surgery are to restore the cardiac anatomy by converting the original atriopulmonary connection to a total cavopulmonary artery extracardiac connection and treat the underlying atrial arrhythmias. Successful outcomes of this procedure are dependent on a thorough understanding of several factors: the patient's fundamental diagnosis of single-ventricle anatomy, the resultant cardiac configuration from the original atriopulmonary Fontan connection, right atrial dilatation that leads to atrial flutter or fibrillation, and associated congenital cardiac anomalies. The purpose of this article is to present some of the more challenging anatomic and electrophysiologic problems we have encountered with Fontan conversion and arrhythmia surgery and the innovative solutions we have used to treat them. The cases reviewed herein include: takedown of a Bjork-Fontan modification, right ventricular hypertension and tricuspid regurgitation after atriopulmonary Fontan for pulmonary atresia and intact ventricular septum, takedown of atrioventricular valve isolation patch for right-sided maze procedure, resultant hemodynamic considerations leading to intraoperative pulmonary vein stenosis after Fontan conversion, unwanted inferior vena cava retraction during the extracardiac connection, right atrial cannulation in the presence of a right atrial clot, distended left superior vena cava causing left pulmonary vein stenosis, dropped atrial septum, and the modified right-sided maze procedure for various single-ventricle pathology. Since 1994 we have performed Fontan conversion with arrhythmia surgery on 109 patients with a 0.9% mortality rate. We attribute our program's success in no small measure to the strong collaborative efforts of the cardiothoracic surgery and cardiology teams.

  12. Interactive effects of elevated C02 and temperature on the anatomical characteristics of leaves in eleven species

    Institute of Scientific and Technical Information of China (English)

    HAN Mei; JI Chengjun; ZUO Wenyun; HE Jinsheng

    2007-01-01

    The anatomical features of leaves in 11 species of plants grown in a temperature gradient and a temperature + CO2 gradient were studied.The palisade parenchyma thickness,the spongy parenchyma thickness and the total leaf thickness were measured and analyzed to investigate the effects of elevated temperature and CO2 on the anatomical characteristics of the leaves.Our results show that with the increase of temperature,the leaf thickness of C4 species increased while the leaf thickness of C3 species showed no constant changes.With increased CO2,seven out of nine C3 species exhibited increased total leaf thickness.In C4 species,leaf thickness decreased.As for the trend on the multi-grades,the plants exhibited linear or non-linear changes.With the increase of temperature or both temperature and CO2 for the 11 species investigated,leaf thickness varied greatly in different plants (species) and even in different branches on the same plant.These results demonstrated that the effect of increasing CO2 and temperature on the anatomical features of the leaves were species-specific.Since plant structures are correlated with plant functions,the changes in leaf anatomical characteristics in elevated temperature and CO2 may lead to functional differences.

  13. Optimization of mammography with respect to anatomical noise

    Science.gov (United States)

    Fredenberg, E.; Svensson, B.; Danielsson, M.; Lazzari, B.; Cederström, B.

    2011-03-01

    Beam quality optimization in mammography traditionally considers detection of a target obscured by quantum noise on a homogenous background. It can be argued that this scheme does not correspond well to the clinical imaging task because real mammographic images contain a complex superposition of anatomical structures, resulting in anatomical noise that may dominate over quantum noise. Using a newly developed spectral mammography system, we measured the correlation and magnitude of the anatomical noise in a set of mammograms. The results from these measurements were used as input to an observer-model optimization that included quantum noise as well as anatomical noise. We found that, within this framework, the detectability of tumors and microcalcifications behaved very differently with respect to beam quality and dose. The results for small microcalcifications were similar to what traditional optimization methods would yield, which is to be expected since quantum noise dominates over anatomical noise at high spatial frequencies. For larger tumors, however, low-frequency anatomical noise was the limiting factor. Because anatomical structure has similar energy dependence as tumor contrast, optimal x-ray energy was significantly higher and the useful energy region wider than traditional methods suggest. Measurements on a tissue phantom confirmed these theoretical results. Furthermore, since quantum noise constitutes only a small fraction of the noise, the dose could be reduced substantially without sacrificing tumor detectability. Exposure settings used clinically are therefore not necessarily optimal for this imaging task. The impact of these findings on the mammographic imaging task as a whole is, however, at this stage unclear.

  14. Anatomical Disregard as a Risk Factor in Thoracic Surgery.

    Directory of Open Access Journals (Sweden)

    Arribalzaga, Eduardo B.

    2012-06-01

    Full Text Available The anatomy plays a significant role in medical education, allowing a progressive appropriate professional development. Because of different factors adverse events (AE occur, where patient’s safety is achieved by surgical knowledge, prevention and elimination of risk factors. Absence or incorrect knowledge of the anatomical basis at the beginning of the graduate studies specialization are factors that alter the surgical patient’s safety, risking his life. The safety checklist in surgery is used to reduce avoidable risks for the patient in the operating room.Objectives: 1. Analyze the anatomic disregard as a risk factor in surgical anatomical processes of the thorax. 2. Evaluate actions to provide greater safety for the patient with thoracic surgical pathology. 3. Evaluate the importance of implementing register systems to improve the quality of care and patient’s safety with thoracic surgical pathology.Retrospective statistical analysis of anatomic disregard as a risk factor contributing to adverse events (AEs in anatomical and surgical procedures of the thorax was performed in the General Surgery Service of the Hospital Aeronáutico Central of Buenos Aires Air (HAC, from October 2009 to April 2011; and a case of anatomical disregard and its clinical-surgical implications was reported, in General Surgery Service of Hospital de Clínicas of Buenos Aires.In the General Surgery Service of HAC, 21 patients (17.64% had AE all (100% preventable. 100% were due to human factors, corresponding to 12 (57.14%, because of ignorance of anatomical region and the rest by other factors: absence of checklist in 7 (58.33% of which 5 (71.43% correspond to the first 9 months of the studied period and 2 (28.57% in the next 9 months. A case of anatomical disregard was reported in the surgical practice of General Surgery Service of Hospital de Clínicas, Buenos Aires where it was because of complications that endangered the patient’s life.The registration

  15. Endovascular Repair of a Ruptured Aortic Extra-anatomic Bypass Pseudoaneurysm After Previous Coarctation Surgery.

    Science.gov (United States)

    Hörer, Tal; Toivola, Asko

    2015-01-01

    We present a short case of a total endovascular repair of a ruptured thoracic pseudoaneurysm after previous coarctation aortic conduit bypass surgery. A 67-year-old man with two previous coarctation repairs many years ago was admitted with chest pain, dyspnea, and hemoptysis. Computed tomography showed a rupture in the distal anastomosis of the thoracic extra-anatomic graft. Successful treatment was achieved by placement of an endovascular stent graft between the old graft and the native aorta and with a vascular plug occlusion of the native aorta.

  16. CT following US for possible appendicitis: anatomic coverage

    Energy Technology Data Exchange (ETDEWEB)

    O' Malley, Martin E. [University of Toronto, Princess Margaret Hospital, 3-920, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Alharbi, Fawaz [University of Toronto, Toronto General Hospital, NCSB 1C572, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Qassim University, Department of Medical Imaging, Buraydah, Qassim (Saudi Arabia); Chawla, Tanya P. [University of Toronto, Mount Sinai Hospital, Room 567, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Moshonov, Hadas [University of Toronto, Joint Department of Medical Imaging, Toronto, Ontario (Canada)

    2016-02-15

    To determine superior-inferior anatomic borders for CT following inconclusive/nondiagnostic US for possible appendicitis. Ninety-nine patients with possible appendicitis and inconclusive/nondiagnostic US followed by CT were included in this retrospective study. Two radiologists reviewed CT images and determined superior-inferior anatomic borders required to diagnose or exclude appendicitis and diagnose alternative causes. This ''targeted'' coverage was used to estimate potential reduction in anatomic coverage compared to standard abdominal/pelvic CT. The study group included 83 women and 16 men; mean age 32 (median, 29; range 18-73) years. Final diagnoses were: nonspecific abdominal pain 50/99 (51 %), appendicitis 26/99 (26 %), gynaecological 12/99 (12 %), gastrointestinal 9/99 (10 %), and musculoskeletal 2/99 (2 %). Median dose-length product for standard CT was 890.0 (range, 306.3 - 2493.9) mGy.cm. To confidently diagnose/exclude appendicitis or identify alternative diagnoses, maximum superior-inferior anatomic CT coverage was the superior border of L2-superior border of pubic symphysis, for both reviewers. Targeted CT would reduce anatomic coverage by 30-55 % (mean 39 %, median 40 %) compared to standard CT. When CT is performed for appendicitis following inconclusive/nondiagnostic US, targeted CT from the superior border of L2-superior border of pubic symphysis can be used resulting in significant reduction in exposure to ionizing radiation compared to standard CT. (orig.)

  17. [ANATOMICAL PREPARATIONS IN MUSEUMS A SPECIAL CATEGORY OF CULTURAL HERITAGE].

    Science.gov (United States)

    Monza, Francesca; Licata, Marta

    2015-01-01

    The international debate on the issue of human remains in museums and on the ethical issues related to their exhibition stimulates reflection on the Italian anatomical collections and on their preparations. A definition of human remains or of anatomical preparation does not exist in the Italian legislation. The anatomical specimens in museums are protected by the laws of Cultural Heritage as part of public collections, but their status is not well defined. By their nature of human material they would in fact be considered as a special category of Cultural Heritage. Because they are part of a cadaver they can be regarded as res nullius, but since treated with special techniques they could also change their meaning and being considered a species nova. Finally, it reflects on the possibility of creating a museum in Italy composed by new anatomical preparations. The article outline the contours of a museological issue that deserves to be investigated in order to better identify the anatomical preparations and their management in museums.

  18. Orbitofrontal sulcal and gyrus pattern in human: an anatomical study

    Directory of Open Access Journals (Sweden)

    Thiago Pereira Rodrigues

    2015-05-01

    Full Text Available The anatomical characterization of the orbitofrontal cortex in human is limited in literature instead of many functional and clinical studies involving it. Objective Anatomically define the orbitofrontal region aiming to possible neurosurgical treatments and unify the scientific nomenclature as well. Method We analyze eighty four human hemispheres using a surgical microscope. Then we chose four hemispheres and dissect them according to Klinger’ technique. Results We found five main sulcus: olfatory sulcus, orbital medial sulcus, orbital lateral sulcus, orbital transverse sulcus and orbital intermediate sulcus. These sulcus, excluding the intermediate sulcus, delimit five gyrus: rectus gurys, orbital medial gyrus, orbital anterior gyrus, orbital lateral gyrus and orbital posterior gyrus. The main sulcal configuration can be divided on four more frequently patterns. Conclusion Orbitofrontal cortex is associated with many psychiatric disorders. Better anatomical and functional characterization of the orbitofrontal cortex and its connections will improve our knowledge about these diseases.

  19. Photosynthesis rate in moss leaves of various anatomical structure

    Directory of Open Access Journals (Sweden)

    Jan Krupa

    2015-05-01

    Full Text Available On the basis of measurements of the rate of gas exchange in the leaves of mosses the value of the compensation and of the light saturation of photosynthesis points was determined. These points differentiate mosses into photo- and sciophilous ones.Moss species such as: Mnium punctatum, Catherinea undulata, Polytrichum juniperinum, Funaria hygrometrica, Polytrichum piliferum, Aloina rigida were also classified according to differences in the anatomical structure of their leaves. The morphological characters of the anatomical structure of leaves and their chlorophyll content are connected with photosynthetic activity. There is a correlation between the leaf surface and the degree of differentiation of the anatomical structure. This results in an enlargement of the contact surface of the cells assimilating from the air, and this in turn is associated with an increase in the photosynthetic activity per leaf surface area unit.

  20. Identification of Salicornia population: Anatomical characterization and RAPD fingerprinting

    Directory of Open Access Journals (Sweden)

    Milić Dubravka

    2011-01-01

    Full Text Available Anatomical and Random Amplified Polymorphic DNA (RAPD analysis of two typical populations of Salicornia europaea from Montenegro and Greece (Lesvos, one typical population of S. ramosissima from Spain and one population that belongs to the Salicornia genus from Serbia, was undertaken to develop a new strategy for identifying Salicornia plants. Anatomical variability and differentiation were examined using Principal Component Analysis (PCA and Multivariate Discriminant Function Analysis (MDA. On the basis of the anatomical measurements, the four populations were classified into three groups: one joining the plants from Serbia and Spain, one comprising the Montenegrin group and one comprising the Lesvos group. RAPD analysis indicated that populations from Spain and Serbia were closely related to each other and the Lesvos group was quite different from all the other investigated populations. These results opened up the possibility that the specimens from Serbia belonged to S. ramosissima and not to S. europaea, as reported previously.

  1. Gastric Anatomic Type Is Associated with Obesity and Gender

    Directory of Open Access Journals (Sweden)

    Yu Jen Wang

    2016-06-01

    Full Text Available Objective: To enhance our understanding of the associations among gastric anatomy, obesity, and gender. Methods: 777 randomly selected participants received health checkups, including a series of radiographs of the upper gastrointestinal tract (UGI; the findings were linked with each corresponding subject's gender and BMI. We measured the length, angle, and different portions of the stomach with the subjects in the standing position using radiographs to classify all individuals into anatomic types 1 through 6 based on gastric morphology. The gastric morphology was identified based on the initial UGI examination: 166 follow-up UGI radiographs at 12 ± 1.5 months to evaluate whether the stability of gastric anatomy persisted over time. Results: There was a significant difference in anatomic types between females and males (p Conclusion: Gastric anatomic types were associated with obesity and gender.

  2. Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach.

    Science.gov (United States)

    Chahla, Jorge; Menge, Travis J; Mitchell, Justin J; Dean, Chase S; LaPrade, Robert F

    2016-06-01

    Restoration of anteroposterior laxity after an anterior cruciate ligament reconstruction has been predictable with traditional open and endoscopic techniques. However, anterolateral rotational stability has been difficult to achieve in a subset of patients, even with appropriate anatomic techniques. Therefore, differing techniques have attempted to address this rotational laxity by augmenting or reconstructing lateral-sided structures about the knee. In recent years, there has been a renewed interest in the anterolateral ligament as a potential contributor to residual anterolateral rotatory instability in anterior cruciate ligament-deficient patients. Numerous anatomic and biomechanical studies have been performed to further define the functional importance of the anterolateral ligament, highlighting the need for surgical techniques to address these injuries in the unstable knee. This article details our technique for an anatomic anterolateral ligament reconstruction using a semitendinosus tendon allograft. PMID:27656361

  3. Benign anatomical mistakes: the correct anatomical term for the recurrent laryngeal nerve.

    Science.gov (United States)

    Mirilas, Petros; Skandalakis, John E

    2002-01-01

    The term recurrent laryngeal nerve has been adopted by Nomina Anatomica (1989) and Terminologia Anatomica (1998) to describe this vagus branch from its origin, its turn dorsally around the subclavian artery and the aortic arch, and its cranial pathway until it reaches its terminal organs in the neck. However, there is still much confusion, and either the terms inferior and recurrent laryngeal nerve are used interchangeably or inferior laryngeal nerve is considered the terminal branch of the recurrent laryngeal nerve. We hereby feel that it is necessary to reassess the term and we propose the term inferior laryngeal nerve for the entire nerve under consideration, from its origin from the vagus nerve to its destinations, including tracheal, esophageal, and pharyngeal branches. If the term superior laryngeal nerve is a given, standard and accepted term in the anatomical terminology, then logically the term inferior laryngeal nerve should also be accepted, as opposed to it. Of course the upward travel of the inferior laryngeal nerve is "recurrent". When nonrecurrence is encountered together with an arteria lusoria, a retroesophageal right subclavian artery or a right aortic arch, we consider that the term nonrecurrent inferior laryngeal nerve should be used to describe the deviation from the normal.

  4. Computer-based anthropometrical system for total body irradiation.

    Science.gov (United States)

    Sánchez-Nieto, B; Sánchez-Doblado, F; Terrón, J A; Arráns, R; Errazquin, L

    1997-05-01

    For total body irradiation (TBI) dose calculation requirements, anatomical information about the whole body is needed. Despite the fact that video image grabbing techniques are used by some treatment planning systems for standard radiotherapy, there are no such systems designed to generate anatomical parameters for TBI planning. The paper describes an anthropometrical computerised system based on video image grabbing which was purpose-built to provide anatomical data for a PC-based TBI planning system. Using software, the system controls the acquisition and digitalisation of the images (external images of the patient in treatment position) and the measurement procedure itself (on the external images or the digital CT information). An ASCII file, readable by the TBI planning system, is generated to store the required parameters of the dose calculation points, i.e. depth, backscatter tissue thickness, thickness of inhomogeneity, off-axis distance (OAD) and source to skin distance (SSD). PMID:9246868

  5. Bilateral lingual-facial trunk: anatomic and clinical implications.

    Science.gov (United States)

    Troupis, T; Michalinos, A; Kakisis, J; Natsis, K; Sofidis, G; Skandalakis, P

    2015-01-01

    Common origin of lingual and facial artery is a relatively frequent anatomic varia-tion. Instead, bilateral lingual-facial trunk has been described only sparsely in the literature. In this report authors describe and analyse a case of bilateral common lingual-facial trunk in the context of its anatomical, clinical and embryological implications. We also describe possible consequences in performance of elective and emergent surgical operations and modification in surgical techniques that should be considered. We believe that surgeons should be suspicious for this variation's existence and keep alternative solutions in their armentarium.

  6. Reply to “Introducing International Journal of Anatomical Variations”

    Directory of Open Access Journals (Sweden)

    Potu BK

    2009-07-01

    Full Text Available To the Editor, International Journal of Anatomical Variations:Please accept my heartiest congratulations on your recent opening of International Journal of Anatomical Variations Journal. I have already gone through the articles of first volume. It was surprised to read some of the unique variations published in it. Reading of these variations by vascular surgeons and angiologist will certainly boost their knowledge for better diagnosis and I hope you will continue publishing these types of rare variations. It would be great, if you encourage authors to submit research related articles. It is obvious that you have a wide-open future ahead of you.

  7. Anatomical background and generalized detectability in tomosynthesis and cone-beam CT

    Energy Technology Data Exchange (ETDEWEB)

    Gang, G. J.; Tward, D. J.; Lee, J.; Siewerdsen, J. H. [Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario M5G 2M9 (Canada); Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States); Department of Electrical and Computer Engineering, Johns Hopkins University, Baltimore, Maryland 21218 (United States); Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario M5G 2M9 (Canada) and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21205 (United States)

    2010-05-15

    Purpose: Anatomical background presents a major impediment to detectability in 2D radiography as well as 3D tomosynthesis and cone-beam CT (CBCT). This article incorporates theoretical and experimental analysis of anatomical background ''noise'' in cascaded systems analysis of 2D and 3D imaging performance to yield ''generalized'' metrics of noise-equivalent quanta (NEQ) and detectability index as a function of the orbital extent of the (circular arc) source-detector orbit. Methods: A physical phantom was designed based on principles of fractal self-similarity to exhibit power-law spectral density ({kappa}/f{sup {beta}}) comparable to various anatomical sites (e.g., breast and lung). Background power spectra [S{sub B}(f)] were computed as a function of source-detector orbital extent, including tomosynthesis ({approx}10 deg. - 180 deg.) and CBCT (180 deg. +fan to 360 deg.) under two acquisition schemes: (1) Constant angular separation between projections (variable dose) and (2) constant total number of projections (constant dose). The resulting S{sub B} was incorporated in the generalized NEQ, and detectability index was computed from 3D cascaded systems analysis for a variety of imaging tasks. Results: The phantom yielded power-law spectra within the expected spatial frequency range, quantifying the dependence of clutter magnitude ({kappa}) and correlation ({beta}) with increasing tomosynthesis angle. Incorporation of S{sub B} in the 3D NEQ provided a useful framework for analyzing the tradeoffs among anatomical, quantum, and electronic noise with dose and orbital extent. Distinct implications are posed for breast and chest tomosynthesis imaging system design--applications varying significantly in {kappa} and {beta}, and imaging task and, therefore, in optimal selection of orbital extent, number of projections, and dose. For example, low-frequency tasks (e.g., soft-tissue masses or nodules) tend to benefit from larger orbital

  8. Footprint Mismatch of Cervical Disc Prostheses with Chinese Cervical Anatomic Dimensions

    Institute of Scientific and Technical Information of China (English)

    Liang Dong; Ming-Sheng Tan; Qin-Hua Yan; Ping Yi; Feng Yang; Xiang-Sheng Tang; Qing-Ying Hao

    2015-01-01

    Background:The footprint of most prostheses is designed according to Caucasian data.Total disc replacement (TDR) has been performed widely for cervical degenerative diseases in China.It is essential to analyze the match sizes of prostheses footprints and Chinese cervical anatomic dimensions in our study.Methods:The anatomic dimensions of the C4-C7 segments of 138 patients (age range 16-77 years) in a Chinese population were measured by computed tomography scans.We compared the footprints of the most commonly used cervical disc prostheses (Bryan:Medtronic,Minneapolis,MN,USA; Prestige LP:Medtronic,Fridley,Minnesota,USA; Discover:DePuy,Raynham,MA,USA; Prodisc-C:Synthes,West Chester,PA,USA) in China with Chinese cervical anatomic dimensions and assessed the match of their size.Results:The mismatch of available dimensions of prostheses and anatomic data of cervical endplates ranged from 17.03% (C4/C5,Prestige LP,Prodisc-C) to 57.61% (C6/C7,Discover) in the anterior-posterior (AP) diameter,and 35.51% (C4/C5,Prodisc-C,Prestige LP) to 94.93% (C6/C7,Bryan) in the center mediolateral (CML) diameter.About 21.01% of endplates were larger than the largest prostheses in the AP diameter and 57.25% in the CML diameter.All available footprints of prostheses expect the Bryan with an unfixed height,can accommodate the disc height (DH),however,36.23% of the middle DH was less than the smallest height of the prostheses.The average disc sagittal angles (DSAs) of C4-C7 junctions were 5.04°,5.15°,and 4.13° respectively.Only the Discover brand had a built-in 7° lordotic angle,roughly matching with the DSA.Conclusions:There is a large discrepancy between footprints of prostheses and Chinese cervical anatomic data.In recent years,possible complications of TDR related with mismatch sizes are increasing,such as subsidence,displacement,and heterotopic ossification.Manufacturers of prostheses should introduce or produce additional footprints of prostheses for Chinese TDR.

  9. Immediate breast reconstruction with anatomical implants following mastectomy: The radiation perspective.

    Science.gov (United States)

    Ben-David, Merav; Granot, Hila; Gelernter, Ilana; Scheflan, Michael

    2016-01-01

    Immediate implant-based breast reconstruction followed by postmastectomy radiation therapy (PMRT) is controversial because of the risk of compromised treatment plans and concerns regarding cosmetic outcomes. We evaluated the effects of immediate direct-to-implant breast reconstruction with anatomical implants on the quality of PMRT delivered by 3-dimensional conformal radiotherapy (3D-CRT). In this retrospective, single-institution study, patients who had undergone reconstruction with direct anatomic implant, performed by a single surgeon, received 3D-CRT between 2008 and 2013. For each patient, 2 plans (including or excluding internal mammary nodes [IMN]) were created and calculated. The primary end point was the dose distribution among reconstructed breasts, heart, lungs, and IMNs, and between right and left breasts. Of 29 consecutive patients, 11 received right-sided and 18 received left-sided PMRT to a total dose of 50Gy. For plans excluding IMN coverage, mean Dmean for right and left reconstructed breasts was 49.09Gy (98.2% of the prescribed dose) and 48.51Gy (97.0%), respectively. For plans including IMNs, mean Dmean was 49.15Gy (98.3%) for right and 48.46Gy (96.9%) for left reconstructed breasts; the mean IMN Dmean was 47.27Gy (right) and 47.89Gy (left). Heart Dmean was below 1.56Gy for all plans. Mean total lung volume receiving a dose of ≥ 20Gy was 13.80% to 19.47%. PMRT can be delivered effectively and safely by 3D-CRT after direct-to-implant breast reconstruction with anatomical implants, even if patients require IMN treatment.

  10. Radiographic analysis of shoulder anatomical arthroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Merolla, Giovanni [Unit of Shoulder and Elbow Surgery, ' D. Cervesi' Hospital, L. Van Beethoven 46 Street, 47841 Cattolica (Italy)], E-mail: gmerolla@shouldertech.it; Di Pietto, Francesco; Romano, Stefania [Department of Diagnostic Imaging, ' A. Cardarelli' Hospital, Naples (Italy); Paladini, Paolo; Campi, Fabrizio; Porcellini, Giuseppe [Unit of Shoulder and Elbow Surgery, ' D. Cervesi' Hospital, L. Van Beethoven 46 Street, 47841 Cattolica (Italy)

    2008-10-15

    Arthroplasty is the standard treatment for advanced shoulder osteoarthritis. Modern prostheses designs have modular features whose size, shaft/head and body morphology can be adjusted. Total Shoulder Arthroplasty (TSA) provides better results. A complete X-ray follow-up is essential to assess the results and evaluate the survival rates of a shoulder prosthesis. Antero-posterior at 40 deg. in both internal and external rotation (true AP view) and axillary view are recommended to assess the following parameters: orientation and translation of the humeral component, offset, size and height of the humeral head, acromio-humeral distance, distribution and fixation of the cement, stress shielding and cortical resorption, radiolucent lines, subsidence and tilt, glenoid wear and 'bone stock', prostheses instability, glenoid component shift. Shoulder hemiarthroplasty can lead to glenoid wear; the true AP film at 40 deg. of internal rotation provides the best profile of gleno-humeral joint to depict glenoid erosion. Shift of the glenoid component in TSA is identified as tilting or medial migration on true AP and axillary views in the early postoperative period (1-2 months) and at minimum of 2 years. An exhaustive radiographic analysis remains essential to monitor the prosthetic implant and detect early and late complications or risk factors of prosthetic loosening.

  11. Angular vessels as a new vascular pedicle of an island nasal chondromucosal flap: Anatomical study and clinical application

    OpenAIRE

    HOU, DIANJU; Fang, Lin; Zhao, Zhenmin; ZHOU, CHUANDE; YANG, MINGYONG

    2012-01-01

    Successful eyelid reconstructions have been reported when using an axial nasal chondromucosal flap based on the dorsal nasal artery. The present study aimed to present a detailed anatomical description of the blood supply of the lateral nasal region and the angular artery, in order to propose the angular vessels as a new vascular pedicle for the island nasal chondromucosal flap. A total of 11 cadavers (22 hemi-faces) were examined. Observations with regard to the origin, course and distributi...

