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Sample records for anatomical hydroxyapatite-coated total

  1. 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

    Background and purpose - It is still being debated whether HA coating of uncemented stems used in total hip arthroplasty (THA) improves implant survival. We therefore investigated different uncemented stem brands, with and without HA coating, regarding early and long-term survival. Patients...... this surface treatment had no clinically relevant effect on their outcome, and we thus question whether HA coating adds any value to well-functioning stem designs....

  2. 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

  3. Hydroxyapatite-coated uncemented hip stems and bone remodeling

    NARCIS (Netherlands)

    Wal, B.C.H. van der

    2010-01-01

    In this thesis the clinical results, the periprosthetic bone remodeling and histological analysis of an anatomical designed proximally hydroxyapatite-coated hip prosthesis were investigated to answer several research questions. In our first prospective study the characteristics of the bone remodelin

  4. 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.

  5. 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

  6. 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.

  7. 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.

  8. 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.

  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

    We used our established experimental model of revision joint replacement to examine the roles of hydroxyapatite coating and bone graft in improving the fixation of revision implants. The revision protocol uses the Søballe micromotion device in a preliminary 8-week period of implant instability...... 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...... in each of the 8 treatment groups (total 64 implants in 32 dogs). The observation period was 4 weeks after revision. Outcome measures are based on histomorphometry and mechanical pushout properties. The revision setting was always inferior to its primary counterpart. Bone graft improved the revision...

  10. Cytotoxicity study of plasma-sprayed hydroxyapatite coating on high nitrogen austenitic stainless steels.

    Science.gov (United States)

    Ossa, C P O; Rogero, S O; Tschiptschin, A P

    2006-11-01

    Stainless steel has been frequently used for temporary implants but its use as permanent implants is restricted due to its low pitting corrosion resistance. Nitrogen additions to these steels improve both mechanical properties and corrosion resistance, particularly the pitting and crevice corrosion resistance. Many reports concerning allergic reactions caused by nickel led to the development of nickel free stainless steel; it has excellent mechanical properties and very high corrosion resistance. On the other hand, stainless steels are biologically tolerated and no chemical bonds are formed between the steel and the bone tissue. Hydroxyapatite coatings deposited on stainless steels improve osseointegration, due their capacity to form chemical bonds (bioactive fixation) with the bone tissue. In this work hydroxyapatite coatings were plasma-sprayed on three austenitic stainless steels: ASTM-F138, ASTM-F1586 and the nickel-free Böhler-P558. The coatings were analyzed by SEM and XDR. The cytotoxicity of the coatings/steels was studied using the neutral red uptake method by quantitative evaluation of cell viability. The three uncoated stainless steels and the hydroxyapatite coated Böhler-P558 did not have any toxic effect on the cell culture. The hydroxyapatite coated ASTM-F138 and ASTM-F1586 stainless steels presented cytotoxicity indexes (IC50%) lower than 50% and high nickel contents in the extracts.

  11. Anatomic dimensions of the patella measured during total knee arthroplasty.

    Science.gov (United States)

    Baldwin, James L; House, C Ken

    2005-02-01

    The anatomic measurements of 92 patellae with normal underlying bony structure were studied during total knee arthroplasty before and after resection of the articular surface. The articular surface of the patella was found to have an oval shape with a width-to-height ratio (46 x 36 mm) of 1.30. The dome was 4.8 mm high and displaced medially 3.6 mm. The medial facet was slightly thicker than the lateral facet (18 vs 17 mm). The lateral facet is 25% wider than the medial facet. Coverage provided by oval patellar prostheses was significantly better than with round prostheses. The patellae in women were significantly smaller than in men. Size differences and deformity need to be taken into account when the patella is prepared for resurfacing. It is recommended that the bony resection should be no greater than one third of the maximum patellar thickness to avoid alteration of normal bony structure. Key words: patella, total knee arthroplasty, anatomy.

  12. 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.

  13. 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...... and 8 dogs after 4 weeks. Femoral condyles from additional 7 dogs represented time 0. Compacted specimens had significantly higher bone implant contact and energy absorption at time 0. Compaction significantly increased ultimate shear strength at 0 and 2 weeks. There was no significant difference...... in implant fixation after 4 weeks. The results of this study suggest that compaction may be beneficial in optimizing the crucial initial implant stability, even when hydroxyapatite-coated implants with osteoconductive properties are inserted in vivo....

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

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Wei [The Education Ministry Key Lab of Resource Chemistry and Shanghai Key Laboratory of Rare Earth Functional Materials, Shanghai Normal University, Shanghai 200234 (China); Tian, Bo [Shanghai Key Laboratory of Orthopedic Implant, Department of Orthopedic Surgery, Shanghai Ninth People' s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011 (China); Lei, Yong; Ke, Qin-Fei [The Education Ministry Key Lab of Resource Chemistry and Shanghai Key Laboratory of Rare Earth Functional Materials, Shanghai Normal University, Shanghai 200234 (China); Zhu, Zhen-An, E-mail: zhuzhenan2006@126.com [Shanghai Key Laboratory of Orthopedic Implant, Department of Orthopedic Surgery, Shanghai Ninth People' s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011 (China); Guo, Ya-Ping, E-mail: ypguo@shnu.edu.cn [The Education Ministry Key Lab of Resource Chemistry and Shanghai Key Laboratory of Rare Earth Functional Materials, Shanghai Normal University, Shanghai 200234 (China)

    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. - Highlights: • We prepare hydroxyapatite coatings with oriented nanoplate and nanorod arrays. • Hydroxyapatite coatings are in situ converted from bioglass coatings. • Hydroxyapatite coatings have good cytocompatibility and osteogenic differentiation. • Oriented hydroxyapatite coatings are used for orthopedic implants.

  15. 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

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. 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.

  3. Antibacterial effect and cytotoxicity of Ag-doped functionally graded hydroxyapatite coatings.

    Science.gov (United States)

    Bai, Xiao; Sandukas, Stefan; Appleford, Mark; Ong, Joo L; Rabiei, Afsaneh

    2012-02-01

    Functionally graded hydroxyapatite coatings (FGHA) doped with 1, 3, and 6.5 wt % silver (Ag) have been deposited on Titanium using ion-beam-assisted deposition. Scanning transmission electron microscopy on coating cross sections confirmed the presence of FGHA coating with mostly amorphous layers at the top and mostly crystalline layers toward the coating interface as well as the existence of 10-50 nm Ag particles distributed throughout the thickness of the coatings. Calcium release in phosphate buffered saline solution showed a high release rate of Ca at the beginning of the test, and a gradual decrease in release rate thereafter to a minimum level until day 7. Similarly, the release rate of Ag in ultra pure water was initially high in the first 4 h and then gradually decreased over a 7 days period. Antibacterial tests have shown a reduction in the viability of S. aureus in Ag-doped coatings particularly in samples with higher Ag concentrations of 3 and 6.5 wt %. Cytotoxicity tests using an osteoblast cell line, on the other hand, have demonstrated that the samples with 6.5 wt % Ag have a negative effect on osteoblast cell response, proliferation, and apoptosis as well as a negative effect on protein and osteocalcin production. It is notable that the samples with 3 wt % Ag or less presented minimal cytotoxicity compared with control surfaces. Considering both the antibacterial and cytotoxicity effects, it is suggested that the 3 wt % of Ag in FGHA coatings can be favorable.

  4. 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.)

  5. Sol-Gel Derived Hydroxyapatite Coating on Mg-3Zn Alloy for Orthopedic Application

    Science.gov (United States)

    Singh, Sanjay; Manoj Kumar, R.; Kuntal, Kishor Kumar; Gupta, Pallavi; Das, Snehashish; Jayaganthan, R.; Roy, Partha; Lahiri, Debrupa

    2015-04-01

    In recent years, magnesium and its alloys have gained a lot of interest as orthopedic implant constituents because their biodegradability and mechanical properties are closer to that of human bone. However, one major concern with Mg in orthopedics is its high corrosion rate that results in the reduction of mechanical integrity before healing the bone tissue. The current study evaluates the sol-gel-derived hydroxyapatite (HA) coating on a selected Mg alloy (Mg-3Zn) for decreasing the corrosion rate and increasing the bioactivity of the Mg surface. The mechanical integrity of the coating is established as a function of the surface roughness of the substrate and the sintering temperature of the coating. Coating on a substrate roughness of 15-20 nm and sintering at 400°C shows the mechanical properties in similar range of bone, thus making it suitable to avoid the stress-shielding effect. The hydroxyapatite coating on the Mg alloy surface also increases corrosion resistance very significantly by 40 times. Bone cells are also found proliferating better in the HA-coated surface. All these benefits together establish the candidature of sol-gel HA-coated Mg-3Zn alloy in orthopedic application.

  6. In vitro biological performance of minerals substituted hydroxyapatite coating by pulsed electrodeposition method

    Energy Technology Data Exchange (ETDEWEB)

    Gopi, Dhanaraj, E-mail: dhanaraj_gopi@yahoo.com [Department of Chemistry, Periyar University, Salem 636 011, Tamilnadu (India); Centre for Nanoscience and Nanotechnology, Periyar University, Salem 636 011, Tamilnadu (India); Karthika, Arumugam; Nithiya, Subramani [Department of Chemistry, Periyar University, Salem 636 011, Tamilnadu (India); Kavitha, Louis [Centre for Nanoscience and Nanotechnology, Periyar University, Salem 636 011, Tamilnadu (India); Department of Physics, Periyar University, Salem 636 011, Tamilnadu (India)

    2014-03-01

    The present study deals with the optimization of minerals (Sr, Mg and Zn) substituted hydroxyapatite coatings (M-HAP) at different pulse on and off time (1 s, 2 s, 3 s and 4 s) by pulsed electrodeposition method. The formation of M-HAP coating was investigated using Fourier transform infrared spectroscopy (FT-IR) and X-ray diffraction studies (XRD). The morphological features and the content of Sr, Mg and Zn ions in M-HAP coated Ti–6Al–4V were investigated by high resolution scanning electron microscopy (HRSEM) and energy dispersive X-ray analysis (EDAX). The electrochemical studies were performed for M-HAP coated Ti–6Al–4V in simulated body fluid which exhibited better corrosion resistance at the prolonged pulse off time. The in vitro cell adhesion test revealed that the M-HAP coating is found appropriate for the formation of new cell growth which proves the enhanced biocompatible nature of the coating. Thus the M-HAP coating will serve as a potential candidate in orthopedic applications. - Highlights: • We successfully achieved minerals substituted HAP coatings on Ti alloy by PED method. • The M-HAP coated Ti alloy exhibited better bioresistivity in SBF. • The as-coated sample showed antimicrobial activity and better cell viability. • The in vitro test displayed the formation of new cell growth. • The M-HAP coating can serve as a better candidate in orthopedic applications.

  7. 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.

  8. Residual stress in hydroxyapatite coating: nonlinear analysis and high-energy synchrotron measurements.

    Science.gov (United States)

    Fogarassy, Paul; Cofino, Bruno; Millet, Pierre; Lodini, Alain

    2005-07-01

    The thermal deposition of hydroxyapatite (HA) on titanium alloy substrate (Ti-6A1-4V) leads to a structure that has very good osseointegration properties. However, clinical failures have been occasionally reported at the interface between substrate and coating. Lifetime is the main parameter in such prostheses; therefore, in order to improve their quality, it is necessary to evaluate the level of stresses near the interface. The high-energy synchrotron radiation combines the advantages of a bulk analysis and reduced volume of the gauge. The objective of our study was to calculate the residual stress using a nonlinear finite-element model and to measure residual stress level near the interface, in the hydroxyapatite coating and in titanium alloy substrate with a nondestructive and high-resolution experiment. The high-energy synchrotron radiation of the BM16 beam-line at ESRF (Grenoble-France) was used with a resolution of down to 10 micrometers. The experimental measurements validate the results found by means of nonlinear finite-element analysis of the plasma spraying induced stress.

  9. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Blanda, Giuseppe [Laboratorio di Chimica Fisica Applicata, Dipartimento di Ingegneria Chimica Gestionale Informatica Meccanica, Università di Palermo, Viale delle Scienze, 90128 Palermo (Italy); Brucato, Valerio; Pavia, Francesco Carfì; Greco, Silvia [Dipartimento di Ingegneria Civile, Ambientale, Aerospaziale, dei Materiali, Università di Palermo, Viale delle Scienze, 90128 Palermo (Italy); Piazza, Salvatore; Sunseri, Carmelo [Laboratorio di Chimica Fisica Applicata, Dipartimento di Ingegneria Chimica Gestionale Informatica Meccanica, Università di Palermo, Viale delle Scienze, 90128 Palermo (Italy); Inguanta, Rosalinda, E-mail: rosalinda.inguanta@unipa.it [Laboratorio di Chimica Fisica Applicata, Dipartimento di Ingegneria Chimica Gestionale Informatica Meccanica, Università di Palermo, Viale delle Scienze, 90128 Palermo (Italy)

    2016-07-01

    In this work, brushite and brushite/hydroxyapatite (BS, CaHPO{sub 4}·H{sub 2}O; HA, Ca{sub 10}(PO{sub 4}){sub 6}(OH){sub 2}) coatings were deposited on 316L stainless steel (316LSS) from a solution containing Ca(NO{sub 3}){sub 2}·4H{sub 2}O and NH{sub 4}H{sub 2}PO{sub 4} 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. - Highlights: • Brushite/hydroxyapatite coatings were obtained by a galvanic deposition method. • Galvanic deposition is simple and cheap and does not require external power supply. • Temperature is a key parameter to control composition and morphology of coatings. • Ca/P ratio changes with deposition time, from about 1 up to an optimum value of 1.7. • Compact and adherent layer covering substrate surface were obtained on 316LSS.

  11. 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

  12. 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.

  13. 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

  14. 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.

  15. Innervation of the elbow joint: Is total denervation possible? A cadaveric anatomic study.

    Science.gov (United States)

    De Kesel, Renata; Van Glabbeek, Francis; Mugenzi, Dominique; De Vos, Joris; Vermeulen, Katrien; Van Renterghem, Debbie; Bortier, Hilde; Schuind, Frédéric

    2012-09-01

    The aim of this anatomical study was to find out if total denervation of the elbow joint is technically feasible. The endbranches of the brachial plexus of eight fresh-frozen upper arm cadavers were dissected with optical loupe magnification. All major nerves of the upper limb (except the axillary and the medial brachial cutaneous nerve) give some terminal articular endbranches to the elbow. The articular endbranches arise from muscular endbranches, cutaneous endbranches, or arise straight from the main nerves of the brachial plexus. A topographic diagram was made of the different nerves innervating the elbow joint. The ulno-posterior part of the elbow is innervated by the ulnar nerve and some branches of medial antebrachial cutaneous nerve. The radial-posterior part of the elbow is innervated exclusively by the radial nerve. The ulno-anterior part of the elbow is innervated by the median nerve and the musculocutaneous nerve. The radio-anterior part of the elbow is innervated by the radial nerve and the musculocutaneous nerve. These elbow innervation findings are relevant to both anatomical and clinical field as they provide evidence that the total denervation of the elbow joint is impossible. Nevertheless, partial denervation, like denervation of the lateral epicondyle or the ulnar part of elbow, is technically possible.

  16. Evaluating the effects of hydroxyapatite coating on the corrosion behavior of severely deformed 316Ti SS for surgical implants

    Energy Technology Data Exchange (ETDEWEB)

    Mhaede, Mansour, E-mail: mansour.mhaede@yahoo.com [Institute of Materials Science and Engineering, Clausthal University of Engineering, Agicolastr.6, 38678 Clausthal-Zellerfeld (Germany); Faculty of Engineering, Zagazig University, 44519 Zagazig (Egypt); Ahmed, Aymen; Wollmann, Manfred; Wagner, Lothar [Institute of Materials Science and Engineering, Clausthal University of Engineering, Agicolastr.6, 38678 Clausthal-Zellerfeld (Germany)

    2015-05-01

    The present work investigates the effects of severe plastic deformation by cold rolling on the microstructure, the mechanical properties and the corrosion behavior of austenitic stainless steel (SS) 316Ti. Hydroxyapatite coating (HA) was applied on the deformed material to improve their corrosion resistance. The martensitic transformation due to cold rolling was recorded by X-ray diffraction spectra. The effects of cold rolling on the corrosion behavior were studied using potentiodynamic polarization. The electrochemical tests were carried out in Ringer's solution at 37 ± 1 °C. Cold rolling markedly enhanced the mechanical properties while the electrochemical tests referred to a lower corrosion resistance of the deformed material. The best combination of both high strength and good corrosion resistance was achieved after applying hydroxyapatite coating. - Highlights: • Cold rolling markedly increases the hardness of SS 316Ti from 125 to 460 HV10. • Higher deformation degrees lead to lower corrosion resistance. • Application of HA-coating leads to significant improvement of the corrosion resistance.

  17. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Bramowicz, Miroslaw [University of Warmia and Mazury in Olsztyn, Faculty of Technical Sciences, Oczapowskiego 11, 10-719 Olsztyn (Poland); Braic, Laurentiu [National Institute for Optoelectronics, 409 Atomistilor, 077125, Magurele (Romania); Azem, Funda Ak [Dokuz Eylul University, Engineering Faculty, Metallurgical and Materials Engineering Department, Tinaztepe Campus, 35397, Izmir (Turkey); Kulesza, Slawomir [University of Warmia and Mazury in Olsztyn, Faculty of Mathematics and Computer Science, Sloneczna 54, 10-710 Olsztyn (Poland); Birlik, Isil [Dokuz Eylul University, Engineering Faculty, Metallurgical and Materials Engineering Department, Tinaztepe Campus, 35397, Izmir (Turkey); Vladescu, Alina, E-mail: alinava@inoe.ro [National Institute for Optoelectronics, 409 Atomistilor, 077125, Magurele (Romania)

    2016-08-30

    Highlights: • Hydroxyapatite were prepared at temperatures in the range from 400 to 800 °C. • The coatings prepared at 800 °C is closer to the stoichiometric hydroxyapatite. • Hardness and elastic modulus decreased with increasing deposition temperature. • The surface morphology strongly depends on the deposition temperature. • Mesokurtic height distribution pulled towards larger heights were formed at high temperature. - Abstract: 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{sup −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

  19. 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.

  20. Anatomical total shoulder replacement with rotator cuff repair for osteoarthritis of the shoulder.

    Science.gov (United States)

    Simone, J P; Streubel, P H; Sperling, J W; Schleck, C D; Cofield, R H; Athwal, G S

    2014-02-01

    We assessed the clinical results, radiographic outcomes and complications of patients undergoing total shoulder replacement (TSR) for osteoarthritis with concurrent repair of a full-thickness rotator cuff tear. Between 1996 and 2010, 45 of 932 patients (4.8%) undergoing TSR for osteoarthritis underwent rotator cuff repair. The final study group comprised 33 patients with a mean follow-up of 4.7 years (3 months to 13 years). Tears were classified into small (10), medium (14), large (9) or massive (0). On a scale of 1 to 5, pain decreased from a mean of 4.7 to 1.7 (p = shoulders during anatomical TSR, but reverse replacement should be considered for older, less active patients with larger tears.

  1. Results of porous-coated anatomic and duracon total knee arthroplasty.

    Science.gov (United States)

    Pennington, Jonathon; Quinlan, John; Doyle, Terry; Bayan, Ali; Theis, Jean-Claude

    2010-12-01

    The Duracon total knee replacement and its forerunner the Porous-Coated Anatomic (PCA) knee system have been associated with good results. This study reviews a series of 181 knee replacements performed with these systems by seven general orthopedic surgeons with follow-up to a mean of 6.7 years. The mean Knee Society knee and function scores were 72 and 68. The mean Western Ontario and MacMaster Universities Osteoarthritis Index score was 76, and the mean 12-Item Short-Form Health Survey result was 55. A mean flexion of 104 degrees was recorded, and 93.8% of patients rated their satisfaction as good to excellent. Fifty-five percent of patients had minor radiographic lucencies-these were of questionable clinical significance. Seven patients required revision. These knee systems used in a relatively low-volume general unit provide consistent results comparable with those from larger arthroplasty units.

  2. 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.

  3. 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

  4. A comparative study of zinc, magnesium, strontium-incorporated hydroxyapatite-coated titanium implants for osseointegration of osteopenic rats

    Energy Technology Data Exchange (ETDEWEB)

    Tao, Zhou-Shan [Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Xi Road, Wenzhou, Zhejiang 325027 (China); Zhou, Wan-Shu [Endocrine & Metabolic Diseases Unit, Affiliated Hospital of Guizhou Medical University, Guizhou 550001 (China); He, Xing-Wen [Department of Orthopaedic Surgery, Hangzhou Bay Hospital of Ningbo, 315000 (China); Liu, Wei [Department of Orthopaedic Surgery, Jingmen No. 1 People' s Hospital, Jingmen 44800, Hubei (China); Bai, Bing-Li; Zhou, Qiang; Huang, Zheng-Liang; Tu, Kai-kai; Li, Hang; Sun, Tao [Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Xi Road, Wenzhou, Zhejiang 325027 (China); Lv, Yang-Xun [Department of Orthopaedic Surgery, Wenzhou Central Hospital, Wenzhou, Zhejiang 325000 (China); Cui, Wei [Sichuan Provincial Orthopedics Hospital, No. 132 West First Section First Ring Road, Chengdu, Sichuan 610000 (China); Yang, Lei, E-mail: tzs19900327@163.com [Department of Orthopaedic Surgery, Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Xi Road, Wenzhou, Zhejiang 325027 (China)

    2016-05-01

    Surface modification techniques have been applied to generate titanium implant surfaces that promote osseointegration for the implants in cementless arthroplasty. However, its effect is not sufficient for osteoporotic bone. Zinc (Zn), magnesium (Mg), and strontium (Sr) present a beneficial effect on bone growth, and positively affect bone regeneration. The aim of this study was to confirm the different effects of the fixation strength of Zn, Mg, Sr-substituted hydroxyapatite-coated (Zn-HA-coated, Mg-HA-coated, Sr-HA-coated) titanium implants via electrochemical deposition in the osteoporotic condition. Female Sprague–Dawley rats were used for this study. Twelve weeks after bilateral ovariectomy, all animals were randomly divided into four groups: group HA; group Zn-HA; group Mg-HA and group Sr-HA. Afterwards, all rats from groups HA, Zn-HA, Mg-HA and Sr-HA received implants with hydroxyapatite containing 0%, 10% Zn ions, 10% Mg ions, and 10% Sr ions. Implants were inserted bilaterally in all animals until death at 12 weeks. The bilateral femurs of rats were harvested for evaluation. All treatment groups increased new bone formation around the surface of titanium rods and push-out force; group Sr-HA showed the strongest effects on new bone formation and biomechanical strength. Additionally, there are significant differences in bone formation and push-out force was observed between groups Zn-HA and Mg-HA. This finding suggests that Zn, Mg, Sr-substituted hydroxyapatite coatings can improve implant osseointegration, and the 10% Sr coating exhibited the best properties for implant osseointegration among the tested coatings in osteoporosis rats. - Highlights: • Surface modification techniques have been applied to generate titanium implant surfaces that promote osseointegration for the implants in cementless arthroplasty. • However, its effect is not sufficient for osteoporotic bone. Zinc (Zn), Magnesium(Mg), Strontium (Sr) present a benificial effect on bone

  5. 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

  6. Totally laparoscopic anatomical liver resection for centrally located tumors: A single center experience.

    Science.gov (United States)

    Kim, Wan-Joon; Kim, Ki-Hun; Shin, Min-Ho; Yoon, Young-In; Lee, Sung-Gyu

    2017-01-01

    Laparoscopic major hepatectomy is a common procedure that has been reported frequently; however, laparoscopic resection of centrally located tumors involving segments 4, 5, and 8 remains a technically difficult procedure because it requires 2 transection planes and dissection of numerous branches of the hepatic vein and glissonean capsule compared to hemi-hepatectomy. Here, we present 7 cases of totally laparoscopic right anterior sectionectomy (Lap-RAS) and 3 cases of totally laparoscopic central bisectionectomy (Lap-CBS).Between May 2013 and January 2015, 10 totally laparoscopic anatomical resections of centrally located tumors were performed in our institution. The median age of the patients was 54.2 (38-72) years and the median ICG-R15 was 10.4 (3.9-17.4). There were 8 patients with hepatocellular carcinoma (HCC) and 2 with metastatic colorectal cancer. All the HCC patients has the liver function impairment on the degree of Child-Pugh score A.The mean operation time was 330 ± 92.7 minutes with an estimated blood loss of 325 ± 234.5 mL. Only 1 patient required transfusion during surgery. Mean postoperative hospital stay was 9.5 ± 3.4 day and postop complication was reported only 1 case that has the fluid collection at the resection margin of the liver. Mean resection margin was 8.5 ± 6.1 mm and tumor size was 2.9 ± 1.9 cm.Totally lap-RAS and lap-CBS are feasible operative procedures in patients with centrally located tumor of the liver and particularly in patients with limited liver function such as those with cirrhosis.