  12. Prognostic classification of Hodgkin disease in pathologic stage III, based on anatomic considerations

    Energy Technology Data Exchange (ETDEWEB)

    Desser, R.K.; Golomb, H.M.; Ultmann, J.E.; Ferguson, D.J.; Moran, E.M.; Griem, M.L.; Vardiman, J.; Miller, B.; Oetzel, N.; Sweet, D.

    1977-06-01

    Fifty-two patients with pathologic stage III Hodgkin's disease were studied in an effort to determine whether location of involved abdominal nodes influenced survival. Treatment consisted of total nodal radiotherapy with or without subsequent combination chemotherapy. The initial radiation field was the ''extended mantle,'' which included supradiaphragmatic nodes, the splenic hilar area, and paraaortic nodes to the level of L2-L4. Subsequently, lower paraaortic and iliac regions were treated (''lower inverted Y''). Patients with disease limited to the spleen and/or splenic, celiac, or portal nodes (''anatomic substage'' III/sub 1/) had a more favorable 5-yr survival than did patients with involvement of paraaortic, iliac, or mesenteric nodes (''anatomic substage'' III/sub 2/) : 93% versus 57%, respectively (p < 0.05). The addition of combination chemotherapy to total nodal irradiation was associated with improved survival of patients in stage III/sub 2/, but not of those in stage III/sub 1/.

  13. Surface anatomy and anatomical planes in the adult turkish population.

    Science.gov (United States)

    Uzun, C; Atman, E D; Ustuner, E; Mirjalili, S A; Oztuna, D; Esmer, T S

    2016-03-01

    Surface anatomy and anatomical planes are widely used in education and clinical practice. The planes are largely derived from cadaveric studies and their projections on the skin show discrepancies between and within anatomical reference textbooks. In this study, we reassessed the accuracy of common thoracic and abdominopelvic anatomical planes using computed tomography (CT) imaging in the live adult Turkish population. After patients with distorting pathologies had been excluded, CT images of 150 supine patients at the end tidal inspiration were analyzed. Sternal angle, transpyloric, subcostal, supracristal and pubic crest planes and their relationships to anatomical structures were established by dual consensus. The tracheal bifurcation, azygos vein/superior vena cava (SVC) junction and pulmonary bifurcation were usually below the sternal angle while the concavity of the aortic arch was generally within the plane. The tip of the tenth rib, the superior mesenteric artery and the portal vein were usually within the transpyloric plane while the renal hila and the fundus of the gallbladder were below it. The inferior mesenteric artery was below the subcostal plane and the aortic bifurcation was below the supracristal plane in most adults. Projectional surface anatomy is fundamental to medical education and clinical practice. Modern cross-sectional imaging techniques allow large groups of live patients to be examined. Classic textbook information regarding anatomy needs to be reviewed and updated using the data gathered from these recent studies, taking ethnic differences into consideration.

  14. Anatomical, neurophysiological and perceptual issues of tactile perception

    NARCIS (Netherlands)

    Cheung, B.; Erp, J.B.F. van; Cholewiak, R.W.

    2008-01-01

    In this chapter, we are concerned with what our touch receptors and the associated central nervous structures do. Our description begins with the anatomical and physiological characteristics of the touch receptors followed by a comprehensive psychophysical overview of touch sensation and perception.

  15. ANATOMICAL PRINCIPLES BEHIND PRESERVATION OF LARYNGEAL NERVES DURING THYROIDECTOMY

    Directory of Open Access Journals (Sweden)

    O. Fabian

    2011-08-01

    Full Text Available This paper presents the anatomical principles behind preservation of inferior laryngeal nerve and of the external branch of superior laryngeal nerve during thyroidectomy. The embryological development of thyroid and recurrent laryngeal nerves explains the constant relationship between Zuckerkandl’s tuberculum and the recurrent laryngeal nerve, while anomalies in development of the aortic arches explain the presence of rare anatomical variants, with a high risk of nerve injury, of non-recurrent course of the inferior laryngeal nerve. Good knowledge of the relationship between the external branch of superior laryngeal nerve and the superior thyroid artery makes possible to avoid transection of this branch during ligature around superior thyroid artery and vein. Anatomical landmarks used to identify the recurrent laryngeal nerve (tracheo-oesophageal sulcus, the cross-over with the inferior thyroid artery, Berry’s ligament, Zuckerkandl’s tuberculum and variations in the extra-laryngeal branching of the nerve are discussed based on data from the literature. The anatomical variants when the inferior laryngeal nerve doesn’t have a recurrent course are also discussed

  16. Anatomical Modifications in two Juncus Species under Salt Stress Conditions

    Directory of Open Access Journals (Sweden)

    Mohamad Al HASSAN

    2015-12-01

    Full Text Available The anatomic structure of roots and culms of two Juncus species with different degrees of salt tolerance was analysed in plants grown for two months under salt stress (NaCl treatments and in control, non-treated plants. The aim of the study was not only to compare the anatomical structures of a halophyte (J. acutus and a related glycophyte (J. articulatus, but mostly to assess whether salt stress induced anatomical modifications, by identifying differences between control and treated plants. Several slight differences have been indeed detected, in terms of endodermis type, development of aerenchyma and extent of sclerenchyma in perivascular sheaths. The role of Casparian endodermis was here discussed in relation to its complex implications in controlling salt influx at the root level that is an efficient mechanism involved in halophytes. Aerenchyma is a common feature found in marshy halophytes, allowing them to survive naturally under flooding conditions; however, when occurring in non-waterlogged plants, as is the case of this study, it should be regarded as a genetically, constitutive adaptation rather than an inducible one. Nevertheless, such anatomic modifications should be regarded as mere alterations due to stress – that is, as stress responses – and not as truly adaptations to salinity. In this context, the nature of these modifications – either considered as adaptations or damage indicators of salt stress – should be further reconsidered.

  17. Adaptation of Museum Specimens for Use in Anatomical Teaching Aids

    Science.gov (United States)

    Harris, P. F.; And Others

    1977-01-01

    Color transparencies are prepared of a re-colored anatomical specimen after placing labels temporarily in position to indicate specific structures. The specimen is also radiographed to show skeletal and soft tissue structures. Cross-reference among the specimen, photographs, and radiographs is supplemented by examination and self-assessment…

  18. The Main Technical Points of Thoracoscopic Anatomical Lung Segment Resection

    Directory of Open Access Journals (Sweden)

    Liang CHEN

    2016-06-01

    Full Text Available Thoracoscopic segmentectomy is technically much more meticulous than lobectomy, due to the complicated anotomical variations of segmental bronchi and vessels. Preoperative three-dimensional computed tomography bronchography and angiography, 3D-CTBA could reveal the anatomical structures and variations of the segmental bronchi/vessels and locate the pulmonary nodules, which is helpful for surgery planning. Preoperative nodule localization is of vital importance for thoracoscopic segmentectomy. Techniques involved in this procedure include dissection of the targeted arteries, bronchus and intra-segmental veins, retention of the inter-segmental veins, identification of the inter-segmental boarder with the inflation-deflation method and seperation of intra-segmental pulmonary tissues by electrotome and/or endoscopic staplers. The incision margin for malignant nodules should be at least 2 cm or the diameter of the tumor. Meanwhile, sampling of N1 and N2 station lymph nodes and intraoperative frozen section is also necessary. The complication rate of thoracoscopic segmentectomy is comparatively low. The anatomic relationship between pulmonary segments and lobes is that a lobe consists of several irregular cone-shaped segments with the inter-segmental veins lies between the segments. Our center has explored a method to separate pulmonary segments from the lobe on the basis of cone-shaped principle, and we named it “Cone-shaped Segmentectomy”. This technique could precisely decide and dissect the targeted bronchi and vessels, and anatomically separate the inter-segmental boarder, which ultimately achieve a completely anatomical segmentectomy.

  19. Segmentation of anatomical structures in chest CT scans

    NARCIS (Netherlands)

    van Rikxoort, E.M.

    2009-01-01

    In this thesis, methods are described for the automatic segmentation of anatomical structures from chest CT scans. First, a method to segment the lungs from chest CT scans is presented. Standard lung segmentation algorithms rely on large attenuation differences between the lungs and the surrounding

  20. Ankle Joint Fusion With an Anatomically Preshaped Anterior Locking Plate.

    Science.gov (United States)

    Wiewiorski, Martin; Barg, Alexej; Schlemmer, Thomas; Valderrabano, Victor

    2016-01-01

    We present a novel fixation plate for primary ankle joint fusion. A single anatomically preshaped angular stable plate was used with an anterior approach. An excellent result with good bone consolidation was present at the 1-year follow-up examination. PMID:25998475

  1. A hierarchical scheme for geodesic anatomical labeling of airway trees

    DEFF Research Database (Denmark)

    Feragen, Aasa; Petersen, Jens; Owen, Megan;

    2012-01-01

    We present a fast and robust supervised algorithm for label- ing anatomical airway trees, based on geodesic distances in a geometric tree-space. Possible branch label configurations for a given unlabeled air- way tree are evaluated based on the distances to a training set of labeled airway trees....

  2. Dissimilarity-based classification of anatomical tree structures

    DEFF Research Database (Denmark)

    Sørensen, Lauge Emil Borch Laurs; Lo, Pechin Chien Pau; Dirksen, Asger;

    2011-01-01

    A novel method for classification of abnormality in anatomical tree structures is presented. A tree is classified based on direct comparisons with other trees in a dissimilarity-based classification scheme. The pair-wise dissimilarity measure between two trees is based on a linear assignment betw...

  3. Optimizing conditions for computer-assisted anatomical learning

    NARCIS (Netherlands)

    Luursema, Jan-Maarten; Verwey, Willem B.; Kommers, Piet A.M.; Geelkerken, Robert H.; Vos, Hans J.

    2006-01-01

    An experiment evaluated the impact of two typical features of virtual learning environments on anatomical learning for users of differing visuo-spatial ability. The two features studied are computer-implemented stereopsis (the spatial information that is based on differences in visual patterns proje

  4. The role of stereopsis in virtual anatomical learning

    NARCIS (Netherlands)

    Luursema, Jan-Maarten; Verwey, Willem B.; Kommers, Piet A.M.; Annema, Jan-Henk

    2008-01-01

    The use of virtual learning environments in the medical field is on the rise. An earlier experiment [Luursema, J.-M., Verwey, W.B., Kommers, P.A.M., Geelkerken, R.H., Vos, H.J., 2006. Optimizing conditions for computer-assisted anatomical learning. Interacting with Computers, 18, 1123–1138.] found t

  5. The Contribution of Dynamic Exploration to Virtual Anatomical Learning

    Directory of Open Access Journals (Sweden)

    Jan-Maarten Luursema

    2011-01-01

    Full Text Available Virtual Learning Environments are increasingly becoming part of the medical curriculum. In a previous study we (luursema et al., 2006 found that a combination of computer-implemented stereopsis (visual depth through seeing with both eyes and dynamic exploration (being able to continuously change one's viewpoint relative to the studied objects in real time is beneficial to anatomical learning, especially for subjects of low visuo spatial ability (the ability to form, retrieve, and manipulate mental representations of a visuo-spatial nature. A follow-up study (luursema et al., 2008 found the contribution of computer-implemented stereopsis to this effect to be small but significant. The present experiment investigated the contribution of dynamic exploration to anatomical learning by means of a virtual learning environment. Seventy participants were tested for visuo-spatial ability and were grouped in pairs matched for this ability. One individual of the pair actively manipulated a 3D reconstruction of the human abdomen; the other individual passively watched the interactions of the first individual on a separate screen. Learning was assessed by two anatomical learning tests. Dynamic exploration provided a small but significant benefit to anatomical learning.

  6. Additive Manufacturing of Anatomical Models from Computed Tomography Scan Data.

    Science.gov (United States)

    Gür, Y

    2014-12-01

    The purpose of the study presented here was to investigate the manufacturability of human anatomical models from Computed Tomography (CT) scan data via a 3D desktop printer which uses fused deposition modelling (FDM) technology. First, Digital Imaging and Communications in Medicine (DICOM) CT scan data were converted to 3D Standard Triangle Language (STL) format by using In Vaselius digital imaging program. Once this STL file is obtained, a 3D physical version of the anatomical model can be fabricated by a desktop 3D FDM printer. As a case study, a patient's skull CT scan data was considered, and a tangible version of the skull was manufactured by a 3D FDM desktop printer. During the 3D printing process, the skull was built using acrylonitrile-butadiene-styrene (ABS) co-polymer plastic. The printed model showed that the 3D FDM printing technology is able to fabricate anatomical models with high accuracy. As a result, the skull model can be used for preoperative surgical planning, medical training activities, implant design and simulation to show the potential of the FDM technology in medical field. It will also improve communication between medical stuff and patients. Current result indicates that a 3D desktop printer which uses FDM technology can be used to obtain accurate anatomical models.

  7. An anatomical and functional topography of human auditory cortical areas

    Directory of Open Access Journals (Sweden)

    Michelle eMoerel

    2014-07-01

    Full Text Available While advances in magnetic resonance imaging (MRI throughout the last decades have enabled the detailed anatomical and functional inspection of the human brain non-invasively, to date there is no consensus regarding the precise subdivision and topography of the areas forming the human auditory cortex. Here, we propose a topography of the human auditory areas based on insights on the anatomical and functional properties of human auditory areas as revealed by studies of cyto- and myelo-architecture and fMRI investigations at ultra-high magnetic field (7 Tesla. Importantly, we illustrate that - whereas a group-based approach to analyze functional (tonotopic maps is appropriate to highlight the main tonotopic axis - the examination of tonotopic maps at single subject level is required to detail the topography of primary and non-primary areas that may be more variable across subjects. Furthermore, we show that considering multiple maps indicative of anatomical (i.e. myelination as well as of functional properties (e.g. broadness of frequency tuning is helpful in identifying auditory cortical areas in individual human brains. We propose and discuss a topography of areas that is consistent with old and recent anatomical post mortem characterizations of the human auditory cortex and that may serve as a working model for neuroscience studies of auditory functions.

  8. Anatomical noise in contrast-enhanced digital mammography. Part II. Dual-energy imaging

    Energy Technology Data Exchange (ETDEWEB)

    Hill, Melissa L.; Yaffe, Martin J. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada and Department of Medical Biophysics, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Mainprize, James G. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Carton, Ann-Katherine; Saab-Puong, Sylvie; Iordache, Răzvan; Muller, Serge [GE Healthcare, 283 rue de la Minière, Buc 78530 (France); Jong, Roberta A. [Breast Imaging, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Dromain, Clarisse [Department of Radiology, Institut Gustave Roussy, 39 rue Camille Desmoulin, Villejuif 94805 (France)

    2013-08-15

    Purpose: Dual-energy (DE) contrast-enhanced digital mammography (CEDM) uses an iodinated contrast agent in combination with digital mammography (DM) to evaluate lesions on the basis of tumor angiogenesis. In DE imaging, low-energy (LE) and high-energy (HE) images are acquired after contrast administration and their logarithms are subtracted to cancel the appearance of normal breast tissue. Often there is incomplete signal cancellation in the subtracted images, creating a background “clutter” that can impair lesion detection. This is the second component of a two-part report on anatomical noise in CEDM. In Part I the authors characterized the anatomical noise for single-energy (SE) temporal subtraction CEDM by a power law, with model parameters α and β. In this work the authors quantify the anatomical noise in DE CEDM clinical images and compare this with the noise in SE CEDM. The influence on the anatomical noise of the presence of iodine in the breast, the timing of imaging postcontrast administration, and the x-ray energy used for acquisition are each evaluated.Methods: The power law parameters, α and β, were measured from unprocessed LE and HE images and from DE subtracted images to quantify the anatomical noise. A total of 98 DE CEDM cases acquired in a previous clinical pilot study were assessed. Conventional DM images from 75 of the women were evaluated for comparison with DE CEDM. The influence of the imaging technique on anatomical noise was determined from an analysis of differences between the power law parameters as measured in DM, LE, HE, and DE subtracted images for each subject.Results: In DE CEDM, weighted image subtraction lowers β to about 1.1 from 3.2 and 3.1 in LE and HE unprocessed images, respectively. The presence of iodine has a small but significant effect in LE images, reducing β by about 0.07 compared to DM, with α unchanged. Increasing the x-ray energy, from that typical in DM to a HE beam, significantly decreases α by about 2

  9. Anatomical noise in contrast-enhanced digital mammography. Part I. Single-energy imaging

    Energy Technology Data Exchange (ETDEWEB)

    Hill, Melissa L.; Yaffe, Martin J. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Department of Medical Biophysics, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Mainprize, James G. [Sunnybrook Research Institute, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Carton, Ann-Katherine; Muller, Serge [GE Healthcare, 283 rue de la Miniere, Buc 78530 (France); Ebrahimi, Mehran [Faculty of Science, University of Ontario Institute of Technology, 2000 Simcoe Street North, Oshawa, Ontario L1H 7K4 (Canada); Jong, Roberta A. [Breast Imaging, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5 (Canada); Dromain, Clarisse [Department of Radiology, Institut Gustave Roussy, 39 rue Camille Desmoulin, Villejuif 94805 (France)

    2013-05-15

    Purpose: The use of an intravenously injected iodinated contrast agent could help increase the sensitivity of digital mammography by adding information on tumor angiogenesis. Two approaches have been made for clinical implementation of contrast-enhanced digital mammography (CEDM), namely, single-energy (SE) and dual-energy (DE) imaging. In each technique, pairs of mammograms are acquired, which are then subtracted with the intent to cancel the appearance of healthy breast tissue to permit sensitive detection and specific characterization of lesions. Patterns of contrast agent uptake in the healthy parenchyma, and uncanceled signal from background tissue create a 'clutter' that can mask or mimic an enhancing lesion. This type of 'anatomical noise' is often the limiting factor in lesion detection tasks, and thus, noise quantification may be useful for cascaded systems analysis of CEDM and for phantom development. In this work, the authors characterize the anatomical noise in CEDM clinical images and the authors evaluate the influence of the x-ray energy used for acquisition, the presence of iodine in the breast, and the timing of imaging postcontrast administration on anatomical noise. The results are presented in a two-part report, with SE CEDM described here, and DE CEDM in Part II. Methods: A power law is used to model anatomical noise in CEDM images. The exponent, {beta}, which describes the anatomical structure, and the constant {alpha}, which represents the magnitude of the noise, are determined from Wiener spectra (WS) measurements on images. A total of 42 SE CEDM cases from two previous clinical pilot studies are assessed. The parameters {alpha} and {beta} are measured both from unprocessed images and from subtracted images. Results: Consistent results were found between the two SE CEDM pilot studies, where a significant decrease in {beta} from a value of approximately 3.1 in the unprocessed images to between about 1.1 and 1.8 in the

  10. Custom Anatomical 3D Spacer for Temporomandibular Joint Resection and Reconstruction.

    Science.gov (United States)

    Green, John Marshall; Lawson, Sarah T; Liacouras, Peter C; Wise, Edward M; Gentile, Michael A; Grant, Gerald Thomas

    2016-03-01

    Two cases are presented using a two-stage approach and a custom antibiotic spacer placement. Temporomandibular reconstruction can be very demanding and accomplished with a variety of methods in preparation of a total joint and ramus reconstruction with total joint prostheses (TMJ Concepts, Ventura, CA). Three-dimensional reconstructions from diagnostic computed tomography were used to establish a virtually planned resection which included the entire condyle-ramus complex. From these data, digital designs were used to manufacture molds to facilitate intraoperative fabrication of precise custom anatomic spacers from rapidly setting antibiotic-impregnated polymethyl methacrylate. Molds were manufactured using vat polymerization (stereolithography) with a photopolymer in the first case and powder bed fusion (electron beam melting) with Ti6AL4V for the second. Surgical methodology and the use of molds for intraoperative spacer fabrication for each case are discussed. PMID:26889353

  11. AN APPROACH FOR REMOVAL OF BRAIN, BRAIN STEM WITH SPINAL CORD FOR AUTOPSY AND ANATOMICAL STUDY

    Directory of Open Access Journals (Sweden)

    Nilesh

    2014-10-01

    Full Text Available : After proper preparations of body, removal of brain, brain stem with spinal cord were done. Total thirty (30 cadavers were dissected in a span of three (3 years in Katihar Medical College, Katihar, Bihar, India with good results. The removal of vault of skull, squamous part of occipital bone, posterior arch of atlas, followed by bilateral laminectomy of vertebrae, helps in viewing of brain, brain stem and spinal cord along with spinal nerve roots and cauda equina. This approach helps in total removal of brain, brain stem and spinal cord with its covering with large venous sinuses remaining intact however small venous sinuses are sacrificed in this process. The specimen thus obtained can be used for autopsy or anatomical study.

  12. Investigations of Anatomical Variations of the Thorax and Heart, and Anatomical Knowledge for First Year Medical Dental and Podiatry Students

    Science.gov (United States)

    Verenna, Anne-Marie

    2013-01-01

    The universal presence of anatomy in healthcare professions is undeniable. It is a cornerstone to each of the clinical and basic sciences. Therefore, further expansion of current anatomical knowledge and effective methods to teach anatomy is essential. In this work, the relationship of the dorsal scapular artery with the trunks of the brachial…

  13. Restricted total stability and total attractivity

    Directory of Open Access Journals (Sweden)

    Giuseppe Zappala'

    2006-08-01

    Full Text Available In this paper the new concepts of restricted total stability and total attractivity is formulated. For this purpose the classical theory of Malkin with suitable changes and the theory of limiting equations, introduced by Sell developed by Artstein and Andreev, are used. Significant examples are presented.

  14. Computational investigation of nonlinear microwave tomography on anatomically realistic breast phantoms

    DEFF Research Database (Denmark)

    Jensen, P. D.; Rubæk, Tonny; Mohr, J. J.

    2013-01-01

    The performance of a nonlinear microwave tomography algorithm is tested using simulated data from anatomically realistic breast phantoms. These tests include several different anatomically correct breast models from the University of Wisconsin-Madison repository with and without tumors inserted....

  15. An anatomical evaluation of the serratus anterior plane block.

    Science.gov (United States)

    Mayes, J; Davison, E; Panahi, P; Patten, D; Eljelani, F; Womack, J; Varma, M

    2016-09-01

    The serratus anterior plane block has been described for analgesia of the hemithorax. This study was conducted to determine the spread of injectate and investigate the anatomical basis of the block. Ultrasound-guided serratus anterior plane block was performed on six soft-fix embalmed cadavers. All cadavers received bilateral injections, on one side performed with 20 ml latex and on the other with 20 ml methylene blue. Subsequent dissection explored the extent of spread and nerve involvement. Photographs were taken throughout dissection. The intercostal nerves were involved on three occasions with dye, but not with latex. The lateral cutaneous branches of the intercostal nerve contained dye and latex on all occasions. The serratus plane block appears to be mediated through blockade of the lateral cutaneous branches of the intercostal nerves. Anatomically, serratus plane block does not appear to be equivalent to paravertebral block for rib fracture analgesia. PMID:27440171

  16. First discovery of anatomically preserved Cordaitean leaves in China

    Energy Technology Data Exchange (ETDEWEB)

    Wang, S.; Tian, B. [China University of Mining & Technology (China). Analysis and Test Centre

    1995-06-01

    The first species of the anatomically-preserved Cordaitean leaves is described and is named Cordaites taiyuanensis sp. nov. The morphological feature of the new species is similar to that of Cordaites principals (Germ.) Gein, widely distributed in the Carboniferous and Permian strata in China, but its antomatical structure is different from that of the same species of Euroamerican Flora. The main characteristics of the anatomical structure are: the primary xylem of the bundles is of mesarch; the upper and lower epidermises both have 3-5 thin and short hydrodermal sclerenchyma strands (interstitial strips); the mesophyle does not differentiate into palisade tissue and spongy tissue; the walls of the mesophyll cells are conspicuously infolded; and the margin of the leaf is thickened into a drumstick shape in the transverse section. 8 refs., 2 tabs.

  17. [Anatomical rationale for lingual nerve injury prevention during mandibular block].

    Science.gov (United States)

    Semkin, V A; Dydikin, S S; Kuzin, A V; Sogacheva, V V

    2015-01-01

    The topographic and anatomical study of lingual nerve structural features was done. It was revealed that during mandibular anesthesia possible lingual nerve injury can occur if puncture needle is lower than 1 cm. of molars occlusal surface level. The position of the lingual nerve varies withmandible movements. At the maximum open mouth lingual nerve is not mobile and is pressed against the inner surface of the mandibular ramus by the medial pterygoid muscle and the temporal muscle tendon. When closing the mouth to 1.25±0.2 cmfrom the physiological maximum, lingual nerve is displaced posteriorly from the internal oblique line of the mandible and gets mobile. On the basis of topographic and anatomic features of the lingual nervestructure the authors recommend the re-do of inferior alveolar nerve block, a semi-closed mouth position or the use the "high block techniques" (Torus anesthesia, Gow-Gates, Vazirani-Akinozi). PMID:26271698

  18. Analysis of anatomic variability in children with low mathematical skills

    Science.gov (United States)

    Han, Zhaoying; Fuchs, Lynn; Davis, Nikki; Cannistraci, Christopher J.; Anderson, Adam W.; Gore, John C.; Dawant, Benoit M.

    2008-03-01

    Mathematical difficulty affects approximately 5-9% of the population. Studies on individuals with dyscalculia, a neurologically based math disorder, provide important insight into the neural correlates of mathematical ability. For example, cognitive theories, neuropsychological studies, and functional neuroimaging studies in individuals with dyscalculia suggest that the bilateral parietal lobes and intraparietal sulcus are central to mathematical performance. The purpose of the present study was to investigate morphological differences in a group of third grade children with poor math skills. We compare population averages of children with low math skill (MD) to gender and age matched controls with average math ability. Anatomical data were gathered with high resolution MRI and four different population averaging methods were used to study the effect of the normalization technique on the results. Statistical results based on the deformation fields between the two groups show anatomical differences in the bilateral parietal lobes, right frontal lobe, and left occipital/parietal lobe.

  19. Anatomical structure of moss leaves and their photosynthetic activity

    Directory of Open Access Journals (Sweden)

    Jan Krupa

    2014-02-01

    Full Text Available The photosynthetic activity of the leaf area unit increases depending on the degree of differentiation of the anatomical structure of the leaves of six chosen moss species. There is a correlation between the leaf area and the degree of differentiation of the anatomical structure resulting in enlargement of the area of contact of the assimilating cells with air. The leaves of Catharinea undulata having a one-layer blade and provided with several lamellae show a higher photosynthesis per 1 cm2 of their surface than the one-layer leaves of Mniurnm or Funaria. Aloina leaves are the smallest in area among those of the moss species discussed, however, their photosynthetic rate is almost 4.5 times higher than in Funaria leaves. By analogy to the structure of leaves and their function in vascular, plants, these changes and correlations may be considered as attempts of primeval adaptation of mosses to terrestrial conditions of living.

  20. A time dependent anatomically detailed model of cardiac conduction

    Science.gov (United States)

    Saxberg, B. E.; Grumbach, M. P.; Cohen, R. J.

    1985-01-01

    In order to understand the determinants of transitions in cardiac electrical activity from normal patterns to dysrhythmias such as ventricular fibrillation, we are constructing an anatomically and physiologically detailed finite element simulation of myocardial electrical propagation. A healthy human heart embedded in paraffin was sectioned to provide a detailed anatomical substrate for model calculations. The simulation of propagation includes anisotropy in conduction velocity due to fiber orientation as well as gradients in conduction velocities, absolute and relative refractory periods, action potential duration and electrotonic influence of nearest neighbors. The model also includes changes in the behaviour of myocardial tissue as a function of the past local activity. With this model, we can examine the significance of fiber orientation and time dependence of local propagation parameters on dysrhythmogenesis.

  1. Anatomical variations of paranasal sinuses: what to inform the otolaryngologist?

    International Nuclear Information System (INIS)

    Anatomic variations of paranasal sinuses are common findings in daily practice. For a radiologist, to know these variations is necessary because of the pathological conditions related to them, and also because they are import for planning a functional endoscopic endonasal surgery, the procedure of choice for diagnosis, biopsy and treatment of various sinonasal diseases. To assure that this surgery is done safely, preventing iatrogenic injuries, it is essential that the surgeon has the mapping of these structures. Thus, a CT is indispensable for preoperative evaluation of paranasal sinuses. Since a general radiologist is expected to know these changes and their relationship to pathological conditions, a literature review and a iconographic essay were conducted with the aim of discussing the importance of major anatomic variations of paranasal sinuses. (author)

  2. Simultaneous Segmentation and Anatomical Labeling of the Cerebral Vasculature

    OpenAIRE

    Robben, David; Türetken, Engin; Sunaert, Stefan; Thijs, Vincent; Wilms, Guy; Fua, Pascal; Maes, Frederik; Suetens, Paul

    2014-01-01

    We present a novel algorithm for the simultaneous segmentation and anatomical labeling of the cerebral vasculature. The method first constructs an over-complete graph capturing the vasculature. It then selects and labels the subset of edges that most likely represents the true vasculature. Unlike existing approaches that first attempt to obtain a good segmentation and then perform labeling, we jointly optimize for both by simultaneously taking into account the image evidence and the prior kno...

  3. The anatomical, surgical and orthopedic importance of gastrocnemius

    OpenAIRE

    Ashfaq U. Hassan; Zahida Rasool; Nasir Muzzaffar

    2013-01-01

    Gastrocnemius is one of the most important muscles of lower limb. It belongs to the superficial compartment of calf muscles. They belong to group of superficial flexors. Gastrocnemius, plantaris and soleus form the bulk of the calf. Gastrocnemius forms the belly of the calf. It arises by two distinct heads, connected to the condyles of the femur by strong, flat tendons. It has an immense anatomic, medical, orthopedic and physiological importance and is attributed in a variety of medical and s...

  4. Plastinated nasal model: a new concept of anatomically realistic cast.

    OpenAIRE

    Durand, Marc; Pourchez, Jérémie; Louis, Bruno; Pouget, Jean-François; Isabey, Daniel; Coste, André; Prades, Jean-Michel; Rusch, Philippe; Cottier, Michèle

    2011-01-01

    BACKGROUND: For many years, researchers have been interested in investigating airflow and aerosol deposition in the nasal cavities. The nasal airways appear to be a complex geometrical system. Thus, in vitro experimental studies are frequently conducted with a more or less biomimetic nasal replica. AIM: This study is devoted to the development of an anatomically realistic nose model with bilateral nasal cavities, i.e. nasal anatomy, airway geometry and aerodynamic properties as close as possi...

  5. Anatomical Atlas-Guided Diffuse Optical Tomography of Brain Activation

    OpenAIRE

    Custo, Anna; Boas, David A.; Tsuzuki, Daisuke; Dan, Ippeita; Mesquita, Rickson; Fischl, Bruce; Grimson, W. Eric L.; Wells, Williams

    2009-01-01

    We describe a neuro imaging protocol that utilizes an anatomical atlas of the human head to guide Diffuse optical tomography of human brain activation. The protocol is demonstrated by imaging the hemodynamic response to median nerve stimulation in three healthy subjects, and comparing the images obtained using a head atlas with the images obtained using the subject-specific head anatomy. The results indicate that using the head atlas anatomy it is possible to reconstruct the location of the b...

  6. MORPHOLOGICAL ANATOMICAL AND PHITOCHEMICAL CHARACTERISTICS OF SOME ALGAE

    OpenAIRE

    N. S. Kaysheva; M. N. Arkhipova; A. S. Kayshev

    2014-01-01

    Morphological and anatomical features of thalluses of brown (Laminaria saccharina, Fucus vesiculosus) and red (Ahnfeltia plicata) algae, procured at a coastal strip of the Northern basin in gulfs of Ura-Guba and Palkina-Guba at different depths. Compliance of Fucus and Ahnfeltia with pharmacopoeial norms and merchandising indices for Laminaria was established, except for high concentration of sand in Ahnfeltia thalluses. The identity of algae between each other was shown based on the results ...

  7. Anatomical and psychometric relationships of behavioral neglect in daily living.

    Science.gov (United States)

    Rousseaux, Marc; Allart, Etienne; Bernati, Thérèse; Saj, Arnaud

    2015-04-01

    Spatial neglect has been related to both cortical (predominantly at the temporal-parietal junction) and subcortical (predominantly of the superior longitudinal fasciculus) lesions. The objectives of this observational study were to specify the anatomical relationships of behavioral neglect in activities of daily living (N-ADLs), and the anatomical and psychometric relationships of N-ADLs on one hand and components of neglect (peripersonal neglect and personal neglect) and anosognosia on the other. Forty five patients were analyzed for behavioral difficulties in daily living (on the Catherine Bergego scale) and the main components of neglect (using conventional clinical assessments) during the first months post right hemisphere stroke. Voxel-based lesion-symptom mapping was used to identify brain areas within which lesions explained the severity of bias in each assessment (non-parametric permutation test; p<0.01, one tailed). N-ADLs was associated with lesions centered on the posterior part of the superior temporal gyrus and extending to the temporo-parietal junction, temporo-occipital junction and subcortical white matter (including the superior longitudinal fasciculus). Peripersonal neglect resulted from extended cortical lesions centered on the superior temporal gyrus and the inferior parietal gyrus, with subcortical extension. Personal neglect resulted predominantly from lesions centered on the somatosensory cortex and at a lesser degree on the superior temporal sulcus. Anosognosia resulted from lesions of the posterior inferior temporal gyrus and superior temporal gyrus. In anatomic terms, N-ADLs was strongly related to peripersonal neglect, and those relationships were also shown by the psychometric analysis. In conclusions, superior temporal gyrus and superior longitudinal fasciculus lesions have a pivotal role in N-ADLs. N-ADLs is principally related (anatomically and psychometrically) to peripersonal neglect, and at a lesser degree to anosognosia and

  8. Anatomical and functional assemblies of brain BOLD oscillations

    OpenAIRE

    Baria, Alexis T.; Baliki, Marwan N; Parrish, Todd; Apkarian, A. Vania

    2011-01-01

    Brain oscillatory activity has long been thought to have spatial properties, the details of which are unresolved. Here we examine spatial organizational rules for the human brain oscillatory activity as measured by blood oxygen level-dependent (BOLD). Resting state BOLD signal was transformed into frequency space (Welch’s method), averaged across subjects, and its spatial distribution studied as a function of four frequency bands, spanning the full bandwidth of BOLD. The brain showed anatomic...

  9. An anatomic gene expression atlas of the adult mouse brain

    OpenAIRE

    Ng, Lydia; Bernard, Amy; Lau, Chris; Overly, Caroline C.; Dong, Hong-Wei; Kuan, Chihchau; Pathak, Sayan; Sunkin, Susan M.; Dang, Chinh; Bohland, Jason W.; Bokil, Hemant; Mitra, Partha P.; Puelles, Luis; Hohmann, John; Anderson, David J.

    2009-01-01

    Studying gene expression provides a powerful means of understanding structure-function relationships in the nervous system. The availability of genome-scale in situ hybridization datasets enables new possibilities for understanding brain organization based on gene expression patterns. The Anatomic Gene Expression Atlas (AGEA) is a new relational atlas revealing the genetic architecture of the adult C57Bl/6J mouse brain based on spatial correlations across expression data for thousands of gene...

  10. Effect of Salinity on Growth, Xylem Structure and Anatomical Characteristics of Soybean

    Directory of Open Access Journals (Sweden)

    Aria DOLATABADIAN

    2011-03-01

    Full Text Available This research was conducted in order to evaluation the salinity stress effect on growth parameters and stem anatomical changes of soybean grown under controlled conditions. Soybean seeds were surface sterilized and then sown into plastic pots filled up with perlite and vermiculite. Seeds were irrigated with Broughton and Dilworth solution daily. At full folded cotyledons stage (5 day after sowing, salinity stress was induced by adding NaCl into nutrition solution with final concentration of 0, 25, 50 and 100 mM. Thirty days after sowing plants were harvested and growth parameters and anatomical changes were evaluated. The results showed that, salinity stress was significantly decreased shoot and root weight either fresh weight or dry weight, in addition, total plant weight, plant height and leaf number were decreased due to salinity stress. Interestingly, leaf area was not affected by salinity stress. Stem microscopic study demonstrated that, salinity stress significantly increased cutin mass and trichome density on epidermal cells. On the other hand, cortex thickness was decreased because of salinity stress while xylem thickness had upward increase when soybean plants were grown under salinity stress especially high level of salinity. Additionally, there were changed in xylem formation and arrangement in stressed plants.

  11. Anatomical study of terminal peroneal artery perforators and their clinical applications

    Directory of Open Access Journals (Sweden)

    Rajendran Purushothaman

    2013-01-01

    Full Text Available Introduction: Peroneal artery gives off plenty of perforators that pass through fascial septum to supply skin and tenosynovium of peroneal muscles. Aim: The aim of this study was to study the anatomical basis of perforators from terminal part of peroneal artery axiality and to make use of this knowledge in reconstructing defects of posterior heel with the advantage of reducing the morbidity of conventional flaps. Materials and Methods: Our study was conducted at Department of Plastic surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, India. We have carried out eleven cadaver dissections (from six cadavers-four fresh cadavers and two preserved cadavers and delineated all septocutaneous and septosynovial perforators of distal peroneal axis and studied their relation with short saphenous vein (SSV and sural nerve. Using this anatomical knowledge we have fashioned perforator based flaps in 13 patients (three propeller, four V-Y advancement, six tenosynovial flaps for reconstruction of defects over tendo achilles and pericalcaneal region . Results: In all cases, SSV and sural nerve were preserved and donor site was closed primarily. No total flap loss was noted. Conclusion: Perforator based flaps from distal most part of peroneal artery provide a good and reliable method for reconstruction of pericalcaneal and tendo achilles region defects with preservation of SSV and sural nerve. It also avoids contour deformity of the grafted donor site of the classical lateral calcaneal artery axial flap.

  12. Clinical anatomic study of the lower lumbar anterolateral vein: with respect to retroperitoneal endoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    LU Sheng; XU Yong-qing; DING Zi-hai; WANG Yue-li; SHI Ji-hong; ZHONG Shi-zhen

    2008-01-01

    To study the anatomy of veins of the lower lumbar spine and provide the anatomic basement for laparoscopic lumbar surgery.Methods:A total of 15 formaldehyde-preserved cadavers were studied with special attention to the variety and surrounding structure of ascending lumbar vein(ALV)and iliolumbar veins(ILV),and their relationship with lumbar plexus.Results:ALV and ILV can be found on every sides,which have four variants including separate entry and common entry. The ascending vein and iliolumbar vein separately enter common iliac vein in 18 cases, and as a common stem enter the common iliac vein in 12 cases. Retracting common iliac vein medially both the ascending lumbar and the iliolumbar veins are always at risk of avulsion on exposure of the disc space. The injury of obturator nerve and lumbosacral trunk of lumbar plexus should be avoided.Conclusion:Awareness of these anatomic variation can prevent the hemorrhage and be helpful for the surgeon in performing a careful ligation of these veins before medial retraction of the common iliac vein. Our findings emphasize the need for proper dissection of ALV and ILV before ligature during exposure of the lower lumbar spine.

  13. Experimental Characterization of the Anatomical Structures of the Lumbar Spine Under Dynamic Sagittal Bending.

    Science.gov (United States)

    Bradfield, C A; Demetropoulos, C K; Luongo, M E; Pyles, C O; Armiger, R S; Merkle, A C

    2015-01-01

    Underbody blast (UBB) events transmit high-rate vertical loads through the seated occupant’s lumbar spine and have a high probability of inducing severe injury. While previous studies have characterized the lumbar spine under quasi-static loading, additional work should focus on the complex kinetic and kinematic response under high loading rates. To discern the biomechanical influence of the lumbar spine’s anatomical structures during dynamic loading, the axial force, flexion-extension moments and range of motion for lumbar motion segments (n=18) were measured during different states of progressive dissection. Pre-compression was applied using a static mass while dynamic bending was applied using an offset drop mass. Dynamic loading resulted in peak axial loads of 4,224±133 N, while maximum peak extension and flexion moments were 19.6±12.5 and -44.8±8.6 Nm in the pre-dissected state, respectively. Upon dissection, transection of the interspinous ligament, ligamentum flavum and facet capsules resulted in significantly larger flexion angles, while the removal of the posterior elements increased the total peak angular displacement in extension from 3.3±1.5 to 5.0±1.7 degrees (p=0.002). This study provides insight on the contribution of individual anatomical components on overall lumbar response under high-rate loading, as well as validation data for numerical models. PMID:25996712

  14. Human papillomavirus infection by anatomical site among Greek men and women: a systematic review.

    Science.gov (United States)

    Tsikis, Savas; Hoefer, Lea; Charnot-Katsikas, Angella; Schneider, John A

    2016-11-01

    We systematically reviewed the literature on anal, penile, cervical, and oropharyngeal human papillomavirus (HPV) infection in Greece to provide a comprehensive overview of HPV prevalence and to explore the reporting of HPV in Greek men and women. A total of five databases, including PubMed and Scopus, were searched up until 1 January 2015 for studies looking at HPV prevalence, incidence, or risk factors by anatomical site. We identified 50 eligible studies for inclusion. The majority of them were cervical studies (n=26) followed by head and neck studies (n=13) with only two studies exclusively focusing on anal sites and two on penile sites. The remaining studies examined prevalence from multiple sites. Most studies looked at small, high-risk populations, and HPV prevalence ranged from 2.5-43.4% for cervical studies; 0-91% for head and neck studies; 54.6-78.4% for anal studies; and 20.3-66.7% for penile studies. Age, smoking, and number of sexual partners were the commonly assessed risk factors. There were significant sex and anatomic site disparities in the reporting of HPV prevalence. Given the relationship between HPV infection and the increasing incidence of anal cancer in men, more research is needed to reveal the prevalence of HPV at these sites in Greek men, especially given the reports of the declining health of the Greek population.

  15. Comparison of grafts for anatomical reconstruction of the ACL: patellar versus semitendinosus/gracilis

    Directory of Open Access Journals (Sweden)

    Patrícia Barros Bitun

    2015-02-01

    Full Text Available OBJECTIVE: To compare the functional results from surgical treatment for anatomical reconstruction of the anterior cruciate ligament (ACL with a single band, using two types of autologous grafts.METHODS: Twenty-seven patients who underwent anatomical reconstruction of the ACL by means of the Chambat technique were evaluated prospectively. They were divided into two groups: A, with 14 patients, using grafts from flexor tendons; and B, with 13 patients, using grafts from the patellar tendon. In both groups, fixation was performed using an absorbable interference screw.RESULTS: Based on the Lysholm score, group A presented a mean score of 71.6 in the first month, while B presented 75. At the end of the sixth month, both groups presented 96.6. Evaluation of the total IKDC showed that in the first month, the majority of the patients, both in group A (85.7% and in group B (76.9%, presented a knee assessment that was close to normal. In the sixth month, 92.9% of group A had normal presentations, and 100% of group B.CONCLUSION: According to the Lysholm functional evaluation and the IKDC subjective assessment, there was no statistically significant difference in the results between the groups, and the results were better in the sixth month.

  16. The Essential Anatomical Subunit Approximation Unilateral Cleft Lip Repair.

    Science.gov (United States)

    Chong, David K; Swanson, Jordan W

    2016-07-01

    The anatomical subunit approximation cleft lip repair advantageously achieves a balanced lip contour, with the line of repair hidden along seams of aesthetic subunits. Dr. David Fisher's original description of the repair reflects the considerable thought that went into the evolution of his design. As his technique has gained acceptance in the intervening 10 years, the authors note several key principles embodied in it that represent a shift in the cleft lip repair paradigm. The authors believe understanding these principles is important to mastery of the anatomical subunit technique, and facilitate its teaching. First, design a plan that adheres to anatomical subunits and perform measurements precisely. Second, identify and adequately release each cleft tissue layer from the lip and nose to enable restoration of balance. Third, drive surgical approximation through inset of the lateral muscle into the superiorly backcut medial orbicularis muscle, followed by skin closure with inferior triangle interposition above the white roll. In this article, the authors present essential components of the technique, and identify several principles that enable its successful execution. PMID:27348690

  17. Testing anatomically specified hypotheses in functional imaging using cytoarchitectonic maps.

    Science.gov (United States)

    Eickhoff, Simon B; Heim, Stefan; Zilles, Karl; Amunts, Katrin

    2006-08-15

    The statistical inference on functional imaging data is severely complicated by the embedded multiple testing problem. Defining a region of interest (ROI) where the activation is hypothesized a priori helps to circumvent this problem, since in this case the inference is restricted to fewer simultaneous tests, rendering it more sensitive. Cytoarchitectonic maps obtained from postmortem brains provide objective, a priori ROIs that can be used to test anatomically specified hypotheses about the localization of functional activations. We here analyzed three methods for the definition of ROIs based on probabilistic cytoarchitectonic maps. (1) ROIs defined by the volume assigned to a cytoarchitectonic area in the summary map of all areas (maximum probability map, MPM), (2) ROIs based on thresholding the individual probabilistic maps and (3) spherical ROIs build around the cytoarchitectonic center of gravity. The quality with which the thus defined ROIs represented the respective cytoarchitectonic areas as well as their sensitivity for detecting functional activations was subsequently statistically evaluated. Our data showed that the MPM method yields ROIs, which reflect most adequately the underlying anatomical hypotheses. These maps also show a high degree of sensitivity in the statistical analysis. We thus propose the use of MPMs for the definition of ROIs. In combination with thresholding based on the Gaussian random field theory, these ROIs can then be applied to test anatomically specified hypotheses in functional neuroimaging studies. PMID:16781166

  18. Biofabrication of multi-material anatomically shaped tissue constructs

    International Nuclear Information System (INIS)

    Additive manufacturing in the field of regenerative medicine aims to fabricate organized tissue-equivalents. However, the control over shape and composition of biofabricated constructs is still a challenge and needs to be improved. The current research aims to improve shape, by converging a number of biocompatible, quality construction materials into a single three-dimensional fiber deposition process. To demonstrate this, several models of complex anatomically shaped constructs were fabricated by combined deposition of poly(vinyl alcohol), poly(ε-caprolactone), gelatin methacrylamide/gellan gum and alginate hydrogel. Sacrificial components were co-deposited as temporary support for overhang geometries and were removed after fabrication by immersion in aqueous solutions. Embedding of chondrocytes in the gelatin methacrylamide/gellan component demonstrated that the fabrication and the sacrificing procedure did not affect cell viability. Further, it was shown that anatomically shaped constructs can be successfully fabricated, yielding advanced porous thermoplastic polymer scaffolds, layered porous hydrogel constructs, as well as reinforced cell-laden hydrogel structures. In conclusion, anatomically shaped tissue constructs of clinically relevant sizes can be generated when employing multiple building and sacrificial materials in a single biofabrication session. The current techniques offer improved control over both internal and external construct architecture underscoring its potential to generate customized implants for human tissue regeneration. (paper)

  19. Anatomic variations of anterior cerebral artery cortical branches.

    Science.gov (United States)

    Stefani, M A; Schneider, F L; Marrone, A C; Severino, A G; Jackowski, A P; Wallace, M C

    2000-01-01

    The anterior cerebral artery (ACA) is a major vessel responsible for the blood supply to the interhemispheric region. The ACA segment after the anterior communicating artery (AComA) origin is called the distal ACA and has central and cortical branches. The cortical branches are distributed in the different regions of the orbital and medial part of the brain. The objects of this study are the anatomical variations found in the distal ACA. In 76 hemispheres the ACA distal branches were injected with latex and dissected under microscope magnification. Vessel diameters and distances between vessel origins and anterior communicating artery were recorded and analyzed. Microsurgical dissection was carried out to demonstrate anatomic variations of these vessels. Average diameter of ACA at origin was 2.61 +/- 0.34 mm and average diameter of cortical branches diameter ranged from 0.79 +/- 0.27 mm to 1.84 +/- 0.3 mm. Distances between vessel origin and AComA ranged from 7.68 +/- 3.91 mm (orbitofrontal) to 112.6 +/- 11.63 mm (inferior internal parietal). This study found anatomical variations: a single (azygos) ACA was present in one case and three in three cases. Crossing branches of the distal ACA to the contralateral hemisphere were present in 26% of the cases. In some cases a single ACA may supply the posterior hemispheric region through crossing branches. This calls attention to potential bilateral brain infarcts due to a single unilateral ACA occlusion. PMID:10873213

  20. Detection and analysis of statistical differences in anatomical shape.

    Science.gov (United States)

    Golland, Polina; Grimson, W Eric L; Shenton, Martha E; Kikinis, Ron

    2005-02-01

    We present a computational framework for image-based analysis and interpretation of statistical differences in anatomical shape between populations. Applications of such analysis include understanding developmental and anatomical aspects of disorders when comparing patients versus normal controls, studying morphological changes caused by aging, or even differences in normal anatomy, for example, differences between genders. Once a quantitative description of organ shape is extracted from input images, the problem of identifying differences between the two groups can be reduced to one of the classical questions in machine learning of constructing a classifier function for assigning new examples to one of the two groups while making as few misclassifications as possible. The resulting classifier must be interpreted in terms of shape differences between the two groups back in the image domain. We demonstrate a novel approach to such interpretation that allows us to argue about the identified shape differences in anatomically meaningful terms of organ deformation. Given a classifier function in the feature space, we derive a deformation that corresponds to the differences between the two classes while ignoring shape variability within each class. Based on this approach, we present a system for statistical shape analysis using distance transforms for shape representation and the support vector machines learning algorithm for the optimal classifier estimation and demonstrate it on artificially generated data sets, as well as real medical studies. PMID:15581813

  1. The Intermingled History of Occupational Therapy and Anatomical Education: A Retrospective Exploration

    Science.gov (United States)

    Carroll, Melissa A.; Lawson, Katherine

    2014-01-01

    Few research articles have addressed the anatomical needs of entry-level occupational therapy students. Given this paucity of empirical evidence, there is a lack of knowledge regarding anatomical education in occupational therapy. This article will primarily serve as a retrospective look at the inclusion of anatomical education in the occupational…

  2. Can pelvic tilting be ignored in total hip arthroplasty?

    Directory of Open Access Journals (Sweden)

    Won Yong Shon

    2014-01-01

    CONCLUSION: The sagittal position of pelvis is a key factor in impingement and dislocation after total hip arthroplasty. Pelvic tilting affects the position of acetabular component in the sagittal plane of the body as compared with its anatomic position in the pelvis. We suggest a preoperative lateral view of spine-pelvis, in upright and supine position for evaluation of a corrective adaptation of the acetabular cup accordingly with pelvic balance.

  3. Qualidade total do produto Products total quality

    Directory of Open Access Journals (Sweden)

    Henrique Silveira de Almeida

    1992-06-01

    Full Text Available O texto aborda o conceito de qualidade total do produto, seus determinantes, bem como as dimensões que compõem essa qualidade. Parte-se do pressuposto de que a qualidade do produto deve ser avaliada pela satisfação total do consumidor. Para o consumidor a qualidade do produto envolve pelo menos as seguintes dimensões: a qualidade do produto em si; a qualidade do produto ao longo do tempo; a qualidade dos serviços associados ao uso do produto; e o custo do ciclo de vida do produto. O trabalho procura detalhar e discutir cada uma dessas dimensões da qualidade, tendo em vista a satisfação do consumidor.The paper concerns to the concept of product's total quality, its determinants, and the dimensions wich constitute this quality. We admit that product quality should be evaluated via consumer's total satisfaction. Product quality for consumers includes at least the following dimensions: the product quality per se; the performance of product quality over time; the quality of services related to the use of the product; and the product lifecycle costs. This study seeks to specify and to discuss each of these quality dimensions related to consumer's satisfaction.

  4. Imaging assessment of profound sensorineural deafness with inner ear anatomical abnormalities

    Institute of Scientific and Technical Information of China (English)

    Wei-Jing Wu; Xin Chen; Jing-Kun Li; Tao Peng; Yun-Peng Dong; Xue-Zhong Liu; Ding-Hua Xie; Xiang-Bo He; Li-Hua Tan; Peng Hu; An-Quan Peng; Zi-An Xiao; Shu Yang; Tian Wang; Jie Qing

    2015-01-01

    Objective: :To explore the value of a combined computed tomography (CT) and magnetic resonance imaging (MRI) in evaluating profound sensorineural deafness patients before cochlear implant (CI) surgery. Methods:A retrospective analysis of 1012 cases of profound sensorineural deafness that received CI was performed. Results:A total of 96 cases were diagnosed with inner ear abnormalities including large vestibular aqueduct syndrome (LVAS, n ¼ 61), Michel deformity (n ¼ 3), cochlear incomplete partition I (n ¼ 2), cochlear incomplete partition II (n ¼ 6), cochlear hypoplasia with vestibular malformation (n ¼ 3), cochlear ossification (n ¼ 3), bilateral internal auditory canal obstruction (n ¼ 5) and internal auditory canal stenosis (n ¼ 2). Conclusion:High resolution CT (HRCT) can display bony structures while MRI can image the membranous labyrinth in preoperative evaluation for cochlear implantation. The combination of these two modalities provides reliable anatomical information regarding the bony and mem-branous labyrinths, as well as the auditory nerve.