  7. 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.

  8. 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.

  9. Radiographic Bone Density around Dental Implants with Surface Modification by Laser Ablation followed by Hydroxyapatite Coating: A Study in Rabbit Tibiae

    DEFF Research Database (Denmark)

    Cazelato, Tiago; Spin-Neto, Rubens; Morais, J

    Surface chemistry seems to affect peri-implant bone healing, increasing bone-to-implant contact and biological andmechanical properties. The present study aim to assess the radiographic bone density around implants with different surface treatment, comparing a surface treated by laser ablation...... followed by hydroxyapatite coating with a surface that was oxide-blasted followed by acid etching. On this study twenty-four rabbits received two implants in each tibia, an oxide-blasted + acid-etched (ATS) and a hydroxyapatite-coated (HAP) implant. Radiographs of the implants were recorded after 4, 8......, and 12 weeks of healing (8 animals in each healing period), and bone density was assessed in regions of interest (ROI) in cortical and cancellous bone adjacent to the implant using the shade of grey in the bone ROIs compared to a reference ROI in each image (a ratio was calculated: bone ROI/reference ROI...

  10. Level of arterial ligation in total mesorectal excision (TME): An anatomical study

    NARCIS (Netherlands)

    M. Buunen (Mark); M.M. Lange (Marilyne); M. Ditzel (Max); G.J. Kleinrensink (Gert Jan); C.J.H. van de Velde (Cornelis)

    2009-01-01

    textabstractIntroduction: High-tie ligation is a common practice in rectal cancer surgery. However, it compromises perfusion of the proximal limb of the anastomosis. This anatomical study was designed to assess the value of low-tie ligation in order to obtain a tension-free anastomosis. Materials an

  11. Patellofemoral complications after total knee arthroplasty: a comparison of Modular Porous-Coated Anatomic with Duracon prostheses.

    Science.gov (United States)

    Mont, M A; Becher, O J; Lee, C W; LaPorte, D M; Hungerford, D S

    1999-04-01

    Clinical and radiographic analyses were used to compare results obtained in 45 patients who underwent a Modular Porous-Coated Anatomic total knee arthroplasty with results in a similar group of 45 patients who underwent a Duracon total knee arthroplasty. The surgeries were consecutively performed over an 8-month period, and follow-up evaluation averaged 63 months. The two patient groups were similar with regard to the following variables: age, sex, diagnosis, height, weight, and preoperative and postoperative activity levels. Whereas both Duracon and Modular total knee arthroplasty prostheses yielded similar results approximately 5 years after surgery, the data suggest that Duracon appears to minimize patellofemoral complications.

  12. 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.

  13. Kinetics of hydrothermal crystallization under saturated steam pressure and the self-healing effect by nanocrystallite for hydroxyapatite coatings.

    Science.gov (United States)

    Yang, Chung-Wei; Lui, Truan-Sheng

    2009-09-01

    Hydroxyapatite coatings (HACs) with a low crystalline state were prepared using the plasma spraying process followed by hermetic autoclaving hydrothermal treatment at 100, 150 and 200 degrees C. Experimental evidence confirmed that the HACs became significantly crystallized and the content of amorphous calcium phosphate decreased by performing the autoclaving hydrothermal treatment in an ambient saturated steam pressure system. The obvious chemisorbed hydroxy groups (OH) peak in the X-ray photoelectron spectra detected from the hydrothermally crystallized HAC specimens means that the hydroxyl-deficient state of plasma-sprayed HACs is significantly improved by the abundant replenished OH groups. The HA nanocrystallite observed from scanning electron microscopy and transmission electron microscopy images within hydrothermally treated HACs is the result of nucleation and grain growth through the replenishment of OH groups into the hydroxyl-deficient HA crystal structure. The microstructural self-healing effect is a result of reduction in defects (pores, microcracks and lamellar boundaries) due to new-growth HA nanocrystallite. According to the systematic derivation of the Arrhenius equation, the HA crystallization is a second-order Arrhenius reaction kinetics. Besides the effects of heating temperature and an atmosphere with abundant water molecules, the saturated steam pressure is a crucial factor which significantly improves the crystallization rate constant and further reduces the activation energy for the hydrothermal HA crystallization.

  14. Criteria for anatomical compatibility of the total artificial heart: computerized three-dimensional modeling of the cardiovascular anatomy.

    Science.gov (United States)

    Chatel, D; Martin-Bouyer, Y; Vicaut, E; Bouchoucha, H; Achard, F; Sablayrolles, J L; Carpentier, A

    1993-12-01

    A quantitative study of cardiovascular anatomy was performed by obtaining three-dimensional reconstructions from regular computed tomography scan images in 15 patients, all candidates for heart transplantation. Volumetric estimates of the cardiovascular structures were obtained from these three-dimensional reconstructions using data directly related to total artificial heart (TAH) implantations. By using computerized three-dimensional modeling of these structures, reproducible measurements of the parameters defining the shape and the anatomical connections of the intrathoracic space available for TAH implantation could be derived. The results are intended to be used for both technical and clinical applications such as computer-assisted drawing of the pericardial cavity and the anatomical connections (useful for improving the design of TAH) and combined statistical calculations (multiple regressions, cluster algorithm) of the measurement results, which will then enable the best selection to be made among two or three TAH models for each patient.

  15. 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.

  16. 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.

  17. Comparing nanostructured hydroxyapatite coating on AZ91 alloy samples via sol-gel and electrophoretic deposition for biomedical applications.

    Science.gov (United States)

    Rojaee, Ramin; Fathi, Mohammadhossein; Raeissi, Keyvan

    2014-12-01

    Magnesium is one of the most critical elements in hard tissues regeneration and therefore causes speeding up the restoration of harmed bones, while high deterioration rate of magnesium in body fluid restricts it to be used as biodegradable implants. Alloying magnesium with some relatively nobler metals such as aluminium, zinc, rare earth elements, magnesium-bioceramics composites, and surface modification techniques are some of the routes to control magnesium corrosion rate. In this study AZ91 magnesium alloy had been coated by nanostructured hydroxyapatite via sol-gel dip coating and electrophoretical methods to survey the final barricade properties of the obtained coatings. In order to perform electrophoretic coating, powders were prepared by sol-gel method, and then the powders deposited on substrates utilizing direct current electricity. Zeta potentials of the electrophoresis suspensions were measured to determine a best mode for good quality coatings. Transmission Electron Microscopy (TEM), and Scanning Electron Microscopy (SEM) were used to confirm nanoscale dimension, and the uniformity of the nanostructured hydroxyapatite coating, respectively. Fourier Transform-Infrared and X-ray diffraction analysis were utilized for functional group and phase structure evaluation of the prepared coatings, correspondingly. Electrochemical corrosion tests were performed in SBF at 37±1 (°)C which revealed considerable increase in corrosion protection resistivity and corrosion current density for electrophoretic coated specimens versus sol-gel coated specimens. Results showed that both sol-gel and electrophoretical techniques seem to be suitable to coat magnesium alloys for biomedical applications but electrophoretic coating technique is a better choice due to the more homogeneity and more crystalline structure of the coating.

  18. 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.

  19. 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.

  20. Dilemmas in Uncemented Total Hip Arthroplasty

    OpenAIRE

    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, Biomet) was evaluated. In conclusion, at an average follow-up of 8 years, this proximally HA-coated femoral component showed favorable clinical and radiological outcome and excellent survivorship. In ...

  1. 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.

  2. Conversion of Induction Heating Deposited Monetite Coating to Hydroxyapatite Coating on Ht-C Composites by Hydrothermal Treatment in KOH Aqueous/ammonia Solution

    Science.gov (United States)

    Li, Dong-Mei; Xiong, Xin-Bo; Zeng, Xie-Rong; Zou, Chun-Li; Zou, Ji-Zhao

    Carbon/carbon composites with hydroxyapatite coatings are one of the attractive materials in the dental and orthopedic fields. In this study, hydrothermal treatment, in KOH aqueous and ammonia solutions, was used to convert an induction-heating-deposited monetite coating to an adherent HA coating on H2O2 treated C/C composites. The structure, morphology and chemical composition of the as-received HA coatings were characterized by XRD, FTIR, SEM and EDS. A scratch test was conducted to measure the adhesion of HA coatings to HT-C/C substrate. The results show that well-crystallized carbonate hydroxyapatite coatings could be achieved under the two reaction mediums. However, the as-obtained HA coatings after KOH hydrothermal treatment have higher crystallinity and Ca/P ratio than those after ammonia hydrothermal treatment, and reveal an average critical load of 29 N which is more than two times as high as that for HA coatings after ammonia hydrothermal treatment.

  3. Totally laparoscopic anatomical hepatectomy exposing the major hepatic veins from the root side: a case of the right anterior sectorectomy (with video).

    Science.gov (United States)

    Honda, Goro; Kurata, Masanao; Okuda, Yukihiro; Kobayashi, Shin; Sakamoto, Katsunori; Takahashi, Keiichi

    2014-07-01

    Laparoscopic hepatectomy has rapidly evolved recently; however, laparoscopic anatomical hepatectomy has yet to become widely used, although anatomical hepatectomy is ideal, especially for curative treatment of hepatocellular carcinoma, and is widely accepted via open approach. This is because good-experienced skills, for example, exposing Glissonean pedicles and hepatic veins on the cutting plane, are required in order to perform anatomical hepatectomy via a pure laparoscopic approach. We obtained good results for various totally laparoscopic anatomical hepatectomies using the standardized techniques. We exposed the major hepatic veins from the root side by utilizing the unique view from the caudal side in the laparoscopic approach, and moved CUSA from the root side toward the peripheral side to avoid splitting the bifurcation of the hepatic vein. We performed totally laparoscopic anatomical hepatectomy for 47 patients from August, 2008, to December, 2012 (Table 1). In most types of anatomical hepatectomy, the mean blood loss was <500 ml. Conversion to open surgery was required in two patients. Postoperative complications were prolonged ascites in two, peroneal palsy in two, and biloma in one. Mortality was zero. The embedded video demonstrates totally laparoscopic right anterior sectorectomy. In conclusion, our standardized techniques make laparoscopic anatomical hepatectomy more feasible.

  4. 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

  5. Strontium incorporation to optimize the antibacterial and biological characteristics of silver-substituted hydroxyapatite coating

    Energy Technology Data Exchange (ETDEWEB)

    Geng, Zhen; Cui, Zhenduo [School of Materials Science and Engineering, Tianjin University, Tianjin 300072 (China); Li, Zhaoyang, E-mail: zyli@tju.edu.cn [School of Materials Science and Engineering, Tianjin University, Tianjin 300072 (China); Tianjin Key Laboratory of Composite and Functional Materials, Tianjin 300072 (China); Zhu, Shengli [School of Materials Science and Engineering, Tianjin University, Tianjin 300072 (China); Tianjin Key Laboratory of Composite and Functional Materials, Tianjin 300072 (China); Liang, Yanqin [School of Materials Science and Engineering, Tianjin University, Tianjin 300072 (China); Liu, Yunde; Li, Xue; He, Xin; Yu, Xiaoxu; Wang, Renfeng [School of Laboratory Medicine, Tianjin Medical University, Tianjin 300072 (China); Yang, Xianjin, E-mail: xjyang@tju.edu.cn [School of Materials Science and Engineering, Tianjin University, Tianjin 300072 (China); Tianjin Key Laboratory of Composite and Functional Materials, Tianjin 300072 (China)

    2016-01-01

    Infection in primary total joint prostheses is attracting considerable attention. In this study, silver (Ag) was incorporated into hydroxyapatite (HA) using a hydrothermal method in order to improve its antimicrobial properties. Strontium (Sr) was added as a second binary element to improve the biocompatibility. The substituted HA samples were fixed on titanium (Ti) substrates by dopamine-assisted immobilization in order to evaluate their antibacterial and biological properties. The results showed that Ag and Sr were successfully incorporated into HA without affecting their crystallinity. Further, the antibacterial tests showed that all the Ag-substituted samples had good anti-bacterial properties against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus). Despite their good antibacterial ability, the Ag-substituted samples showed evidence of cytotoxicity on MG63 cells, characterized by low cell density and poor spreadability. The addition of Sr to the Ag-substituted samples considerably reduced the cytotoxicity of Ag. Although the viability of the cells grown on the surfaces of co-substituted HA was not as high as that of the cells grown on the HA surfaces, it is believed that excellent antibacterial properties and good biological activity can be achieved by balancing the dosage of Sr and Ag. - Highlights: • Ag- and Sr-substituted HA was prepared by hydrothermal method. • Ag- and Sr-substituted HA coating was deposited on dopamine functionalized titanium. • Ag-substituted HA biofilm showed a remarkable antibacterial activity. • Sr could offset the side effects of Ag.

  6. Strontium incorporation to optimize the antibacterial and biological characteristics of silver-substituted hydroxyapatite coating.

    Science.gov (United States)

    Geng, Zhen; Cui, Zhenduo; Li, Zhaoyang; Zhu, Shengli; Liang, Yanqin; Liu, Yunde; Li, Xue; He, Xin; Yu, Xiaoxu; Wang, Renfeng; Yang, Xianjin

    2016-01-01

    Infection in primary total joint prostheses is attracting considerable attention. In this study, silver (Ag) was incorporated into hydroxyapatite (HA) using a hydrothermal method in order to improve its antimicrobial properties. Strontium (Sr) was added as a second binary element to improve the biocompatibility. The substituted HA samples were fixed on titanium (Ti) substrates by dopamine-assisted immobilization in order to evaluate their antibacterial and biological properties. The results showed that Ag and Sr were successfully incorporated into HA without affecting their crystallinity. Further, the antibacterial tests showed that all the Ag-substituted samples had good anti-bacterial properties against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus). Despite their good antibacterial ability, the Ag-substituted samples showed evidence of cytotoxicity on MG63 cells, characterized by low cell density and poor spreadability. The addition of Sr to the Ag-substituted samples considerably reduced the cytotoxicity of Ag. Although the viability of the cells grown on the surfaces of co-substituted HA was not as high as that of the cells grown on the HA surfaces, it is believed that excellent antibacterial properties and good biological activity can be achieved by balancing the dosage of Sr and Ag.

  7. 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.

  8. 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.

  9. [Ligation by total or partial exclusion and extra-anatomic bypass: an alternative to subrenal aneurysmectomy].

    Science.gov (United States)

    Ochoa Bizet, L M; Durán Llobera, C; Oliú Torres, O; Romero Valdés, A; Perera González, F; Ramírez Muñoz, O

    1990-01-01

    The present study was designed in order to analyze our experience in surgical treatment of 18 patients with abdominal aortic aneurysm associate to a high surgical risk from 1982 (January-February) to 1988, both included. Selection criteria and surgical technical aspects were established. The patient age ranged from 60 to 82, with an average age of 75 +/- 7.5 years. The most frequently associated pathology was hypertension disease, followed by cerebrovascular disease and ischemic cardiopathy. Two patients died during surgical procedure. Fifteen patients, from the 16 surviving, suffered a complete thrombosis of their aneurysmatic sac one week after the induced thrombosis, by the ligature of afferent arteries of their aneurysm (iliac arteries). Only one patient suffered a second operation, 4 months after the initial procedure (partial exclusion) during which a total exclusion of aneurysm by infrarenal aortic ligature was performed. The successful operatory rate was of 14/15 (93.3%), with a mortality rate of 2/18 (11.1%). References are reviewed and our results commented.

  10. 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

  11. Anatomically weighted second-order total variation reconstruction of 23Na MRI using prior information from 1H MRI.

    Science.gov (United States)

    Gnahm, Christine; Nagel, Armin M

    2015-01-15

    Sodium ((23)Na) MRI is a noninvasive tool to assess cell viability, which is linked to the total tissue sodium concentration (TSC). However, due to low in vivo concentrations, (23)Na MRI suffers from low signal-to-noise ratio (SNR) and limited spatial resolution. As a result, image quality is compromised by Gibbs ringing artifacts and partial volume effects. An iterative reconstruction algorithm that incorporates prior information from (1)H MRI is developed to reduce partial volume effects and to increase the SNR in non-proton MRI. Anatomically weighted second-order total variation (AnaWeTV) is proposed as a constraint for compressed sensing reconstruction of 3D projection reconstruction (3DPR) data. The method is evaluated in simulations and a MR measurement of a multiple sclerosis (MS) patient by comparing it to gridding and other reconstruction techniques. AnaWeTV increases resolution of known structures and reduces partial volume effects. In simulated MR brain data (nominal resolution Δx(3) = 3 × 3 × 3 mm(3)), the intensity error of four small MS lesions was reduced from (6.9 ± 3.8)% (gridding) to (2.8 ± 1.4)% (AnaWeTV with T2-weighted reference images). Compared to gridding, a substantial SNR increase of 130% was found in the white matter of the MS patient. The algorithm is robust against misalignment of the prior information on the order of the (23)Na image resolution. Features without prior information are still reconstructed with high contrast. AnaWeTV allows a more precise quantification of TSC in structures with prior knowledge. Thus, the AnaWeTV algorithm is in particular beneficial for the assessment of tissue structures that are visible in both (23)Na and (1)H MRI.

  12. Nano-hydroxyapatite-coated metal-ceramic composite of iron-tricalcium phosphate: Improving the surface wettability, adhesion and proliferation of mesenchymal stem cells in vitro.

    Science.gov (United States)

    Surmeneva, Maria A; Kleinhans, Claudia; Vacun, Gabriele; Kluger, Petra Juliane; Schönhaar, Veronika; Müller, Michaela; Hein, Sebastian Boris; Wittmar, Alexandra; Ulbricht, Mathias; Prymak, Oleg; Oehr, Christian; Surmenev, Roman A

    2015-11-01

    Thin radio-frequency magnetron sputter deposited nano-hydroxyapatite (HA) films were prepared on the surface of a Fe-tricalcium phosphate (Fe-TCP) bioceramic composite, which was obtained using a conventional powder injection moulding technique. The obtained nano-hydroxyapatite coated Fe-TCP biocomposites (nano-HA-Fe-TCP) were studied with respect to their chemical and phase composition, surface morphology, water contact angle, surface free energy and hysteresis. The deposition process resulted in a homogeneous, single-phase HA coating. The ability of the surface to support adhesion and the proliferation of human mesenchymal stem cells (hMSCs) was studied using biological short-term tests in vitro. The surface of the uncoated Fe-TCP bioceramic composite showed an initial cell attachment after 24h of seeding, but adhesion, proliferation and growth did not persist during 14 days of culture. However, the HA-Fe-TCP surfaces allowed cell adhesion, and proliferation during 14 days. The deposition of the nano-HA films on the Fe-TCP surface resulted in higher surface energy, improved hydrophilicity and biocompatibility compared with the surface of the uncoated Fe-TCP. Furthermore, it is suggested that an increase in the polar component of the surface energy was responsible for the enhanced cell adhesion and proliferation in the case of the nano-HA-Fe-TCP biocomposites.

  13. 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.

  14. 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.

  15. 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.

  16. 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.

  17. Preventing infection of osseointegrated transcutaneous implants: Incorporation of silver into preconditioned fibronectin-functionalized hydroxyapatite coatings suppresses Staphylococcus aureus colonization while promoting viable fibroblast growth in vitro.

    Science.gov (United States)

    Chimutengwende-Gordon, Mukai; Pendegrass, Catherine; Bayston, Roger; Blunn, Gordon

    2014-09-01

    The success of transcutaneous implants depends on the achievement of a soft tissue seal by enabling fibroblasts to win the race for the surface against bacteria. Fibronectin-functionalized hydroxyapatite coatings (HAFn) have been shown to improve dermal tissue ingrowth and attachment. However, during the early postoperative period before a soft tissue seal has formed, bacterial colonization may occur. This study explored the incorporation of silver, a broad spectrum antimicrobial agent, into HAFn coatings with the aim of reducing bacterial colonization. Silver is known to have dose-dependent cytotoxic effects. Therefore, the effects of silver incorporation into HAFn coatings on both in vitro human dermal fibroblast viability and Staphylococcus aureus colonization were assessed. An electrochemical deposition technique was used to codeposit hydroxyapatite and silver (HAAg) and fibronectin was adsorbed onto this to produce HAAgFn coatings. Surfaces were preconditioned with serum to mimic the in vivo environment. Nonpreconditioned HAAg and HAAgFn coatings suppressed bacterial colonization but were cytotoxic. After serum-preconditioning, more than 90% of fibroblasts that grew on all HAAg and HAAgFn coatings were viable. The highest silver content coatings tested (HAAg100 and HAAgFn100) resulted in a greater than 99% reduction in biofilm and planktonic bacterial numbers compared to HA and HAFn controls. Although HAAg100 had greater antibacterial activity than HAAgFn100, the findings of this study indicate that fibroblasts would win the race for the surface against S aureus on both HAAg100 and HAAgFn100 after serum-preconditioning.

  18. 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

    of HA-coated cups and stems due to aseptic loosening were 0.89 (95%CI: 0.37-2.2) and 0.71 (95%CI: 0.27-1.9) with up to 9 years of follow-up, compared to non-HA-coated implants. When taking all causes of revision into consideration, the risk estimates were 0.85 (95%CI: 0.68-1.1) and 0.81 (95%CI: 0...