  5. Mutagenic effects of aerospace on Poa pratensis L.. Pt.1: Observation of leaves anatomical variation

    International Nuclear Information System (INIS)

    The dry seeds of Poa pratensis L. 'Nassau' were carried by 'Shenzhou No.3' spaceship and three mutants were screened based on presentational characters from the treated plants and asexual reproduced them as PM1, PM2 and PM3. Observation and investigation were made on the mutants in anatomical characters of the leaves. The results showed that the leaf surface structure and the ultrastructure of the mesophyllous cells changed. Compared to CK, the stoma density increased, but the stoma size decreased with the proportions of total stoma area of leaf area remained unchanged. The chloroplast concentrated to the middle of the cell with volume increase and the shape more roundness. The chloroplast of the mesophyllous cells in the white part of the green-white leaf of PM3 were dissolving or had dissolved. The number of the starch grain also increased in these mutants. (authors)

  6. Total parenteral nutrition

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000177.htm Total parenteral nutrition To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) will help you or your child get ...

  7. Total Knee Replacement

    Science.gov (United States)

    ... following total knee replacement include unlimited walking, swimming, golf, driving, light hiking, biking, ballroom dancing, and other ... to the final success of your surgery. To learn more about the full value of total knee ...

  8. Total iron binding capacity

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003489.htm Total iron binding capacity To use the sharing features on this page, please enable JavaScript. Total iron binding capacity (TIBC) is a blood test to ...

  9. An Anatomical Study of the Nutrient Foramina of the Human Humeral Diaphysis.

    Science.gov (United States)

    Xue, Zichao; Ding, Haoliang; Hu, Chuanzhen; Xu, Haitao; An, Zhiquan

    2016-05-16

    BACKGROUND Understanding the nutrient foramina is critical to clinical practice. An insult to the nutrient foramina can be caused by trauma and/or surgical dissection and lead to devascularization and bad outcomes. Few studies have looked at the humerus, and no studies have described relative information of humeral nutrient foramen related to anatomical structures that might be located by palpable landmarks. In this study, we analyzed the anatomical features of the nutrient foramina of the diaphyseal humerus and provide a discussion of clinical relevance. MATERIAL AND METHODS We dissected 19 cadavers and analyzed the relative positions of the foramina and surrounding muscles, and the number, direction, diameter, and location of the nutrient foramina. Foramina index and a new landmark index were used to calculate the location. We compared the data from both sides and the relationships between transverse and longitudinal locations, diameter and total length, and foramina index and landmark index were also analyzed. RESULTS The humeri had one or two main nutrient foramina located in a small area between the coracobrachialis and brachial muscles and oriented toward the elbow. The mean diameter was 1.11±0.32 mm. The mean index and landmark index were 43.76±4.94% and 42.26±5.35%, respectively. There were no differences between sides in terms of diameter, length, or nutrient foramina index. There were no significant correlations between transverse and longitudinal locations or diameter and total length. The foramina index and landmark index showed strong positive correlation (r=0.994, p<0.0001). CONCLUSIONS Our study provides details about the nutrient foramina that will benefit clinicians who treat injuries and diseases of the humerus. Surgeons should be mindful of soft tissue in the foraminal area during surgical procedures.

  10. Total well dominated trees

    DEFF Research Database (Denmark)

    Finbow, Arthur; Frendrup, Allan; Vestergaard, Preben D.

    cardinality then G is a total well dominated graph. In this paper we study composition and decomposition of total well dominated trees. By a reversible process we prove that any total well dominated tree can both be reduced to and constructed from a family of three small trees....

  11. Anatomical Studies on Several Species of Heliotropium L. in Iran

    Directory of Open Access Journals (Sweden)

    Maryam ABBASI

    2011-11-01

    Full Text Available Heliotropium spp. is distributed worldwide mainly in tropical and subtropical regions, with dry and warm temperate to semi-arid regions so that Southwest and center of Asia have considered as the main centre of origin and diversity of Heliotropium genus. Iran, with 32 species and 14 (sub endemic species, has the highest diversity in the world followed by Pakistan and Turkey with 15 species and only one endemic species and the Arabian Peninsula with 15 species and three endemic species are in the next ranks. In order to anatomical studies on Heliotropium, twelve species of this genus were selected from different regions of Iran. The selected species included: H. bacciferum Forssk., H. ramossisimum BGE., H. brevilimb Boiss., H. transoxanum BGE., H. dasycarpum Ledeb, H. dyginum Forssk., H. aucheri Dc., H. carmanicum BGE. As perennial group and H. ellipticum Ledeb., H. lasiocarpum Fisch., H. suaveolens M.B. as annual group. In order to add more data to leaf anatomy characters, evaluating of systematic relevance and/or adaptive value of the morphological and anatomical diversity we have studied 24 anatomical characters in theses 12 species. For example shape and vascular bundles of main midrib, type of parenchyma cells located under lower epidermis of midrib, distance between vascular bundles and lower or upper epidermis, angle of between two parts of blade, number of cellular layers in lower or upper mesophylla, length of upper and lower mesophylla, type of cell wall in lower and upper mesophylla and thickness of lamina were investigated in this study. In order to this present obtained H. aucheri can be separated from H. carmanicum in H. aucheri subsp. carmanicum. It can be conclude that two species H. aucheri and H. carmanicum are independent species and can accept H. transoxanum as a sub group of H. dasycarpum.

  12. THE AZYGOS VENOUS SYSTEM AND ITS ANATOMICAL VARIATIONS

    Directory of Open Access Journals (Sweden)

    Madiki Sudhakara Rao

    2016-06-01

    Full Text Available AIMS AND OBJECTIVES Azygos veins are important cavocaval and portacaval junctions, which form a collateral circulation in caval vein occlusion and in portal hypertension, cirrhosis of liver. The unpaired azygos venous system consists of azygos vein, hemiazygos vein and accessory azygos vein. This system of veins, along with its mediastinal, bronchial and oesophageal tributaries drains most of the body wall of trunk, namely posterior abdominal and thoracic wall. Anatomical variations of this unpaired azygos venous system are clinically important. AIMS To study and report the occurrence of anatomical variations of the unpaired azygos venous system in the region of East Godavari District, Andhra Pradesh (India. METHODS The present study was carried out in the Department of Anatomy, KIMS & RF, Amalapuram and G.S.L. Medical College, Rajahmundry over a period of 2 years. The present study was conducted on 60 cadavers (irrespective of age and sex. The entire course of the azygos venous system in these 60 cadavers was carefully observed and documented. RESULTS Anatomical variations were present in 16.66% of cases, out of which three distinct types were identified. 6.6% exhibited two separate azygos venous systems with no communications, 5% with communication between the left brachiocephalic vein and the azygos vein and 5% presence of post-aortic venous channels. CONCLUSION Variations of azygos venous system may be wrongly dubbed as aneurysm, lymphadenopathy or other abnormalities while reporting a CT scan of mediastinum. Venous anomalies are also detected only during surgery. The most troublesome intraoperative hazard is haemorrhage, which is mainly of venous origin. To avoid such situations is to have an awareness and knowledge of the expected venous anomalies.

  13. Controversy Total War

    OpenAIRE

    Segesser, Daniel Marc

    2014-01-01

    Total war is a controversial term used in the past by politicians, publicists and military officers as well as by computer specialists and academics in the present. Since its conception by French politicians during the First World War in a time of severe crisis (1916/17), it has become a term used by historians and other academics to cover a wide array of elements when looking at wars of the past. A real total war was and is impossible. Elements of total war – total war aims, total methods of...

  14. Rotational flaps in oncologic breast surgery. Anatomical and technical considerations.

    Science.gov (United States)

    Acea Nebril, Benigno; Builes Ramírez, Sergio; García Novoa, Alejandra; Varela Lamas, Cristina

    2016-01-01

    Local flaps are a group of surgical procedures that can solve the thoracic closure of large defects after breast cancer surgery with low morbidity. Its use in skin necrosis complications after conservative surgery or skin sparing mastectomies facilitates the initiation of adjuvant treatments and reduces delays in this patient group. This article describes the anatomical basis for the planning of thoracic and abdominal local flaps. Also, the application of these local flaps for closing large defects in the chest and selective flaps for skin coverage by necrosis in breast conserving surgery.

  15. Pneumomediastinum: Elucidation of the anatomic pathway by liquid ventilation

    Energy Technology Data Exchange (ETDEWEB)

    Jamadar, D.A.; Kazerooni, E.A.; Hirschl, R.B. [Univ. of Michigan Hospitals, Ann Arbor, MI (United States)

    1996-03-01

    Partial liquid ventilation is a new technique to improve oxygenation in patients with severe acute respiratory distress syndrome. In a patient with status asthmaticus and tension pneumothorax treated with subsequent liquid ventilation, radiopaque perfluorocarbon was identified along bronchovascular structures, in the mediastinum, and in the retroperitoneum. Perfluorocarbon outlined on CT and chest radiography the anatomic pathway by which spontaneous pneumomediastinum develops following alveolar rupture, as described earlier by histopathologic study in animals. This represents the radiopaque equivalent of radiolucent pneumomediastinum. Perfluorocarbon remained in the pulmonary interstitium on radiography 30 days after beginning liquid ventilation, without sequelae. 9 refs., 3 figs.

  16. Sparse decomposition and modeling of anatomical shape variation

    DEFF Research Database (Denmark)

    Sjöstrand, Karl; Rostrup, Egill; Ryberg, Charlotte;

    2007-01-01

    counterparts if constructed carefully. In most medical applications, models are required to have both good statistical performance and a relevant clinical interpretation to be of value. Morphometry of the corpus callosum is one illustrative example. This paper presents a method for relating spatial features to...... anatomical variation related to clinical outcome. In the present application, landmark-based shape data of the corpus callosum is analyzed in relation to age, gender, and clinical tests of walking speed and verbal fluency. To put the data-driven sparse principal component method into perspective, we consider...

  17. Sparse Decomposition and Modeling of Anatomical Shape Variation

    DEFF Research Database (Denmark)

    Sjöstrand, Karl; Rostrup, Egill; Ryberg, Charlotte;

    2007-01-01

    counterparts if constructed carefully. In most medical applications, models are required to have both good statistical performance and a relevant clinical interpretation to be of value. Morphometry of the corpus callosum is one illustrative example. This paper presents a method for relating spatial features to...... anatomical variation related to clinical outcome. In the present application, landmark-based shape data of the corpus callosum is analyzed in relation to age, gender, and clinical tests of walking speed and verbal fluency. To put the data-driven sparse principal component method into perspective, we consider...

  18. The investigate of ultrasonography integration into anatomical curriculum

    Institute of Scientific and Technical Information of China (English)

    Li Wenyuan; Wang Ying; Liu Xing; Liu Yaoguang; Teng Chenyi; Ma Yanwen; Wang Yu

    2015-01-01

    As a complementary teaching way, ultrasonography is considered an important teaching tools and methods to improving medical students’ skills and understanding the real time human anatomy . We success-fully integrated ultrasound into anatomy teaching by using portable ultrasound and interactive panel discussion ses-sions. The integrated curriculum not only allows medical students to see the complexity real-time three-dimension-al human anatomy, but also can improve medical students’ interest in anatomy teaching. Integrated ultrasound into anatomy teaching established close ties between basic medical science and its clinical application, and overcome the phase difficulties of anatomical knowledge application from preclinical to clinical.

  19. Anatomical and Histological Factors Affecting Intranasal Drug and Vaccine Delivery

    OpenAIRE

    Gizurarson, Sveinbjörn

    2012-01-01

    The aim of this review is to provide an understanding of the anatomical and histological structure of the nasal cavity, which is important for nasal drug and vaccine delivery as well as the development of new devices. The surface area of the nasal cavity is about 160 cm2, or 96 m2 if the microvilli are included. The olfactory region, however, is only about 5 cm2 (0.3 m2 including the microvilli). There are 6 arterial branches that serve the nasal cavity, making this region a very attractive r...

  20. MORPHOLOGICAL AND ANATOMICAL RESEARCH OF LEAVES OF FEIJOA SELLOWIANA BERG

    Directory of Open Access Journals (Sweden)

    N. N. Vdovenko-Martynova

    2015-01-01

    Full Text Available Feijoa leaves gathered from Feijoa sellowiana Berg. of Myrtaceae family on the Black Sea coast of the Caucasus were the object of this research. Establishment of morphological and anatomical features for diagnosis of feijoa leaves was the purpose of this work. Using macro- and microscopic analysis methods we have determined external and microdiagnostic features which can be used for development of authenticity of the feijoa leaves active parts.

  1. A karyotypic and anatomical study of an unidentified liliaceous plant

    Directory of Open Access Journals (Sweden)

    J. J. Spies

    1983-12-01

    Full Text Available An unidentified sterile liliaceous plant and three possible relatives were studied karyotypically and anatomically. All these plants have a somatic chromosome number of 2n = 14. The possibility of the sterile plant having arisen as a result of a mutation appears unlikely, when compared with the possibility of hybrid origin. Chromosome morphology rules out  Bulbine latifolia (L.f. R. & S. and Aloe arborescens Mill, as possible parents. The sterile plant and Aloe marlothii Berger have similar karyotypes and. therefore. A. marlothii may be one of the parents. A close relationship between the sterile plant and the genus Aloe is further confirmed by their similar epidermal structure.

  2. Etymology of homeric anatomical terms for the head and neck

    Directory of Open Access Journals (Sweden)

    Eleni KONSOLAKI, Panagiotis AGGOURIDAKIS, Georgia FRAGAKI, Georgios ROMANOS,

    2011-08-01

    Full Text Available SUMMARY: The search for the origin of medical terms used in every day practice has started since the distant past. Words that refer to the head and the neck can be found as early as in the Homeric epics; many of these have survived in some form in modern languages. Both doctors and philosophers have been concerned with the etymology of medical terminology in studies and dictionaries. This paper presents etymological suggestions for the anatomical terminology of the head and the neck as a useful aid to the oral and maxillofacial surgeon.

  3. Nervous Plexopathies in oncologic patients: Anatomical, clinical and radiological Considerations

    International Nuclear Information System (INIS)

    Lumbosacral or brachial plexopathies are lesions of two or more roots of the same plexus. They are very frequent in cancer patients and are usually due to extra spinal involvement of these roots, by a primary or secondary neoplasm. The CT scan is very useful in the evaluation of patients with this disease. In the article anatomic al aspects, the main clinical symptoms and signs, and the performance of CT scan are reviewed with all these elements it is possible to make a diagnosis

  4. Tracheal Atresia with Segmental Esophageal Duplication: An Unusual Anatomic Arrangement.

    Science.gov (United States)

    Gaerty, Kirsten; Thomas, Joseph T; Petersen, Scott; Tan, Edwin; Kumar, Sailesh; Gardener, Glenn; Armes, Jane

    2016-01-01

    An unusual anatomic configuration of segmental tracheal agenesis/atresia with esophageal duplication on autopsy in a fetus that demised in utero at 29 weeks is reported. The mother was scanned initially for a cardiac anomaly at 20 weeks and on follow-up scan at 27 weeks had polyhydramnios and underwent amnioreduction. The final autopsy diagnosis was vertebral, ano-rectal, cardiac, tracheoesophageal, renal, and limb malformations (VACTERL). We discuss the autopsy findings along with the embryological mechanisms and compare the configuration with Floyd's classification for tracheal agenesis. The difficulties in prenatal diagnosis are discussed. PMID:26367770

  5. Anatomical reconstruction of the anterior cruciate ligament: a logical approach

    Directory of Open Access Journals (Sweden)

    Julio Cesar Gali

    2015-08-01

    Full Text Available ABSTRACT We describe the surgical approach that we have used over the last years for anterior cruciate ligament (ACL reconstruction, highlighting the importance of arthroscopic viewing through the anteromedial portal (AMP and femoral tunnel drilling through an accessory anteromedial portal (AMP. The AMP allows direct view of the ACL femoral insertion site on the medial aspect of the lateral femoral condyle, does not require guides for anatomic femoral tunnel reaming, prevents an additional lateral incision in the distal third of the thigh (as would be unavoidable when the outside-intechnique is used and also can be used for double-bundle ACL reconstruction.

  6. Basic anatomical and physiological data for use in radiological protection: reference values. A report of age- and gender-related differences in the anatomical and physiological characteristics of reference individuals. ICRP Publication 89.

    Science.gov (United States)

    2002-01-01

    . The first section of the report provides summary tables of all the anatomical and physiological parameters given as reference values in this publication. These results give a comprehensive view of reference values for an individual as influenced by age and gender. The second section describes characteristics of dosimetric importance for the embryo and fetus. Information is provided on the development of the total body and the timing of appearance and development of the various organ systems. Reference values are provided on the mass of the total body and selected organs and tissues, as well as a number of physiological parameters. The third section deals with reference values of important anatomical and physiological characteristics of reference individuals from birth to adulthood. This section begins with details on the growth and composition of the total body in males and females. It then describes and quantifies anatomical and physiological characteristics of various organ systems and changes in these characteristics during growth, maturity, and pregnancy. Reference values are specified for characteristics of dosimetric importance. The final section gives a brief summary of the elemental composition of individuals. Focusing on the elements of dosimetric importance, information is presented on the body content of 13 elements: calcium, carbon, chloride, hydrogen, iodine, iron, magnesium, nitrogen, oxygen, potassium, sodium, sulphur, and phosphorus. PMID:14506981

  7. Space orientation of total hip prosthesis

    International Nuclear Information System (INIS)

    A method for in vivo determination of orientation and relation in space of components of total hip prosthesis is described. The method allows for determination of the orientation of the prosthetic components in well defined anatomic planes of the body. Furthermore the range of free motion from neutral position to the point of contact between the edge of the acetabular opening and the neck of the femoral component can be determined in various directions. To assess the accuracy of the calculations a phantom prosthesis was studied in nine different positions and the measurements of the space oriented parameters according to the present method correlated to measurements of the same parameters according to Selvik's stereophotogrammetric method. Good correlation ws found. The role of prosthetic malpositioning and component interaction evaluated with the present method in the development of prosthetic loosening and displacement is discussed. (orig.)

  8. Anatomically shaped tooth and periodontal regeneration by cell homing.

    Science.gov (United States)

    Kim, K; Lee, C H; Kim, B K; Mao, J J

    2010-08-01

    Tooth regeneration by cell delivery encounters translational hurdles. We hypothesized that anatomically correct teeth can regenerate in scaffolds without cell transplantation. Novel, anatomically shaped human molar scaffolds and rat incisor scaffolds were fabricated by 3D bioprinting from a hybrid of poly-epsilon-caprolactone and hydroxyapatite with 200-microm-diameter interconnecting microchannels. In each of 22 rats, an incisor scaffold was implanted orthotopically following mandibular incisor extraction, whereas a human molar scaffold was implanted ectopically into the dorsum. Stromal-derived factor-1 (SDF1) and bone morphogenetic protein-7 (BMP7) were delivered in scaffold microchannels. After 9 weeks, a putative periodontal ligament and new bone regenerated at the interface of rat incisor scaffold with native alveolar bone. SDF1 and BMP7 delivery not only recruited significantly more endogenous cells, but also elaborated greater angiogenesis than growth-factor-free control scaffolds. Regeneration of tooth-like structures and periodontal integration by cell homing provide an alternative to cell delivery, and may accelerate clinical applications.

  9. Isolated Male Epispadias: Anatomic Functional Restoration Is the Primary Goal

    Science.gov (United States)

    Bruneel, Elke; Ploumidis, Achilles; Van Laecke, Erik; Hoebeke, Piet

    2016-01-01

    Background. Isolated male epispadias (IME) is a rare congenital penile malformation, as often part of bladder-exstrophy-epispadias complex (BEEC). In its isolated presentation, it consists in a defect of the dorsal aspect of the penis, leaving the urethral plate open. Occurrence of urinary incontinence is related to the degree of dorsal displacement of the meatus and the underlying underdevelopment of the urethral sphincter. The technique for primary IME reconstruction, based on anatomic restoration of the urethra and bladder neck, is here illustrated. Patients and Methods. A retrospective database was created with patients who underwent primary IME repair between June 1998 and February 2014. Intraoperative variables, postoperative complications, and outcomes were assessed. A descriptive statistical analysis was performed. Results and Limitations. Eight patients underwent primary repair, with penopubic epispadias (PPE) in 3, penile epispadias (PE) in 2, and glandular epispadias (GE) in 3. Median age at surgery was 13.0 months [7–47]; median follow-up was 52 months [9–120]. Complications requiring further surgery were reported in two patients, while further esthetic surgeries were required in 4 patients. Conclusion. Anatomical restoration in primary IME is safe and effective, with acceptable results given the initial pathology. PMID:27722172

  10. Anatomical, Clinical and Electrical Observations in Piriformis Syndrome

    Directory of Open Access Journals (Sweden)

    Assoum Hani A

    2010-01-01

    Full Text Available Abstract Background We provided clinical and electrical descriptions of the piriformis syndrome, contributing to better understanding of the pathogenesis and further diagnostic criteria. Methods Between 3550 patients complaining of sciatica, we concluded 26 cases of piriformis syndrome, 15 females, 11 males, mean age 35.37 year-old. We operated 9 patients, 2 to 19 years after the onset of symptoms, 5 had piriformis steroids injection. A dorsolumbar MRI were performed in all cases and a pelvic MRI in 7 patients. The electro-diagnostic test was performed in 13 cases, between them the H reflex of the peroneal nerve was tested 7 times. Results After a followup 1 to 11 years, for the 17 non operated patients, 3 patients responded to conservative treatment. 6 of the operated had an excellent result, 2 residual minor pain and one failed. 3 new anatomical observations were described with atypical compression of the sciatic nerve by the piriformis muscle. Conclusion While the H reflex test of the tibial nerve did not give common satisfaction in the literature for diagnosis, the H reflex of the peroneal nerve should be given more importance, because it demonstrated in our study more specific sign, with six clinical criteria it contributed to improve the method of diagnosis. The cause of this particular syndrome does not only depend on the relation sciatic nerve-piriformis muscle, but the environmental conditions should be considered with the series of the anatomical anomalies to explain the real cause of this pain.

  11. An anatomical and functional model of the human tracheobronchial tree.

    Science.gov (United States)

    Florens, M; Sapoval, B; Filoche, M

    2011-03-01

    The human tracheobronchial tree is a complex branched distribution system in charge of renewing the air inside the acini, which are the gas exchange units. We present here a systematic geometrical model of this system described as a self-similar assembly of rigid pipes. It includes the specific geometry of the upper bronchial tree and a self-similar intermediary tree with a systematic branching asymmetry. It ends by the terminal bronchioles whose generations range from 8 to 22. Unlike classical models, it does not rely on a simple scaling law. With a limited number of parameters, this model reproduces the morphometric data from various sources (Horsfield K, Dart G, Olson DE, Filley GF, Cumming G. J Appl Physiol 31: 207-217, 1971; Weibel ER. Morphometry of the Human Lung. New York: Academic Press, 1963) and the main characteristics of the ventilation. Studying various types of random variations of the airway sizes, we show that strong correlations are needed to reproduce the measured distributions. Moreover, the ventilation performances are observed to be robust against anatomical variability. The same methodology applied to the rat also permits building a geometrical model that reproduces the anatomical and ventilation characteristics of this animal. This simple model can be directly used as a common description of the entire tree in analytical or numerical studies such as the computation of air flow distribution or aerosol transport. PMID:21183626

  12. DESIGN OF 3D MODEL OF CUSTOMIZED ANATOMICALLY ADJUSTED IMPLANTS

    Directory of Open Access Journals (Sweden)

    Miodrag Manić

    2015-12-01

    Full Text Available Design and manufacturing of customized implants is a field that has been rapidly developing in recent years. This paper presents an originally developed method for designing a 3D model of customized anatomically adjusted implants. The method is based upon a CT scan of a bone fracture. A CT scan is used to generate a 3D bone model and a fracture model. Using these scans, an indicated location for placing the implant is recognized and the design of a 3D model of customized implants is made. With this method it is possible to design volumetric implants used for replacing a part of the bone or a plate type for fixation of a bone part. The sides of the implants, this one lying on the bone, are fully aligned with the anatomical shape of the bone surface which neighbors the fracture. The given model is designed for implants production utilizing any method, and it is ideal for 3D printing of implants.

  13. A procedure to average 3D anatomical structures.

    Science.gov (United States)

    Subramanya, K; Dean, D

    2000-12-01

    Creating a feature-preserving average of three dimensional anatomical surfaces extracted from volume image data is a complex task. Unlike individual images, averages present right-left symmetry and smooth surfaces which give insight into typical proportions. Averaging multiple biological surface images requires careful superimposition and sampling of homologous regions. Our approach to biological surface image averaging grows out of a wireframe surface tessellation approach by Cutting et al. (1993). The surface delineating wires represent high curvature crestlines. By adding tile boundaries in flatter areas the 3D image surface is parametrized into anatomically labeled (homology mapped) grids. We extend the Cutting et al. wireframe approach by encoding the entire surface as a series of B-spline space curves. The crestline averaging algorithm developed by Cutting et al. may then be used for the entire surface. Shape preserving averaging of multiple surfaces requires careful positioning of homologous surface regions such as these B-spline space curves. We test the precision of this new procedure and its ability to appropriately position groups of surfaces in order to produce a shape-preserving average. Our result provides an average that well represents the source images and may be useful clinically as a deformable model or for animation.

  14. [Osteochondrodysplasias. Prenatal diagnosis and pathological-anatomic findings].