  19. Formation and Characterization of Hydroxyapatite Coating on the Surface of AZ31%AZ31镁合金表面羟基磷灰石涂层的制备和表征

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    以氢氧化钙和磷酸二氢钙为前驱物,在AZ31镁合金表面通过溶胶凝胶法制备了羟基磷灰石涂层。利用X射线粉末衍射仪(XRD)、扫描电子显微镜(SEM )对涂层的物相组成、表面形貌、截面进行了分析表征,利用电化学工作站测试了该涂层在生理盐水中的动电位极化曲线和电化学阻抗谱,并对涂层在 Hank’s模拟体液中的析氢量和浸泡腐蚀形貌进行了表征。结果表明,溶胶凝胶法制备的羟基磷灰石涂层纯度较高,结晶性良好,涂层厚度在8μm左右;动电位极化曲线结果显示,该涂层的腐蚀电流密度为1.4864×10-2 mA/cm2,与空白镁合金的腐蚀电流密度相比降低了5倍左右。析氢试验及其浸泡腐蚀形貌进一步说明羟基磷灰石涂层能有效地保护镁合金基体。%In this paper ,Ca(OH)2 and Ca(H2 PO4 )2 ・H2 O were used as raw materials to pre‐pare a hydroxyapatite coating on the surface of AZ 31 magnesium alloy using a sol‐gel technique . Phase analysis ,surface morphology study ,and cross‐section and microstructure characterization of the hydroxyapatite coating were conducted .Potentiodynamic polarization curves and electro‐chemical impedance spectra were obtainod using electrochemical workstation .Hydrogen evolution rates and corrosion morphologies of the coating immersed in Hank ’s solution were also presen‐ted .T he results indicate that the thickness of hydroxyapatite coating is approximately 8 μm and the corrosion current density of hydroxyapatite coating is 1.486 4 × 10 -2 mA/cm2 ,which is 5 times lower than that of bare AZ31 magnesium alloy .Hydrogen evolution tests and immersion corrosion morphologies further illustrate that hydroxyapatite coating can slow dow n the rate of biodegradation of AZ31 magnesium alloy effectively .

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

    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

  1. 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

  2. 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.

  3. 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.

  4. 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

  5. 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.

  6. 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

  7. Fast method for multielemental analysis of plants and discrimination according to the anatomical part by total reflection X-ray fluorescence spectrometry.

    Science.gov (United States)

    De la Calle, Inmaculada; Costas, Marta; Cabaleiro, Noelia; Lavilla, Isela; Bendicho, Carlos

    2013-05-01

    Fast and reliable analytical methodologies are required for quality control of plants in order to assure human health. Ultrasound-assisted extraction in combination with total reflection X-ray fluorescence is proposed as a fast and simple method for multielemental analysis of plants on a routine basis. For this purpose, five certified reference materials have been analysed for the determination of P, K, Ca, Cr, Mn, Fe, Ni, Cu, Zn and Pb. Different extractant media (acids and oxidants) were tried. A mixture of diluted HNO(3)+HCl+HF, was selected as the best option for the achievement of complete extractions. Accurate and precise results can be reached in most cases along with a high sample throughput. Different plants (i.e., herbs, spices and medicinal plants) were analysed. Linear discriminant analysis together with the elemental concentrations allowed the differentiation of commercial preparations corresponding to flower, fruit and leaf.

  8. 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.

  9. 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.

  10. 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

  11. Anatomical observation of origins of the gastrocnemius and its significance in total knee arthroplasty%腓肠肌起点解剖观察及其在全膝关节置换术中的意义

    Institute of Scientific and Technical Information of China (English)

    林宇进; 覃健; 黄保华; 侯之启; 周国兴

    2012-01-01

    Objective; To study the anatomical characteristics of origins of the gastrocnemius and explore its significance in total knee arthroplasty for the knee joint with severe flexion deformity. Methods-. Two fresh and 20 embalmed knee joints were dissected to observe the morphological structures of origins of the gastrocnemius and the relationships with their adjacent tissues. Results; The medial and lateral heads of the gastrocnemius consisted of middle muscular part and bilateral tendinous parts. The tendon of biceps femoris and common peroneal nerve crossed behind the fibular back of the beginning part of the lateral head. And. There were tendon of the popliteus and lateral collateral ligament on its fibular side. The tendons of the semitendinosus and semimembranosus were posterior to the tibial side of the beginning part of the medial head. The medial and lateral superior genicular arteries coursed above the origins of the medial and lateral heads of the gastrocnemius. Then, bypassed the medial and lateral condyles and run forwardly. The area surrounding the tendon of gastrocnemius is an anatomical safe zone without important nerves and blood vessels. Conclusion-. In total knee arthroplasty for the knee joints with severe flexion deformity, the conventional release through the collateral ligament only reaches the muscular part,which may be a cause of an incomplete release.%目的:研究腓肠肌起点的解剖学特点,探讨其在严重屈曲挛缩畸形全膝关节置换术(TKA)中的意义.方法:常规解剖20侧防腐及2侧新鲜成人膝关节标本,观测腓肠肌起点的形态结构及其与周围结构的毗邻关系.结果:腓肠肌内、外侧头起点分为中间的肌性部分和两侧的腱性部分.外侧头起始部的腓后侧有股二头肌肌腱及腓总神经斜跨过,腓侧有腘肌腱及外侧副韧带.内侧头起始部的胫后侧有半腱肌和半膜肌肌腱.膝上内、外侧动脉从腓肠肌内、外侧头起点上方贴着骨膜绕

  12. 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.

  13. 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.

  14. A veterinary digital anatomical database.

    Science.gov (United States)

    Snell, J R; Green, R; Stott, G; Van Baerle, S

    1991-01-01

    This paper describes the Veterinary Digital Anatomical Database Project. The purpose of the project is to investigate the construction and use of digitally stored anatomical models. We will be discussing the overall project goals and the results to date. Digital anatomical models are 3 dimensional, solid model representations of normal anatomy. The digital representations are electronically stored and can be manipulated and displayed on a computer graphics workstation. A digital database of anatomical structures can be used in conjunction with gross dissection in teaching normal anatomy to first year students in the professional curriculum. The computer model gives students the opportunity to "discover" relationships between anatomical structures that may have been destroyed or may not be obvious in the gross dissection. By using a digital database, the student will have the ability to view and manipulate anatomical structures in ways that are not available through interactive video disk (IVD). IVD constrains the student to preselected views and sections stored on the disk.

  15. A veterinary digital anatomical database.

    OpenAIRE

    Snell, J.R.; Green, R; Stott, G; Van Baerle, S.

    1991-01-01

    This paper describes the Veterinary Digital Anatomical Database Project. The purpose of the project is to investigate the construction and use of digitally stored anatomical models. We will be discussing the overall project goals and the results to date. Digital anatomical models are 3 dimensional, solid model representations of normal anatomy. The digital representations are electronically stored and can be manipulated and displayed on a computer graphics workstation. A digital database of a...

  16. Occipital neuralgia: anatomic considerations.

    Science.gov (United States)

    Cesmebasi, Alper; Muhleman, Mitchel A; Hulsberg, Paul; Gielecki, Jerzy; Matusz, Petru; Tubbs, R Shane; Loukas, Marios

    2015-01-01

    Occipital neuralgia is a debilitating disorder first described in 1821 as recurrent headaches localized in the occipital region. Other symptoms that have been associated with this condition include paroxysmal burning and aching pain in the distribution of the greater, lesser, or third occipital nerves. Several etiologies have been identified in the cause of occipital neuralgia and include, but are not limited to, trauma, fibrositis, myositis, fracture of the atlas, and compression of the C-2 nerve root, C1-2 arthrosis syndrome, atlantoaxial lateral mass osteoarthritis, hypertrophic cervical pachymeningitis, cervical cord tumor, Chiari malformation, and neurosyphilis. The management of occipital neuralgia can include conservative approaches and/or surgical interventions. Occipital neuralgia is a multifactorial problem where multiple anatomic areas/structures may be involved with this pathology. A review of these etiologies may provide guidance in better understanding occipital neuralgia.

  17. Anatomical adaptations of aquatic mammals.

    Science.gov (United States)

    Reidenberg, Joy S

    2007-06-01

    This special issue of the Anatomical Record explores many of the anatomical adaptations exhibited by aquatic mammals that enable life in the water. Anatomical observations on a range of fossil and living marine and freshwater mammals are presented, including sirenians (manatees and dugongs), cetaceans (both baleen whales and toothed whales, including dolphins and porpoises), pinnipeds (seals, sea lions, and walruses), the sea otter, and the pygmy hippopotamus. A range of anatomical systems are covered in this issue, including the external form (integument, tail shape), nervous system (eye, ear, brain), musculoskeletal systems (cranium, mandible, hyoid, vertebral column, flipper/forelimb), digestive tract (teeth/tusks/baleen, tongue, stomach), and respiratory tract (larynx). Emphasis is placed on exploring anatomical function in the context of aquatic life. The following topics are addressed: evolution, sound production, sound reception, feeding, locomotion, buoyancy control, thermoregulation, cognition, and behavior. A variety of approaches and techniques are used to examine and characterize these adaptations, ranging from dissection, to histology, to electron microscopy, to two-dimensional (2D) and 3D computerized tomography, to experimental field tests of function. The articles in this issue are a blend of literature review and new, hypothesis-driven anatomical research, which highlight the special nature of anatomical form and function in aquatic mammals that enables their exquisite adaptation for life in such a challenging environment.

  18. Novel Hydroxyapatite Coatings for the Conservation of Marble and Limestone

    Science.gov (United States)

    Naidu, Sonia

    Marble and limestone are calcite-based materials used in the construction of various structures, many of which have significant artistic and architectural value. Unfortunately, due to calcite's high dissolution rate, these stones are susceptible to chemically-induced weathering in nature. Limestone, due to its inherent porosity, also faces other environmental weathering processes that cause weakening from disintegration at grain boundaries. The treatments presently available are all deficient in one way or another. The aim of this work is to examine the feasibility of using hydroxyapatite (HAP) as a novel protective coating for marble and limestone, with two goals: i) to reduce acid corrosion of marble and ii) to consolidate physically weathered limestone. The motivation for using HAP is its low dissolution rate and structural compatibility with calcite. Mild, wet chemical synthesis routes, in which inorganic phosphate-based solutions were reacted with marble and limestone, alone and with other precursors, were used to produce HAP films. Film nucleation, growth and phase evolution were studied on marble to understand film formation and determine the optimal synthesis route. An acid resistance test was developed to investigate the attack mechanism on marble and quantify the efficacy of HAP-based coatings. Film nucleation and growth were dependent on substrate surface roughness and increased with calcium and carbonate salt additions during synthesis. Acid attack on marble occurred via simultaneous dissolution at grain boundaries, twin boundaries and grain surfaces. HAP provided intermediate protection against acid attack, when compared to two conventional treatments. Its ability to protect the stone from acid was not as significant as predicted from dissolution kinetics and this was attributed to incomplete coverage and residual porosity within the film, arising from its flake-like crystal growth habit, which enabled acid to access the underlying substrate. The effectiveness of HAP as a consolidant for weathered limestone, alone and coupled with a commercially available consolidant (ConservareRTM OH-100), was also investigated. To artificially weather limestone in the lab, a reproducible thermal degradation technique was utilised. The dynamic elastic modulus, water sorptivity and coating composition of treated stones were evaluated. HAP was found to be an effective consolidant for limestone, as it restored the elastic modulus of damaged stones to their original values and exhibited superior performance to ConservareRTM OH-100.

  19. Bone scintigraphic appearance of asymptomatic hydroxyapatite-coated hip arthroplasties.

    Science.gov (United States)

    Moilanen, T; Scott, G; Newell, M; Garvie, N; Freeman, M A

    1997-06-01

    To obtain information about the bone scintigraphic appearance of a hydroxyapatite (HA)-coated proximal femoral implant, this examination was performed on 24 patients with a clinically and radiologically successful femoral implant in hip arthroplasty. The prosthesis had a proximal HA coating for supplementary fixation. The patients' mean age was 50.3 years (range, 28-65 years) at operation. The interval from the operation to the scintigraphy ranged from 6 months to 5.5 years (mean, 2.2 years). Scintigraphy was performed using 99mTc-medronic acid. Quantitative counts were recorded in 4 zones: 3 along the length of the implant (trochanteric region with HA coating, midprosthesis, and distal tip) and 1 below the prosthesis. The results were expressed as ratios using the nonoperated femur as a control value. The results demonstrated that the mean activities in all 4 zones were increased relative to the untreated side. The highest activity was observed in the region around the prosthetic tip, with an elevation of 46% above the control value. This activity showed a significant decline over time. The counts recorded in the trochanteric region, where the implant was coated with HA, were 20% above the control value and similar to those seen in its adjacent noncoated midprosthetic region. In the trochanteric region, however, the activity did not show a decline over the follow-up period.

  20. Osteoblast adhesion to functionally graded hydroxyapatite coatings doped with silver.

    Science.gov (United States)

    Sandukas, Stefan; Yamamoto, Akiko; Rabiei, Afsaneh

    2011-06-15

    Silver-doped functionally graded hydroxyapatite (Ag-FGHA) coatings have been prepared on glass and titanium substrates by ion beam assisted deposition (IBAD) method with in situ heat treatment, and the biological response and dissolution properties of the coatings have been examined. Three Ag-FGHA coatings with different percentages of silver (1, 3, and 6.6 wt % Ag) were compared with pure FGHA (without Ag) as a control. MC 3T3-E1 murine osteoblast cells were cultured on FGHA and Ag-FGHA coating surfaces, and the number of adhered cells after 1, 4, and 7 days was counted. Micromanipulation of live single cells was performed to quantitatively compare cell affinity among the four coating compositions. Results showed that FGHA-Ag1 coating (with 1 wt % Ag) had the highest number of adhered cells after each incubation period, as well as the highest cell affinity after 24-h incubation. Surface profilometry was performed to determine surface roughness average (R(a) ) of coating surfaces before and after immersion in high-purity water, showing that all surfaces initially had roughness averages below 200 nm, while after immersion, roughness average of FGHA-Ag1 surface was significantly increased (R(a) = 404 +/- 100.8 nm), attributed to the highest rate of dissolution. Release rate of Ag+ ions in solution was measured, showing release rates of silver ions for all Ag-doped coatings were initially high and then gradually decreased to a minimum over time, which is the expected dissolution of functionally graded coatings. It is concluded that FGHA-Ag1 coating promoted the highest degree of osteoblast adhesion because of optimal dissolution rate and nontoxic Ag percentage.

  1. 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.

  2. 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.

  3. Hydroxyapatite coating on damaged tooth surfaces by immersion

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Byoung-Ki; Ryu, Su-Chak [Department of Nanomaterials Engineering, College of Nanoscience and Nanotechnology, Pusan National University, Miryang, 607-706 (Korea, Republic of); Sun, Fangfang; Koh, Kwangnak; Han, Dong-Wook; Lee, Jaebeom, E-mail: jaebeom@pusan.ac.k [Department of Nanomedical Engineering, College of Nanoscience and Nanotechnology, Pusan National University, Miryang, 607-706 (Korea, Republic of)

    2009-04-15

    Hydroxyapatite (HAp) was coated on scratched areas of a human tooth and HAp disks by the immersion method in a HAp colloidal solution (<=20{mu}m of average diameter dispersed in DI water). The surface morphologies of the scratched area after immersion for 1-3 months were investigated showing that the damaged surfaces were remarkably recovered. Then, the mechanical property and chemical stability of the HAp coating layers on both specimens were determined via the Vickers hardness test and concentration measurement of extracted Ca{sup 2+} ions, respectively, after strong acidic treatment. The cellular behavior of mouse calvaria-derived pre-osteoblastic cells (MC3T3-E1) was also examined on the HAp layers regenerated on micro-scratched HAp disks for the purpose of their potential applications on maxillofacial bone conservation and reconstruction for prosthetic dentistry, and artificial disk preparation of a vertebral column. The notable loss of Ca{sup 2+} ions under a highly acidic condition was not observed in the layers coated by HAp adsorption, indicating that the coating surface was well adhered with the original surfaces of the respective specimen. Moreover, the HAp adsorption did not adversely affect the adhesion, growth and proliferation of MC3T3-E1 cells on the coated HAp layers for up to 21 days. These results suggest that the HAp coating on the scratched areas of the tooth would be effectively applicable for the development of long-term prevention of micro-cleavage and tooth health supporters to reduce discoloration and further maxillofacial and orthopedic applications.

  4. Microstructure of Bioglass/Hydroxyapatite Coatings on Ti Substrate

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Composite coatings of bioglass and hydroxyapatite (briefly named HA/BG) with different hydroxyapatite contents on titanium substrate were successfully fabricated. The fabricated coatings are characterized by rough and poriform surface. The densities of the coatings decrease with the increase of HA content. There is a transition layer with a 5 μm thickness between the BG coating and the substrate. During heat-treatment, hydroxyapatite crystals with hexastyle shape have precipitated from the BG.

  5. Novel nanostructured hydroxyapatite coating for dental and orthopedic implants

    Science.gov (United States)

    Liu, Huinan; Jiang, Wenping; Malshe, Ajay

    2009-09-01

    A novel hybrid coating process, combining NanoSpray® (built on electrostatic spray coating) technology with microwave sintering process, was developed for synthesizing hydroxyapatite- (HA-) based nanostructured coating with favorable properties for dental and orthopedic implants. Specifically, HA nanoparticles were deposited on commercially pure titanium substrates using NanoSpray technique to produce the HA coating, which was then sintered in a microwave furnace under controlled conditions. The study showed that the use of NanoSpray followed by microwave sintering results in nanoscale HA coating for dental/orthopedic application.

  6. Five- to 8-year results of the uncemented Duracon total knee arthroplasty system.

    Science.gov (United States)

    Chana, Rishi; Shenava, Yatish; Nicholl, Alison P; Lusted, Felicity J; Skinner, Paul W; Gibb, Paul A

    2008-08-01

    We report prospective clinical and radiographic outcomes of a series of 219 hydroxyapatite-coated Duracon (Stryker Howmedica Osteonics Corporation, Kalamazoo, Mich) total knee arthroplasties with a follow-up of 5 to 8 years. Knee Society Score, Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), and SF-12 Health Status Questionnaire were used. Analysis of fluoroscopic radiographs was performed with the American Knee Society Score. All living patients (186 knees) were followed up. Twenty-eight patients (30 knees) had died. The preoperative Knee Society Score of 43.8 increased to 77.1 and the preoperative Function score of 20.3 increased to 63.4. WOMAC scores showed marked improvement (pain, 250 preoperatively to 157; stiffness, 115 preoperatively to 56; and function, 910 preoperatively to 588). There was no radiographic evidence of loosening or migration. Gaps visible at the bone-implant interface healed over the first year. Three prostheses were revised, 2 for deep infection and 1 for tibial tray subsidence. A survivorship of 98.6% has been achieved at 8 years. This intermediate-term study with 100% follow-up at 8 years demonstrates excellent clinical and radiographic outcomes. It is our opinion that these are comparable to the gold standard cemented total knee arthroplasties and may have advantages over other uncoated cementless designs.

  7. Anatomical pathology is dead? Long live anatomical pathology.

    Science.gov (United States)

    Nicholls, John M; Francis, Glenn D

    2011-10-01

    The standard diagnostic instrument used for over 150 years by anatomical pathologists has been the optical microscope and glass slide. The advent of immunohistochemistry in the routine laboratory in the 1980s, followed by in situ hybridisation in the 1990s, has increased the armamentaria available to the diagnostic pathologist, and this technology has led to changed patient management in a limited number of neoplastic diseases. The first decade of the 21 century has seen an increasing number of publications using proteomic technologies that promise to change disease diagnosis and management, the traditional role of an anatomical pathologist. Despite the plethora of publications on proteomics and pathology, to date there are actually limited data where proteomic technologies do appear to be of greater diagnostic value than the standard histological slide. Though proteomic techniques will become more prevalent in the future, it will need the expertise of an anatomical pathologist to dissect out and validate this added information.

  8. Benign anatomical mistakes: incidentaloma.

    Science.gov (United States)

    Mirilas, Petros; Skandalakis, J E

    2002-11-01

    The concept of the "incidentaloma," a totally asymptomatic nonfunctional tumor that is clinically and biochemically silent and discovered "incidentally" in a totally asymptomatic patient, is a by-product of the evolving diagnostic techniques of the last three decades. Various authors have used the concept for "incidental" findings during diagnostic workup for symptoms unrelated to adrenal disease, or for "incidental" adrenal tumors unrelated to symptoms that could potentially be of adrenal origin. "Incidentaloma" has been used to encompass a wide and heterogeneous spectrum of pathologic entities including adrenocortical and medullary tumors, benign or malignant lesions, hormonally active or inactive lesions, metastases, infections, granulomas, infiltrations, cysts and pseudocysts, hemorrhages, and pseudoadrenal masses. The term "incidentaloma" does not indicate whether the mass is functional, or malignant, or adrenocortical in origin. "Incidentaloma" has also appeared in the literature in reference to other endocrine organs such as pituitary, thyroid, and parathyroids, as well as the liver or kidney. We question the scientific justification for this neologism and suggest that it should be abolished. Questionable lesions should be clearly and simply described as "incidentally found."

  9. 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.

  10. The Fate of Anatomical Collections

    NARCIS (Netherlands)

    Knoeff, Rina; Zwijnenberg, Robert

    2015-01-01

    Almost every medical faculty possesses anatomical and/or pathological collections: human and animal preparations, wax- and other models, as well as drawings, photographs, documents and archives relating to them. In many institutions these collections are well-preserved, but in others they are poorly

  11. 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

  12. 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.

  13. 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.

  14. 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.

  15. 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

  16. 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

  17. Utilization management in anatomic pathology.

    Science.gov (United States)

    Lewandrowski, Kent; Black-Schaffer, Steven

    2014-01-01

    There is relatively little published literature concerning utilization management in anatomic pathology. Nonetheless there are many utilization management opportunities that currently exist and are well recognized. Some of these impact only the cost structure within the pathology department itself whereas others reduce charges for third party payers. Utilization management may result in medical legal liabilities for breaching the standard of care. For this reason it will be important for pathology professional societies to develop national utilization guidelines to assist individual practices in implementing a medically sound approach to utilization management.

  18. 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。

  19. Anatomical assessment of congenital heart disease.

    Science.gov (United States)

    Wood, John C

    2006-01-01

    Cardiac MRI (CMR) is replacing diagnostic cardiac catheterization as the modality of choice for anatomic and functional characterization of congenital heart disease (CHD) when echocardiographic imaging is insufficient. In this manuscript, we discuss the principles of anatomic imaging of CHD, placing emphasis on the appropriate choice and modification of pulse sequences necessary to evaluate infants and small children. Clinical examples are provided to illustrate the relative strengths and shortcomings of different CMR imaging techniques. Although cardiovascular function and flow techniques are not described, their role in evaluating the severity of anatomic defects is emphasized. Anatomic characterization represents the first component of a carefully-planned, integrated CMR assessment of CHD.

  20. Network models in anatomical systems.

    Science.gov (United States)

    Esteve-Altava, Borja; Marugán-Lobón, Jesús; Botella, Héctor; Rasskin-Gutman, Diego

    2011-01-01

    Network theory has been extensively used to model the underlying structure of biological processes. From genetics to ecology, network thinking is changing our understanding of complex systems, specifically how their internal structure determines their overall behavior. Concepts such as hubs, scale-free or small-world networks, common in the complexity literature, are now used more and more in sociology, neurosciences, as well as other anthropological fields. Even though the use of network models is nowadays so widely applied, few attempts have been carried out to enrich our understanding in the classical morphological sciences such as in comparative anatomy or physical anthropology. The purpose of this article is to introduce the usage of network tools in morphology; specifically by building anatomical networks, dealing with the most common analyses and problems, and interpreting their outcome.

  1. 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

  2. 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…

  3. 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.

  4. 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 ...

  5. 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...

  6. 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.

  7. 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.

  8. [Establishment of anatomical terminology in Japan].

    Science.gov (United States)

    Shimada, Kazuyuki

    2008-12-01

    The history of anatomical terminology in Japan began with the publication of Waran Naikei Ihan-teimŏ in 1805 and Chŏtei Kaitai Shinsho in 1826. Although the establishment of Japanese anatomical terminology became necessary during the Meiji era when many western anatomy books imported into Janan were translated, such terminology was not unified during this period and varied among translators. In 1871, Tsukumo Ono's Kaibŏgaku Gosen was published by the Ministry of Education. Although this book is considered to be the first anatomical glossary terms in Japan, its contents were incomplete. Overseas, the German Anatomical Society established a unified anatomical terminology in 1895 called the Basle Nomina Anatomica (B.N.A.). Based on this development, Kaibŏgaku Meishŭ which follows the BNA, by Buntarŏ Suzuki was published in 1905. With the subsequent establishment in 1935 of Jena Nomina Anatomica (J.N.A.), the unification of anatomical terminology was also accelerated in Japan, leading to the further development of terminology.

  9. 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

  10. 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.

  11. The Anatomical Institute at the University of Greifswald during National Socialism: The procurement of bodies and their use for anatomical purposes.

    Science.gov (United States)

    Alvermann, Dirk; Mittenzwei, Jan

    2016-05-01

    This is the first comprehensive account of body procurement at the Anatomical Institute at Greifswald University during National Socialism (NS). As in all other German anatomical departments, the bodies received during this period included increasing numbers of victims of the NS regime. Prior to 1939, 90% of all bodies came from hospitals, state nursing homes and mental institutions (Heil- und Pflegeanstalten), but dropped to less than 30% after 1941. While the total catchment area for body procurement decreased, the number of suppliers increased and included prisons, POW camps, Gestapo offices and military jurisdiction authorities. Among the 432 documented bodies delivered to the institute, 132 came from state nursing homes and mental institutions, mainly from Ueckermünde. These were bodies of persons, who probably were victims of "euthanasia" crimes. The Anatomical Institute also procured 46 bodies of forced laborers, of whom at least twelve had been executed. Other groups of victims included 21 bodies of executed Wehrmacht soldiers and 16 Russian prisoners of war from the camp Stalag II C in Greifswald, who had died of starvation and exhaustion. From 1941 onwards, the number of bodies delivered from prisons and penitentiaries greatly increased. In total, 60 bodies of prisoners, mainly from the penitentiary in Gollnow, were delivered to the Anatomical Institute. Greifswald Anatomical Institute was not just a passive recipient of bodies from all of these sources, but the anatomists actively lobbied with the authorities for an increased body supply for teaching and research purposes.

  12. 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.)

  13. PREVALENCE OF ANATOMIC VARIATIONS IN CHRONIC RHINOSINUSITIS.

    Directory of Open Access Journals (Sweden)

    Shrikrishna

    2013-03-01

    Full Text Available ABSTRACT: OBJECTIVE: To determine the prevalence of anatomic variations in patients suffering from chronic rhinosinusitis (CRS and to compare them with normal population. DESIGN: This is a case control study. A prospective s tudy of anatomic variations was done on 100 computed tomography (CT scans of patients with chronic rhinosinusitis. Prevalence of anatomic variations in control group was assessed by studying 100 CT scans of non- CRS patients. RESULTS: Even though proportion of concha bullosa was more among chronic rhinosinusitis patients compared to normal individual s, it was statistically not significant. There was no significant difference in the prevalence of pa radoxical middle turbinate, retroverted uncinate process, overpneumatized ethmoid bulla and s eptal deviation in chronic rhinosinusitis patients compared to normal individuals. There was s ignificantly lesser proportion of individuals having haller cells and agger nasi cell s in chronic rhinosinusitis compared to normal individuals. CONCLUSION: There is no significant prevalence of anatomic vari ations in osteomeatal unit in patients with chronic rhinosinus itis. The anatomic variations may predispose to pathological changes only if they are bi gger in size. More detailed studies are recommended in this regard as a good knowledge of c omplex anatomy of the paranasal sinuses is essential to understand chronic rhinosinusitis a nd to plan its treatment

  14. Anatomical eponyms - unloved names in medical terminology.

    Science.gov (United States)

    Burdan, F; Dworzański, W; Cendrowska-Pinkosz, M; Burdan, M; Dworzańska, A

    2016-01-01

    Uniform international terminology is a fundamental issue of medicine. Names of various organs or structures have developed since early human history. The first proper anatomical books were written by Hippocrates, Aristotle and Galen. For this reason the modern terms originated from Latin or Greek. In a modern time the terminology was improved in particular by Vasalius, Fabricius and Harvey. Presently each known structure has internationally approved term that is explained in anatomical or histological terminology. However, some elements received eponyms, terms that incorporate the surname of the people that usually describe them for the first time or studied them (e.g., circle of Willis, follicle of Graff, fossa of Sylvious, foramen of Monro, Adamkiewicz artery). Literature and historical hero also influenced medical vocabulary (e.g. Achilles tendon and Atlas). According to various scientists, all the eponyms bring colour to medicine, embed medical traditions and culture to our history but lack accuracy, lead of confusion, and hamper scientific discussion. The current article presents a wide list of the anatomical eponyms with their proper anatomical term or description according to international anatomical terminology. However, since different eponyms are used in various countries, the list could be expanded.

  15. 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...

  16. 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.

  17. Anatomical Knee Variants in Discoid Lateral Meniscal Tears

    Science.gov (United States)

    Chen, Xu-Xu; Li, Jian; Wang, Tao; Zhao, Yang; Kang, Hui

    2017-01-01

    Background: Discoid lateral meniscus was a common meniscal dysplasia and was predisposed to tear. There were some anatomical knee variants in patients with discoid lateral meniscus. The aim of this study was to analyze the relationship between anatomical knee variants and discoid lateral meniscal tears. Methods: There were totally 125 cases of discoid lateral meniscus enrolled in this study from February 2008 to December 2013. Eighty-seven patients who underwent arthroscopic surgery for right torn discoid lateral meniscus were enrolled in the torn group. An additional 38 patients who were incidentally identified as having intact discoid lateral menisci on magnetic resonance imaging (MRI) findings were included in the control group. All patients were evaluated for anatomical knee variants on plain radiographs, including lateral joint space distance, height of the lateral tibial spine, height of the fibular head, obliquity of the lateral tibial plateau, squaring of the lateral femoral condyle, cupping of the lateral tibial plateau, lateral femoral condylar notch, and condylar cutoff sign. The relationship between anatomical variants and meniscal tear was evaluated. These anatomical variants in cases with complete discoid meniscus were also compared with those in cases with incomplete discoid meniscus. Results: There were no significant differences between the two groups in lateral joint space distance (P = 0.528), height of the lateral tibial spine (P = 0.927), height of the fibular head (P = 0.684), obliquity of the lateral tibial plateau (P = 0.672), and the positive rates of squaring of the lateral femoral condyle (P = 0.665), cupping of the lateral tibial plateau (P = 0.239), and lateral femoral condylar notch (P = 0.624). The condylar cutoff sign was significantly different between the two groups, with the prominence ratio in the torn group being smaller than that in the control group (0.74 ± 0.11 vs. 0.81 ± 0.04, P = 0.049). With the decision value of the

  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. Giving Ourselves: The Ethics of Anatomical Donation

    Science.gov (United States)

    Gunderman, Richard B.

    2008-01-01

    In some European countries, such as Italy, medical education is threatened by a dearth of anatomical specimens. Such a shortage could spread to other nations, including the United States. This article addresses two ethical questions in body donation. Why might people choose to donate their bodies to education and science? What sorts of ethical…

  1. 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...

  2. [Anatomic variants of Meckel's cave on MRI].

    Science.gov (United States)

    Benoudiba, F; Hadj-Rabia, M; Iffenecker, C; Fuerxer, F; Bekkali, F; Francke, J P; Doyon, D

    1998-10-01

    Magnetic resonance imaging (MRI) gives an accurate analysis of Meckel's cave variability. Images were acquired in 50 patients with several sections for anatomical comparison. Using several sections, MRI is a suitable method for better analysis of the trigeminal cistern. The most frequent findings are symmetrical trigeminal cisterns. Expansion of Meckel's cave or its disappearance has pathological significance.

  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. TIBIAL LANDMARKS IN ACL ANATOMIC REPAIR

    Directory of Open Access Journals (Sweden)

    M. V. Demesсhenko

    2016-01-01

    Full Text Available Purpose: to identify anatomical landmarks on tibial articular surface to serve as reference in preparing tibial canal with respect to the center of ACL footprint during single bundle arthroscopic repair.Materials and methods. Twelve frozen knee joint specimens and 68 unpaired macerated human tibia were studied using anatomical, morphometric, statistical methods as well as graphic simulation.Results. Center of the tibial ACL footprint was located 13,1±1,7 mm anteriorly from posterior border of intercondylar eminence, at 1/3 of the distance along the line connecting apexes of internal and external tubercles and 6,1±0,5 mm anteriorly along the perpendicular raised to this point.Conclusion. Internal and external tubercles, as well as posterior border of intercondylar eminence can be considered as anatomical references to determine the center of the tibial ACL footprint and to prepare bone canals for anatomic ligament repair.

  5. Anatomical Data for Analyzing Human Motion.

    Science.gov (United States)

    Plagenhoef, Stanley; And Others

    1983-01-01

    Anatomical data obtained from cadavers and from water displacement studies with living subjects were used to determine the weight, center of gravity, and radius of gyration for 16 body segments. A lead model was used to study movement patterns of the trunk section of the body. (Authors/PP)

  6. 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.

  7. Wood anatomical classification using iterative character weighing

    NARCIS (Netherlands)

    Hogeweg, P.; Koek-Noorman, J.

    1975-01-01

    In this paper we investigate the pattern of wood anatomical variation in some groups of Rubiaceae (i.e. Cinchoneae, Rondeletieae and Condamineae) by using a numerical pattern detection method which involves character weighing (Hogeweg 1975). In this method character weights are obtained iteratively

  8. Evolution of the Anatomical Theatre in Padova

    Science.gov (United States)

    Macchi, Veronica; Porzionato, Andrea; Stecco, Carla; Caro, Raffaele

    2014-01-01

    The anatomical theatre played a pivotal role in the evolution of medical education, allowing students to directly observe and participate in the process of dissection. Due to the increase of training programs in clinical anatomy, the Institute of Human Anatomy at the University of Padova has renovated its dissecting room. The main guidelines in…

  9. 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

  10. Anatomical study of sciatic nerve and common peroneal nerve compression

    Institute of Scientific and Technical Information of China (English)

    Mingzhao Jia; Qing Xia; Jinmin Sun; Qiang Zhou; Weidong Wang

    2008-01-01

    BACKGROUND: Many diseases of the common peroneal nerve are a result of sciatic nerve injury. The present study addresses whether anatomical positioning of the sciatic nerve is responsible for these injuries. OBJECTIVE: To analyze anatomical causes of sciatic nerve and common peroneal nerve injury by studying the relationship between the sciatic nerve and piriformis. DESIGN, TIME AND SETTING: Observe and measure repeatedly. The experiment was conducted in the Department of Anatomy, Tianjin Medical College between January and June 2005. MATERIALS: Fifty-two adult cadavers 33 males and 19 females, with a total of 104 hemispheres, and fixed with formaldehyde, were provided by Tianjin Medical College and Tianjin Medical University. METHODS: A posterior cut was made from the lumbosacral region to the upper leg, fully exposing the piriformis and path of the sciatic nerve. MAIN OUTCOME MEASURES: (1) Anatomical characteristics of the tibial nerve and common peroneal nerve. (2) According to different areas where the sciatic nerve crosses the piriformis, the study was divided into two types--normal and abnormal. Normal is considered to be when the sciatic nerve passes through the infrapiriform foramen. Remaining pathways are considered to be abnormal. (3) Observe the relationship between the suprapiriform foramen, infrapiriform foramen, as well as the superior and inferior space of piriformis. RESULTS: (1) The nerve tract inside the common peroneal nerve is smaller and thinner, with less connective tissue than the tibial nerve. When pathological changes or variations of the piriformis, or over-abduction of the hip joint, occur, injury to the common peroneal nerve often arises due to blockage and compression. (2) A total of 76 hemispheres (73.08%) were normal, 28 were abnormal (26.92%). The piriformis can be injured, and the sciatic nerve can become compressed, when the hip joint undergoes intorsion, extorsion, or abduction. (3) The structures between the infrapiriform and

  11. 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.

  12. 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.

  13. 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.

  14. Anatomical MRI with an atomic magnetometer.

    Science.gov (United States)

    Savukov, I; Karaulanov, T

    2013-06-01

    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 a 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 a 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 1.1 mm×1.4 mm in about 6 min of acquisition with SNR of 10. Some applications of the method are discussed. We discuss several measures to increase the sensitivity to reach a resolution 1 mm×1 mm.

  15. 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...

  16. Pericardiectomy: a functional anatomical perspective for the choice of left anterolateral thoracotomy.

    Science.gov (United States)

    Lachman, N; Vanker, E A; Christensen, K N; Satyapal, K S; Fennell, W M Pitt

    2009-01-01

    Although pericardiectomy remains an established method for pericardial resection, the choice of surgical approach is not definitive. Within South Africa, surgical referral for tuberculosis-induced chronic constrictive pericarditis has not declined. Anecdotal reports have indicated good operative results that appear to show an association with choice of surgical technique used. This study aimed to provide a functional anatomical perspective for performance and recovery of the heart during pericardiectomy based on anatomical dissection and surgical notes. En bloc specimens were harvested from 16 fresh cadavers and pericardial segments were measured in terms of percentage cover over surface area of the myocardium. Retrospective analysis of 116 surgical reports of pericardiectomy performed over a period of 20 years was conducted. Surgical notes were compared for median sternotomy and anterolateral left thoracotomy. Results from anatomical study indicated that although the anterior pericardium between the phrenic nerves constitutes about 58% of total selected pericardial area, total pericardium accessible over left ventricle from that approach was only 26%. When orientated in left anterolateral position, total accessible area of left ventricular pericardium was 37%. Standard deviations were found to be comparable. Means were significantly different, indicating that the left anterolateral approach allows wider access to the left ventricle. This paper provides a functional anatomical perspective for the choice of left anterolateral thoracotomy as a surgical approach for pericardiectomy.

  17. Comparative radiographic analysis on the anatomical axis in knee osteoarthritis cases: inter and intraobserver evaluation

    Directory of Open Access Journals (Sweden)

    Luiz Felipe Matos

    2015-06-01

    Full Text Available OBJECTIVE: To make a comparative inter and intraobserver analysis on measurements of the anatomical axis between panoramic radiographs of the lower limbs in anteroposterior (AP view with bipedal weight-bearing, on short film.METHODS: An accuracy study comparing radiographic measurements on 47 knees of patients attending the knee surgery outpatient clinic due to osteoarthritis. The radiographic evaluation used was as standardized for the total knee arthroplasty program, including panoramic AP views of the lower limbs and short radiographs of the knees in AP and lateral views, all with bipedal weight-bearing. Following this, the anatomical axis of the lower limbs or the femorotibial angle was measured by five independent examiners on the panoramic and short AP radiographs; three of the examiners were considered to be more experienced and two, less experienced. All the measurements were made again by the same examiners after an interval of not less than 15 days. The statistical analysis was performed using the intraclass correlation coefficient, in order to evaluate the inter and intraobserver concordance of the anatomical axis measurements.RESULTS: From the statistical analysis, it was observed that there was strongly significant concordance between the anatomical axis measurements on the panoramic and short radiographs, for all the five examiners and for both measurements.CONCLUSIONS: Under the conditions studied, short radiographs were equivalent to panoramic radiographs for evaluating the anatomical axis of the lower limbs in patients with advanced osteoarthritis. The measurements used also showed high rates of inter and intraobserver concordance and reproducibility.

  18. Mathematical modelling of the growth of human fetus anatomical structures.

    Science.gov (United States)

    Dudek, Krzysztof; Kędzia, Wojciech; Kędzia, Emilia; Kędzia, Alicja; Derkowski, Wojciech

    2016-07-08

    The goal of this study was to present a procedure that would enable mathematical analysis of the increase of linear sizes of human anatomical structures, estimate mathematical model parameters and evaluate their adequacy. Section material consisted of 67 foetuses-rectus abdominis muscle and 75 foetuses- biceps femoris muscle. The following methods were incorporated to the study: preparation and anthropologic methods, image digital acquisition, Image J computer system measurements and statistical analysis method. We used an anthropologic method based on age determination with the use of crown-rump length-CRL (V-TUB) by Scammon and Calkins. The choice of mathematical function should be based on a real course of the curve presenting growth of anatomical structure linear size Ύ in subsequent weeks t of pregnancy. Size changes can be described with a segmental-linear model or one-function model with accuracy adequate enough for clinical purposes. The interdependence of size-age is described with many functions. However, the following functions are most often considered: linear, polynomial, spline, logarithmic, power, exponential, power-exponential, log-logistic I and II, Gompertz's I and II and von Bertalanffy's function. With the use of the procedures described above, mathematical models parameters were assessed for V-PL (the total length of body) and CRL body length increases, rectus abdominis total length h, its segments hI, hII, hIII, hIV, as well as biceps femoris length and width of long head (LHL and LHW) and of short head (SHL and SHW). The best adjustments to measurement results were observed in the exponential and Gompertz's models.

  19. The anatomical diaspora: evidence of early American anatomical traditions in North Dakota.

    Science.gov (United States)

    Stubblefield, Phoebe R

    2011-09-01

    The current focus in forensic anthropology on increasing scientific certainty in ancestry determination reinforces the need to examine the ancestry of skeletal remains used for osteology instruction. Human skeletal remains were discovered on the University of North Dakota campus in 2007. After recovery, the osteological examination resulted in a profile for a 33- to 46-year-old woman of African descent with stature ranging from 56.3 to 61.0 in. The pattern of postmortem damage indicated that the remains had been prepared for use as an anatomical teaching specimen. Review of the American history of anatomical teaching revealed a preference for Black subjects, which apparently extended to states like North Dakota despite extremely low resident populations of people of African descent. This study emphasizes the need to examine the ancestry of older teaching specimens that lack provenience, rather than assuming they are derived from typical (i.e., Indian) sources of anatomical material.

  20. 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

  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. Anatomic Optical Coherence Tomography of Upper Airways

    Science.gov (United States)

    Chin Loy, Anthony; Jing, Joseph; Zhang, Jun; Wang, Yong; Elghobashi, Said; Chen, Zhongping; Wong, Brian J. F.

    The upper airway is a complex and intricate system responsible for respiration, phonation, and deglutition. Obstruction of the upper airways afflicts an estimated 12-18 million Americans. Pharyngeal size and shape are important factors in the pathogenesis of airway obstructions. In addition, nocturnal loss in pharyngeal muscular tone combined with high pharyngeal resistance can lead to collapse of the airway and periodic partial or complete upper airway obstruction. Anatomical optical coherence tomography (OCT) has the potential to provide high-speed three-dimensional tomographic images of the airway lumen without the use of ionizing radiation. In this chapter we describe the methods behind endoscopic OCT imaging and processing to generate full three dimensional anatomical models of the human airway which can be used in conjunction with numerical simulation methods to assess areas of airway obstruction. Combining this structural information with flow dynamic simulations, we can better estimate the site and causes of airway obstruction and better select and design surgery for patients with obstructive sleep apnea.

  4. Retinal vascular tree reconstruction with anatomical realism.

    Science.gov (United States)

    Lin, Kai-Shun; Tsai, Chia-Ling; Tsai, Chih-Hsiangng; Sofka, Michal; Chen, Shih-Jen; Lin, Wei-Yang

    2012-12-01

    Motivated by the goals of automatically extracting vessel segments and constructing retinal vascular trees with anatomical realism, this paper presents and analyses an algorithm that combines vessel segmentation and grouping of the extracted vessel segments. The proposed method aims to restore the topology of the vascular trees with anatomical realism for clinical studies and diagnosis of retinal vascular diseases, which manifest abnormalities in either venous and/or arterial vascular systems. Vessel segments are grouped using extended Kalman filter which takes into account continuities in curvature, width, and intensity changes at the bifurcation or crossover point. At a junction, the proposed method applies the minimum-cost matching algorithm to resolve the conflict in grouping due to error in tracing. The system was trained with 20 images from the DRIVE dataset, and tested using the remaining 20 images. The dataset contained a mixture of normal and pathological images. In addition, six pathological fluorescein angiogram sequences were also included in this study. The results were compared against the groundtruth images provided by a physician, achieving average success rates of 88.79% and 90.09%, respectively.

  5. Anatomical considerations to prevent facial nerve injury.

    Science.gov (United States)

    Roostaeian, Jason; Rohrich, Rod J; Stuzin, James M

    2015-05-01

    Injury to the facial nerve during a face lift is a relatively rare but serious complication. A large body of literature has been dedicated toward bettering the understanding of the anatomical course of the facial nerve and the relative danger zones. Most of these prior reports, however, have focused on identifying the location of facial nerve branches based on their trajectory mostly in two dimensions and rarely in three dimensions. Unfortunately, the exact location of the facial nerve relative to palpable or visible facial landmarks is quite variable. Although the precise location of facial nerve branches is variable, its relationship to soft-tissue planes is relatively constant. The focus of this report is to improve understanding of facial soft-tissue anatomy so that safe planes of dissection during surgical undermining may be identified for each branch of the facial nerve. Certain anatomical locations more prone to injury and high-risk patient parameters are further emphasized to help minimize the risk of facial nerve injury during rhytidectomy.

  6. 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.

  7. 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

  8. 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

  9. Nomina anatomica. Anatomic terminology and the old French terminology.

    Science.gov (United States)

    Chiapas-Gasca, Karla; Passos, Luiz Fernando De Souza; Euzébio Ribeiro, Sandra Lúcia; Villaseñor-Ovies, Pablo

    A surprising finding in our seminars in Latin America and Spain was that approximately half of the participants continued to use the old French anatomical nomenclature. The substance of this paper is a table in which we compare the anatomical names for the items reviewed in our seminar, in a Spanish version of the old French nomenclature and in the Spanish, Portuguese, and English versions of the currently employed anatomical terms.