    Science.gov (United States)

    Tennstedt, C; Bartho, S; Bollmann, R; Schwenke, A; Nitz, I; Rothe, K

    1993-03-01

    Prenatal sonographic investigations were applied for malformations to 7,194 foetuses, between October 1985 and April 1992, with 28 cases of osteochondrodysplasia (OCD) and one case of dysostosis being dissected. Included were 20 cases of lethal osteochondrodysplasia, among them two cases of lethal hypophosphatasia, five cases of thanatophoric dysplasia, one case each of Type II shortrib (polydactyly) syndrome (VERMA-NAUMOFF) and metatropic dysplasia, three cases of campomelic dysplasia and eight cases of Type II A imperfect osteogenesis. Also observed were eight cases of nonlethal OCD, among them three cases of diastrophic dysplasia and five of achondroplasia. Dysostosis was recorded from one case and was diagnosed as Type V acrocephalosyndactyly (Pfeiffer). Identification of a specific OCD proved to be difficult in the second or third trimenon. Hence, the form of OCD was prenatally diagnosed only in ten of all cases investigated. Tentative diagnosis was first established from the postmortem radiograph. Additional malformations and other abnormalities then were detected by complementary pathologico-anatomic processing of findings. The final diagnosis was derived from radiological, pathologico-anatomic and histological findings. Diagnosis of this constitutional osteopathy is quite difficult and calls for interdisciplinary cooperation between gynaecologists, neonatologists, paediatric surgeons, radiologists, geneticists and pathologists. More effective counselling of affected families is the major purpose of all the efforts involved. PMID:8499423

  15. Rare anatomical variation of the musculocutaneous nerve - case report

    Directory of Open Access Journals (Sweden)

    Sergio Ricardo Rios Nascimento

    2016-06-01

    Full Text Available ABSTRACT The clinical and surgical importance of anatomical knowledge of the musculocutaneous nerve and its variations is due to the fact that one of the complications in many upper-limb surgical procedures involves injury to this nerve. During routine dissection of the right upper limb of a male cadaver, we observed an anatomical variation of this nerve. The musculocutaneous nerve originated in the lateral cord and continued laterally, passing under the coracobrachialis muscle and then continuing until its first branch to the biceps brachialis muscle. Just after this, it supplied another two branches, i.e. the lateral cutaneous nerve of the forearm and a branch to the brachialis muscle, and then it joined the median nerve. The median nerve followed the arm medially to the region of the cubital fossa and then gave rise to the anterior intermediate nerve of the forearm. The union between the musculocutaneous nerve and the median nerve occurred approximately at the midpoint of the arm and the median nerve. Given that either our example is not covered by the classifications found in the literature or that it fits into more than one variation proposed, without us finding something truly similar, we consider this variation to be rare.

  16. Modified cementless total coxofemoral prosthesis: development, implantation and clinical evaluation

    Directory of Open Access Journals (Sweden)

    S.A. Arias

    2013-12-01

    Full Text Available The aim of this study was to modify canine coxofemoral prostheses and the clinical evaluation of the implantation. Fifteen canine hips and femora of cadavers were used in order to study the surface points of modification in prostheses and develop a perforation guide. Femoral stems and acetabular components were perforated and coated with biphasic calcium phosphate layer. Twelve young adult male mongrel dogs were implanted with coxofemoral prostheses. Six were operated upon and implanted with cemented canine modular hip prostheses, establishing the control group. The remaining six were implanted with a novel design of cementless porous tricalcic phosphate-hydroxyapatite coated hip prostheses. Clinical and orthopedic performance, complications, and thigh muscular hypotrophy were assessed up to the 120th post-operatory day. After 120 days, animals with cementless prostheses had similar clinical and orthopedic performance compared to the cemented group despite the increased pain thigh hypotrophy. Animals that underwent cementless hip prosthesis evidenced more pain, compared to animals with cemented hip prosthesis that required longer recuperation time. No luxations, two fractures and two isquiatic neurapraxies were identified in the course of the study. Using both the cemented and the bioactive coated cementless model were suitable to dogs, showing clinical satisfactory results. Osseointegration and biological fixation were observed in the animals with the modified cementless hip prosthesis.

  17. The anatomical study of transoral atlantoaxial reduction plate internal fixation

    Institute of Scientific and Technical Information of China (English)

    AI Fu-zhi; YIN Qing-shui; WANG Zhi-yun; XIA Hong; CHANG Yun-bing; WU Zeng-hui; LIU Jing-fa

    2006-01-01

    Objective:To study relevant anatomical features of the structures involved in transoral atlanto-axial reduction plate (TARP) internal fixation through transoral approach for treating irreducible atlanto-axial dislocation and providing anatomical basis for the clinical application of TARP.Methods: Ten fresh craniocervical specimens were microsurgically dissected layer by layer through transoral approach. The stratification of the posterior pharyngeal wall, the course of the vertebral artery, anatomical relationships of the adjacent structures of the atlas and axis, and the closely relevant anatomical parameters for TARP internal fixation were measured.Results: The posterior pharyngeal wall consisted of two layers and two interspaces: the mucosa, prevertebral fascia, retropharyngeal space, and prevertebral space. The range from the anterior edge of the foramen magnum to C3could be exposed by this approach. The thickness of the posterior pharyngeal wall was (3.6 ± 0.3) mm (ranging2.9-4.3 mm) at the anterior tubercle of C1,(6.1 ± 0.4) mm ( ranging 5.2-7.1 mm) at the lateral mass of C1 and (5.5±0.4) mm (ranging4.3-6.5 mm) at the central part of C2, respectively. The distance from the incisor tooth to the anterior tubercle of C1, C1 screw entry point, and C2 screw entry point was ( 82. 5 ± 7. 8 ) mm ( ranging 71.4-96. 2 mm), ( 90. 1 ± 3. 8 ) mm ( ranging82.2-96. 3 mm), and ( 89.0 ± 4.1 ) mm ( ranging 81.3-95.3 mm), respectively. The distance between the vertebral artery at the atlas and the midline was (25.2 ±2.3) mm (ranging 20.4-29.7 mm) and that between the vertebral artery at the axis and the midline was ( 18.4 ±2.6) mm ( ranging 13. 1-23.0 mm). The allowed width of the atlas and axis for exposure was (39. 4 ± 2. 2 ) mm( ranging 36.2-42.7 mm) and ( 39.0 ± 2. 1 ) mm ( ranging35.8-42. 3 mm), respectively. The distance (a) between the two atlas screw insertion points (center of anterior aspect of C1 lateral mass) was (31.4 ± 3.3 ) mm ( ranging25.4-36.6 mm

  18. Totalization Data Exchange (TDEX)

    Data.gov (United States)

    Social Security Administration — The Totalization Data Exchange (TDEX) process is an exchange between SSA and its foreign country partners to identify deaths of beneficiaries residing abroad. The...

  19. Interface mechanics and histomorphometric analysis of hydroxyapatite-coated and porous glass-ceramic implants in canine bone

    DEFF Research Database (Denmark)

    Nimb, L; Jensen, J S; Gotfredsen, K

    1995-01-01

    A canine study was performed to make a histological and biomechanical evaluation of the interface between bone and two different bioceramic implants. A newly developed glass-ceramic formed by P2O5, CaO, SiO2, and Al2O3, giving a crystal phase composed of CaP2O6-AlPO4-SiP2O7, was compared to hydro......A canine study was performed to make a histological and biomechanical evaluation of the interface between bone and two different bioceramic implants. A newly developed glass-ceramic formed by P2O5, CaO, SiO2, and Al2O3, giving a crystal phase composed of CaP2O6-AlPO4-SiP2O7, was compared...... analysis. The ultimate shear strength for the HA-coated implants was significantly higher than in the glass-ceramic group. When these values were related to the histomorphometric measurements, the difference could be explained by the tissue-to-implant contact. The glass-ceramic showed direct contact only...... with nonmineralized, osteoid bone. The HA-coated implants, however, were integrated into the bone. The study indicated that porous glass-ceramic containing AlPO4 causes local osteomalacia and might not be suitable for clinical purposes....

  20. New titanium and titanium/hydroxyapatite coatings on ultra-high-molecular-weight polyethylene-in vitro osteoblastic performance

    Energy Technology Data Exchange (ETDEWEB)

    Silva, M A; Lopes, M A; Santos, J D; Fernandes, M H [Department of Metallurgical and Materials Engineering, Materials Section-Faculty of Engineering, University of Porto (Portugal); Gomes, P S [Laboratory of Pharmacology and Cellular Biocompatibility-Faculty of Dental Medicine, University of Porto (Portugal); Vila, M; Silva, R F, E-mail: mhfernandes@fmd.up.p [Department of Ceramics and Glass Engineering, University of Aveiro, CICECO (Portugal)

    2010-06-15

    The development of optimized hip joint materials is one of the most challenging opportunities in prosthetic technologies. In current approaches, ultra-high-molecular-weight polyethylene (UHMWPE) has been a favorite material for the acetabular component and, regarding the cementless technique, several coating options may be considered to contain and stabilize bearing surfaces and establish an improved interface with bone. In this work, newly developed constructs of UHMWPE coated with either commercially pure titanium (cpTi-UHMWPE), by DC magnetron sputtering, or with commercially pure titanium and hydroxyapatite (cpTi/HA-UHMWPE), by DC/RF magnetron co-sputtering, have been prepared and biologically characterized with human bone marrow-derived osteoblastic cultures. The cpTi-UHMWPE samples allowed a high cell growth and the expression of the complete osteoblastic phenotype, with high alkaline phosphatase activity, expression of osteogenic-associated genes and evident cell-mediated mineralization of the extracellular matrix. In comparison, the cpTi/HA-UHMWPE samples reported lower cell proliferation but earlier cell-mediated matrix mineralization. Accordingly, these newly developed systems may be suitable candidates to improve the osteointegration process in arthroplastic devices; nevertheless, further biological evaluation should be conducted.

  1. Formation of hydroxyapatite coating on titanium at 200°C through pulsed laser deposition followed by hydrothermal treatment

    Indian Academy of Sciences (India)

    Manoj Komath; P Rajesh; C V Muraleedharan; H K Varma; R Reshmi; M K Jayaraj

    2011-04-01

    Pulsed laser deposition (PLD) has emerged as an acceptable technique to coat hydroxyapatite on titanium-based permanent implants for the use in orthopedics and dentistry. It requires substrate temperature higher than 400°C to form coatings of good adhesion and crystallinity. As this range of temperatures is likely to affect the bulk mechanical properties of the implant, lowering the substrate temperature during the coating process is crucial for the long-term performance of the implant. In the present study, hydroxyapatite target was ablated using a pulsed Nd:YAG laser (355 nm) onto commercially pure titanium substrates kept at 200°C. The coating thus obtained has been subjected to hydrothermal treatment at 200°C in an alkaline medium. The coatings were analysed using microscratch test, optical profilometry, scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), X-ray diffraction (XRD) and infrared spectroscopy (FTIR). XRD, EDS and FTIR showed that the as-deposited coating contained amorphous calcium phosphate and the hydrothermal treatment converted it into crystalline hydroxyapatite. The micro-morphology was granular, with an average size of 1 micron. In the microscratch test, a remarkable increase in adhesion with the substrate was seen as a result of the treatment. The plasma plume during the deposition has been analysed using optical emission spectroscopy, which revealed atomic and ionic species of calcium, phosphorous and oxygen. The outcomes demonstrate the possibility of obtaining adherent and crystalline hydroxyapatite on titanium substrate at 200°C through pulsed laser deposition and subsequent hydrothermal treatment.

  2. Characterization and formation mechanism of nano-structured hydroxyapatite coatings deposited by the liquid precursor plasma spraying process

    International Nuclear Information System (INIS)

    Nano-structured hydroxyapatite (HA) coatings were deposited on the Ti-6Al-4V alloy substrate by the liquid precursor plasma spraying (LPPS) process. The thermal behavior of the HA liquid precursor was analyzed to interpret the phase change and structure transformation during the formation process of the nano-structured HA coatings. The phase composition, structure and morphology of the nano-structured HA coatings were characterized by x-ray diffraction (XRD), scanning electron microscope (SEM) and Fourier transform infrared (FTIR) spectroscopy. The XRD spectra showed that the coatings deposited by the LPPS process mainly consisted of the HA phase and the crystallite size was measured to be 56 nm. The SEM observation showed that the as-deposited LPPS coatings had small splat size, and nano-scale HA particles were found in certain regions of the coating surface. The FTIR spectroscopy showed the strong presence of the OH- group in the as-deposited LPPS coatings, indicating a superior structural integrity. In addition, the coatings deposited by the LPPS process were also carbonated HA coatings. The results indicate that the LPPS process is a promising plasma spraying technique for depositing nano-structured HA coatings with unique microstructural features that are desirable for improving the biological performance of the HA coatings.

  3. Hydroxyapatite coating on biodegradable AZ31 and Mg-Ca alloys prepared by RF-magnetron sputtering

    Energy Technology Data Exchange (ETDEWEB)

    Mukhametkaliyev, T., E-mail: mtm91@mail.ru; Surmeneva, M., E-mail: feja-mari@yandex.ru; Surmenev, R., E-mail: rsurmenev@gmail.com [National Research Tomsk Polytechnic University (Russian Federation); Mathan, B. K., E-mail: bobby.mathan@jcu.edu.au [James Cook University, Townsville (Australia)

    2015-11-17

    A thin film of hydroxyapatite (HA) was deposited on AZ31 and Mg-Ca alloys by using radio frequency (RF) magnetron sputtering. The thickness of the HA coating was determined to be 750 nm. The phase composition, microstructure, and surface morphology of the HA coatings were investigated using X-ray diffraction and scanning electron microscopy. In vitro degradation behaviour of the HA coated alloys was evaluated in simulated body fluid (SBF) and 3.5wt.% NaCl solution using electrochemical method. The coatings homogeneously covered the entire surface of the substrates. The coating structure corresponded to a nanostructured HA. The ultrathin coating significantly improved the degradation resistance of the alloy. Nanocrystalline HA coating significantly improved the corrosion resistance of the Mg-Ca and AZ31 magnesium alloys. The polarization resistance (Rp) of the coated Mg-Ca alloy was more than two-order of magnitude higher and the corrosion current density I{sub corr} reduced by ∼ 98% as compared to the base alloy.

  4. Magnesium substituted hydroxyapatite coating on titanium with nanotublar TiO{sub 2} intermediate layer via electrochemical deposition

    Energy Technology Data Exchange (ETDEWEB)

    Yajing, Yan; Qiongqiong, Ding [Institute of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054 (China); Yong, Huang [Institute of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054 (China); College of Lab Medicine, Hebei North University, Zhangjiakou 075000 (China); Han, Shuguang [Institute of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054 (China); Pang, Xiaofeng, E-mail: pangxf2012@gmail.com [Institute of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu 610054 (China); International Centre for Materials Physics, Chinese Academy of Science, Shenyang 11001 China (China)

    2014-06-01

    Hydroxyapatite (HAp) coatings doped with magnesium ion is an attractive method to improve the biocompatibility and biodegradability of HAp coatings. In this paper, we used electrochemical deposition to study the production of magnesium-doped HAp (MgHAp) coatings onto pure titanium with anodized titanium oxide (TiO{sub 2}) nanotubes as intermediate layer. The morphology and composition of coatings were studied by scanning electron microscopy, energy-dispersive X-ray spectroscopy, X-ray diffraction, and Fourier-transform infrared spectroscopy. Results indicated that Mg was uniformly distributed in the coatings, and each coating was found to be 21 μm thick. With Mg{sup 2+} incorporation, Ca{sup 2+} was substituted by Mg{sup 2+} in the MgHAp coating, thereby reducing apatite crystallinity and weekly increasing bond strength. The bioactivity and corrosion resistance of the coatings were improved in simulated body fluid and polarization tests, respectively. Cell culture tests indicated that the magnesium-substituted coatings had good biocompatibility and no adverse effect.

  5. Osteoconductivity and osteoinductivity of porous hydroxyapatite coatings deposited by liquid precursor plasma spraying: in vivo biological response study

    International Nuclear Information System (INIS)

    The beneficial effect of a porous structure on the biological functions of calcium phosphate bulk ceramic or scaffold has been well documented. Nevertheless, the effect of a porous structure on the in vivo performance of hydroxyapatite (HA) coatings has been rarely reported, partly due to the difficulty in synthesizing porous HA coatings suitable for commercial applications. In this study, we have carried out a systematic in vivo study of porous HA-coated Ti implants (with and without surface modification) prepared by the liquid precursor plasma spraying process, in terms of its osteoconductivity and osteoinductivity. The results suggest the clear advantage of the porous structure over the dense structure, despite the pore structure (about 48% porosity and less than 100 μm average pore size) being far from the ideal pore structure reported for bulk ceramic. The porous HA-coated implant significantly promotes early bone ingrowth at the pre-generated defective region, and early fixation at the bone–implant interface, especially at early implantation time (one month), showing about 120% and 40% increases respectively over those of the dense HA-coated implants prepared by the conventional atmospheric plasma spraying process. Moreover, the porous structure can be readily used to incorporate collagen/rh-BMP2, which demonstrates clear ectopic bone formation. Overall, the results suggest the augmentation of bone ingrowth is significant for HA coatings with a porous structure, which is critical for the early fixation and long-term stability of medical implants. (paper)

  6. In Vitro Corrosion and Cytocompatibility Properties of Nano-Whisker Hydroxyapatite Coating on Magnesium Alloy for Bone Tissue Engineering Applications

    Science.gov (United States)

    Yang, Huawei; Yan, Xueyu; Ling, Min; Xiong, Zuquan; Ou, Caiwen; Lu, Wei

    2015-01-01

    We report here the successful fabrication of nano-whisker hydroxyapatite (nHA) coatings on Mg alloy by using a simple one-step hydrothermal process in aqueous solution. The nHA coating shows uniform structure and high crystallinity. Results indicate that nHA coating is promising for improving the in vitro corrosion and cytocompatibility properties of Mg-based implants and devices for bone tissue engineering. In addition, the simple hydrothermal deposition method used in the current study is also applicable to substrates with complex shapes or surface geometries. PMID:25789500

  7. Influence of hydroxyapatite coating thickness and powder particle size on corrosion performance of MA8M magnesium alloy

    International Nuclear Information System (INIS)

    Graphical abstract: The corrosion resistance of magnesium alloys is the primary concern in biomedical applications. Micron and nano-scale hydroxyapatite (HA) was coated successfully on MA8M magnesium alloy substrates by using a sol–gel deposition. In this study, the effects of coating thicknesses and HA powder particle sizes on the adhesion strength and corrosion behavior were investigated. Potentiodynamic polarization tests were performed in a Ringer solution. The coatings before and after corrosion tests were characterized by adhesion tests, scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. The micro-scale-HA coated Mg substrates were more corrosion resistant than the nano-scale-HA coatings. The anodic activity of the micro-scale-HA coatings increased with increased coating thickness and the corrosion resistance of Mg substrates decreased. Corrosion susceptibilities of the nano-scale-HA coated samples were affected inversely. The coated film provided good barrier characteristics and achieved good corrosion protection for Mg substrates when compared to substrates without coatings. For micro-scale-HA coatings, anodic and cathodic activities were more intense for thicker films. When HA coatings are compared to nano-scale HA coatings, the micro-scale-HA coatings produced better current density values. Overall, as shown in Fig. 1, the best corrosion behavior of the Mg alloys was achieved using micro-scale HA powders at 30 μm coating thickness. - Highlights: • Nano and micro-scale-HA coatings provided good anti-corrosion performance compared to the uncoated ones. • The micro-scale-HA coated Mg substrates were more corrosion resistant than the nano-scale-HA coatings. • The best corrosion behavior was achieved for the micro-scale HA powders at 30 μm coating thickness. • Anodic activity decrease and cathodic activity increase with increasing film thickness. - Abstract: To improve the corrosion resistance of MA8M magnesium alloy, sol–gel derived coatings of micron and nano-scale hydroxyapatite (HA) were coated successfully on MA8M magnesium alloy substrates. The effects of coating thickness and HA powder particle size on the adhesion strength and corrosion resistance on magnesium alloy was investigated. Potentiodynamic polarization (PDS) tests were performed in a Ringer solution. The coatings before and after corrosion tests were characterized by adhesion tests, scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. The results show that the micro-scale-HA coated Mg substrates were more corrosion resistant than the nano-scale-HA coatings. Corrosion susceptibilities of the nano-scale-HA coated samples were influenced inversely. The anodic activity of the micro-scale-HA coatings increased with increased coating thickness. The coated film provided good barrier characteristics and achieved good corrosion protection for Mg substrates when compared to substrates without any coatings. The best corrosion resistance was obtained at 30 μm film thickness for micro-scale-HA coatings

  8. Cyclic delamination behavior of plasma-sprayed hydroxyapatite coating on Ti-6Al-4V substrates in simulated body fluid.

    Science.gov (United States)

    Otsuka, Yuichi; Kawaguchi, Hayato; Mutoh, Yoshiharu

    2016-10-01

    This study aimed to clarify the effect of a simulated body fluid (SBF) on the cyclic delamination behavior of a plasma-sprayed hydroxapatite (HAp) coating. A HAp coating is deposited on the surfaces of surgical metallic materials in order to enhance the bond between human bone and such surfaces. However, the HAp coating is susceptible to delamination by cyclic loading from the patient's gait. Although hip joints are subjected to both positive and negative moments, only the effects of tensile bending stresses on vertical crack propagation behavior have been investigated. Thus, the cyclic delamination behavior of a HAp coating was observed at the stress ratio R=-1 in order to determine the effects of tensile/compressive loading on the delamination behavior. The delamination growth rate increased with SBF immersion, which decreased the delamination life. Raman spectroscopy analysis revealed that the selective phase dissolution in the HAp coating was promoted at interfaces. Finite element analysis revealed that the energy release rate Gmax showed a positive value even in cases with compressive loading, which is a driving force for the delamination of a HAp coating. A prediction model for the delamination growth life was developed that combines a fracture mechanics parameter with the assumed stress-dependent dissolution rate. The predicted delamination life matched the experimental data well in cases of lower stress amplitudes with SBF. PMID:27287152

  9. The effects of hydroxyapatite coating and bone allograft on fixation of loaded experimental primary and revision implants

    DEFF Research Database (Denmark)

    Søballe, Kjeld; Mouzin, Olivier R G; Kidder, Louis A;

    2003-01-01

    for the presence of particulate polyethylene. During this procedure, a sclerotic endosteal bone rim forms, and a dense fibrous membrane is engendered, having macrophages with ingested polyethylene and high levels of inflammatory cytokines. At the time of revision after 8 weeks, the cavity is revised with either...

  10. Osteogenesis of bone marrow mesenchymal stem cells on strontium-substituted nano-hydroxyapatite coated roughened titanium surfaces

    OpenAIRE

    Yang, Hua-Wei; Lin, Mao-Han; Xu, Yuan-Zhi; Shang, Guang-Wei; Wang, Rao-Rao; Chen, Kai

    2015-01-01

    Objective: To investigate osteogenesis of bone marrow mesenchymal stem cells (BMSCs) on strontium-substituted nano-hydroxyapatite (Sr-HA) coated roughened titanium surfaces. Methods: Sr-HA coating and HA coating were fabricated on roughened titanium surfaces by electrochemical deposition technique and characterized by field emission scanning electron microscope (FESM). BMSCs were cultured on Sr-HA coating, HA coating and roughened titanium surfaces respectively. Cell proliferation, alkaline p...

  11. In Vitro Corrosion and Cytocompatibility Properties of Nano-Whisker Hydroxyapatite Coating on Magnesium Alloy for Bone Tissue Engineering Applications

    Directory of Open Access Journals (Sweden)

    Huawei Yang

    2015-03-01

    Full Text Available We report here the successful fabrication of nano-whisker hydroxyapatite (nHA coatings on Mg alloy by using a simple one-step hydrothermal process in aqueous solution. The nHA coating shows uniform structure and high crystallinity. Results indicate that nHA coating is promising for improving the in vitro corrosion and cytocompatibility properties of Mg-based implants and devices for bone tissue engineering. In addition, the simple hydrothermal deposition method used in the current study is also applicable to substrates with complex shapes or surface geometries.

  12. Mechanical failure of hydroxyapatite-coated titanium and cobalt-chromium-molybdenum alloy implants. An animal study

    DEFF Research Database (Denmark)

    Nimb, L; Gotfredsen, K; Steen Jensen, J

    1993-01-01

    and 6 Ti-6AI-4V implants. The implants were removed together with adjacent bone tissue after 4 weeks. There were no statistically significant differences between the two groups for interface shear strength. No differences were encountered with HA-coating on Cr-Co-Mo or on Ti-6AI-4V, failure consistently...

  13. Assessment of osteoinduction using a porous hydroxyapatite coating prepared by micro-arc oxidation on a new titanium alloy.

    Science.gov (United States)

    Jing, Wensen; Zhang, Minghua; Jin, Lei; Zhao, Jian; Gao, Qing; Ren, Min; Fan, Qingyu

    2015-12-01

    Surface modification and material improvement is now an important way to improve the osseointegration between bone and uncemented prothesis. The purpose of this study was to investigate the bone ingrowth potential of porous hydroxyapatite (HA) coatings prepared by micro-arc oxidation (MAO) on Ti-3Zr-2Sn-3Mo-25Nb, a new titanium alloy. HA-coated specimens were implanted in the left proximal femoral medullary canal of beagles for 4, 12, and 24 weeks, and uncoated specimens were implanted in the right as a control. The surface morphology and phase composition were investigated with environmental scanning electron microscopy and X-ray diffractometry. The bone ingrowth was assessed by histomorphometry. A pull-out test was performed to assess the mechanical performance of the bone-implant interface. A porous coating was well prepared on the new titanium alloy by using the MAO method. The bone-to-implant contact was significantly higher for the HA-coated group compared to that in the uncoated group. Mechanical tests showed that the HA-coated group had significantly higher maximum force at the bone-implant interface compared to the uncoated specimens. MAO is a suitable coating approach for this new titanium alloy. The HA coating prepared by this approach can significantly promote bone ingrowth and the mechanical performance of the bone-implant interface.

  14. The possibilities of atmospheric plasma-spraying application to obtain hydroxyapatite coatings on the stainless steel samples

    Directory of Open Access Journals (Sweden)

    Mihailović Marija D.

    2013-01-01

    Full Text Available For decades, the standard metallic materials for hip implants, besides the 316LVM stainless steel, were titanium- and cobalt/chromium-based alloys. Although bioinert, due to their corrosion resistance, they are not biocompatible. Contemporary surgical implants are not made just of bioinert metal anymore, but with deposited bioactive hydroxyapatite (HAp coating. Hydroxyapatite is chemically identical with the mineral constituent of bones and teeth, what besides its biocompatibility provides bioactivity as well. The HAp limitations are, however, weak tensile strength and low fatigue resistance for long term loadings, if used alone. This is the reason for HAp to be deposited onto the surgical implant, and to enable its bioactivity, what means intergrowth with bones, and therefore the long-lasting and mechanical stable non-cemented prosthesis. This is important predominantly because the need for such prostheses for younger population, and a better life quality. There are several contemporary techniques that have been used for deposition of these coatings onto the metal implant. The possibilities of atmospheric plasma-spraying for obtaining the stable HAp coatings on the 316LVM stainless steel, ordinary used as a standard material for hip implants production are presented in this paper. The coatings of a commercially available hydroxyapatite powder were plasma-sprayed onto the specimens of medical grade 316LVM stainless steel under various operating conditions. The optical microscopy was used for microstructure and porosity characterization, while coating morphology and Ca/P ratio were analyzed using SEM equipped with EDX. Coating microstructure varied from a porous to a glassy structure, depending on operating conditions applied and coating thickness. Coating porosity was determined to be at the lower required limit requested for the bone-coating intergrowth possibility, but nevertheless adhesion measurements showed good results. The Ca/P ratio was determined for both as-deposited coatings and after ageing in distilled water for various time and temperature combination.