  10. Anatomical aspects of sinus floor elevations.

    Science.gov (United States)

    van den Bergh, J P; ten Bruggenkate, C M; Disch, F J; Tuinzing, D B

    2000-06-01

    Inadequate bone height in the lateral part of the maxilla forms a contra-indication for implant surgery. This condition can be treated with an internal augmentation of the maxillary sinus floor. This sinus floor elevation, formerly called sinus lifting, consists of a surgical procedure in which a top hinge door in the lateral maxillary sinus wall is prepared and internally rotated to a horizontal position. The new elevated sinus floor, together with the inner maxillary mucosa, will create a space that can be filled with graft material. Sinus lift procedures depend greatly on fragile structures and anatomical variations. The variety of anatomical modalities in shape of the inner aspect of the maxillary sinus defines the surgical approach. Conditions such as sinus floor convolutions, sinus septum, transient mucosa swelling and narrow sinus may form a (usually relative) contra-indication for sinus floor elevation. Absolute contra-indications are maxillary sinus diseases (tumors) and destructive former sinus surgery (like the Caldwell-Luc operation). The lateral sinus wall is usually a thin bone plate, which is easily penetrated with rotating or sharp instruments. The fragile Schneiderian membrane plays an important role for the containment of the bonegraft. The surgical procedure of preparing the trap door and luxating it, together with the preparation of the sinus mucosa, may cause a mucosa tear. Usually, when these perforations are not too large, they will fold together when turning the trap door inward and upward, or they can be glued with a fibrin sealant, or they can be covered with a resorbable membrane. If the perforation is too large, a cortico-spongious block graft can be considered. However, in most cases the sinus floor elevation will be deleted. Perforations may also occur due to irregularities in the sinus floor or even due to immediate contact of sinus mucosa with oral mucosa. Obstruction of the antro-nasal foramen is, due to its high location, not a

  11. ZrO(2)/hydroxyapatite coating on titanium by electrolytic deposition.

    Science.gov (United States)

    Hsu, Hsueh-Chuan; Wu, Shih-Ching; Yang, Chih-Hsiung; Ho, Wen-Fu

    2009-02-01

    In this study, hydroxyapatite (HA) was coated on a titanium (Ti) substrate over a ZrO(2) layer by the electrolytic deposition method, this double layer coating was then compared with a single layer coating of HA. The HA layer was used to increase the bioactivity and osteoconductivity of the Ti substrate, and the ZrO(2) layer was intended to improve the bonding strength between the HA layer and Ti substrate, and to prevent the corrosion of the Ti substrate. The electrolytic deposition formed an HA layer with a thicknesses of approximately 20 mum, which adhered tightly to the Ti substrate. The bonding strength of the HA/ZrO(2) double layer coating on Ti was markedly improved when compared to that of the HA single coating on Ti. The improvement in bonding strength with the use of a ZrO(2) base layer was attributed to the resulting increase in chemical affinity of the ZrO(2) to the HA layer and to the Ti substrate. The osteoblast-like cells cultured on the HA/ZrO(2) coating surface, proliferated in a similar manner to those on the HA single coating and on the pure Ti surfaces. At the same time, the corrosion resistance of Ti was improved by the presence of the ZrO(2) coating, as shown by a potentiodynamic polarization test.

  12. Electrolytic deposition of hydroxyapatite coating on thermal treated Ti-40Zr.

    Science.gov (United States)

    Hsu, Hsueh-Chuan; Wu, Shih-Ching; Lin, Chih-Hung; Ho, Wen-Fu

    2009-09-01

    In this study, hydroxyapatite (HA) was coated on both thermal treated and untreated Ti-40Zr substrates by means of electrolytic deposition. It was predicted that the HA layer would increase the bioactivity and osteoconductivity of the Ti-40Zr substrate, and a thermal treatment would improve the bonding strength between the HA layer and Ti-40Zr substrate, and prevent the corrosion of the Ti-40Zr substrate. First, the Ti-40Zr samples were annealed at various temperatures (200, 300, 400, 500 and 600 degrees C respectively). After annealing, samples were immersed in a Ca(NO(3))(2).4H(2)O and (NH(4))(3)PO(4).3H(2)O solution for the electrolytic deposition of the HA coating. Various analyses of the coating were conducted, including surface morphology, phase structure, corrosion resistance, biocompatibility, and bond strength between HA and Ti-40Zr. Experimental results indicated that the bonding strength of the HA coating on the thermal treated Ti-40Zr was markedly improved when compared to that of the HA coating on an untreated Ti-40Zr alloy. The corrosion resistance of Ti-40Zr was also improved by the use of the thermal treatment, as shown by a potentiodynamic polarization test. Finally, osteoblast-like cells cultured on the HA coating surface were found to have proliferated on all samples.

  13. Magnetic hydroxyapatite coatings as a new tool in medicine: A scanning probe investigation

    Energy Technology Data Exchange (ETDEWEB)

    Gambardella, A., E-mail: a.gambardella@biomec.ior.it [Laboratorio di NanoBiotecnologie (NaBi), Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, I-40136 Bologna (Italy); Bianchi, M. [Laboratorio di NanoBiotecnologie (NaBi), Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, I-40136 Bologna (Italy); Kaciulis, S.; Mezzi, A.; Brucale, M. [Istituto per lo Studio dei Materiali Nanostrutturati (ISMN), Consiglio Nazionale delle Ricerche, Via Salaria km 29.300, P.O. Box 10, 00015 Monterotondo Staz, Roma (Italy); Cavallini, M. [Magnetic Nanostructures for Spintronics and Nanomedicine, CNR-ISMN, Via Gobetti 101, 40129 Bologna (Italy); Herrmannsdoerfer, T.; Chanda, G.; Uhlarz, M. [Dresden High Magnetic Field Laboratory (HLD-EMFL), Helmholtz-Zentrum Dresden-Rossendorf, D-01314 Dresden (Germany); Cellini, A.; Pedna, M.F. [Unità Operativa Microbiologia Laboratorio Unico del Centro Servizi AUSL della Romagna, Pievesestina, Cesena (Italy); Sambri, V. [Unità Operativa Microbiologia Laboratorio Unico del Centro Servizi AUSL della Romagna, Pievesestina, Cesena (Italy); Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale (DIMES), Università degli Studi di Bologna, Via Zamboni 33, 40126 Bologna (Italy); Marcacci, M.; Russo, A. [Laboratorio di NanoBiotecnologie (NaBi), Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, I-40136 Bologna (Italy); Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano1/10, I-40136 Bologna (Italy)

    2016-05-01

    Hydroxyapatite films enriched with magnetite have been fabricated via a Pulsed Plasma Deposition (PPD) system with the final aim of representing a new platform able to disincentivate bacterial adhesion and biofilm formation. The chemical composition and magnetic properties of films were respectively examined by X-ray photoelectron spectroscopy (XPS) and Superconducting Quantum Interference Device (SQUID) measurements. The morphology and conductive properties of the magnetic films were investigated via a combination of scanning probe technologies including atomic force microscopy (AFM), electrostatic force microscopy (EFM), and scanning tunneling microscopy (STM). Interestingly, the range of adopted techniques allowed determining the preservation of the chemical composition and magnetic properties of the deposition target material while STM analysis provided new insights on the presence of surface inhomogeneities, revealing the presence of magnetite-rich islands over length scales compatible with the applications. Finally, preliminary results of bacterial adhesion tests, indicated a higher ability of magnetic hydroxyapatite films to reduce Escherichia coli adhesion at 4 h from seeding compared to control hydroxyapatite films. - Highlights: • Pulsed Plasma Deposition technique is used to deposit magnetite-rich films of hydroxyapatite for antibacterial purposes. • The preservation of the chemical composition and magnetic properties of the deposition target material is demonstrated. • Scanning tunnelling microscopy is employed for the first time to reveal the presence of magnetite-rich states at the surface. • Preliminary tests suggest that Mag HA films hamper the adhesion of Escherichia coli compared to not magnetic films.

  14. Hydroxyapatite-Coated Magnesium-Based Biodegradable Alloy: Cold Spray Deposition and Simulated Body Fluid Studies

    Science.gov (United States)

    Noorakma, Abdullah C. W.; Zuhailawati, Hussain; Aishvarya, V.; Dhindaw, B. K.

    2013-10-01

    A simple modified cold spray process in which the substrate of AZ51 alloys were preheated to 400 °C and sprayed with hydroxyapatite (HAP) using high pressure cold air nozzle spray was designed to get biocompatible coatings of the order of 20-30 μm thickness. The coatings had an average modulus of 9 GPa. The biodegradation behavior of HAP-coated samples was tested by studying with simulated body fluid (SBF). The coating was characterized by FESEM microanalysis. ICPOES analysis was carried out for the SBF solution to know the change in ion concentrations. Control samples showed no aluminum corrosion but heavy Mg corrosion. On the HAP-coated alloy samples, HAP coatings started dissolving after 1 day but showed signs of regeneration after 10 days of holding. All through the testing period while the HAP coating got eroded, the surface of the sample got deposited with different apatite-like compounds and the phase changed with course from DCPD to β-TCP and β-TCMP. The HAP-coated samples clearly improved the biodegradability of Mg alloy, attributed to the dissolution and re-precipitation of apatite showed by the coatings as compared to the control samples.

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

    Science.gov (United States)

    Rojaee, Ramin; Fathi, Mohammadhossein; Raeissi, Keyvan

    2013-11-01

    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 MgF2 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.

  16. Fast deposition of hydroxyapatite coating on titanium to modify cell affinity of corneal fibroblast in vitro

    Institute of Scientific and Technical Information of China (English)

    WANG Xiaoping; MA Xiao; WANG Leyun; DU Xuan; HUANG Yifei; CUI Fuzhai

    2007-01-01

    By two step acid-alkali pretreatment and lmmersing into supersaturated calcification solution,hydroxyapatite (HA)coating was deposited on titanium(Ti)discs.The composition,surface morphology and cross-section of the coating were analyzed by X-ray diffraction(XRD)and scanning electron microscopy (SEM).Fibroblasts of rabbit cornea were seeded on HA coated Ti disc,pure Ti disc and glass.Cell adhesion,proliferation and morphology were detected at 24,48 and 72h,respectively.It is shown for the first time that HA coating can significantly enhance the adhesion and proliferation of rabbit corneal fibroblast in comparison with that of pure Ti.

  17. 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

    : At two year follow-up 38 of 47 patients lived in their own homes and the median New Mobility Score was 6 (range: 2-9). The median Visual Analogue Scale pain score was 0 (range: 0-5) at rest and 0 (range: 0-8) when walking. Patient satisfaction was a score of 9 (range: 2-10) on the VAS. Anterior...... or 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...

  18. Silver-doped hydroxyapatite coatings formed on Ti–6Al–4V substrates and their characterization

    Energy Technology Data Exchange (ETDEWEB)

    Yanovska, A.A., E-mail: biophy@yandex.ru [Institute of Applied Physics National Academy of Sciences of Ukraine, 58, Sumy 40000 (Ukraine); Stanislavov, A.S. [Institute of Applied Physics National Academy of Sciences of Ukraine, 58, Sumy 40000 (Ukraine); Sukhodub, L.B. [Institute of Microbiology and Immunology, National Academy of Medical Sciences of Ukraine, 14-Puschinskaya St., Kharkov 61057 (Ukraine); Kuznetsov, V.N.; Illiashenko, V.Yu.; Danilchenko, S.N. [Institute of Applied Physics National Academy of Sciences of Ukraine, 58, Sumy 40000 (Ukraine); Sukhodub, L.F. [Sumy State University, Medical Institute, Ministry of Education and Science of Ukraine, R. Korsakova Str. 2, Sumy 40007 (Ukraine)

    2014-03-01

    Coatings with antibacterial components for medical implants are recommended to reduce the risk of bacterial infections. Therefore hydroxyapatite (HA) coatings with addition of chitosan (CS) and silver (Ag) are proposed in this work in an attempt to resolve this problem. Ti–6Al–4V substrates were modified by a chitosan film to study the influence of surface modification on the formation of the HA–Ag and HA–CS–Ag coatings. Using a thermal substrate method, HA and HA–CS coatings doped with Ag{sup +} were prepared at low substrate temperatures (90 °C). Coated surfaces were examined using X-ray diffraction and scanning electron microscopy. The amount of silver in the deposited coatings was analyzed by atomic absorption spectroscopy. From this study it is concluded that the substrate surface modified by a chitosan film promotes the coating formation and increases the antibacterial activity of produced coatings against a strain of Escherichia coli. The adhesion of E. coli (ATCC 25922) to sheep erythrocytes was decreased by 14% as compared with the reference samples without Ag. It could be explained by the inhibition of bacterial adhesins by Ag{sup +} ions released. The combined action of silver ions and chitosan resulted in a 21% decrease in adhesive index. - Highlights: • Silver doped hydroxyapatite (HA) coatings are deposited by thermal substrate method. • Surface modification of Ti–6Al–4V substrates by chitosan film is proposed. • The influence of surface modification on HA–Ag coating formation is investigated. • Substrates modified by a chitosan film promote the nucleation of the HA coatings. • Antibacterial effect on the E. coli is more expressed for coatings on modified surface.

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

    Directory of Open Access Journals (Sweden)

    D Neut

    2015-01-01

    Full Text Available 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 describe the development pathway, from in vitro investigation of antibiotic release and antibacterial properties of this PLGA-gentamicin-HA-coating in different in vitro models to an evaluation of its efficacy in preventing implant-related infection in rabbits. Bone in-growth in the absence and presence of the coating was investigated in a canine model. The PLGA-gentamicin-HA-coating showed high-burst release, with antibacterial efficacy in agar-assays completely disappearing after 4 days, minimising risk of inducing antibiotic resistance. Gentamicin-sensitive and gentamicin-resistant staphylococci were killed by the antibiotic-loaded coating, in a simulated prosthesis-related interfacial gap. PLGA-gentamicin-HA-coatings prevented growth of bioluminescent staphylococci around a miniature-stem mounted in bacterially contaminated agar, as observed using bio-optical imaging. PLGA-gentamicin-HA-coated pins inserted in bacterially contaminated medullary canals in rabbits caused a statistically significant reduction in infection rates compared to HA-coated pins without gentamicin. Bone ingrowth to PLGA-gentamicin-HA-coated pins, in condylar defects of Beagle dogs was not impaired by the presence of the degradable, gentamicin-loaded coating. In conclusion, the PLGA-gentamicin-HA-coating constitutes an effective strategy for infection prophylaxis in cementless prostheses.

  20. Incorporation of different antibiotics into carbonated hydroxyapatite coatings on titanium implants, release and antibiotic efficacy

    NARCIS (Netherlands)

    Stigter, M.; Bezemer, J.; Groot, de K.; Layrolle, P.

    2004-01-01

    Carbonated hydroxyapatite (CHA) coatings were applied onto titanium implants by using a biomimetic precipitation method. Different antibiotics were incorporated into the CHA coatings and their release and efficacy against bacteria growth were studied in vitro. The following antibiotics were used wit

  1. Biomimetic helical rosette nanotubes and nanocrystalline hydroxyapatite coatings on titanium for improving orthopedic implants

    OpenAIRE

    Webster, Thomas

    2008-01-01

    Lijie Zhang1, Yupeng Chen2, Jose Rodriguez3, Hicham Fenniri3, Thomas J Webster11Division of Engineering, 2Department of Chemistry, Brown University, Providence, RI, USA; 3National Institute for Nanotechnology and Department of Chemistry, University of Alberta, Edmonton, AB, CanadaAbstract: Natural bone consists of hard nanostructured hydroxyapatite (HA) in a nanostructured protein-based soft hydrogel template (ie, mostly collagen). For this reason, nanostructured HA has been an intriguing coa...

  2. 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.

  3. In vitro antibacterial and osteogenic properties of plasma sprayed silver-containing hydroxyapatite coating

    Institute of Scientific and Technical Information of China (English)

    RUAN HongJiang; FAN CunYi; ZHENG XueBin; ZHANG Yan; CHEN YiKai

    2009-01-01

    The objective of the present investigation was to characterize the antibacterial and osteogenic proper-ties of plasma sprayed silver-containing hydroxyapatite (HA/Ag) coating in vitro. HA/Ag coating was deposited via vacuum plasma spraying. The concentration of silver ions released from HA/Ag coating, the efficacy of the HA/Ag coating against bacterial biofilm development, the effect of the HA/Ag coating on early adhesion and ossification of osteoblast cells in vitro was measured. The silver ion concentra-tion released from the HA/Ag coating was between the minimum inhibitory concentration to bacteria and the cytotoxic concentration. Bacterial biofiim inhibition studies indicated an antibacterial activity on the HA/Ag coating surface when compared with hydroxyapatite (HA) coating alone. Moreover, it was demonstrated that osteoblast cell adhesion and mineralization occurred on the HA/Ag coating surface during the testing period. We conclude that the vacuum plasma sprayed HA/Ag coating possesses good antibacterial capability and osteogenic properties in vitro and represents a promising candidate for coating orthopedic implants.

  4. Fabrication of Micro/Nano-textured Titanium Alloy Implant Surface and Its Inlfuence on Hydroxyapatite Coatings

    Institute of Scientific and Technical Information of China (English)

    ZHANG Rui; WAN Yi; AI Xing; MEN Bo; WANG Teng; LIU Zhanqiang; ZHANG Dong

    2016-01-01

    We put forward a protocol combining laser treatment and acid etching to obtain multiscale micro/nano-texture surfaces of titanium alloy implant. Firstly, the operational parameters of the laser were optimized to obtain an optimum current. Secondly, the laser with the optimum operational parameters was used to fabricate micro pits. Thirdly, multiple acid etching was used to clean the clinkers of micro pits and generate submicron and nanoscale structures. Finally, the bioactivity of the samples was measured in a simulated body lfuid. The results showed that the micropits with a diameter of 150 μm and depth of 50 μm were built successfully with the optimized working current of 13 A. In addition, submicron and nanoscale structures, with 0.5-2 μm microgrooves and 10-20 nm nanopits, were superimposed on micro pits surface by multiple acid etching. There was thick and dense HA coating only observed on the multiscale micro/nano-textured surface compared with polished and micro-textured surface. This indicated that the multiscale micro/nano-texture surface showed better ability toward HA formation, which increased the bioactivity of implants.

  5. Biomimetic helical rosette nanotubes and nanocrystalline hydroxyapatite coatings on titanium for improving orthopedic implants.

    Science.gov (United States)

    Zhang, Lijie; Chen, Yupeng; Rodriguez, Jose; Fenniri, Hicham; Webster, Thomas J

    2008-01-01

    Natural bone consists of hard nanostructured hydroxyapatite (HA) in a nanostructured protein-based soft hydrogel template (ie, mostly collagen). For this reason, nanostructured HA has been an intriguing coating material on traditionally used titanium for improving orthopedic applications. In addition, helical rosette nanotubes (HRNs), newly developed materials which form through the self-assembly process of DNA base pair building blocks in body solutions, are soft nanotubes with a helical architecture that mimics natural collagen. Thus, the objective of this in vitro study was for the first time to combine the promising attributes of HRNs and nanocrystalline HA on titanium and assess osteoblast (bone-forming cell) functions. Different sizes of nanocrystalline HA were synthesized in this study through a wet chemical precipitation process following either hydrothermal treatment or sintering. Transmission electron microscopy images showed that HRNs aligned with nanocrystalline HA, which indicates a high affinity between both components. Some of the nanocrystalline HA formed dense coatings with HRNs on titanium. More importantly, results demonstrated enhanced osteoblast adhesion on the HRN/nanocrystalline HA-coated titanium compared with conventional uncoated titanium. Among all the HRN/nanocrystalline HA coatings tested, osteoblast adhesion was the greatest when HA nanometer particle size was the smallest. In this manner, this study demonstrated for the first time that biomimetic HRN/nanocrystalline HA coatings on titanium were cytocompatible for osteoblasts and, thus, should be further studied for improving orthopedic implants.

  6. Tissue response to the components of a hydroxyapatite-coated composite femoral implant.

    Science.gov (United States)

    Hacking, S A; Pauyo, T; Lim, L; Legoux, J G; Bureau, M N

    2010-09-01

    Bone loss around femoral implants used for THA is a persistent clinical concern. It may be caused by stress shielding, generally attributed to a mismatch in stiffness between the implants and host bone. In this regard, a fatigue resistant, carbon fiber (CF) composite femoral implant with bone-matching stiffness has been developed. This study evaluated the tissue response to the three material components of this implant in normal and textured (blasted with 24 grit alumina) surfaces: the hydroxyapatite (HA) coating, the CF composite and the intermediate crystalline HA particulate composite layer to bond to the HA coating (blended). Sprague-Dawley rats underwent bilateral femoral implantation each receiving two rod-like implants. Bone apposition to the HA (37%) and textured Ti (41%) implants was not significantly different. Bone apposition to the untextured CF (14%) and blended (19%) implants and polished Ti (8%) implants was significantly lower. Bone apposition to the textured CF (9%) and blended (11%) implants was lower (but not statistically from the as received or untextured counterparts). Nearly all sections from femurs containing CF implants presented CF debris. There was no evidence of localized bone loss or any strong immune response associated with any of the implant materials. All materials were well tolerated with minimal inflammation despite the presence of particulate debris. The high degree of bone apposition to the HA-coated composite implants and the lack of short-term inflammation and adverse tissue response to the three material implant component support continued evaluation of this composite technology for use in THA.

  7. Characterization of the chemically deposited hydroxyapatite coating on a titanium substrate.

    Science.gov (United States)

    Zavgorodniy, Alexander V; Borrero-López, Oscar; Hoffman, Mark; Legeros, Racquel Z; Rohanizadeh, Ramin

    2011-01-01

    Bioactive hydroxyapatite (HA) coating on titanium (Ti) implant can be used as a drug delivery device. A controlled release of drug around the implant requires the incorporation of drug into the coating material during the coating process. HA coating was prepared using a two-step procedure in conditions suitable for simultaneous incorporation of the protein-based drug into the coating material. Monetite coating was deposited on Ti substrate in acidic condition followed by the transformation of the monetite coating to HA. X-ray diffraction (XRD) confirmed the formation of the monetite phase at the first step of the coating preparation, which was transformed into HA at the second step. Fourier transform infrared spectroscopy demonstrated typical bands of a crystallized carbonated HA with A- and B-type substitution, which was confirmed by the XRD refinement of the structural parameters. Scanning electron microscope was used to observe the morphology of monetite and HA coatings. Adhesion of the coatings was measured using a scratch tester. The critical shearing stress was found to be 84.20 ± 1.27 MPa for the monetite coating, and 44.40 ± 2.39 MPa for the HA coating.

  8. Effect of Viscosities on the Surface Morphology and Crystallographic Properties of Hydroxyapatite Coated Titanium Dioxide Nanotubes.

    Science.gov (United States)

    Kang, Kyungho; Lim, Hyunpil; Yun, Kwi-Dug; Park, Sangwon; Jeong, Cheolwoong; Lee, Kwangmin

    2015-07-01

    Hydroxyapatite (HA) coating on biomaterials is crucial for bone growth. TiO2 naotubes having a larger specific area can also improve an osseointegration. In this study, anodized TiO2 nanotubes were coated with HA using sol-gel method with different viscosities of solution. Morphological characterization and crystal structures of the coated specimens were measured via field emission scanning electron microscope, transmission electron microscope, X-ray diffractometer, and fourier transforrm infrared spectroscopy. Nanosized hydroxyapatite particles were observed with sol viscosities at 1.95 cP and 0.94 cP inside the TiO2 nanotubes. When coated with the lower viscosity of solution, the TiO2 nanotubes were clearly observed. The crystallinity of HA increased as the temperature of heat treatment increased. The HA phase on the specimen was identified by PO4(3-) and OH-ion peaks in FT-IR spectra.

  9. Hydroxyapatite coatings on nanotubular titanium dioxide thin films prepared by radio frequency magnetron sputtering.

    Science.gov (United States)

    Shin, Jinho; Lee, Kwangmin; Koh, Jeongtae; Son, Hyeju; Kim, Hyunseung; Lim, Hyun-Pil; Yun, Kwidug; Oh, Gyejeong; Lee, Seokwoo; Oh, Heekyun; Lee, Kyungku; Hwang, Gabwoon; Park, Sang-Won

    2013-08-01

    In this study, hydroxyapatite (HA) was coated on anodized titanium (Ti) surfaces through radio frequency magnetron sputtering in order to improve biological response of the titanium surface. All the samples were blasted with resorbable blasting media (RBM). RBM-blasted Ti surface, anodized Ti surface, as-sputtered HA coating on the anodized Ti surface, and heat-treated HA coating on the anodized Ti surface were prepared. The samples were characterized using scanning electron microscopy and X-ray photoemission spectroscopy, and biologic responses were evaluated. The top of the TiO2 nanotubes was not closed by HA particles when the coating time is less than 15 minutes. It was demonstrated that the heat-treated HA was well-crystallized and this enhanced the cell attachment of the anodized Ti surface.

  10. Preparation and characterization of lanthanum-incorporated hydroxyapatite coatings on titanium substrates

    NARCIS (Netherlands)

    Lou, W.; Dong, Y.; Zhang, H.; Jin, Y.; Hu, X.; Ma, J.; Liu, J.; Wu, G.

    2015-01-01

    Titanium (Ti) has been widely used in clinical applications for its excellent biocompatibility and mechanical properties. However, the bioinertness of the surface of Ti has motivated researchers to improve the physicochemical and biological properties of the implants through various surface modifica

  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. 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.

  13. 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.

  14. [Sol-gel preparation of ultrathin nano-hydroxyapatite coating and its characterization].

    Science.gov (United States)

    Yang, Jianhua; Guo, Linghong; Li, Hui

    2006-10-01

    Present study used dip-coating techniques to fabricate ultrathin nano-HA coating on titanium in organic sol-gel of Ca (NO3)2. 4H2O and PO(CH3)3 and inorganic sol-gel of Ca (NO3)2. 4H2O and (NH4)2HPO4. Scanning electron microscope (SEM) and grazing-incidence X-ray diffraction (XRD) were used to observe the morphology and distribution of crystallite size (D) and lattice strain (epsilon) of ultrathin nano-HA coating. After heated at 400 degrees C, the apatite structure of coatings on titanium began to appear. At heating temperature of 400 degrees C-600 degrees C, the effect of heating temperature on D and epsilon of both coatings was obvious. Precursor types significantly affected the particle diameters of nano-HA coatings, which were 25-40 nm for organic sol-gel and about 100 nm for inorganic sol. The thickness of ultrathin nano-HA coatings was 2.5 microm for organic sol-gel and 5 microm for inorganic sol and morphology of interfaces between coating and titanium was intact and homogenous.

  15. 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

  16. Behavior of Plasma-Sprayed Hydroxyapatite Coatings onto Carbon/carbon Composites in Simulated Body Fluid

    Science.gov (United States)

    Sui, Jin-Ling; Bo, Wu; Hai, Zhou; Cao, Ning; Li, Mu-Sen

    Two types of hydroxyapatite (HA) coatings onto carbon/carbon composite (C/C composites) substrates, deposited by plasma spraying technique, were immersed in a simulated body fluid (SBF) in order to determine their behavior in conditions similar to the human blood plasma. Calcium ion concentration, pH value, microstructure, and phase compositions were analyzed. Results demonstrated that both the crystal Ca-P phases or the amorphous HA do dissolve slightly, and the dissolution of CaO phases in SBF was evident after 1 day of soaking. The calcium-ion concentration was decreased and the pH value of SBF was increased with the increasing of the immersing time. The precipitation was mainly composed of HA, which was verified by X-ray diffraction (XRD) and electron-probe microanalyzer.

  17. 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.

  18. 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.

  19. 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.

  20. Controlling the electrodeposition, morphology and structure of hydroxyapatite coating on 316L stainless steel.

    Science.gov (United States)

    Thanh, Dinh Thi Mai; Nam, Pham Thi; Phuong, Nguyen Thu; Que, Le Xuan; Anh, Nguyen Van; Hoang, Thai; Lam, Tran Dai

    2013-05-01

    Hydroxyapatite (HAp) coatings were prepared on 316L stainless steel (316LSS) substrates by electrochemical deposition in the solutions containing Ca(NO3)2·4H2O and NH4H2PO4 at different electrolyte concentrations. Along with the effect of precursor concentration, the influence of temperature and H2O2 content on the morphology, structure and composition of the coating was thoroughly discussed with the help of X-ray diffraction (XRD), Scanning electron microscopy (SEM), Fourier transform infrared (FTIR) spectra. The in vitro tests in simulated body fluids (SBF) were carried out and then the morphological and structural changes were estimated by SEM and electrochemical techniques (open circuit potential, polarization curves, Nyquist and Bode spectra measurements). Being simple and cost-effective, this method is advantageous for producing HAp implant materials with good properties/characteristics, aiming towards in vivo biomedical applications.

  1. Material fundamentals and clinical performance of plasma-sprayed hydroxyapatite coatings: a review.

    Science.gov (United States)

    Sun, L; Berndt, C C; Gross, K A; Kucuk, A

    2001-01-01

    The clinical use of plasma-sprayed hydroxyapatite (HA) coatings on metal implants has aroused as many controversies as interests over the last decade. Although faster and stronger fixation and more bone growth have been revealed, the performance of HA-coated implants has been doubted. This article will initially address the fundamentals of the material selection, design, and processing of the HA coating and show how the coating microstructure and properties can be a good predictor of the expected behavior in the body. Further discussion will clarify the major concerns with the clinical use of HA coatings and introduce a comprehensive review concerning the outcomes experienced with respect to clinical practice over the past 5 years. A reflection on the results indicates that HA coatings can promote earlier and stronger fixation but exhibit a durability that can be related to the coating quality. Specific relationships between coating quality and clinical performance are being established as characterization methods disclose more information about the coating.

  2. 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.

  3. Reinforced Pulsed Laser-Deposited Hydroxyapatite Coating on 316 Stainless Steel

    Science.gov (United States)

    Bajpai, Shubhra; Gupta, Ankur; Pradhan, Siddhartha Kumar; Mandal, Tapendu; Balani, Kantesh

    2014-10-01

    Hydroxyapatite (HA) is a widely used bioceramic known for its chemical similarity with that of bone and teeth (Ca/P ratio of 1.67). But, owing to its extreme brittleness, α-Al2O3 is reinforced with HA and processed as a coating via pulsed laser deposition (PLD). Reinforcement of α-Al2O3 (50 wt.%) in HA via PLD on 316L steel substrate has shown modulus increase by 4% and hardness increase by 78%, and an improved adhesion strength of 14.2 N (improvement by 118%). Micro-scratching has shown an increase in the coefficient-of-friction from 0.05 (pure HA) to 0.17 (with 50 wt.% Al2O3) with enhancement in the crack propagation resistance (CPR) up to 4.5 times. Strong adherence of PLD HA-Al2O3 coatings (~4.5 times than that of HA coating) is attributed to efficient release of stored tensile strain energy (~17 × 10-3 J/m2) in HA-Al2O3 composites, making it a potential damage-tolerant bone-replacement surface coating.

  4. 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.

  5. 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.

  6. Preparation and biological evaluation of hydroxyapatite-coated nickel-free high-nitrogen stainless steel

    Directory of Open Access Journals (Sweden)

    Makoto Sasaki, Motoki Inoue, Yasuyuki Katada, Yuuki Nishida, Akiyoshi Taniguchi, Sachiko Hiromoto and Tetsushi Taguchi

    2012-01-01

    Full Text Available Calcium phosphate was formed on nickel-free high-nitrogen stainless steel (HNS by chemical solution deposition. The calcium phosphate deposition was enhanced by glutamic acid covalently immobilized on the surface of HNS with trisuccinimidyl citrate as a linker. X-ray diffraction patterns and Fourier transform infrared spectra showed that the material deposited on glutamic acid-immobilized HNS within 24 h was low-crystallinity calcium-deficient carbonate-containing hydroxyapatite (HAp. The biological activity of the resulting HAp-coated HNS was investigated by using a human osteoblast-like MG-63 cell culture. The HAp-coated HNS stimulated the alkaline-phosphate activity of the MG-63 culture after 7 days. Therefore, HAp-coated HNS is suitable for orthopedic devices and soft tissue adhesion materials.

  7. Solvent-free formation of hydroxyapatite coated biodegradable particles via nanoparticle-stabilized emulsion route

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Masahiro, E-mail: okada-m@cc.osaka-dent.ac.jp [Department of Biomaterials, Osaka Dental University, 8-1 Kuzuha-Hanazono, Hirakata, Osaka 573-1121 (Japan); Fujii, Syuji, E-mail: s.fujii@chem.oit.ac.jp [Department of Applied Chemistry, Osaka Institute of Technology 5-16-1 Ohmiya, Asahi, Osaka 535-8585 (Japan); Nishimura, Taiki; Nakamura, Yoshinobu [Department of Applied Chemistry, Osaka Institute of Technology 5-16-1 Ohmiya, Asahi, Osaka 535-8585 (Japan); Takeda, Shoji [Department of Biomaterials, Osaka Dental University, 8-1 Kuzuha-Hanazono, Hirakata, Osaka 573-1121 (Japan); Furuzono, Tsutomu [Department of Biomedical Engineering, School of Biology-Oriented Science and Technology, Kinki University, 930 Nishi-Mitani, Kinokawa, Wakayama 649-6493 (Japan)

    2012-12-01

    Highlights: Black-Right-Pointing-Pointer Hydroxyapatite (HAp) nanoparticles stabilized polymer melt-in-water emulsions without any molecular surfactants. Black-Right-Pointing-Pointer Interaction between polymer and HAp played a crucial role. Black-Right-Pointing-Pointer HAp-coated polymer particles were obtained from the emulsions without any organic solvents. - Abstract: Hydroxyapatite (HAp) nanoparticle-coated biodegradable polymer particles were fabricated from a nanoparticle-stabilized emulsion in the absence of any molecular surfactants or organic solvents. First, a polymer melt-in-water emulsion was prepared by mixing a water phase containing nanosized HAp particles as a particulate emulsifier and an oil phase consisting of poly({epsilon}-caprolactone) (PCL) or poly(L-lactide-co-{epsilon}-caprolactone) (P(LLA-CL)) above its melting point. It was clarified that the interaction between ester/carboxyl groups of the polymers and the HAp nanoparticles at the polymer-water interface played a crucial role to prepare the nanoparticle-stabilized emulsion. The HAp nanoparticle-coated biodegradable polymer particle (a polymer solid-in-water emulsion) was fabricated by cooling the emulsion. The particle morphology and particle size were evaluated using scanning electron microscope.

  8. Magnetic hydroxyapatite coatings as a new tool in medicine: A scanning probe investigation.

    Science.gov (United States)

    Gambardella, A; Bianchi, M; Kaciulis, S; Mezzi, A; Brucale, M; Cavallini, M; Herrmannsdoerfer, T; Chanda, G; Uhlarz, M; Cellini, A; Pedna, M F; Sambri, V; Marcacci, M; Russo, A

    2016-05-01

    Hydroxyapatite films enriched with magnetite have been fabricated via a Pulsed Plasma Deposition (PPD) system with the final aim of representing a new platform able to disincentivate bacterial adhesion and biofilm formation. The chemical composition and magnetic properties of films were respectively examined by X-ray photoelectron spectroscopy (XPS) and Superconducting Quantum Interference Device (SQUID) measurements. The morphology and conductive properties of the magnetic films were investigated via a combination of scanning probe technologies including atomic force microscopy (AFM), electrostatic force microscopy (EFM), and scanning tunneling microscopy (STM). Interestingly, the range of adopted techniques allowed determining the preservation of the chemical composition and magnetic properties of the deposition target material while STM analysis provided new insights on the presence of surface inhomogeneities, revealing the presence of magnetite-rich islands over length scales compatible with the applications. Finally, preliminary results of bacterial adhesion tests, indicated a higher ability of magnetic hydroxyapatite films to reduce Escherichia coli adhesion at 4h from seeding compared to control hydroxyapatite films.

  9. 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.

  10. 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.

  11. Biomimetic helical rosette nanotubes and nanocrystalline hydroxyapatite coatings on titanium for improving orthopedic implants

    Directory of Open Access Journals (Sweden)

    Lijie Zhang

    2008-10-01

    Full Text Available Lijie Zhang1, Yupeng Chen2, Jose Rodriguez3, Hicham Fenniri3, Thomas J Webster11Division of Engineering, 2Department of Chemistry, Brown University, Providence, RI, USA; 3National Institute for Nanotechnology and Department of Chemistry, University of Alberta, Edmonton, AB, CanadaAbstract: Natural bone consists of hard nanostructured hydroxyapatite (HA in a nanostructured protein-based soft hydrogel template (ie, mostly collagen. For this reason, nanostructured HA has been an intriguing coating material on traditionally used titanium for improving orthopedic applications. In addition, helical rosette nanotubes (HRNs, newly developed materials which form through the self-assembly process of DNA base pair building blocks in body solutions, are soft nanotubes with a helical architecture that mimics natural collagen. Thus, the objective of this in vitro study was for the first time to combine the promising attributes of HRNs and nanocrystalline HA on titanium and assess osteoblast (bone-forming cell functions. Different sizes of nanocrystalline HA were synthesized in this study through a wet chemical precipitation process following either hydrothermal treatment or sintering. Transmission electron microscopy images showed that HRNs aligned with nanocrystalline HA, which indicates a high affinity between both components. Some of the nanocrystalline HA formed dense coatings with HRNs on titanium. More importantly, results demonstrated enhanced osteoblast adhesion on the HRN/nanocrystalline HA-coated titanium compared with conventional uncoated titanium. Among all the HRN/nanocrystalline HA coatings tested, osteoblast adhesion was the greatest when HA nanometer particle size was the smallest. In this manner, this study demonstrated for the first time that biomimetic HRN/nanocrystalline HA coatings on titanium were cytocompatible for osteoblasts and, thus, should be further studied for improving orthopedic implants.Keywords: helical rosette nanotubes, nanocrystalline hydroxyapatite, biomimetic, titanium, osteoblast, self assembled

  12. [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.

  13. 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...... combined with a Markov Random Field regularisation method. Conceptually, the method maintains an implicit ideal description of the sought surface. This implicit surface is iteratively updated by realigning the input point sets and Markov Random Field regularisation. The regularisation is based on a prior...... energy that has earlier proved to be particularly well suited for human surface scans. The method has been tested on full cranial scans of ten test subjects and on several scans of the outer human ear....

  14. 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

  15. Anatomic brain asymmetry in vervet monkeys.

    Science.gov (United States)

    Fears, Scott C; Scheibel, Kevin; Abaryan, Zvart; Lee, Chris; Service, Susan K; Jorgensen, Matthew J; Fairbanks, Lynn A; Cantor, Rita M; Freimer, Nelson B; Woods, Roger P

    2011-01-01

    Asymmetry is a prominent feature of human brains with important functional consequences. Many asymmetric traits show population bias, but little is known about the genetic and environmental sources contributing to inter-individual variance. Anatomic asymmetry has been observed in Old World monkeys, but the evidence for the direction and extent of asymmetry is equivocal and only one study has estimated the genetic contributions to inter-individual variance. In this study we characterize a range of qualitative and quantitative asymmetry measures in structural brain MRIs acquired from an extended pedigree of Old World vervet monkeys (n = 357), and implement variance component methods to estimate the proportion of trait variance attributable to genetic and environmental sources. Four of six asymmetry measures show pedigree-level bias and one of the traits has a significant heritability estimate of about 30%. We also found that environmental variables more significantly influence the width of the right compared to the left prefrontal lobe.

  16. 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

  17. Identification of parathyroid glands: anatomical study and surgical implications.

    Science.gov (United States)

    Melo, Catarina; Pinheiro, Susana; Carvalho, Lina; Bernardes, António

    2015-03-01

    While performing thyroid surgery, the unintentional lesion of parathyroid glands and laryngeal nerves results in a profound alteration in patient's quality of life. To minimize thyroid surgery morbidity, the surgeon must have an in-depth knowledge of the thyroid gland morphology and its anatomical relations in the anterior compartment of the neck. This work intended to simulate total thyroidectomies using cadaver parts and isolate fragments that may correspond to parathyroid glands. The thyroid glands and "eventual" parathyroid glands were then submitted to histological study. Ninety-two cadaver parts were used for macroscopic dissection. A total of 242 fragments were isolated, 154 of which were confirmed through histological study to be parathyroid glands. In 36 cases, all "eventual" parathyroid glands isolated during dissection were confirmed through histological verification. In 40 cases, some glands were confirmed. In 16 cases, none of the "eventual" parathyroid glands was confirmed. The 92 thyroid glands isolated during dissection were also submitted to histological study. In 21 thyroid glands, 16 parathyroid glands were identified in the histological cuts: 8 sub-capsular, 8 extra-capsular, 6 intra-thyroidal. There was no statistical difference between the dimensions of the parathyroid glands. Parathyroid gland identification and preservation are sometimes a challenge during thyroid surgery, difficulty that has been demonstrated during dissection of cadaver parts.

  18. 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 .

  19. 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.

  20. A Hybrid Method for Automatic Anatomical Variant Detection and Segmentation

    NARCIS (Netherlands)

    Lorenz, C.; Hanna, R.; Barschdorf, H.; Klinder, T.; Weber, IF.; Krueger, M.; Doessel, O.

    2012-01-01

    The delineation of anatomical structures in medical images can be achieved in an efficient and robust manner using statistical anatomical organ models, which has been demonstrated for an already considerable set of organs, including the heart. While it is possible to provide models with sufficient s

  1. 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...

  2. 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…

  3. 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.

  4. 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°.

  5. [The meninges, an anatomical point of view].

    Science.gov (United States)

    Sakka, L; Chazal, J

    2005-03-01

    The meninges correspond to an anatomical concept. For the morphologist, the microscopic organization, the hypothetical presence of a subdural space, the nature of the interface between the deep meningeal layer and the nervous parenchyma in the perivascular spaces are the central issues. For the clinician, dynamic aspects of cerebrospinal fluid flow, secretion, and resorption are essential factors with practical consequences in terms of disease and patient management. Comparative anatomy, embryology, and organogenesis provide an interesting perspective for the descriptive and functional anatomy of the meninges. Usually considered as protective membranes, the meninges play a prominent role in the development and maintenance of the central nervous system. The meninges are in constant evolution, from their formation to senescence. The meninges present three layers in children and adults: the dura mater, the arachnoid and the pia mater. The cerebrospinal fluid is secreted by the choroid plexuses, flows through the ventricles and the subarachnoid space, and is absorbed by arachnoid granulations. Other sites of secretion and resorption are suggested by comparative anatomy and human embryology and organogenesis.

  6. 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.

  7. 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.

  8. Classifying anatomical subtypes of subjective memory impairment.

    Science.gov (United States)

    Jung, Na-Yeon; Seo, Sang Won; Yoo, Heejin; Yang, Jin-Ju; Park, Seongbeom; Kim, Yeo Jin; Lee, Juyoun; Lee, Jin San; Jang, Young Kyoung; Lee, Jong Min; Kim, Sung Tae; Kim, Seonwoo; Kim, Eun-Joo; Na, Duk L; Kim, Hee Jin

    2016-12-01

    We aimed to categorize subjective memory impairment (SMI) individuals based on their patterns of cortical thickness and to propose simple models that can classify each subtype. We recruited 613 SMI individuals and 613 age- and gender-matched normal controls. Using hierarchical agglomerative cluster analysis, SMI individuals were divided into 3 subtypes: temporal atrophy (12.9%), minimal atrophy (52.4%), and diffuse atrophy (34.6%). Individuals in the temporal atrophy (Alzheimer's disease-like atrophy) subtype were older, had more vascular risk factors, and scored the lowest on neuropsychological tests. Combination of these factors classified the temporal atrophy subtype with 73.2% accuracy. On the other hand, individuals with the minimal atrophy (non-neurodegenerative) subtype were younger, were more likely to be female, and had depression. Combination of these factors discriminated the minimal atrophy subtype with 76.0% accuracy. We suggest that SMI can be largely categorized into 3 anatomical subtypes that have distinct clinical features. Our models may help physicians decide next steps when encountering SMI patients and may also be used in clinical trials.

  9. Bloqueio "3 em 1" por via anterior: bloqueio parcial, completo ou superdimensionado? Correlação entre anatomia, clínica e radio imagens Bloqueo "3 en 1" por vía anterior: bloqueo parcial, completo o superdimensionado? Correlación entre anatomía, clínica y radio imágenes Anterior "3-in-1" blockade: partial, total or overdimensioned block? Correlation between anatomy, clinic and radio images

    Directory of Open Access Journals (Sweden)

    Karl Otto Geier

    2004-08-01

    em 1" ou "2,5 em 1", sem a participação do nervo obturador. Com cateter curto (G2, o bloqueio "3 em 1" foi classificado como completo em 6,6% dos casos (um paciente. Porém, com cateter longo (G3, o resultado tende a ser mais previsível em relação aos outros grupos, especialmente quando o cateter alcança o espaço paravertebral lombossacral, resultando num bloqueio "3 em 1" completo em 20% dos casos (três pacientes ou, raramente, num bloqueio "3 em 1" superdimensionado em 13,2% dos casos (dois pacientes.JUSTIFICATIVA Y OBJETIVOS: El clásico bloqueo "3 en 1" por vía anterior ha suscitado divergencias cuanto al envolvimiento anestésico de sus tres participantes, el nervio femoral, el nervio cutáneo lateral del muslo y el nervio obturador. El objetivo de este estudio es verificar el resultado del bloqueo "3 en 1" por vía anterior, a través de las técnicas: inyección única (G1, catéteres cortos (G2 y catéteres largos (G3. Los bloqueos "3 en 1", clínicamente identificados como completos o superdimensionados fueron, adicionalmente, investigados por medio de radio imagen. MÉTODO: La identificación del espacio subfascial ilíaco en los bloqueos "3 en 1" con inyección única o con catéteres fue hecha por la pérdida de resistencia al aire. En varios eventos dolorosos, el volumen anestésico administrado varió entre 30 y 40 ml y la introducción cranial de los catéteres fue hasta 18 cm en el espacio subfascial ilíaco. Cuando la pesquisa clínica apuntaba envolvimiento del nervio obturador o de otro nervio adicional al bloqueo "3 en 1", se complementava la investigación con estudio radiográfico y tomodensiométrico con el propósito de establecer correspondencia con la anatomía pélvica. RESULTADOS: El envolvimiento de los nervios femoro cutáneo lateral y obturador no fueron constantes, al contrario del nervio femoral. En el estudio, ningún bloqueo "3 en 1" completo con inyección única (G1 se manifestó, y si un bloqueo "2 en 1", con la

  10. [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.