  15. Characterization and corrosion behavior of hydroxyapatite coatings on Ti6Al4V fabricated by electrophoretic deposition

    Energy Technology Data Exchange (ETDEWEB)

    Kwok, C.T.; Wong, P.K. [Department of Electromechanical Engineering, University of Macau, Macau (China); Cheng, F.T., E-mail: apaftche@polyu.edu.hk [Department of Applied Physics, Hong Kong Polytechnic University (Hong Kong); Man, H.C. [Department of Industrial and Systems Engineering, Hong Kong Polytechnic University (Hong Kong)

    2009-04-15

    In order to increase the bone bioactivity of the metallic implants, hydroxyapatite (HA) is often coated on their surface so that a real bond with the surrounding bone tissue can be formed. Plasma spraying of HA coatings is currently the only commercial process in use but long-term stability of plasma sprayed coatings could be a problem because of their high degree of porosities, poor bond strength, presence of a small amount of amorphous phase with non-stoichiometric composition, and non-uniformity. In the present study, cathodic electrophoretic deposition (EPD) has been attempted for depositing HA coatings on Ti6Al4V followed by vacuum sintering at 800 deg. C. Submicron HA powders with different morphologies including spherical, needle-shaped and flake-shaped were used in the EDP process to produce dense coatings. Moreover, carbon nanotubes (CNTs) were also used to reinforce the HA coating for enhancing its hardness. The surface morphology, compositions and microstructure of the HA coated Ti6Al4V were investigated by electron microscopy, energy-dispersive X-ray spectroscopy and X-ray diffractometry, respectively. Electrochemical corrosion behavior of the HA coatings in Hanks' solution at 37 deg. C was investigated by means of open-circuit potential measurement and cyclic potentiodynamic polarization tests. Surface hardness, adhesion strength and bone bioactivity of the coatings were also studied. All HA coated specimens had a thickness of about 10 {mu}m and free of cracks, with corrosion resistance higher than that of the substrate and adhesion strength higher than that of plasma sprayed coating. The enhanced properties could be attributed to the use of submicron-sized HA particles in the low-temperature EDP process. Among the three types of HA powder, spherical powder yielded the densest coating whereas the flake-shaped powder yielded the most porous coatings. Compared with monolithic HA coating, the CNT-reinforced HA coating markedly increased the coating hardness without compromising the corrosion resistance or adhesion strength.

  16. Formation mechanism of Ca-deficient hydroxyapatite coating on Mg–Zn–Ca alloy for orthopaedic implant

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Huanxin [School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450002 (China); College of Materials and Chemical Engineering, Zhengzhou University of Light Industry, Zhengzhou 450002 (China); Zhu, Shijie; Wang, Liguo; Feng, Yashan; Ma, Xun [School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450002 (China); Guan, Shaokang, E-mail: skguan@zzuedu.cn [School of Materials Science and Engineering, Zhengzhou University, Zhengzhou 450002 (China)

    2014-07-01

    A biodegradable Ca-deficient hydroxyapatite (Ca-def HA) coating has been directly prepared on Mg–Zn–Ca alloy by pulse electrodeposition to improve its corrosion resistance and biocompatibility. However, the formation mechanism of such a Ca-def HA coating on magnesium substrate is still not clear. In this study, the microstructure evolution of the coating was characterized using x-ray diffractometer, x-ray photoelectron spectroscopy and scanning electron microscopy. Thermodynamic and kinetic studies of the precipitation of hydroxyapatite (HA), octacalcium phosphate (OCP) and dicalcium phosphate dihydrate (DCPD) in the used electrolyte were also carried out. Theoretical analyses illustrate that the precipitation of HA, OCP and DCPD are all possible when the electrolyte pH is higher than 6 at 80 °C, and that the higher the pH value, the more favorable is the formation of HA. Nevertheless, there is mainly poor crystalline Ca-def HA on the substrate when pulse electrodeposition lasts for 5 min, and its crystallinity increases with duration time The direct formation of the Ca-def HA coating on Mg–Zn–Ca alloy is closely dependent on the phase composition and microstructure of the substrate, the deposition parameters and Mg{sup 2+} ions substitution in HA structure.

  17. Hierarchically-organized, well-dispersed hydroxyapatite-coated magnetic carbon with combined organics and inorganics removal properties

    OpenAIRE

    Yang, Huihui; Liu, Qiang; Masse, Sylvie; Zhang, Hao; Li, Laifeng; ,; Coradin, Thibaud

    2015-01-01

    Novel hierarchically-organized magnetic microspheres have been successfully developed that consist of an aqueous hollow core, a magnetic porous Fe3O4-carbon layer and a well-define hydroxyapatite (HAp) shell. The hollow magnetic carbon microspheres were prepared by ultrasonic spray pyrolysis and coated with HAp using a biomimetic approach. The resulting powders exhibit micro- and meso-porosity. The removal capacity of the composite spheres towards an antibiotic (ampicilin), a rare-earth ion (...

  18. Hydroxyapatite coating on stainless steel by biomimetic method; Recobrimento de hidroxiapatita em acos inoxidaveis austeniticos pelo metodo biomimetico

    Energy Technology Data Exchange (ETDEWEB)

    Dias, V.M.; Maia Filho, A.L.M.; Silva, G.; Sousa, E. de; Cardoso, K.R., E-mail: katiarc@univap.b [Universidade do Vale do Paraiba (IPD/UNIVAP), Sao Jose dos Campos, SP (Brazil). Inst. de Pesquisa e Desenvolvimento

    2010-07-01

    Austenitic stainless steels are widely used in implants due to their high mechanical strength and corrosion, however, are not able to connect to bone tissue and were classified as bioinert. The calcium phosphate ceramics such as hydroxyapatite (HA) are bioactive materials and create strong chemical bonds with bone tissue, but its brittleness and low fracture toughness render its use in conditions of high mechanical stress. The coating of steel with the bioactive ceramics such as HA, combines the properties of interest of both materials, accelerating bone formation around the implant. In this study, austenitic stainless steel samples were coated with apatite using the biomimetic method. The effect of three different surface conditions of steel and the immersion time in the SBF solution on the coating was evaluated. The samples were characterized by SEM, EDS and X-ray diffraction. (author)

  19. Hydroxyapatite-coated magnesium implants with improved in vitro and in vivo biocorrosion, biocompatibility, and bone response.

    Science.gov (United States)

    Kim, Sae-Mi; Jo, Ji-Hoon; Lee, Sung-Mi; Kang, Min-Ho; Kim, Hyoun-Ee; Estrin, Yuri; Lee, Jong-Ho; Lee, Jung-Woo; Koh, Young-Hag

    2014-02-01

    Magnesium and its alloys are candidate materials for biodegradable implants; however, excessively rapid corrosion behavior restricts their practical uses in biological systems. For such applications, surface modification is essential, and the use of anticorrosion coatings is considered as a promising avenue. In this study, we coated Mg with hydroxyapatite (HA) in an aqueous solution containing calcium and phosphate sources to improve its in vitro and in vivo biocorrosion resistance, biocompatibility and bone response. A layer of needle-shaped HA crystals was created uniformly on the Mg substrate even when the Mg sample had a complex shape of a screw. In addition, a dense HA-stratum between this layer and the Mg substrate was formed. This HA-coating layer remarkably reduced the corrosion rate of the Mg tested in a simulated body fluid. Moreover, the biological response, including cell attachment, proliferation and differentiation, of the HA-coated samples was enhanced considerably compared to samples without a coating layer. The preliminary in vivo experiments also showed that the biocorrosion of the Mg implant was significantly retarded by HA coating, which resulted in good mechanical stability. In addition, in the case of the HA-coated implants, biodegradation was mitigated, particularly over the first 6 weeks of implantation. This considerably promoted bone growth at the interface between the implant and bone. These results confirmed that HA-coated Mg is a promising material for biomedical implant applications.

  20. Vancomycin-chitosan composite deposited on post porous hydroxyapatite coated Ti6Al4V implant for drug controlled release.

    Science.gov (United States)

    Yang, Chi-Chuan; Lin, Chien-Chung; Liao, Jiunn-Wang; Yen, Shiow-Kang

    2013-05-01

    Through the hydrogen bonds and the deprotonation, the vancomycin-chitosan composite has been originally deposited on Ti4Al4V by electrochemical technology. However, the rapid destruction of the hydrogen bonding between them by polar water molecules during immersion tests revealed 80% drug burst in a few hours. In this study, the post porous hydroxyapatite (HA) coated Ti4Al4V is prepared for the subsequent electrolytic deposition of vancomycin-chitosan composite to control the drug release. As expected, the initial burst is reduced to 55%, followed by a steady release about 20% from day 1 to day 5 and a slower release of the retained 25% after day 6, resulting in bacterial inhibition zone diameter of 30 mm which can last for more than a month in antibacterial tests, compared with the coated specimen without HA gradually loosing inhibition zone after 21 days. Besides, the cell culture indicates that the vancomycin-chitosan/HA composite coated has enhanced the proliferation, the differentiation and the mineralization of the osteoblast-like cell. In general, it is helpful for the osteointegration on permanent implants. Consistently, it effectively provides the prophylaxis and therapy of osteomyelitis according to the results of the rabbit infection animal model.

  1. Vancomycin–chitosan composite deposited on post porous hydroxyapatite coated Ti6Al4V implant for drug controlled release

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Chi-Chuan [Department of Materials Science and Engineering, National Chung Hsing, University 250, Kuo-Kuang Road, Taichung 40227, Taiwan (China); Lin, Chien-Chung [Department of Materials Science and Engineering, National Chung Hsing, University 250, Kuo-Kuang Road, Taichung 40227, Taiwan (China); Department of Orthopaedic Surgery, Taichung Armed Force General Hospital, 348, Sec. 2, Jhongshan Road, Taiping City, Taichung 411, Taiwan (China); Liao, Jiunn-Wang [Graduate Institute of Veterinary Pathobiology, National Chung Hsing, University 250, Kuo-Kuang Road, Taichung 40227, Taiwan (China); Yen, Shiow-Kang, E-mail: skyen@dragon.nchu.edu.tw [Department of Materials Science and Engineering, National Chung Hsing, University 250, Kuo-Kuang Road, Taichung 40227, Taiwan (China)

    2013-05-01

    Through the hydrogen bonds and the deprotonation, the vancomycin–chitosan composite has been originally deposited on Ti4Al4V by electrochemical technology. However, the rapid destruction of the hydrogen bonding between them by polar water molecules during immersion tests revealed 80% drug burst in a few hours. In this study, the post porous hydroxyapatite (HA) coated Ti4Al4V is prepared for the subsequent electrolytic deposition of vancomycin–chitosan composite to control the drug release. As expected, the initial burst is reduced to 55%, followed by a steady release about 20% from day 1 to day 5 and a slower release of the retained 25% after day 6, resulting in bacterial inhibition zone diameter of 30 mm which can last for more than a month in antibacterial tests, compared with the coated specimen without HA gradually loosing inhibition zone after 21 days. Besides, the cell culture indicates that the vancomycin–chitosan/HA composite coated has enhanced the proliferation, the differentiation and the mineralization of the osteoblast-like cell. In general, it is helpful for the osteointegration on permanent implants. Consistently, it effectively provides the prophylaxis and therapy of osteomyelitis according to the results of the rabbit infection animal model. - Highlights: ► The releasing curve of the vancomycin–chitosan/HA composite revealed three periods. ► The drug release sustained one month due to the effect of post porous HA coating. ► The composite coating could treat the osteomyelitis in the rabbit infection model.

  2. In vitro and in vivo evaluation of the bioactivity of hydroxyapatite-coated polyetheretherketone biocomposites created by cold spray technology.

    Science.gov (United States)

    Lee, Jae Hyup; Jang, Hae Lin; Lee, Kyung Mee; Baek, Hae-Ri; Jin, Kyoungsuk; Hong, Kug Sun; Noh, Jun Hong; Lee, Hyun-Kyung

    2013-04-01

    Polyetheretherketone (PEEK) is a material that is widely used in medicine because its mechanical properties show excellent similarity to those of human bone. However, because it is bioinert, PEEK shows limited ability to bind to natural bone tissue. Here, we applied a cold spray method to make a hydroxyapatite (HA)-coated PEEK hybrid material and evaluated its osteointegration in vitro and in vivo. With the cold spray method, the HA coating formed a homogeneous layer and adhered strongly to the PEEK disk implant. When the material was tested in vitro, early cell adhesion and viability improved. Alkaline phosphatase (ALP) activity and calcium concentration were also higher in cells cultured on HA-coated PEEK disks. In addition, the expression of osteoblast differentiation markers, such as ALP, bone sialoprotein and runt-related transcription factor 2, increased in these cells. For the in vivo test, we designed and implanted HA-coated PEEK cylinders into a rabbit ilium model by the press-fit method. The bone-implant contact ratio, trabecular number and trabecular thickness were determined using either three-dimensional microcomputed tomography or general two-dimensional histomorphometric analysis. This report demonstrates that the HA coating on the PEEK implant added with the cold spray method increased biocompatibility in vitro and promoted osteointegration in vivo, which suggests that the HA coating may improve the biofunctionality of various medical devices used in clinical applications. PMID:23212079

  3. Characterization and formation mechanism of nano-structured hydroxyapatite coatings deposited by the liquid precursor plasma spraying process

    Energy Technology Data Exchange (ETDEWEB)

    Huang Yi; Song Lei; Huang Tao; Liu Xiaoguang; Xiao Yanfeng; Wu Yao; Wu Fang; Gu Zhongwei, E-mail: fangwu0808@yahoo.co [National Engineering Research Center for Biomaterials, Sichuan University, Chengdu 610064 (China)

    2010-10-01

    Nano-structured hydroxyapatite (HA) coatings were deposited on the Ti-6Al-4V alloy substrate by the liquid precursor plasma spraying (LPPS) process. The thermal behavior of the HA liquid precursor was analyzed to interpret the phase change and structure transformation during the formation process of the nano-structured HA coatings. The phase composition, structure and morphology of the nano-structured HA coatings were characterized by x-ray diffraction (XRD), scanning electron microscope (SEM) and Fourier transform infrared (FTIR) spectroscopy. The XRD spectra showed that the coatings deposited by the LPPS process mainly consisted of the HA phase and the crystallite size was measured to be 56 nm. The SEM observation showed that the as-deposited LPPS coatings had small splat size, and nano-scale HA particles were found in certain regions of the coating surface. The FTIR spectroscopy showed the strong presence of the OH{sup -} group in the as-deposited LPPS coatings, indicating a superior structural integrity. In addition, the coatings deposited by the LPPS process were also carbonated HA coatings. The results indicate that the LPPS process is a promising plasma spraying technique for depositing nano-structured HA coatings with unique microstructural features that are desirable for improving the biological performance of the HA coatings.

  4. [Anatomic-topographical characteristics of the pancreas as the guidelines for the surgical interventions in destructive forms of pancreatitis].

    Science.gov (United States)

    Akramov, E Kh; Vasil'eva, O I; Gabitov, V Kh; Omurbaev, A S

    2008-01-01

    Using polymer techniques (plastination), research was conducted on the corpses of 62 human subjects, both male and female, who died at the age of 40-60 and had no signs of pathology of the abdominal organs and of retroperitoneal space, and on 7 corpses of the subjects who died as a result of a total pancreonecrosis. In total slices 1 mm thick, cut in frontal, sagittal and horizontal planes, the profile areas of the pancreas and connective tissue structures, surrounding the organ, were measured, and their correlation was determined. It was demonstrated that the existence of a strongly pronounced cellular tissue space, totally surrounding the pancreas with the minimal thickness of 5 mm, creates topographic-anatomically substantiated possibilities for the development of rational operation accesses and regional sanative methods. An anatomically substantiated method of closed dialysis of a cellular tissue space of the pancreatic region in destructive forms of pancreatitis, was developed, including conducting the drainage tubes to the pancreas area from both sides through the space between retrotransversal and anterenal fascia, as well as drainages through the space between parietal peritoneum and retroperitoneal fascia on 2 levels by three drainage tubes. The method is tested on 32 patients. It is shown that the flowing drainage of the retroperitoneal space according to the close type in patients with pancreonecrosis, prevents the generalization of the process, accelerates the process of detoxication by 2.4 times and decreases the mortality rate of pancreonecrosis to 10%. PMID:18942351

  5. Modification of the right subclavian vein catheterization and its anatomic basis and techniques

    Institute of Scientific and Technical Information of China (English)

    LUO Guang-hui; LI Wen-jian; ZHONG Shi-zhen; LI Zhong-hua; FANG Ji

    2005-01-01

    Background Several million subclavian-vein catheters are placed in patients each year to enable caregivers to administer chemotherapy, total parenteral nutrition, or long-term antibiotics or to manage preoperative fluids. Subclavian venipuncture requires the position of a deep vein to be identified with only surface landmarks. But the traditional right subclavian vein (RSV) catheterization (primitive procedures) is not the answer for all patients. The precise location of the vein is not known, and it is important to select the most appropriate method to achieve central venous access safely in any given patient. To modify the primitive procedures of the RSV catheterization for greater success and reduce the complications, anatomic studies and ultrasonography were conducted and clinical applications were validated.Methods Anatomical observation and measurement of the RSV and its adjacent structures were performed on 20 adult cadavers according to modified procedures. The RSV catheterization of 2900 cases was carried out by the modified procedure, 500 of these cases were observed by ultrasonography after the operation.Results The anatomical studies and clinical application showed that the insertion point differs from the bodily form of fatness or leptosome. The clinical data revealed that in the 2900 cases which were performed with the modified approach, the success rate was 98.90% (2868 cases), the failure rate was 1.10% (32 cases), and the complication rate is 0.79% (23 cases), and the catheterization time is (31.2±10.5) minutes. Five hundred and sixty cases of the RSV catheterization were carried out by the recommended insertion procedure; the results were compared with the modified approach and the traditional approach. The successful rate of the traditional approach was 73.0%, of which the complication rate was 6.1%; the two approaches were significantly different (successful rate: χ2=626.642, P<0.01; complication rate: χ2=80.708, P<0.01).Conclusions The

  6. Asymmetry and structural system analysis of the proximal femur meta-epiphysis: osteoarticular anatomical pathology

    Directory of Open Access Journals (Sweden)

    Baydoun Safaa

    2008-02-01

    Full Text Available Abstract Background The human femur is commonly considered as a subsystem of the locomotor apparatus with four conspicuous levels of organization. This phenomenon is the result of the evolution of the locomotor apparatus, which encompasses both constitutional and individual variability. The work therein reported, therefore, underlies the significance of observing anatomical system analysis of the proximal femur meta-epiphysis in normal conditions, according to the anatomic positioning with respect to the right or left side of the body, and the presence of system asymmetry in the meta-epiphysis structure, thus indicating structural and functional asymmetry. Methods A total of 160 femur bones of both sexes were compiled and a morphological study of 15 linear and angulated parameters of proximal femur epiphysis was produced, thus defining the linear/angulated size of tubular bones. The parameters were divided into linear and angulated groups, while maintaining the motion of the hip joint and transmission of stress to the unwanted parts of the limb. Furthermore, the straight and vertical diameters of the femoral head and the length of the femoral neck were also studied. The angle between the neck and diaphysis, the neck antiversion and angle of rotation of the femoral neck were subsequently measured. Finally, the condylo-diaphyseal angle with respect to the axis of extremity was determined. To visualize the force of intersystem ties, we have used the method of correlation galaxy construction. Results The absolute numeral values of each linear parameter were transformed to relative values. The values of superfluity coefficient for each parameter in the right and left femoral bone groups were estimated and Pearson's correlation coefficient has been calculated (> 0.60. Retrospectively, the observed results have confirmed the presence of functional asymmetry in the proximal femur meta-epiphysis. On the basis of compliance or insignificant difference in

  7. Genoptraening efter total knaealloplastik

    DEFF Research Database (Denmark)

    Holm, Bente; Kehlet, Henrik

    2009-01-01

    The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty rehabilitat...

  8. Total Quality Leadership

    Science.gov (United States)

    1991-01-01

    More than 750 NASA, government, contractor, and academic representatives attended the Seventh Annual NASA/Contractors Conference on Quality and Productivity. The panel presentations and Keynote speeches revolving around the theme of total quality leadership provided a solid base of understanding of the importance, benefits, and principles of total quality management (TQM). The presentations from the conference are summarized.

  9. Synovial cutaneous fistula complicating a reverse total shoulder arthroplasty.

    Science.gov (United States)

    Letter, Haley P; Limback, Joseph; Wasyliw, Christopher; Bancroft, Laura; Scherer, Kurt

    2016-06-01

    Reverse total shoulder arthroplasty is becoming a common form of shoulder arthroplasty that is often performed in the setting of rotator cuff pathology. Infection is a rare complication but is more common in reverse total shoulder arthroplasty than in hemiarthroplasty or anatomic total shoulder arthroplasty. We present the case of a 69-year-old patient with a reverse total shoulder arthroplasty who presented with purulent drainage from the skin of his anterior shoulder. Computed tomography arthrogram confirmed the presence of a synovial cutaneous fistula. Synovial cutaneous fistula is a rare variant of periprosthetic infection that, to our knowledge, has not been described previously in the setting of a reverse total shoulder arthroplasty. Computed tomography arthrogram proved to be a reliable method for confirming the diagnosis and was used for operative planning to remove the hardware. PMID:27257460

  10. Occupational sun exposure and risk of melanoma according to anatomical site.

    Science.gov (United States)

    Vuong, Kylie; McGeechan, Kevin; Armstrong, Bruce K; Cust, Anne E

    2014-06-01

    Although sunburn and intermittent sun exposures are associated with increased melanoma risk, most studies have found null or inverse associations between occupational (more continuous pattern) sun exposure and melanoma risk. The association of melanoma with occupational sun exposure may differ according to anatomical site, with some studies finding a positive association with melanoma on the head and neck. We examined the association between occupational sun exposure (self-reported weekday sun exposure) and melanoma risk according to anatomical site, using data from two multicentre population-based case-control studies: the Australian Melanoma Family Study (588 cases, 472 controls) and the Genes, Environment and Melanoma study (GEM; 1079 cases, 2,181 controls). Unconditional logistic regression was used to estimate odds ratios (OR) and their 95% confidence intervals, adjusting for potential confounders. Occupational sun exposure was not positively associated with melanoma risk overall or at different body sites in both studies. The GEM study found inverse associations between occupational sun exposure and melanoma on the head and neck [OR for highest vs. lowest quartile: 0.56, 95% confidence intervals (CI) 0.36-0.86, ptrend 0.02], and between the proportion of total sun exposure occurring on weekdays and melanoma on the upper limbs (OR for highest vs. lowest quartile: 0.66, 95% CI 0.42-1.02, ptrend 0.03). Our results suggest that occupational sun exposure does not increase risk of melanoma, even of melanomas situated on the head and neck. This finding seemed not to be due to negative confounding of occupational sun exposure by weekend sun.

  11. Nutrient-induced modifications of wood anatomical traits of Alchornea lojaensis (Euphorbiaceae)

    Science.gov (United States)

    Spannl, Susanne; Homeier, Jürgen; Bräuning, Achim

    2016-05-01

    Regarding woody plant responses on higher atmospheric inputs of the macronutrients nitrogen (N) and phosphorous (P) on tropical forests in the future, an adaptive modification of wood anatomical traits on the cellular level of woody plants is expected. As part of an interdisciplinary nutrient manipulation experiment (NUMEX) carried out in Southern Ecuador, we present here the first descriptive and quantitative wood anatomical analysis of the tropical evergreen tree species Alchornea lojaensis (Euphorbiaceae). We sampled branch wood of nine individual trees belonging to treatments with N fertilization, N+P fertilization, and a control group, respectively. Quantitative evaluations of eleven different vessel parameters were conducted. The results showed that this endemic tree species will be able to adapt well to the future effects of climate change and higher nutrient deposition. This was firstly implied by an increase in vessel diameter and consequently a higher theo. area-specific hydraulic conductivity with higher nutrient availability. Secondly, the percentage of small vessels (0-20µm diameter) strongly increased with fertilization. Thirdly, the vessel arrangement (solitary vessels vs. multiple vessel groupings) changed towards a lower percentage of solitary vessel fraction (VS), and concurrently towards a higher total vessel grouping index (VG) and a higher mean group size of non-solitary vessels (VM) after N and N+P addition. We conclude that higher nutrient availability of N and N+P triggered higher foliage amount and water demand, leading to higher cavitation risk in larger vessels. This is counteracted by a stronger grouping of vessels with smaller risk of cavitation to ensure water supply during drier periods that are expected to occur in higher frequency in the near future.