  11. Rectal and colon cancer: Not just a different anatomic site.

    Science.gov (United States)

    Tamas, K; Walenkamp, A M E; de Vries, E G E; van Vugt, M A T M; Beets-Tan, R G; van Etten, B; de Groot, D J A; Hospers, G A P

    2015-09-01

    Due to differences in anatomy, primary rectal and colon cancer require different staging procedures, different neo-adjuvant treatment and different surgical approaches. For example, neoadjuvant radiotherapy or chemoradiotherapy is administered solely for rectal cancer. Neoadjuvant therapy and total mesorectal excision for rectal cancer might be responsible in part for the differing effect of adjuvant systemic treatment on overall survival, which is more evident in colon cancer than in rectal cancer. Apart from anatomic divergences, rectal and colon cancer also differ in their embryological origin and metastatic patterns. Moreover, they harbor a different composition of drug targets, such as v-raf murine sarcoma viral oncogene homolog B (BRAF), which is preferentially mutated in proximal colon cancers, and the epidermal growth factor receptor (EGFR), which is prevalently amplified or overexpressed in distal colorectal cancers. Despite their differences in metastatic pattern, composition of drug targets and earlier local treatment, metastatic rectal and colon cancer are, however, commonly regarded as one entity and are treated alike. In this review, we focused on rectal cancer and its biological and clinical differences and similarities relative to colon cancer. These aspects are crucial because they influence the current staging and treatment of these cancers, and might influence the design of future trials with targeted drugs.

  12. [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

  13. 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.

  14. Laparoscopic Cryoablation Of Small Renal Tumors – Does Anatomical Tumor Complexity Affect Treatment Outcome?

    DEFF Research Database (Denmark)

    Nielsen, Tommy Kjærgaard; Østraat, Øyvind; Andersen, Gratien;

    status: 1.2 (95%CI 1.0;1.3). Mean tumor size: 27 mm (95%CI 26;29). Mean follow-up time: 24 months (95%CI 20;27). A total of 16 patients (13%) were previously diagnosed with renal cancer and the majority of these patients had previously undergone nephrectomy. PADUA-score was found to be low or moderate......Background: Renal cryoablation is a valid treatment option for localized pT1a renal tumors and has been the modality of choice at Aarhus University Hospital since 2005. Anatomical tumor classification systems such as PADUA and RENAL scores were initially introduced as tools to evaluate complication...... compared to patients with a less anatomical complex tumor when treated with laparoscopic cryoablation. Material and methods: A retrospective review of Aarhus Cryoablation Register identified 120 patients with a single biopsy-verified pT1a renal tumor, treated with primary laparoscopic cryoablation between...

  15. Laparoscopic Cryoablation Of Small Renal Tumors – Does Anatomical Tumor Complexity Effect Treatment Outcome?

    DEFF Research Database (Denmark)

    Nielsen, Tommy Kjærgaard; Østraat, Øyvind; Andersen, Gratien;

    status: 1.2 (95%CI 1.0;1.3). Mean tumor size: 27 mm (95%CI 26;29). Mean follow-up time: 24 months (95%CI 20;27). A total of 16 patients (13%) were previously diagnosed with renal cancer and the majority of these patients had previously undergone nephrectomy. PADUA-score was found to be low or moderate......Background: Renal cryoablation is a valid treatment option for localized pT1a renal tumors and has been the modality of choice at Aarhus University Hospital since 2005. Anatomical tumor classification systems such as PADUA and RENAL scores were initially introduced as tools to evaluate complication...... compared to patients with a less anatomical complex tumor when treated with laparoscopic cryoablation. Material and methods: A retrospective review of Aarhus Cryoablation Register identified 120 patients with a single biopsy-verified pT1a renal tumor, treated with primary laparoscopic cryoablation between...

  16. The peroneocuboid joint: morphogenesis and anatomical study.

    Science.gov (United States)

    Guimerá, V; Lafuente, A; Zambrana, L; Rodriguez-Niedenführ, M; Sañudo, J R; Vazquez, T

    2015-01-01

    The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56-57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8-9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. Functional and anatomical properties of human visual cortical fields.

    Science.gov (United States)

    Zhang, Shouyu; Cate, Anthony D; Herron, Timothy J; Kang, Xiaojian; Yund, E William; Bao, Shanglian; Woods, David L

    2015-04-01

    Human visual cortical fields (VCFs) vary in size and anatomical location across individual subjects. Here, we used functional magnetic resonance imaging (fMRI) with retinotopic stimulation to identify VCFs on the cortical surface. We found that aligning and averaging VCF activations across the two hemispheres provided clear delineation of multiple retinotopic fields in visual cortex. The results show that VCFs have consistent locations and extents in different subjects that provide stable and accurate landmarks for functional and anatomical mapping. Interhemispheric comparisons revealed minor differences in polar angle and eccentricity tuning in comparable VCFs in the left and right hemisphere, and somewhat greater intersubject variability in the right than left hemisphere. We then used the functional boundaries to characterize the anatomical properties of VCFs, including fractional anisotropy (FA), magnetization transfer ratio (MTR) and the ratio of T1W and T2W images and found significant anatomical differences between VCFs and between hemispheres.

  3. Anatomical terminology and nomenclature: past, present and highlights.

    Science.gov (United States)

    Kachlik, David; Baca, Vaclav; Bozdechova, Ivana; Cech, Pavel; Musil, Vladimir

    2008-08-01

    The anatomical terminology is a base for medical communication. It is elaborated into a nomenclature in Latin. Its history goes back to 1895, when the first Latin anatomical nomenclature was published as Basiliensia Nomina Anatomica. It was followed by seven revisions (Jenaiensia Nomina Anatomica 1935, Parisiensia Nomina Anatomica 1955, Nomina Anatomica 2nd to 6th edition 1960-1989). The last revision, Terminologia Anatomica, (TA) created by the Federative Committee on Anatomical Terminology and approved by the International Federation of Associations of Anatomists, was published in 1998. Apart from the official Latin anatomical terminology, it includes a list of recommended English equivalents. In this article, major changes and pitfalls of the nomenclature are discussed, as well as the clinical anatomy terms. The last revision (TA) is highly recommended to the attention of not only teachers, students and researchers, but also to clinicians, doctors, translators, editors and publishers to be followed in their activities.

  4. Anatomical Consideration in Catheter Ablation of Idiopathic Ventricular Arrhythmias.

    Science.gov (United States)

    Yamada, Takumi; Kay, G Neal

    2016-01-01

    Idiopathic ventricular arrhythmias (VAs) are ventricular tachycardias (VTs) or premature ventricular contractions (PVCs) with a mechanism that is not related to myocardial scar. The sites of successful catheter ablation of idiopathic VA origins have been progressively elucidated and include both the endocardium and, less commonly, the epicardium. Idiopathic VAs usually originate from specific anatomical structures such as the ventricular outflow tracts, aortic root, atrioventricular (AV) annuli, papillary muscles, Purkinje network and so on, and exhibit characteristic electrocardiograms based on their anatomical background. Catheter ablation of idiopathic VAs is usually safe and highly successful, but can sometimes be challenging because of the anatomical obstacles such as the coronary arteries, epicardial fat pads, intramural and epicardial origins, AV conduction system and so on. Therefore, understanding the relevant anatomy is important to achieve a safe and successful catheter ablation of idiopathic VAs. This review describes the anatomical consideration in the catheter ablation of idiopathic VAs.

  5. Etiologic analysis of 100 anatomically failed dacryocystorhinostomies

    Directory of Open Access Journals (Sweden)

    Dave TV

    2016-07-01

    Full Text Available Tarjani Vivek Dave, Faraz Ali Mohammed, Mohammad Javed Ali, Milind N Naik The Institute of Dacryology, L V Prasad Eye Institute, Hyderabad, India Background: The aim of this study was to assess the etiological factors contributing to the failure of a dacryocystorhinostomy (DCR. Patients and methods: Retrospective review was performed in 100 consecutive patients who were diagnosed with anatomically failed DCR at presentation to a tertiary care hospital over a 5-year period from 2010 to 2015. Patient records were reviewed for demographic data, type of past surgery, preoperative endoscopic findings, previous use of adjuvants such as intubation and mitomycin C, and intraoperative notes during the re-revision. The potential etiological factors for failure were noted. Results: Of the 100 patients with failed DCRs, the primary surgery was an external DCR in 73 and endoscopic DCR in 27 patients. Six patients in each group had multiple revisions. The mean ages at presentation in the external and endoscopic groups were 39.41 years and 37.19 years, respectively. All patients presented with epiphora. The most common causes of failure were inadequate osteotomy (69.8% in the external group and 85.1% in the endoscopic group, P=0.19 followed by inadequate or inappropriate sac marsupialization (60.2% in the external group and 77.7% in the endoscopic group, P=0.16 and cicatricial closure of the ostium (50.6% in the external group and 55.5% in the endoscopic group, P=0.83. The least common causes such as ostium granulomas and paradoxical middle turbinate (1.37%, n=1 were noted in the external group only. Conclusion: Inadequate osteotomy, incomplete sac marsupialization, and cicatricial closure of the ostium were the most common causes of failure and did not significantly differ in the external and endoscopic groups. Meticulous evaluation to identify causative factors for failure and addressing them are crucial for subsequent successful outcomes. Keywords: failed

  6. 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.

  7. Anatomical and functional segments of the deltoid muscle.

    Science.gov (United States)

    Sakoma, Yoshimasa; Sano, Hirotaka; Shinozaki, Nobuhisa; Itoigawa, Yoshiaki; Yamamoto, Nobuyuki; Ozaki, Toshifumi; Itoi, Eiji

    2011-02-01

    Previous studies showed that the insertion of the intramuscular tendons of the deltoid muscle formed three discrete lines. The purpose of the present study was to establish a new dividing method of the deltoid muscle into various anatomical segments based on the distribution of the intramuscular tendons with their insertions (anatomical study). We further hoped to clarify the relationship between the anatomical segments and their activity pattern assessed by positron emission tomography with [¹⁸F]-2-fluoro-deoxyglucose (FDG-PET; PET study). Sixty cadaveric shoulders were investigated in the anatomical study. Three tendinous insertions of the deltoid muscle to the humerus were identified. Then, the intramuscular tendons were traced from their humeral insertions to the proximal muscular origins. The extent of each anatomical segment of the muscle including its origin and insertion was determined through careful dissection. Six healthy volunteers were examined using FDG-PET for the PET study. PET images were obtained after exercise of elevation in the scapular plane. On the PET images, margins of each anatomical segment of the deltoid muscle were determined using magnetic resonance images. Then, the standardized uptake value in each segment was calculated to quantify its activity. The anatomical study demonstrated that the deltoid muscle was divided into seven segments based on the distribution of its intramuscular tendons. The PET study revealed that the intake of FDG was not uniform in the deltoid muscle. The area with high FDG intake corresponded well to the individual muscular segments separated by the intramuscular tendons. We conclude that the deltoid muscle has seven anatomical segments, which seem to represent the functional units of this muscle.

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

    OpenAIRE

    Thiago Pereira Rodrigues; Mariana Athaniel Silva Rodrigues; Daniel de Araújo Paz; Marcos Devanir Silva da Costa; Ricardo Silva Centeno; Feres Eduardo Chaddad Neto; Sergio Cavalheiro

    2015-01-01

    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 sulc...

  9. The "anatomic" view of the suprarenals in medical imaging.

    Science.gov (United States)

    Sénécail, B; Colin, D; Person, H; Vallée, B; Lefèvre, C

    1994-01-01

    Based on coordinates derived from three series of anatomic sections, the authors propose a view for tomographic investigation, applicable in MRI and ultrasound, which reconstructs the ideal image of the suprarenal gland in its quadrilateral as described by Testut. This "anatomic" view is 45 degrees vertical and oblique, intermediate between the sagittal and frontal views, which it can advantageously replace. A new aspect of suprarenal tomography, recalling the image of a triskele, is described in the context of this view.

  10. The linguistic roots of Modern English anatomical terminology.

    Science.gov (United States)

    Turmezei, Tom D

    2012-11-01

    Previous research focusing on Classical Latin and Greek roots has shown that understanding the etymology of English anatomical terms may be beneficial for students of human anatomy. However, not all anatomical terms are derived from Classical origins. This study aims to explore the linguistic roots of the Modern English terminology used in human gross anatomy. By reference to the Oxford English Dictionary, etymologies were determined for a lexicon of 798 Modern English gross anatomical terms from the 40(th) edition of Gray's Anatomy. Earliest traceable language of origin was determined for all 798 terms; language of acquisition was determined for 747 terms. Earliest traceable languages of origin were: Classical Latin (62%), Classical Greek (24%), Old English (7%), Post-Classical Latin (3%), and other (4%). Languages of acquisition were: Classical Latin (42%), Post-Classical Latin (29%), Old English (8%), Modern French (6%), Classical Greek (5%), Middle English (3%), and other (7%). While the roots of Modern English anatomical terminology mostly lie in Classical languages (accounting for the origin of 86% of terms), the anatomical lexicon of Modern English is actually much more diverse. Interesting and perhaps less familiar examples from these languages and the methods by which such terms have been created and absorbed are discussed. The author suggests that awareness of anatomical etymologies may enhance the enjoyment and understanding of human anatomy for students and teachers alike.

  11. 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.

  12. 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.

  13. Revision of the aseptic and septic total ankle replacement.

    Science.gov (United States)

    Espinosa, Norman; Wirth, Stephan Hermann

    2013-04-01

    Total ankle replacement has become a popular treatment of symptomatic end-stage ankle osteoarthritis. Contemporary total ankle replacement systems provide more anatomic and biomechanically sound function. However, longevity is still limited and long-term results of modern total ankle replacement designs are not available. In the case of failure, conversion into arthrodesis has remained the treatment of choice but at the cost of hindfoot function and potential degeneration of the adjacent joints. Thus, revision total ankle replacement by exchange of the prosthetic components represents an attractive solution. This article focuses on revision total ankle replacement and conversion to ankle arthrodesis.

  14. 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.)

  15. 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.

  16. Duration and extension of anatomical changes in wood structure after cambial injury.

    Science.gov (United States)

    Arbellay, Estelle; Fonti, Patrick; Stoffel, Markus

    2012-05-01

    Cambial injury has been reported to alter wood structure in broad-leaved trees. However, the duration and extension of associated anatomical changes have rarely been analysed thoroughly. A total of 18 young European ash (Fraxinus excelsior L.) trees injured on the stem by a spring flood were sampled with the aim of comparing earlywood vessels and rays formed prior to and after the scarring event. Anatomical and hydraulic parameters were measured in five successive rings over one-quarter of the stem circumference. The results demonstrate that mechanical damage induces a decrease in vessel lumen size (up to 77%) and an increase in vessel number (up to 475%) and ray number (up to 115%). The presence of more earlywood vessels and rays was observed over at least three years after stem scarring. By contrast, abnormally narrow earlywood vessels mainly developed in the first ring formed after the event, increasing the thickness-to-span ratio of vessels by 94% and reducing both xylem relative conductivity and the index for xylem vulnerability to cavitation by 54% and 32%, respectively. These vessels accumulated in radial groups in a 30° sector immediately adjacent to the wound, raising the vessel grouping index by 28%. The wound-induced anatomical changes in wood structure express the functional need of trees to improve xylem hydraulic safety and mechanical strength at the expense of water transport. Xylem hydraulic efficiency was restored in one year, while xylem mechanical reinforcement and resistance to cavitation and decay lasted over several years.

  17. Response of anatomical structures in tree roots to an erosion event on the southeastern Tibetan Plateau

    Science.gov (United States)

    Sun, Liping; Wang, Xiaodan; Hong, Jiangtao

    2014-01-01

    Exposed roots have been used in dendrogeomorphology to determine erosion rates. However, few studies have focused on the changes in ring width and in the anatomical properties of hardwood roots exposed by soil erosion at a macroscopic and microscopic level. In this study, we identified the ring width and the anatomical response of hardwood root to a denudation event and applied these anatomical findings to the reconstruction and quantification of soil erosion rates. A total of 136 cross sections (54 from buried roots and 79 from exposed roots of 25 trees) were sampled in the study area. Measurements of the widths of the growth rings, the average vessel area in earlywood, the average vessel area per ring, and the vessel number per ring were performed with WinDENDRO and ImageJ. Our results show that the analysis of vessel features is a useful tool to identify soil erosion events recorded during the life of a tree. A sharp decrease of nearly 50% in the vessel area of earlywood was an important signature indicating the exposure of tree roots caused by denudation. Soil erosion rates derived from exposed roots varied between 1.04 and 3.61 mm y- 1 in the southeastern Tibetan Plateau.

  18. 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.

  19. Three-dimensional analysis of the anatomical growth response of European conifers to mechanical disturbance.

    Science.gov (United States)

    Schneuwly, Dominique M; Stoffel, Markus; Dorren, Luuk K A; Berger, Frédéric

    2009-10-01

    Studies on tree reaction after wounding were so far based on artificial wounding or chemical treatment. For the first time, type, spread and intensity of anatomical responses were analyzed and quantified in naturally disturbed Larix decidua Mill., Picea abies (L.) Karst. and Abies alba Mill. trees. The consequences of rockfall impacts on increment growth were assessed at the height of the wounds, as well as above and below the injuries. A total of 16 trees were selected on rockfall slopes, and growth responses following 54 wounding events were analyzed on 820 cross-sections. Anatomical analysis focused on the occurrence of tangential rows of traumatic resin ducts (TRD) and on the formation of reaction wood. Following mechanical disturbance, TRD production was observed in 100% of L. decidua and P. abies wounds. The radial extension of TRD was largest at wound height, and they occurred more commonly above, rather than below, the wounds. For all species, an intra-annual radial shift of TRD was observed with increasing axial distance from wounds. Reaction wood was formed in 87.5% of A. alba following wounding, but such cases occurred only in 7.7% of L. decidua. The results demonstrate that anatomical growth responses following natural mechanical disturbance differ significantly from the reactions induced by artificial stimuli or by decapitation. While the types of reactions remain comparable between the species, their intensity, spread and persistence disagree considerably. We also illustrate that the external appearance of wounds does not reflect an internal response intensity. This study reveals that disturbance induced under natural conditions triggers more intense and more widespread anatomical responses than that induced under artificial stimuli, and that experimental laboratory tests considerably underestimate tree response.

  20. 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.

  1. 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.

  2. Do the urolithiasis scoring systems predict the success of percutaneous nephrolithotomy in cases with anatomical abnormalities?

    Science.gov (United States)

    Kocaaslan, Ramazan; Tepeler, Abdulkadir; Buldu, Ibrahim; Tosun, Muhammed; Utangac, Mehmet Mazhar; Karakan, Tolga; Ozyuvali, Ekrem; Hatipoglu, Namik Kemal; Unsal, Ali; Sarica, Kemal

    2016-07-12

    The objective of this study is to assess the utility of the Guy, S.T.O.N.E., and CROES nephrolithometry scoring systems (SS), and compare the capability of each system to predict percutaneous nephrolithotomy (PNL) outcome in patients with anatomical abnormalities. We retrospectively collected medical records of patients with anatomical abnormalities who underwent PNL for the treatment of renal calculi by experienced surgical teams in four referral centers. All of the patients were graded by a single observer from each department based on preoperative computed tomography images using each SS. Patient demographics and outcomes were compared according to the complexity of the procedure as graded by each scoring system. A total of 137 cases with anatomical abnormalities [horseshoe kidney (n = 46), malrotation (n = 33), kypho and/or scoliosis (n = 31) and ectopic kidney (n = 27)] were assessed retrospectively. The mean stone burden, number, and density were 708.5 mm(2), 1.7, and 791.8 HU, respectively. The mean procedure, fluoroscopy, and hospitalization times were 75.2 ± 35.3 min, 133.4 ± 92.3 s, and 3.5 ± 2.1 days, respectively. Stone-free status was achieved in 106 cases (77.4 %). A total of 17 (13.6 %) complications occurred postoperatively. The mean scores were 2.7, 7.2, and 219.1, for the Guy, S.T.O.N.E., and CROES systems, respectively. CROES score was the independent predictor of PNL success in cases with anatomical abnormalities [p: 0.001, OR 1.01, (95 % CI 1005-1021)]. The CROES scoring system is well correlated with the success of PNL in cases with anatomical abnormalities; the S.T.O.N.E. and Guy scoring systems failed to predict the outcomes of PNL in this specific patient population.

  3. 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.

  4. 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.)

  5. Accuracy of distal radius positioning using an anatomical plate.

    Science.gov (United States)

    Vroemen, Joy C; Dobbe, Johannes G G; Sierevelt, Inger N; Strackee, Simon D; Streekstra, Geert J

    2013-04-01

    Over the past decade, several anatomical plates have been introduced to improve the result of open reduction and internal fixation of the distal radius. Using 3-dimensional imaging techniques, the authors studied the accuracy and reproducibility of distal radius positioning using anatomical plates.Distal radius fractures and the correction of these fractures were simulated with plastic bone models of radii. The authors simulated a defect by removing an arbitrary wedge shape from the artificial radii. Two surgeons corrected these fractures by placing 2 anatomical plate types according to the plate manufacturers' instructions. The residual positioning errors of the distal segment in relation to the unaffected radii were determined using 3-dimensional imaging and were compared with naturally occurring bilateral radius differences in healthy individuals. In many cases, positioning does not agree with differences based on bilateral asymmetry in healthy patients.This study indicated the accuracy of anatomical plates. Positioning an anatomical plate may lead to considerable residual errors in individual patients. Volar distal radius plate shapes differ among plate manufacturers. Therefore, one plate may perform better than another in an individual.

  6. [Anatomical names of foramina and canales in skeleton].