  12. Anatomical and Refractive Results of Diode Laser Photocoagulation in Retinopathy of Prematurity

    Directory of Open Access Journals (Sweden)

    K. Sadeghi

    2012-04-01

    Full Text Available Introduction & Objective: Retinopathy of prematurity (ROP is a major cause of blindness in premature newborns. It accounts for 4% of childhood blindness in developed countries and up to 40% in developing countries. The aim of this study is to report the refractive and anatomical outcome of patients who had undergone laser photocoagulate on for retinopathy of prematurity (ROP.Materials & Methods: In this cross sectional study, a total of forty eyes of twenty patients who had undergone transscleral diode laser photocoagulation for ROP between 2004-2008 were studied for the following measures: grade of ROP pre- and postoperatively, birth weight, gestational age, perioperative and postoperative complications, and current refraction.Results: Mean birth weight of patients was 923±271 gr and mean gestational age was 27.3±2.6 wk. All eyes had threshold ROP and responded to laser treatment with regression of ROP. Perioperative complications included hemorrhages in 15% that resorbed spontaneously. The mean age of patients at the time of examination for this study was 4.13±1.30 yr and their anatomical status of retina was normal. Strabismus (more than 20 prism diopter was found in 10% of patients. The spherical equivalent of refraction at the time of examination was -2.31±3.38 diopter.Conclusion: Photocoagulation for ROP in our patients resulted in regression of threshold ROP. In addition, the analyses of refractive outcome demonstrated a predominance of myopia and astigmatism.(Sci J Hamadan Univ Med Sci 2012;19(1:22-26

  13. Anatomically based lower limb nerve model for electrical stimulation

    Directory of Open Access Journals (Sweden)

    Soboleva Tanya K

    2007-12-01

    Full Text Available Abstract Background Functional Electrical Stimulation (FES is a technique that aims to rehabilitate or restore functionality of skeletal muscles using external electrical stimulation. Despite the success achieved within the field of FES, there are still a number of questions that remain unanswered. One way of providing input to the answers is through the use of computational models. Methods This paper describes the development of an anatomically based computer model of the motor neurons in the lower limb of the human leg and shows how it can be used to simulate electrical signal propagation from the beginning of the sciatic nerve to a skeletal muscle. One-dimensional cubic Hermite finite elements were used to represent the major portions of the lower limb nerves. These elements were fit to data that had been digitised using images from the Visible Man project. Nerves smaller than approximately 1 mm could not be seen in the images, and thus a tree-branching algorithm was used to connect the ends of the fitted nerve model to the respective skeletal muscle. To simulate electrical propagation, a previously published mammalian nerve model was implemented and solved on the anatomically based nerve mesh using a finite difference method. The grid points for the finite difference method were derived from the fitted finite element mesh. By adjusting the tree-branching algorithm, it is possible to represent different levels of motor-unit recruitment. Results To illustrate the process of a propagating nerve stimulus to a muscle in detail, the above method was applied to the nerve tree that connects to the human semitendinosus muscle. A conduction velocity of 89.8 m/s was obtained for a 15 μm diameter nerve fibre. This signal was successfully propagated down the motor neurons to a selected group of motor units in the muscle. Conclusion An anatomically and physiologically based model of the posterior motor neurons in the human lower limb was developed. This

  14. Anatomical decomposition in dual energy chest digital tomosynthesis

    Science.gov (United States)

    Lee, Donghoon; Kim, Ye-seul; Choi, Sunghoon; Lee, Haenghwa; Choi, Seungyeon; Kim, Hee-Joung

    2016-03-01

    Lung cancer is the leading cause of cancer death worldwide and the early diagnosis of lung cancer has recently become more important. For early screening lung cancer, computed tomography (CT) has been used as a gold standard for early diagnosis of lung cancer [1]. The major advantage of CT is that it is not susceptible to the problem of misdiagnosis caused by anatomical overlapping while CT has extremely high radiation dose and cost compared to chest radiography. Chest digital tomosynthesis (CDT) is a recently introduced new modality for lung cancer screening with relatively low radiation dose compared to CT [2] and also showing high sensitivity and specificity to prevent anatomical overlapping occurred in chest radiography. Dual energy material decomposition method has been proposed for better detection of pulmonary nodules as means of reducing the anatomical noise [3]. In this study, possibility of material decomposition in CDT was tested by simulation study and actual experiment using prototype CDT. Furthermore organ absorbed dose and effective dose were compared with single energy CDT. The Gate v6 (Geant4 application for tomographic emission), and TASMIP (Tungsten anode spectral model using the interpolating polynomial) code were used for simulation study and simulated cylinder shape phantom consisted of 4 inner beads which were filled with spine, rib, muscle and lung equivalent materials. The patient dose was estimated by PCXMC 1.5 Monte Carlo simulation tool [4]. The tomosynthesis scan was performed with a linear movement and 21 projection images were obtained over 30 degree of angular range with 1.5° degree of angular interval. The proto type CDT system has same geometry with simulation study and composed of E7869X (Toshiba, Japan) x-ray tube and FDX3543RPW (Toshiba, Japan) detector. The result images showed that reconstructed with dual energy clearly visualize lung filed by removing unnecessary bony structure. Furthermore, dual energy CDT could enhance

  15. Identification keys on rattans (Calamus spp.) from Central Sulawesi based on anatomical structure of stems

    OpenAIRE

    ANDI TANRA TELLU

    2005-01-01

    This study was conducted to obtain information the anatomical characteristics of 20 rattan species from Central Sulawesi and to use it for anatomical identification of rattan species. The rattan comprised 16 Calamus species, three Daemonorops species and one Korthalsia species. For anatomical observation 10-15 mm pieces of the mature stem from shares of tip do not have frond were processed with polyethilene glycol 2000, cut at 18-32 µm and stained with a combination of acridin-cryzoidin red a...

  16. MORPHOLOGICAL AND ANATOMICAL STUDY ON ENDEMIC CROCUS OLIVIERI GAY SUBSP. ISTANBULENSIS MATHEW SUBSPECIES (IRIDACEAE

    Directory of Open Access Journals (Sweden)

    Kadriye Yetişen

    2013-02-01

    Full Text Available In this study, morphological and anatomical properties of Crocus olivieri Gay subsp. istanbulensis Mathew were investigated. Cross-sections of root, scape and leaf parts of the plant were examined anddemonstrated by photographs. Most of the anatomical properties are similar to the other member of Iridaceae family. Sclerenchyma groups were observed around to leaf vascular bundle. Morphological and anatomical findings compared with other two subspecies of Crocus olivieri.

  17. APPLICABILITY ANALYSIS OF ADDITIVE MANUFACTURING PROCESSES IN THE FABRICATION OF ANATOMICALLY SHAPED LATTICE SCAFFOLDS

    OpenAIRE

    Jelena Milovanović; Miloš Stojković; Miroslav Trajanović

    2015-01-01

    Manufacturing of anatomically shaped scaffolds for bonе tissue recovery as well as other similar anatomically shaped implants represents a major challenge for modern manufacturing technologies. The complexity of anatomically shaped lattice scaffolds for bone tissue recovery requires involvement of so-called additive manufacturing processes.This paper brings out the criterial matrix for the assessment of additive manufacturing processes applicability in the case of bone tissue scaffold manufac...

  18. Estonian total ozone climatology

    Directory of Open Access Journals (Sweden)

    K. Eerme

    Full Text Available The climatological characteristics of total ozone over Estonia based on the Total Ozone Mapping Spectrometer (TOMS data are discussed. The mean annual cycle during 1979–2000 for the site at 58.3° N and 26.5° E is compiled. The available ground-level data interpolated before TOMS, have been used for trend detection. During the last two decades, the quasi-biennial oscillation (QBO corrected systematic decrease of total ozone from February–April was 3 ± 2.6% per decade. Before 1980, a spring decrease was not detectable. No decreasing trend was found in either the late autumn ozone minimum or in the summer total ozone. The QBO related signal in the spring total ozone has an amplitude of ± 20 DU and phase lag of 20 months. Between 1987–1992, the lagged covariance between the Singapore wind and the studied total ozone was weak. The spring (April–May and summer (June–August total ozone have the best correlation (coefficient 0.7 in the yearly cycle. The correlation between the May and August total ozone is higher than the one between the other summer months. Seasonal power spectra of the total ozone variance show preferred periods with an over 95% significance level. Since 1986, during the winter/spring, the contribution period of 32 days prevails instead of the earlier dominating 26 days. The spectral densities of the periods from 4 days to 2 weeks exhibit high interannual variability.

    Key words. Atmospheric composition and structure (middle atmosphere – composition and chemistry; volcanic effects – Meteorology and atmospheric dynamics (climatology

  19. Effect of anatomical backgrounds on detectability in volumetric cone beam CT images

    Science.gov (United States)

    Han, Minah; Park, Subok; Baek, Jongduk

    2016-03-01

    As anatomical noise is often a dominating factor affecting signal detection in medical imaging, we investigate the effects of anatomical backgrounds on signal detection in volumetric cone beam CT images. Signal detection performances are compared between transverse and longitudinal planes with either uniform or anatomical backgrounds. Sphere objects with diameters of 1mm, 5mm, 8mm, and 11mm are used as the signals. Three-dimensional (3D) anatomical backgrounds are generated using an anatomical noise power spectrum, 1/fβ, with β=3, equivalent to mammographic background [1]. The mean voxel value of the 3D anatomical backgrounds is used as an attenuation coefficient of the uniform background. Noisy projection data are acquired by the forward projection of the uniform and anatomical 3D backgrounds with/without sphere lesions and by the addition of quantum noise. Then, images are reconstructed by an FDK algorithm [2]. For each signal size, signal detection performances in transverse and longitudinal planes are measured by calculating the task SNR of a channelized Hotelling observer with Laguerre-Gauss channels. In the uniform background case, transverse planes yield higher task SNR values for all sphere diameters but 1mm. In the anatomical background case, longitudinal planes yield higher task SNR values for all signal diameters. The results indicate that it is beneficial to use longitudinal planes to detect spherical signals in anatomical backgrounds.

  20. Deformable meshes for medical image segmentation accurate automatic segmentation of anatomical structures

    CERN Document Server

    Kainmueller, Dagmar

    2014-01-01

    ? Segmentation of anatomical structures in medical image data is an essential task in clinical practice. Dagmar Kainmueller introduces methods for accurate fully automatic segmentation of anatomical structures in 3D medical image data. The author's core methodological contribution is a novel deformation model that overcomes limitations of state-of-the-art Deformable Surface approaches, hence allowing for accurate segmentation of tip- and ridge-shaped features of anatomical structures. As for practical contributions, she proposes application-specific segmentation pipelines for a range of anatom

  1. Foundations of Intonational Meaning: Anatomical and Physiological Factors.

    Science.gov (United States)

    Gussenhoven, Carlos

    2016-04-01

    Like non-verbal communication, paralinguistic communication is rooted in anatomical and physiological factors. Paralinguistic form-meaning relations arise from the way these affect speech production, with some fine-tuning by the cultural and linguistic context. The effects have been classified as "biological codes," following the terminological lead of John Ohala's Frequency Code. Intonational morphemes, though arguably non-arbitrary in principle, are in fact heavily biased toward these paralinguistic meanings. Paralinguistic and linguistic meanings for four biological codes are illustrated. In addition to the Frequency Code, the Effort Code, and the Respiratory Code, the Sirenic Code is introduced here, which is based on the use of whispery phonation, widely seen as being responsible for the signaling and perception of feminine attractiveness and sometimes used to express interrogativity in language. In the context of the evolution of language, the relations between physiological conditions and the resulting paralinguistic and linguistic meanings will need to be clarified. PMID:27016315

  2. An ``Anatomic approach" to study the Casimir effect

    Science.gov (United States)

    Intravaia, Francesco; Haakh, Harald; Henkel, Carsten

    2010-03-01

    The Casimir effect, in its simplest definition, is a quantum mechanical force between two objects placed in vacuum. In recent years the Casimir force has been the object of an exponentially growing attention both from theorists and experimentalists. A new generation of experiments paved the way for new challenges and spotted some shadows in the comparison to theory. Here we are going to isolate different contributions to the Casimir interaction and perform a detailed study to shine new light on this phenomenon. As an example, the contributions of Foucault (eddy current) modes will be discussed in different configurations. This ``anatomic approach'' allows to clearly put into evidence special features and to explain unusual behaviors. This brings new physical understanding on the undergoing physical mechanisms and suggests new ways to engineer the Casimir effect.

  3. Simultaneous segmentation and anatomical labeling of the cerebral vasculature.

    Science.gov (United States)

    Robben, David; Türetken, Engin; Sunaert, Stefan; Thijs, Vincent; Wilms, Guy; Fua, Pascal; Maes, Frederik; Suetens, Paul

    2016-08-01

    We present a novel algorithm for the simultaneous segmentation and anatomical labeling of the cerebral vasculature. Unlike existing approaches that first attempt to obtain a good segmentation and then perform labeling, we optimize for both by simultaneously taking into account the image evidence and the prior knowledge about the geometry and connectivity of the vasculature. This is achieved by first constructing an overcomplete graph capturing the vasculature, and then selecting and labeling the subset of edges that most likely represents the true vasculature. We formulate the latter problem as an Integer Program (IP), which can be solved efficiently to provable optimality. We evaluate our approach on a publicly available dataset of 50 cerebral MRA images, and demonstrate that it compares favorably against state-of-the-art methods. PMID:27131026

  4. Evaluation of an anatomical compensation filter for chest radiography

    Energy Technology Data Exchange (ETDEWEB)

    Manninen, H.; Rytkoenen, H.; Soimakallio, S.; Terho, E.O.; Hentunen, J.

    1986-11-01

    An anatomical compensation filter for improving the radiographic demonstration of the mediastinal and retrocardiac areas of a chest radiograph has been evaluated. The filter, made of a transparent, light-weight lead-plastic material was attached to the X-ray collimator housing. The device reliably improved the visibility of normally underpenetrated areas without producing detectable artefacts, provided the patient was correctly positioned. Hilar structures were also slightly better visualised. At the same time there was no statistically significant deterioration in visualisation of peripheral pulmonary vessels or parenchymal structures. Rib details and pleural calcifications were less well seen, however, a result that was to be expected because of the X-ray beam hardening.

  5. Tridimensional Regression for Comparing and Mapping 3D Anatomical Structures

    Directory of Open Access Journals (Sweden)

    Kendra K. Schmid

    2012-01-01

    Full Text Available Shape analysis is useful for a wide variety of disciplines and has many applications. There are many approaches to shape analysis, one of which focuses on the analysis of shapes that are represented by the coordinates of predefined landmarks on the object. This paper discusses Tridimensional Regression, a technique that can be used for mapping images and shapes that are represented by sets of three-dimensional landmark coordinates, for comparing and mapping 3D anatomical structures. The degree of similarity between shapes can be quantified using the tridimensional coefficient of determination (2. An experiment was conducted to evaluate the effectiveness of this technique to correctly match the image of a face with another image of the same face. These results were compared to the 2 values obtained when only two dimensions are used and show that using three dimensions increases the ability to correctly match and discriminate between faces.

  6. The anatomical, surgical and orthopedic importance of gastrocnemius

    Directory of Open Access Journals (Sweden)

    Ashfaq U. Hassan

    2013-08-01

    Full Text Available Gastrocnemius is one of the most important muscles of lower limb. It belongs to the superficial compartment of calf muscles. They belong to group of superficial flexors. Gastrocnemius, plantaris and soleus form the bulk of the calf. Gastrocnemius forms the belly of the calf. It arises by two distinct heads, connected to the condyles of the femur by strong, flat tendons. It has an immense anatomic, medical, orthopedic and physiological importance and is attributed in a variety of medical and surgical problems. A profound knowledge of this muscle is of great importance to any surgeon or orthopedicians or any clinician. [Int J Res Med Sci 2013; 1(4.000: 326-328

  7. ANATOMICAL STUDIES ON SCOPOLIA CARNIOLICA JACQ. VEGETATIVE ORGANS

    Directory of Open Access Journals (Sweden)

    Cristina STEFANESCU

    2006-08-01

    Full Text Available Scopolia carniolica Jacq. is a medicinal species of Solanaceae, harvested from the Romanian spontaneous flora for its atropine and scopolamine content. We have analyzed the anatomical structure of the vegetative organs (rhizome, root, stem and leaf and the biometrical parameters of the leaf blade (vascular islet, stomatal index and palisade ratio, in order to establish the main specific characters and differential elements useful for the correct identification and for avoiding the impurification of medicinal products. The characteristic structures for the rhizome and root are the secondary ones, mainly with parenchyma elements and lacking in mechanical fibres; the stem has a primary becoming secondary structure, bicolateral vascular bundles with cambium in the interior and between them and endoderma as starch layer. The sand cells are characteristic for rhizome, root and stem structures. On the leaf surface were identified protector multicellular trichomes and specific secretory and glandular ones.

  8. Benign anatomical mistakes: "ampulla of Vater" and "papilla of Vater".

    Science.gov (United States)

    Mirilas, Petros; Colborn, Gene L; Skandalakis, Lee J; Skandalakis, Panajiotis N; Zoras, Odysseas; Skandalakis, John E

    2005-03-01

    The anatomy of the ampullary termination of the bile and pancreatic ducts is complex; appropriate terminology for this area is confusing and inaccurate. We examine the terms "ampulla of Vater" and "papilla of Vater" for anatomical and historical correctness. The term "ampulla" refers to a dilated part of a duct or other channel. Thus, this word is topographically correct to describe the dilatation at the confluence of the bile and main pancreatic ducts; historically, however, there is considerable reason to believe that its first description was by Santorini rather than Vater. The eponymous term "papilla of Vater" is also incorrect historically. The use of eponyms is firmly entrenched in the medical literature, but some are so problematic that they should be discarded. The eponymous terms for both the ampulla and the papilla should be replaced with the terms "hepatopancreatic ampulla" (or "biliaropancreatic ampulla") and "major [or "greater"] duodenal papilla," respectively.

  9. The anatomic coracoclavicular ligament reconstruction: surgical technique and indications.

    Science.gov (United States)

    Carofino, Brad C; Mazzocca, Augustus D

    2010-03-01

    The anatomic coracoclavicular ligament reconstruction (ACCR) is a surgical procedure to address acriomioclavicular joint instability. The coracoclavicular ligaments are reconstructed using a semitendinosus allograft passed beneath the coracoid and through bone tunnels in the clavicle. The graft is secured with interference screw fixation, and the acromioclavicular joint is retained. Here we describe the authors' surgical technique, indications, and rehabilitation protocol. Also, a preliminary case series of seventeen patients is presented. Patients demonstrated significant improvement in pain levels and function. The mean ASES score increased from 52 preoperatively to 92. The Constant Murley rose from 66.6 to 94.7. There were three failures in this series, and two required revision surgery. PMID:20188267

  10. Automatic detection of anatomical landmarks in uterine cervix images.

    Science.gov (United States)

    Greenspan, Hayit; Gordon, Shiri; Zimmerman, Gali; Lotenberg, Shelly; Jeronimo, Jose; Antani, Sameer; Long, Rodney

    2009-03-01

    The work focuses on a unique medical repository of digital cervicographic images ("Cervigrams") collected by the National Cancer Institute (NCI) in longitudinal multiyear studies. NCI, together with the National Library of Medicine (NLM), is developing a unique web-accessible database of the digitized cervix images to study the evolution of lesions related to cervical cancer. Tools are needed for automated analysis of the cervigram content to support cancer research. We present a multistage scheme for segmenting and labeling regions of anatomical interest within the cervigrams. In particular, we focus on the extraction of the cervix region and fine detection of the cervix boundary; specular reflection is eliminated as an important preprocessing step; in addition, the entrance to the endocervical canal (the "os"), is detected. Segmentation results are evaluated on three image sets of cervigrams that were manually labeled by NCI experts.

  11. Algorithms to automatically quantify the geometric similarity of anatomical surfaces

    CERN Document Server

    Boyer, D; Clair, E St; Puente, J; Funkhouser, T; Patel, B; Jernvall, J; Daubechies, I

    2011-01-01

    We describe new approaches for distances between pairs of 2-dimensional surfaces (embedded in 3-dimensional space) that use local structures and global information contained in inter-structure geometric relationships. We present algorithms to automatically determine these distances as well as geometric correspondences. This is motivated by the aspiration of students of natural science to understand the continuity of form that unites the diversity of life. At present, scientists using physical traits to study evolutionary relationships among living and extinct animals analyze data extracted from carefully defined anatomical correspondence points (landmarks). Identifying and recording these landmarks is time consuming and can be done accurately only by trained morphologists. This renders these studies inaccessible to non-morphologists, and causes phenomics to lag behind genomics in elucidating evolutionary patterns. Unlike other algorithms presented for morphological correspondences our approach does not requir...

  12. Anatomic Study of Female Sterility of Pinus tabulaeformis Carr.

    Institute of Scientific and Technical Information of China (English)

    Cheng Pengjun; Li Fenglan; Zheng Caixia

    2003-01-01

    The anatomic research on the mutant clone of Pinus tabulaeformis Carr. in the seed orchard in Xingcheng, LiaoningProvince was carried out. The female cone of the mutant clone looked like normal, but its ovules degenerated in the early stage. Thispaper tries to find out the reason and time of ovule abortion. It seems that the ovule abortion is probably caused by female sterilitybecause the microspores of this mutant clone were normal. Through the serial observations on the one-year-old macrosporangiatesand the ovules of two-year-old female cones of mutant and normal clone, it is found that the reason of ovule abortion in mutant cloneis the failure of the mitosis of free nuclei in the female gametophyte, and the time is about in the early April.

  13. 4D measurement system for automatic location of anatomical structures

    Science.gov (United States)

    Witkowski, Marcin; Sitnik, Robert; Kujawińska, Małgorzata; Rapp, Walter; Kowalski, Marcin; Haex, Bart; Mooshake, Sven

    2006-04-01

    Orthopedics and neurosciences are fields of medicine where the analysis of objective movement parameters is extremely important for clinical diagnosis. Moreover, as there are significant differences between static and dynamic parameters, there is a strong need of analyzing the anatomical structures under functional conditions. In clinical gait analysis the benefits of kinematical methods are undoubted. In this paper we present a 4D (3D + time) measurement system capable of automatic location of selected anatomical structures by locating and tracing the structures' position and orientation in time. The presented system is designed to help a general practitioner in diagnosing selected lower limbs' dysfunctions (e.g. knee injuries) and also determine if a patient should be directed for further examination (e.g. x-ray or MRI). The measurement system components are hardware and software. For the hardware part we adapt the laser triangulation method. In this way we can evaluate functional and dynamic movements in a contact-free, non-invasive way, without the use of potentially harmful radiation. Furthermore, opposite to marker-based video-tracking systems, no preparation time is required. The software part consists of a data acquisition module, an image processing and point clouds (point cloud, set of points described by coordinates (x, y, z)) calculation module, a preliminary processing module, a feature-searching module and an external biomechanical module. The paper briefly presents the modules mentioned above with the focus on the feature-searching module. Also we present some measurement and analysis results. These include: parameters maps, landmarks trajectories in time sequence and animation of a simplified model of lower limbs.

  14. Design and use of numerical anatomical atlases for radiotherapy

    International Nuclear Information System (INIS)

    The main objective of this thesis is to provide radio-oncology specialists with automatic tools for delineating organs at risk of a patient undergoing a radiotherapy treatment of cerebral or head and neck tumors. To achieve this goal, we use an anatomical atlas, i.e. a representative anatomy associated to a clinical image representing it. The registration of this atlas allows us to segment automatically the patient structures and to accelerate this process. Contributions in this method are presented on three axes. First, we want to obtain a registration method which is as independent as possible from the setting of its parameters. This setting, done by the clinician, indeed needs to be minimal while guaranteeing a robust result. We therefore propose registration methods allowing a better control of the obtained transformation, using rejection techniques of inadequate matching or locally affine transformations. The second axis is dedicated to the consideration of structures associated with the presence of the tumor. These structures, not present in the atlas, indeed lead to local errors in the atlas-based segmentation. We therefore propose methods to delineate these structures and take them into account in the registration. Finally, we present the construction of an anatomical atlas of the head and neck region and its evaluation on a database of patients. We show in this part the feasibility of the use of an atlas for this region, as well as a simple method to evaluate the registration methods used to build an atlas. All this research work has been implemented in a commercial software (Imago from DOSIsoft), allowing us to validate our results in clinical conditions. (author)

  15. Anatomical Correlates of Non-Verbal Perception in Dementia Patients

    Science.gov (United States)

    Lin, Pin-Hsuan; Chen, Hsiu-Hui; Chen, Nai-Ching; Chang, Wen-Neng; Huang, Chi-Wei; Chang, Ya-Ting; Hsu, Shih-Wei; Hsu, Che-Wei; Chang, Chiung-Chih

    2016-01-01

    Purpose: Patients with dementia who have dissociations in verbal and non-verbal sound processing may offer insights into the anatomic basis for highly related auditory modes. Methods: To determine the neuronal networks on non-verbal perception, 16 patients with Alzheimer’s dementia (AD), 15 with behavior variant fronto-temporal dementia (bv-FTD), 14 with semantic dementia (SD) were evaluated and compared with 15 age-matched controls. Neuropsychological and auditory perceptive tasks were included to test the ability to compare pitch changes, scale-violated melody and for naming and associating with environmental sound. The brain 3D T1 images were acquired and voxel-based morphometry (VBM) was used to compare and correlated the volumetric measures with task scores. Results: The SD group scored the lowest among 3 groups in pitch or scale-violated melody tasks. In the environmental sound test, the SD group also showed impairment in naming and also in associating sound with pictures. The AD and bv-FTD groups, compared with the controls, showed no differences in all tests. VBM with task score correlation showed that atrophy in the right supra-marginal and superior temporal gyri was strongly related to deficits in detecting violated scales, while atrophy in the bilateral anterior temporal poles and left medial temporal structures was related to deficits in environmental sound recognition. Conclusions: Auditory perception of pitch, scale-violated melody or environmental sound reflects anatomical degeneration in dementia patients and the processing of non-verbal sounds are mediated by distinct neural circuits.

  16. Clinical repercussions of Martin-Gruber anastomosis: anatomical study☆

    Science.gov (United States)

    Cavalheiro, Cristina Schmitt; Filho, Mauro Razuk; Pedro, Gabriel; Caetano, Maurício Ferreira; Vieira, Luiz Angelo; Caetano, Edie Benedito

    2016-01-01

    Objective The main objective of this study was to describe Martin-Gruber anastomosis anatomically and to recognize its clinical repercussions. Method 100 forearms of 50 adult cadavers were dissected in an anatomy laboratory. The dissection was performed by means of a midline incision along the entire forearm and the lower third of the upper arm. Two flaps including skin and subcutaneous tissue were folded back on the radial and ulnar sides, respectively. Results Nerve communication between the median and ulnar nerves in the forearm (Martin-Gruber anastomosis) was found in 27 forearms. The anastomosis was classified into six types: type I: anastomosis between the anterior interosseous nerve and the ulnar nerve (n = 9); type II: anastomosis between the anterior interosseous nerve and the ulnar nerve at two points (double anastomosis) (n = 2); type III: anastomosis between the median nerve and the ulnar nerve (n = 4); type IV: anastomosis between branches of the median nerve and ulnar nerve heading toward the flexor digitorum profundus muscle of the fingers; these fascicles form a loop with distal convexity (n = 5); type V: intramuscular anastomosis (n = 5); and type VI: anastomosis between a branch of the median nerve to the flexor digitorum superficialis muscle and the ulnar nerve (n = 2). Conclusion Knowledge of the anatomical variations relating to the innervation of the hand has great importance, especially with regard to physical examination, diagnosis, prognosis and surgical treatment. If these variations are not given due regard, errors and other consequences will be inevitable. PMID:27069892

  17. Auxiliary anatomical labels for joint segmentation and atlas registration

    Science.gov (United States)

    Gass, Tobias; Szekely, Gabor; Goksel, Orcun

    2014-03-01

    This paper studies improving joint segmentation and registration by introducing auxiliary labels for anatomy that has similar appearance to the target anatomy while not being part of that target. Such auxiliary labels help avoid false positive labelling of non-target anatomy by resolving ambiguity. A known registration of a segmented atlas can help identify where a target segmentation should lie. Conversely, segmentations of anatomy in two images can help them be better registered. Joint segmentation and registration is then a method that can leverage information from both registration and segmentation to help one another. It has received increasing attention recently in the literature. Often, merely a single organ of interest is labelled in the atlas. In the presense of other anatomical structures with similar appearance, this leads to ambiguity in intensity based segmentation; for example, when segmenting individual bones in CT images where other bones share the same intensity profile. To alleviate this problem, we introduce automatic generation of additional labels in atlas segmentations, by marking similar-appearance non-target anatomy with an auxiliary label. Information from the auxiliary-labeled atlas segmentation is then incorporated by using a novel coherence potential, which penalizes differences between the deformed atlas segmentation and the target segmentation estimate. We validated this on a joint segmentation-registration approach that iteratively alternates between registering an atlas and segmenting the target image to find a final anatomical segmentation. The results show that automatic auxiliary labelling outperforms the same approach using a single label atlasses, for both mandibular bone segmentation in 3D-CT and corpus callosum segmentation in 2D-MRI.

  18. Anatomical Correlates of Non-Verbal Perception in Dementia Patients

    Science.gov (United States)

    Lin, Pin-Hsuan; Chen, Hsiu-Hui; Chen, Nai-Ching; Chang, Wen-Neng; Huang, Chi-Wei; Chang, Ya-Ting; Hsu, Shih-Wei; Hsu, Che-Wei; Chang, Chiung-Chih

    2016-01-01

    Purpose: Patients with dementia who have dissociations in verbal and non-verbal sound processing may offer insights into the anatomic basis for highly related auditory modes. Methods: To determine the neuronal networks on non-verbal perception, 16 patients with Alzheimer’s dementia (AD), 15 with behavior variant fronto-temporal dementia (bv-FTD), 14 with semantic dementia (SD) were evaluated and compared with 15 age-matched controls. Neuropsychological and auditory perceptive tasks were included to test the ability to compare pitch changes, scale-violated melody and for naming and associating with environmental sound. The brain 3D T1 images were acquired and voxel-based morphometry (VBM) was used to compare and correlated the volumetric measures with task scores. Results: The SD group scored the lowest among 3 groups in pitch or scale-violated melody tasks. In the environmental sound test, the SD group also showed impairment in naming and also in associating sound with pictures. The AD and bv-FTD groups, compared with the controls, showed no differences in all tests. VBM with task score correlation showed that atrophy in the right supra-marginal and superior temporal gyri was strongly related to deficits in detecting violated scales, while atrophy in the bilateral anterior temporal poles and left medial temporal structures was related to deficits in environmental sound recognition. Conclusions: Auditory perception of pitch, scale-violated melody or environmental sound reflects anatomical degeneration in dementia patients and the processing of non-verbal sounds are mediated by distinct neural circuits. PMID:27630558

  19. TissueCypher™: A systems biology approach to anatomic pathology

    Directory of Open Access Journals (Sweden)

    Jeffrey W Prichard

    2015-01-01

    Full Text Available Background: Current histologic methods for diagnosis are limited by intra- and inter-observer variability. Immunohistochemistry (IHC methods are frequently used to assess biomarkers to aid diagnoses, however, IHC staining is variable and nonlinear and the manual interpretation is subjective. Furthermore, the biomarkers assessed clinically are typically biomarkers of epithelial cell processes. Tumors and premalignant tissues are not composed only of epithelial cells but are interacting systems of multiple cell types, including various stromal cell types that are involved in cancer development. The complex network of the tissue system highlights the need for a systems biology approach to anatomic pathology, in which quantification of system processes is combined with informatics tools to produce actionable scores to aid clinical decision-making. Aims: Here, we describe a quantitative, multiplexed biomarker imaging approach termed TissueCypher™ that applies systems biology to anatomic pathology. Applications of TissueCypher™ in understanding the tissue system of Barrett's esophagus (BE and the potential use as an adjunctive tool in the diagnosis of BE are described. Patients and Methods: The TissueCypher™ Image Analysis Platform was used to assess 14 epithelial and stromal biomarkers with known diagnostic significance in BE in a set of BE biopsies with nondysplastic BE with reactive atypia (RA, n = 22 and Barrett's with high-grade dysplasia (HGD, n = 17. Biomarker and morphology features were extracted and evaluated in the confirmed BE HGD cases versus the nondysplastic BE cases with RA. Results: Multiple image analysis features derived from epithelial and stromal biomarkers, including immune biomarkers and morphology, showed significant differences between HGD and RA. Conclusions: The assessment of epithelial cell abnormalities combined with an assessment of cellular changes in the lamina propria may serve as an adjunct to conventional

  20. Kinematic and dynamic analysis of an anatomically based knee joint.

    Science.gov (United States)

    Lee, Kok-Meng; Guo, Jiajie

    2010-05-01

    This paper presents a knee-joint model to provide a better understanding on the interaction between natural joints and artificial mechanisms for design and control of rehabilitation exoskeletons. The anatomically based knee model relaxes several commonly made assumptions that approximate a human knee as engineering pin-joint in exoskeleton design. Based on published MRI data, we formulate the kinematics of a knee-joint and compare three mathematical approximations; one model bases on two sequential circles rolling a flat plane; and the other two are mathematically differentiable ellipses-based models with and without sliding at the contact. The ellipses-based model taking sliding contact into accounts shows that the rolling-sliding ratio of a knee-joint is not a constant but has an average value consistent with published measurements. This knee-joint kinematics leads to a physically more accurate contact-point trajectory than methods based on multiple circles or lines, and provides a basis to derive a knee-joint kinetic model upon which the effects of a planar exoskeleton mechanism on the internal joint forces and torque during flexion can be numerically investigated. Two different knee-joint kinetic models (pin-joint approximation and anatomically based model) are compared against a condition with no exoskeleton. The leg and exoskeleton form a closed kinematic chain that has a significant effect on the joint forces in the knee. Human knee is more tolerant than pin-joint in negotiating around a singularity but its internal forces increase with the exoskeleton mass-to-length ratio. An oversimplifying pin-joint approximation cannot capture the finite change in the knee forces due to the singularity effect.

  1. Anatomical Correlates of Non-Verbal Perception in Dementia Patients

    Directory of Open Access Journals (Sweden)

    Pin-Hsuan Lin

    2016-08-01

    Full Text Available Purpose: Patients with dementia who have dissociations in verbal and non-verbal sound processing may offer insights into the anatomic basis for highly related auditory modes. Methods: To determine the neuronal networks on non-verbal perception, 16 patients with Alzheimer’s dementia (AD, 15 with behavior variant fronto-temporal dementia (bv-FTD, 14 with semantic dementia (SD were evaluated and compared with 15 age-matched controls. Neuropsychological and auditory perceptive tasks were included to test the ability to compare pitch changes, scale-violated melody and for naming and associating with environmental sound. The brain 3D T1 images were acquired and voxel-based morphometry (VBM was used to compare and correlated the volumetric measures with task scores. Results: The SD group scored the lowest among 3 groups in pitch or scale-violated melody tasks. In the environmental sound test, the SD group also showed impairment in naming and also in associating sound with pictures. The AD and bv-FTD groups, compared with the controls, showed no differences in all tests. VBM with task score correlation showed that atrophy in the right supra-marginal and superior temporal gyri was strongly related to deficits in detecting violated scales, while atrophy in the bilateral anterior temporal poles and left medial temporal structures was related to deficits in environmental sound recognition. Conclusions: Auditory perception of pitch, scale-violated melody or environmental sound reflects anatomical degeneration in dementia patients and the processing of non-verbal sounds is mediated by distinct neural circuits.

  2. Patellar calcar: MRI appearance of a previously undescribed anatomical entity

    Energy Technology Data Exchange (ETDEWEB)

    Collins, Mark S.; Tiegs-Heiden, Christin A. [Department of Radiology, Mayo Clinic, Rochester, Minnesota (United States); Stuart, Michael J. [Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota (United States)

    2014-02-15

    The femoral calcar is a constant anatomical structure within the proximal femur representing a condensation of bone trabeculae. It is our impression that a similar structure is present within the patella. The purpose of this retrospective study was to define the prevalence, appearance, location, and configuration of the patellar calcar on MRI examinations. One hundred consecutive unenhanced knee MRIs were retrospectively reviewed by two readers who were blinded to the clinical indication. The patellar calcar was defined as a dark signaling, linear or curvilinear structure subjacent to the patellar articular surface. If present, the patellar calcar was assigned to a ''well seen,'' ''moderately well seen,'' or ''faintly seen'' category. Location of the calcar within the patella, orientation, configuration, and thickness were recorded. Confounding variables, such as marrow edema, patellar chondromalacia, bipartite patella, or postoperative changes were also recorded. The patellar calcar was visualized in 81 out of 100 (81 %) MRIs. When detected, the calcar was well seen in 20 out of 81 (25 %), moderately well seen in 35 out of 81 (43 %), and faintly seen in 26 out of 81 (32 %). The anteroposterior width of the calcar measured at its thickest segment was: < 1 mm in 43 out of 81 (53 %), 1 mm in 28 out of 81 (35 %), and >1 mm in 10 out of 81 (12 %). The patellar calcar was seen in the majority of knee MRIs and had a consistent imaging appearance. The calcar may be obscured by degenerative arthrosis of the patella and rarely may mimic patellar stress fracture or osteochondritis dissecans. Radiologists and clinicians should be familiar with this normal anatomical structure. (orig.)

  3. Pancreatoduodenectomy for chronic pancreatitis: anatomic selection criteria and subsequent long-term outcome analysis.

    Science.gov (United States)

    Traverso, L W; Kozarek, R A

    1997-01-01

    OBJECTIVE: The authors sought to provide a framework through outcome analysis to evaluate operations directed toward the intractable abdominal pain of severe chronic pancreatitis centered in the pancreatic head. Pancreatoduodenectomy (PD) was used as an example. SUMMARY BACKGROUND DATA: Head resection for severe chronic pancreatitis is the treatment of choice for a ductal system in the head obliterated by severe disease when associated with intractable abdominal pain. To evaluate the effectiveness of promising head resection substitutes for PD, a framework is necessary to provide a reference standard (i.e., an outcome analysis) of PD. METHODS: Inclusion criteria were severe chronic pancreatitis centered in the pancreatic head, intractable abdominal pain, and a main pancreatic duct obstruction or stricture resulting in absent drainage into the duodenum from the uncinate process and adjacent pancreatic head areas or the entire gland. Since 1986, 57 consecutive cases with these criteria underwent PD (47 head only and 10 total pancreatectomy). Clinical and anatomic predictor variables were derived from the history, imaging studies, and pathologic examination. These variables then were tested for association with the following outcome events gathered during annual follow-up: pain relief, onset of diabetes, body weight maintenance, and peptic ulceration. RESULTS: Operative mortality was zero. In 57 patients with a mean follow-up of 42 months, the 5-year outcome event for survival was 93% and the onset of diabetes was 32%. All new cases of diabetes occurred more than 1 year after resection. In 43 cases > or =1 year postoperative with a mean follow-up of 55 months, all patients indicated significant pain relief and 76% were pain free. Pain relief was more common in patients with diabetes or in those patients with a pancreatic duct disruption. Death was more common in patients with diabetes. Weight maintenance was more common if preoperatively severe ductal changes were not

  4. Improving thoracic four-dimensional cone-beam CT reconstruction with anatomical-adaptive image regularization (AAIR)

    Science.gov (United States)

    Shieh, Chun-Chien; Kipritidis, John; O'Brien, Ricky T.; Cooper, Benjamin J.; Kuncic, Zdenka; Keall, Paul J.

    2015-01-01

    Total-variation (TV) minimization reconstructions can significantly reduce noise and streaks in thoracic four-dimensional cone-beam computed tomography (4D CBCT) images compared to the Feldkamp-Davis-Kress (FDK) algorithm currently used in practice. TV minimization reconstructions are, however, prone to over-smoothing anatomical details and are also computationally inefficient. The aim of this study is to demonstrate a proof of concept that these disadvantages can be overcome by incorporating the general knowledge of the thoracic anatomy via anatomy segmentation into the reconstruction. The proposed method, referred as the anatomical-adaptive image regularization (AAIR) method, utilizes the adaptive-steepest-descent projection-onto-convex-sets (ASD-POCS) framework, but introduces an additional anatomy segmentation step in every iteration. The anatomy segmentation information is implemented in the reconstruction using a heuristic approach to adaptively suppress over-smoothing at anatomical structures of interest. The performance of AAIR depends on parameters describing the weighting of the anatomy segmentation prior and segmentation threshold values. A sensitivity study revealed that the reconstruction outcome is not sensitive to these parameters as long as they are chosen within a suitable range. AAIR was validated using a digital phantom and a patient scan and was compared to FDK, ASD-POCS and the prior image constrained compressed sensing (PICCS) method. For the phantom case, AAIR reconstruction was quantitatively shown to be the most accurate as indicated by the mean absolute difference and the structural similarity index. For the patient case, AAIR resulted in the highest signal-to-noise ratio (i.e. the lowest level of noise and streaking) and the highest contrast-to-noise ratios for the tumor and the bony anatomy (i.e. the best visibility of anatomical details). Overall, AAIR was much less prone to over-smoothing anatomical details compared to ASD-POCS and did

  5. Improving thoracic four-dimensional cone-beam CT reconstruction with anatomical-adaptive image regularization (AAIR)

    International Nuclear Information System (INIS)

    Total-variation (TV) minimization reconstructions can significantly reduce noise and streaks in thoracic four-dimensional cone-beam computed tomography (4D CBCT) images compared to the Feldkamp–Davis–Kress (FDK) algorithm currently used in practice. TV minimization reconstructions are, however, prone to over-smoothing anatomical details and are also computationally inefficient. The aim of this study is to demonstrate a proof of concept that these disadvantages can be overcome by incorporating the general knowledge of the thoracic anatomy via anatomy segmentation into the reconstruction. The proposed method, referred as the anatomical-adaptive image regularization (AAIR) method, utilizes the adaptive-steepest-descent projection-onto-convex-sets (ASD-POCS) framework, but introduces an additional anatomy segmentation step in every iteration. The anatomy segmentation information is implemented in the reconstruction using a heuristic approach to adaptively suppress over-smoothing at anatomical structures of interest. The performance of AAIR depends on parameters describing the weighting of the anatomy segmentation prior and segmentation threshold values. A sensitivity study revealed that the reconstruction outcome is not sensitive to these parameters as long as they are chosen within a suitable range. AAIR was validated using a digital phantom and a patient scan and was compared to FDK, ASD-POCS and the prior image constrained compressed sensing (PICCS) method. For the phantom case, AAIR reconstruction was quantitatively shown to be the most accurate as indicated by the mean absolute difference and the structural similarity index. For the patient case, AAIR resulted in the highest signal-to-noise ratio (i.e. the lowest level of noise and streaking) and the highest contrast-to-noise ratios for the tumor and the bony anatomy (i.e. the best visibility of anatomical details). Overall, AAIR was much less prone to over-smoothing anatomical details compared to ASD-POCS and

  6. Total Water Management - slides

    Science.gov (United States)

    Total Water Management (TWM) examines urban water systems in an interconnected manner. It encompasses reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving envi...

  7. Total parenteral nutrition

    Science.gov (United States)

    Total parenteral nutrition (TPN) will help you or your child get nutrition from a special formula through a vein in the ... you can also eat and drink while getting nutrition from TPN. Your nurse will teach you how ...

  8. Total 2004 results

    International Nuclear Information System (INIS)

    This document presents the 2004 results of Total Group: consolidated account, special items, number of shares, market environment, adjustment for amortization of Sanofi-Aventis merger-related intangibles, 4. quarter 2004 results (operating and net incomes, cash flow), upstream (results, production, reserves, recent highlights), downstream (results, refinery throughput, recent highlights), chemicals (results, recent highlights), Total's full year 2004 results (operating and net income, cash flow), 2005 sensitivities, Total SA parent company accounts and proposed dividend, adoption of IFRS accounting, summary and outlook, main operating information by segment for the 4. quarter and full year 2004: upstream (combined liquids and gas production by region, liquids production by region, gas production by region), downstream (refined product sales by region, chemicals), Total financial statements: consolidated statement of income, consolidated balance sheet (assets, liabilities and shareholder's equity), consolidated statements of cash flows, business segments information. (J.S.)

  9. Total Ecosystem Carbon Stock

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Total ecosystem carbon includes above- and below-ground live plant components (such as leaf, branch, stem and root), dead biomass (such as standing dead wood, down...

  10. Total 2004 results

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-02-01

    This document presents the 2004 results of Total Group: consolidated account, special items, number of shares, market environment, adjustment for amortization of Sanofi-Aventis merger-related intangibles, 4. quarter 2004 results (operating and net incomes, cash flow), upstream (results, production, reserves, recent highlights), downstream (results, refinery throughput, recent highlights), chemicals (results, recent highlights), Total's full year 2004 results (operating and net income, cash flow), 2005 sensitivities, Total SA parent company accounts and proposed dividend, adoption of IFRS accounting, summary and outlook, main operating information by segment for the 4. quarter and full year 2004: upstream (combined liquids and gas production by region, liquids production by region, gas production by region), downstream (refined product sales by region, chemicals), Total financial statements: consolidated statement of income, consolidated balance sheet (assets, liabilities and shareholder's equity), consolidated statements of cash flows, business segments information. (J.S.)

  11. Total lymphoid irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Sutherland, D.E.; Ferguson, R.M.; Simmons, R.L.; Kim, T.H.; Slavin, S.; Najarian, J.S.

    1983-05-01

    Total lymphoid irradiation by itself can produce sufficient immunosuppression to prolong the survival of a variety of organ allografts in experimental animals. The degree of prolongation is dose-dependent and is limited by the toxicity that occurs with higher doses. Total lymphoid irradiation is more effective before transplantation than after, but when used after transplantation can be combined with pharmacologic immunosuppression to achieve a positive effect. In some animal models, total lymphoid irradiation induces an environment in which fully allogeneic bone marrow will engraft and induce permanent chimerism in the recipients who are then tolerant to organ allografts from the donor strain. If total lymphoid irradiation is ever to have clinical applicability on a large scale, it would seem that it would have to be under circumstances in which tolerance can be induced. However, in some animal models graft-versus-host disease occurs following bone marrow transplantation, and methods to obviate its occurrence probably will be needed if this approach is to be applied clinically. In recent years, patient and graft survival rates in renal allograft recipients treated with conventional immunosuppression have improved considerably, and thus the impetus to utilize total lymphoid irradiation for its immunosuppressive effect alone is less compelling. The future of total lymphoid irradiation probably lies in devising protocols in which maintenance immunosuppression can be eliminated, or nearly eliminated, altogether. Such protocols are effective in rodents. Whether they can be applied to clinical transplantation remains to be seen.

  12. Algebraic totality, towards completeness

    CERN Document Server

    Tasson, Christine

    2009-01-01

    Finiteness spaces constitute a categorical model of Linear Logic (LL) whose objects can be seen as linearly topologised spaces, (a class of topological vector spaces introduced by Lefschetz in 1942) and morphisms as continuous linear maps. First, we recall definitions of finiteness spaces and describe their basic properties deduced from the general theory of linearly topologised spaces. Then we give an interpretation of LL based on linear algebra. Second, thanks to separation properties, we can introduce an algebraic notion of totality candidate in the framework of linearly topologised spaces: a totality candidate is a closed affine subspace which does not contain 0. We show that finiteness spaces with totality candidates constitute a model of classical LL. Finally, we give a barycentric simply typed lambda-calculus, with booleans ${\\mathcal{B}}$ and a conditional operator, which can be interpreted in this model. We prove completeness at type ${\\mathcal{B}}^n\\to{\\mathcal{B}}$ for every n by an algebraic metho...

  13. Total Energy Monitor

    Energy Technology Data Exchange (ETDEWEB)

    Friedrich, S

    2008-08-11

    The total energy monitor (TE) is a thermal sensor that determines the total energy of each FEL pulse based on the temperature rise induced in a silicon wafer upon absorption of the FEL. The TE provides a destructive measurement of the FEL pulse energy in real-time on a pulse-by-pulse basis. As a thermal detector, the TE is expected to suffer least from ultra-fast non-linear effects and to be easy to calibrate. It will therefore primarily be used to cross-calibrate other detectors such as the Gas Detector or the Direct Imager during LCLS commissioning. This document describes the design of the TE and summarizes the considerations and calculations that have led to it. This document summarizes the physics behind the operation of the Total Energy Monitor at LCLS and derives associated engineering specifications.

  14. Total versus subtotal hysterectomy

    DEFF Research Database (Denmark)

    Gimbel, Helga; Zobbe, Vibeke; Andersen, Anna Birthe;

    2005-01-01

    The aim of this study was to compare total and subtotal abdominal hysterectomy for benign indications, with regard to urinary incontinence, postoperative complications, quality of life (SF-36), constipation, prolapse, satisfaction with sexual life, and pelvic pain at 1-year postoperative. Eighty...... women chose total and 105 women chose subtotal abdominal hysterectomy. No significant differences were found between the 2 operation methods in any of the outcome measures at 12 months. Fourteen women (15%) from the subtotal abdominal hysterectomy group experienced vaginal bleeding and three women had...

  15. Strictness and Totality Analysis

    DEFF Research Database (Denmark)

    Solberg, K. L.; Nielson, Hanne Riis; Nielson, Flemming

    1998-01-01

    We define a novel inference system for strictness and totality analysis for the simply-typed lazy lambda-calculus with constants and fixpoints. Strictness information identifies those terms that definitely denote bottom (i.e. do not evaluate to WHNF) whereas totality information identifies those...... terms that definitely do not denote bottom (i.e. do evaluate to WHNF). The analysis is presented as an annotated type system allowing conjunctions at ?top-level? only. We give examples of its use and prove the correctness with respect to a natural-style operational semantics....

  16. Anatomical entity recognition with a hierarchical framework augmented by external resources.

    Directory of Open Access Journals (Sweden)

    Yan Xu

    Full Text Available References to anatomical entities in medical records consist not only of explicit references to anatomical locations, but also other diverse types of expressions, such as specific diseases, clinical tests, clinical treatments, which constitute implicit references to anatomical entities. In order to identify these implicit anatomical entities, we propose a hierarchical framework, in which two layers of named entity recognizers (NERs work in a cooperative manner. Each of the NERs is implemented using the Conditional Random Fields (CRF model, which use a range of external resources to generate features. We constructed a dictionary of anatomical entity expressions by exploiting four existing resources, i.e., UMLS, MeSH, RadLex and BodyPart3D, and supplemented information from two external knowledge bases, i.e., Wikipedia and WordNet, to improve inference of anatomical entities from implicit expressions. Experiments conducted on 300 discharge summaries showed a micro-averaged performance of 0.8509 Precision, 0.7796 Recall and 0.8137 F1 for explicit anatomical entity recognition, and 0.8695 Precision, 0.6893 Recall and 0.7690 F1 for implicit anatomical entity recognition. The use of the hierarchical framework, which combines the recognition of named entities of various types (diseases, clinical tests, treatments with information embedded in external knowledge bases, resulted in a 5.08% increment in F1. The resources constructed for this research will be made publicly available.

  17. Peculiarities of leaves morpho-anatomical parameters of Salvia L. species under the conditions of introduction

    OpenAIRE

    Oksana V. Tyshchenko; Tatyana V. Multjan; Galyna O. Rudik

    2012-01-01

    The comparison of morpho-anatomical parameters of the leaves of three Salvia L. species of different biomorphes, which are grown under the introduction in O.V. Fomin Botanical Garden, is considered. The morpho-anatomical features, which allow to discover structural adaptation possibilities of Salvia species ex situ , are established.

  18. Medium-Term Anatomic and Functional Results of Laparoscopic Sacrocolpopexy Beyond the Learning Curve

    NARCIS (Netherlands)

    F. Claerhout; D. de Ridder; J.P. Roovers; H. Rommens; F. Spelzini; V. Vandenbroucke; G. Coremans; J. Deprest

    2009-01-01

    Background: Limited prospective data on the anatomic and functional outcome after laparoscopic sacrocolpopexy (LSC) are available in the literature. Objective: To describe the medium-term anatomic and functional outcome of LSC. Design, setting, and participants: Prospective consecutive series of 132

  19. Characterizing brain anatomical connections using diffusion weighted MRI and graph theory.

    Science.gov (United States)

    Iturria-Medina, Y; Canales-Rodríguez, E J; Melie-García, L; Valdés-Hernández, P A; Martínez-Montes, E; Alemán-Gómez, Y; Sánchez-Bornot, J M

    2007-07-01

    A new methodology based on Diffusion Weighted Magnetic Resonance Imaging (DW-MRI) and Graph Theory is presented for characterizing the anatomical connections between brain gray matter areas. In a first step, brain voxels are modeled as nodes of a non-directed graph in which the weight of an arc linking two neighbor nodes is assumed to be proportional to the probability of being connected by nervous fibers. This probability is estimated by means of probabilistic tissue segmentation and intravoxel white matter orientational distribution function, obtained from anatomical MRI and DW-MRI, respectively. A new tractography algorithm for finding white matter routes is also introduced. This algorithm solves the most probable path problem between any two nodes, leading to the assessment of probabilistic brain anatomical connection maps. In a second step, for assessing anatomical connectivity between K gray matter structures, the previous graph is redefined as a K+1 partite graph by partitioning the initial nodes set in K non-overlapped gray matter subsets and one subset clustering the remaining nodes. Three different measures are proposed for quantifying anatomical connections between any pair of gray matter subsets: Anatomical Connection Strength (ACS), Anatomical Connection Density (ACD) and Anatomical Connection Probability (ACP). This methodology was applied to both artificial and actual human data. Results show that nervous fiber pathways between some regions of interest were reconstructed correctly. Additionally, mean connectivity maps of ACS, ACD and ACP between 71 gray matter structures for five healthy subjects are presented.

  20. Unifying the analyses of anatomical and diffusion tensor images using volume-preserved warping

    DEFF Research Database (Denmark)

    Xu, Dongrong; Hao, Xuejun; Bansal, Ravi;

    2007-01-01

    PURPOSE: To introduce a framework that automatically identifies regions of anatomical abnormality within anatomical MR images and uses those regions in hypothesis-driven selection of seed points for fiber tracking with diffusion tensor (DT) imaging (DTI). MATERIALS AND METHODS: Regions of interes...