    Science.gov (United States)

    Shikano, S; Yamashita, Y

    1998-03-01

    Latin anatomical names of Foramina and Canales in skeleton were analyzed and compared with Japanese anatomical names for better understanding of the structures of the human body and for possible revision in the future. The conclusions were as follows: 1. In general, short tunnels were called Foramina (singular: Foramen), and long tunnels Canales (singular: Canalis). 2. One end of Canalis was sometimes called Foramen. In this case, Canalis and Foramen were usually modified by the same words. 3. Each name of Foramina contained the word which means form, state, absolute size, region of existence, one of the contents or function of Foramina. 4. Each name of Canales contained the word which means region of existence, one of the contents or function of Canales. 5. Some names of Foramina and Canales that were supposed to mean the region of existence meant one of the contents of the structures. 6. As for Latin anatomical names, the relation between words were relatively clear by the proper use of noun, adjective, nominative, and genitive. 7. Since different Chinese characters were sometimes pronounced similarly in Japanese anatomical names, different structures might be confused. 8. It seemed that some Japanese anatomical names needed partial correction.

  7. [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.

  8. Generation of infant anatomical models for evaluating electromagnetic field exposures.

    Science.gov (United States)

    Li, Congsheng; Chen, Zhiye; Yang, Lei; Lv, Bin; Liu, Jianzhe; Varsier, Nadège; Hadjem, Abdelhamid; Wiart, Joe; Xie, Yi; Ma, Lin; Wu, Tongning

    2015-01-01

    Realistic anatomical modeling is essential in analyzing human exposure to electromagnetic fields. Infants have significant physical and anatomical differences compared with other age groups. However, few realistic infant models are available. In this work, we developed one 12-month-old male whole body model and one 17-month-old male head model from magnetic resonance images. The whole body and head models contained 28 and 30 tissues, respectively, at spatial resolution of 1 mm × 1 mm × 1 mm. Fewer identified tissues in the whole body model were a result of the low original image quality induced by the fast imaging sequence. The anatomical and physical parameters of the models were validated against findings in published literature (e.g., a maximum deviation as 18% in tissue mass was observed compared with the data from International Commission on Radiological Protection). Several typical exposure scenarios were realized for numerical simulation. Dosimetric comparison with various adult and child anatomical models was conducted. Significant differences in the physical and anatomical features between adult and child models demonstrated the importance of creating realistic infant models. Current safety guidelines for infant exposure to radiofrequency electromagnetic fields may not be conservative.

  9. 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.

  10. 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.

  11. Dissimilarity-based classification of anatomical tree structures

    DEFF Research Database (Denmark)

    Sørensen, Lauge; 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...... between the branch feature vectors representing those trees. Hereby, localized information in the branches is collectively used in classification and variations in feature values across the tree are taken into account. An approximate anatomical correspondence between matched branches can be achieved...... by including anatomical features in the branch feature vectors. The proposed approach is applied to classify airway trees in computed tomography images of subjects with and without chronic obstructive pulmonary disease (COPD). Using the wall area percentage (WA%), a common measure of airway abnormality in COPD...

  12. 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.

  13. [Videothoracoscopic anatomic pulmonary segmentary: an initial single-center experience].

    Science.gov (United States)

    Reis, João Eurico; Bravio, Ivan; Baptista, Pedro; Martelo, Fernando Palma

    2012-01-01

    The use of minimally invasive surgery for the treatment of lung cancer has been growing worldwide. Between May 2008 and November 2012, we performed 24 videothoracoscopic anatomical lung resections in our department. This includes 22 lobectomies and 2 anatomic segmentectomies, which is known to be a more complex surgery, since it demands a finer dissection of sub-lobar structures. We report the clinical cases of two patients who underwent anatomic segmentectomies. The first one was a 63 year old woman, smoker and with a history of breast cancer 20 years earlier. An incidental 9 mm node was found in the lingula. The patient underwent an anatomic lingulectomy and the frozen section was suggestive of a primary lung cancer. Therefore, we proceeded to a full lymphadenectomy. The final pathology evaluation showed a typical carcinoid tumour (pT1aN0). The second patient was a 50 year old woman, a smoker and with a heavy family history of lung cancer. In a screening CT scan a 8 mm ground glass opacity was identified in the left lower lobe (segment VI). After a VATS wedge resection of the node the frozen section evaluation was compatible with adenocarcinoma. We then proceeded to an anatomic segmentectomy with lymphadenectomy. The definitive pathology evaluation confirmed that it was a pT1a N0 bronchioloalveolar adenocarcinoma. The patients now have 5 and 2 months of follow up respectivelly and neither of them has signs of recurrence and the surgical incision showed a good aesthetic result. Anatomic segmentectomy is the indicated surgery especially in patients with low grade tumours, in early stage lung cancers or in patients without pulmonary function for a lobar resection, and it can be done safely using VATS.

  14. 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.

  15. 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.

  16. Anatomic Eponyms in Neuroradiology: Brain, Cerebral Vasculature, and Calvarium.

    Science.gov (United States)

    Bunch, Paul M; Zamani, Amir A

    2016-06-01

    Medical eponyms are ubiquitous, numerous, and at times controversial. They are often useful for succinctly conveying complex concepts, and familiarity with eponyms is important for proper usage and appropriate communication. In this historical review, we identify 18 anatomic eponyms used to describe structures of the brain, cerebral vasculature, and calvarium. For each structure, we first offer a biographical sketch of the individual for whom the structure is named. This is followed by a description of the anatomic structure and a brief discussion of its clinical relevance.

  17. 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...... by including anatomical features in the branch feature vectors. The proposed approach is applied to classify airway trees in computed tomography images of subjects with and without chronic obstructive pulmonary disease (COPD). Using the wall area percentage (WA%), a common measure of airway abnormality in COPD...

  18. 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.

  19. 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.

  20. 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.

  1. 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/.

  2. Total ankle replacement. Design evolution and results.

    Science.gov (United States)

    van den Heuvel, Alexander; Van Bouwel, Saskia; Dereymaeker, Greta

    2010-04-01

    The ankle joint has unique anatomical, biomechanical and cartilaginous structural characteristics that allow the joint to withstand the very high mechanical stresses and strains over years. Any minor changes to any of these features predispose the joint to osteoarthritis. Total ankle replacement (TAR) is evolving as an alternative to ankle arthrodesis for the treatment of end-stage ankle osteoarthritis. Initial implant designs from the early 1970s had unacceptably high failure and complication rates. As a result many orthopaedic surgeons have restricted the use of TAR in favour of ankle arthrodesis. Long term follow-up studies following ankle arthrodesis show risks of developing adjacent joint osteoarthritis. Therefore research towards a successful ankle replacement continues. Newer designs and longer-term outcome studies have renewed the interest in ankle joint replacement. We present an overview of the evolution, results and current concepts of total ankle replacement.

  3. 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.

  4. Anatomical Shape and Motion Reconstruction from Sparse Image Data

    NARCIS (Netherlands)

    N. Baka (Nora)

    2012-01-01

    textabstractIn current clinical practice, medical imaging plays a key role in diagnosis, therapy planning and therapy monitoring. Some of these modalities, such as CT, MRI, and 3D ultrasound, provide high resolution volumetric anatomical information, and more recently, 3D imaging in time. In certain

  5. 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.

  6. 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…

  7. Pigmentation in Anuran Testes: Anatomical Pattern and Variation

    OpenAIRE

    Franco-Belussi, Lilian [UNESP; Zieri, Rodrigo [UNESP; de Souza Santos, Lia Raquel; Moresco, Rafaela Maria; Oliveira, Classius de [UNESP

    2009-01-01

    In amphibians, pigmented cells are present in several organs, composing an extracutaneous pigmentary system. Seventeen species from two families were studied to develop a protocol for pigmentary classification. The amount and distribution of these cells are variable, allowing the establishment of anatomical patterns for visceral pigmentation in anuran testes. Anat Rec, 292:178-182, 2009. (C) 2008 Wiley-Liss, Inc.

  8. Agreement between anatomic and ultrasound measurements of femoral trochlear depth

    DEFF Research Database (Denmark)

    Miles, James Edward; Westrup, Ulrik; Eriksen, Thomas

    and ultrasonographic measurements of trochlear depth using the red fox hind limb as a canine surrogate, dividing the trochlea into five regions from the origin of the caudal cruciate ligament to the proximal aspect of the trochlea. We found reasonable agreement between anatomic and ultrasonographic measurements...

  9. Anatomical and chemical characteristics associated with lodging resistance in wheat

    Institute of Scientific and Technical Information of China (English)

    Eryan; Kong; Dongcheng; Liu; Xiaoli; Guo; Wenlong; Yang; Jiazhu; Sun; Xin; Li; Kehui; Zhan; Dangqun; Cui; Jinxing; Lin; Aimin; Zhang

    2013-01-01

    Anatomical and chemical characteristics of stems affect lodging in wheat(Triticum aestivum L.) cultivars. Traits associated with lodging resistance, such as plant height, stem strength, culm wall thickness, pith diameter, and stem diameter, were extensively investigated in earlier studies. However, the solid stem trait was rarely considered. In this study, we measured a range of anatomical and chemical characteristics on solid and hollow stemmed wheat cultivars. Significant correlations were detected between resistance to lodging and several anatomical features, including width of mechanical tissue, weight of low internodes, and width of stem walls. Morphological features that gave the best indication of improved lodging resistance were increased stem width, width of mechanical tissue layer, and stem density. Multiple linear regression analysis showed that 99% of the variation in lodging resistance could be explained by the width of the mechanical tissue layer, suggesting that solid stemmed wheat has several anatomical features for increasing resistance to lodging. In addition, microsatellite markers GWM247 and GWM340 were linked to a single solid stem QTL on chromosome 3BL in a population derived from the cross Xinongshixin(solid stem)/Line 3159(hollow stem). These markers should be valuable in breeding wheat for solid stem.

  10. Recent advances in medical imaging: anatomical and clinical applications.

    Science.gov (United States)

    Grignon, Bruno; Mainard, Laurence; Delion, Matthieu; Hodez, Claude; Oldrini, Guillaume

    2012-10-01

    The aim of this paper was to present an overview of the most important recent advances in medical imaging and their potential clinical and anatomical applications. Dramatic changes have been particularly observed in the field of computed tomography (CT) and magnetic resonance imaging (MRI). Computed tomography (CT) has been completely overturned by the successive development of helical acquisition, multidetector and large area-detector acquisition. Visualising brain function has become a new challenge for MRI, which is called functional MRI, currently based principally on blood oxygenation level-dependent sequences, which could be completed or replaced by other techniques such as diffusion MRI (DWI). Based on molecular diffusion due to the thermal energy of free water, DWI offers a spectrum of anatomical and clinical applications, ranging from brain ischemia to visualisation of large fibrous structures of the human body such as the anatomical bundles of white matter with diffusion tensor imaging and tractography. In the field of X-ray projection imaging, a new low-dose device called EOS has been developed through new highly sensitive detectors of X-rays, allowing for acquiring frontal and lateral images simultaneously. Other improvements have been briefly mentioned. Technical principles have been considered in order to understand what is most useful in clinical practice as well as in the field of anatomical applications. Nuclear medicine has not been included.

  11. 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....

  12. 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...

  13. CAVEman: Standardized Anatomical Context for Biomedical Data Mapping

    Science.gov (United States)

    Turinsky, Andrei L.; Fanea, Elena; Trinh, Quang; Wat, Stephen; Hallgrimsson, Benedikt; Dong, Xiaoli; Shu, Xueling; Stromer, Julie N.; Hill, Jonathan W.; Edwards, Carol; Grosenick, Brenda; Yajima, Masumi; Sensen, Christoph W.

    2008-01-01

    The authors have created a software system called the CAVEman, for the visual integration and exploration of heterogeneous anatomical and biomedical data. The CAVEman can be applied for both education and research tasks. The main component of the system is a three-dimensional digital atlas of the adult male human anatomy, structured according to…

  14. 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.

  15. Tools to analyse and display variations in anatomical delineation

    NARCIS (Netherlands)

    Ebert, Martin A.; McDermott, L. N.; Haworth, A.; van der Wath, E.; Hooton, B.

    2012-01-01

    Variations in anatomical delineation, principally due to a combination of inter-observer contributions and image-specificity, remain one of the most significant impediments to geometrically-accurate radiotherapy. Quantification of spatial variability of the delineated contours comprising a structure

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

    Science.gov (United States)

    Moerel, Michelle; De Martino, Federico; Formisano, Elia

    2014-01-01

    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.

  17. 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.

  18. The anatomic and electrophysiological characters of the coronary sinus

    Institute of Scientific and Technical Information of China (English)

    TANG Kai; MA Jian; ZHANG Shu

    2005-01-01

    @@ With the development of the technology of electrophysiological study and radiofrequency catheter ablation, electrophysiologists realized that the coronary sinus (CS) was involved in several types of arrhythmias due to its special anatomic and histological characteristics. In this article we review the anatomy, histology and electrophysiology of the CS and the relation between the CS and selected types of arrhythmias.

  19. Handedness and cerebral anatomical asymmetries in young adult males.

    Science.gov (United States)

    Hervé, Pierre-Yves; Crivello, Fabrice; Perchey, Guy; Mazoyer, Bernard; Tzourio-Mazoyer, Nathalie

    2006-02-15

    Using voxel-based morphometry, we measured the cerebral anatomical asymmetries in a sample of 56 young right-handed males and then compared voxelwise asymmetry indices of these subjects to those of 56 young left-handed males. In the right-handed, the clusters of grey matter asymmetry corresponding to the leftward occipital petalia and planum temporale asymmetries were retrieved. Strong rightward temporo-parietal asymmetries were also observed, but the rightward grey matter asymmetry in the frontal lobe was less massive than previously described. Group comparisons of left- and right-handed subjects' asymmetry maps, performed at a statistical threshold not corrected for multiple comparisons, revealed significant effects of handedness on this pattern of anatomical asymmetry in frontal regions, notably in the lower central and precentral sulci, and also in the planum temporale, with right-handed subjects being more leftward asymmetric. Concerning white matter, although almost no focal differences between left- and right-handed subjects were detected, volumetric analyses at the hemispheric level revealed a leftward asymmetry, which happened to be significantly less marked in the left-handed. This latter result, together with the pattern of leftward white matter asymmetries, suggested that anatomical correlates of the left hemispheric specialization for language would exist in white matter. In the population we studied, differences in anatomical asymmetry between left- and right-handed subjects provided structural arguments for a greater functional ambilaterality in left-handed subjects.

  20. Anatomic considerations for abdominally placed permanent left ventricular assist devices.

    Science.gov (United States)

    Parnis, S M; McGee, M G; Igo, S R; Dasse, K; Frazier, O H

    1989-01-01

    To determine anatomic parameters for a permanent, electrically actuated left ventricular assist device (LVAD), the effects of abdominal placement of pneumatic LVADs used as temporary support for patients awaiting heart transplantation was studied. Understanding the anatomic constraints imposed by the abdominal viscera in LVAD placement is crucial, because improper placement can result in compression or obstruction of adjacent structures. Anatomic compatibility was assessed in four men (age 22-48 years) who were supported by the LVAD for over 1 month (range 35-132 days). The pump was intraperitoneally placed in the left upper quadrant. Radiographic techniques were employed, including CT scanning (with patients supine) and contrast imaging (patients in anatomical position), and the pump and conduits appeared to be properly positioned, with minimal compression of the body of the stomach, and no obstruction of adjacent organs. Three patients returned to a solid food diet and exercised daily by stationary cycling and walking. No signs of migration or erosion of the pump were present at the time of LVAD removal and cardiac transplantation. Successful clinical experience with short-term use of the LVAD suggests that the electrically actuated device can be well tolerated in patients requiring permanent left ventricular assistance.

  1. 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.

  2. 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

  3. 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

  4. 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.

  5. Multiple variations of the tendons of the anatomical snuffbox

    Science.gov (United States)

    Thwin, San San; Zaini, Fazlin; Than, Myo

    2014-01-01

    INTRODUCTION Multiple tendons of the abductor pollicis longus (APL) in the anatomical snuffbox of the wrist can lead to the development of de Quervain's syndrome, which is caused by stenosing tenosynovitis. A cadaveric study was performed to establish the variations present in the tendons of the anatomical snuffbox in a Malaysian population, in the hope that this knowledge would aid clinical investigation and surgical treatment of de Quervain's tenosynovitis. METHODS Routine dissection of ten upper limbs was performed to determine the variations in the tendons of the anatomical snuffbox of the wrist. RESULTS In all the dissected upper limbs, the APL tendon of the first extensor compartment was found to have several (3–14) tendon slips. The insertion of the APL tendon slips in all upper limbs were at the base of the first metacarpal bone, trapezium and fascia of the opponens pollicis muscle; however, in seven specimens, they were also found to be attached to the fleshy belly of the abductor pollicis brevis muscle. In two specimens, double tendons of the extensor pollicis longus located in the third extensor compartment were inserted into the capsule of the proximal interphalangeal joints before being joined to the extensor expansion. In two other specimens, the first extensor compartment had two osseofibrous tunnels divided by a septum that separated the APL tendon from the extensor pollicis brevis tendon. CONCLUSION Multiple variations were found in the anatomical snuffbox region of the dissected upper limbs. Knowledge of these variations would be useful in interventional radiology and orthopaedic surgery. PMID:24452976

  6. 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

  7. 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.

  8. Wood anatomical variation in relation to latitude anf altitude

    NARCIS (Netherlands)

    Graaff, van der N.A.; Baas, P.

    1974-01-01

    The wood anatomical variation within 17 eurytherm hardwood genera in relation to altitude and latitude has been studied using wood samples from 52 species. With increasing latitude a miniaturization of secondary xylem elements (shorter vessel members, narrower vessels, shorter and sometimes narrower

  9. Anatomical patterns of dermatitis in adult filaggrin mutation carriers

    DEFF Research Database (Denmark)

    Heede, Nina G; Thyssen, Jacob Pontoppidan; Thuesen, Betina H;

    2015-01-01

    BACKGROUND: Common filaggrin (FLG) null mutations are associated with severe and early onset of atopic dermatitis (AD). To date, few studies have investigated anatomical patterns of dermatitis and none has been conducted in the general population. OBJECTIVE: We evaluated patterns of dermatitis in...

  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

    2015-01-01

    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. Radiological Study of Maxillary Sinus using CBCT: Relationship between Mucosal Thickening and Common Anatomic Variants in Chronic Rhinosinusitis

    Science.gov (United States)

    Gatti, Patrizia

    2016-01-01

    Introduction Inflammatory diseases of the maxillary sinus favour the thickening of the sinus mucosa. Therefore, it might be possible to establish a radiological, pathological threshold of mucosal thickening. Furthermore, there is an association between common anatomic variants of the nose and maxillary mucosal thickening. Aim To define the pathological thickening of maxillary sinus mucosa and its association with the presence of common anatomic variants (concha bullosa, Haller’s cell and accessory maxillary ostium). Materials and Methods From March 2014 to February 2016, Two hundred patients underwent Cone Beam Computed Tomography (CBCT) of the paranasal sinus. We conducted this retrospective study of total 70 patients, 34 patients i.e., a total of 68 meatus-maxillary units (study group - those affected by Chronic Rhinosinusitis (CRS) and another 36 patients i.e., a total of 72 meatus maxillary units (control group - without symptoms of CRS). We assessed the degree of thickening of the sinus mucosa distinguishing between ≥ 2mm or ≤ 2mm, than we analysed the behaviour of the thickness in the study group and in the control group. Chi-Square test was used to compare mucosal thickening between study and control group and the presence of some common anatomic variants or closure of maxillary ostium. Results In the study group we observed a clear association between maxillary mucosal thickening ≥ 2mm and CRS (p<0.01). We however, observed no association between the presence of common anatomic variations and thickening of the maxillary mucosa and between the presence of common anatomic variations and the study group. Instead, using a binary logistic regression, we observed a significant association (p<0.01) between closure of natural ostium of the maxillary sinus and mucosal thickening or between closure of natural ostium and study group. Conclusion We believe that a thickening of the maxillary mucosa ≥ 2mm and closure of natural maxillary ostium are

  12. Total Limb Rotation after Unilateral Total Knee Arthroplasty: Side-to-Side Discrepancy.

    Science.gov (United States)

    Oh, Kwang-Jun; Yoon, Seok-Tae; Ko, Young-Bong

    2016-08-01

    Total limb rotation, an important anatomical feature of the lower limb, is defined as any rotation of the lower limb on its longitudinal axis. The aim of the present study was to evaluate the discrepancies of rotational profiles of total limb between nonoperated and operated limb following unilateral total knee arthroplasty. We conducted an analysis of the computed tomography (CT) data from 32 patients undergoing primary unilateral total knee arthroplasty. Using these CT scan, rotational profiles of total limb, such as femoral neck anteversion angle expressed as femoral torsion angle (FTA), tibial torsion angle (TTA), knee joint rotation angle (KJRA), and total limb rotation (TLR) were measured. There were significant discrepancies of FTA and KJRA between operated and nonoperated limb following unilateral total knee arthroplasty. The mean difference of operated and nonoperated side for FTA and KJRA were -6.51 ± 11.88 degrees (p = 0.0041) and -6.83 ± 5.04 degrees (p knee joint can lead to a total limb rotational discrepancy in patient undergoing unilateral total knee arthroplasty.

  13. Anatomical standardization of small animal brain FDG-PET images using synthetic functional template: experimental comparison with anatomical template.

    Science.gov (United States)

    Coello, Christopher; Hjornevik, Trine; Courivaud, Frédéric; Willoch, Frode

    2011-07-15

    Anatomical standardization (also called spatial normalization) of positron emission tomography (PET) small animal brain images is required to make statistical comparisons across individuals. Frequently, PET images are co-registered to an individual MR or CT image of the same subject in order to transform the functional images to an anatomical space. In the present work, we evaluate the normalization of synthetic PET (synPET) images to a synthetic PET template. To provide absolute error in terms of pixel misregistration, we created a synthetic PET image from the individual MR image through segmentation of the brain into gray and white matter which produced functional and anatomical images in the same space. When comparing spatial normalization of synPET images to a synPET template with the gold standard (MR images to an MR template), a mean translation error of 0.24mm (±0.20) and a maximal mean rotational error of 0.85° (±0.91) were found. Significant decrease in misregistration error was measured when achieving spatial normalization of functional images to a functional template instead of an anatomical template. This accuracy strengthens the use of standardization methods where individual PET images are registered to a customized PET template in order to statistically assess physiological changes in rat brains.

  14. 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.

  15. Anatomic findings in revision endoscopic sinus surgery: Case series and review of contributory factors

    Science.gov (United States)

    Bewick, Jessica; Egro, Francesco M.; Masterson, Liam; Javer, Amin R.

    2016-01-01

    Background: It is recognized that patients who undergo endoscopic sinus surgery (ESS) do not always achieve control of their disease. The causes are multifactorial; variations in surgical practice have been identified as possible factors in refractory disease. Objective: To reflect on the frequent anatomic findings of patients with chronic rhinosinusitis (CRS) who require revision ESS. Methods: A retrospective review of patients who required revision ESS at a tertiary institution over a 3-year period. Patients for whom maximal medical therapy failed for CRS underwent computed tomography of the paranasal sinuses and image-guided surgery. Surgical records of anatomic findings were reviewed and analyzed. Results: Over 3 years, a total of 75 patients underwent revision procedures, 28% of all ESS performed in the unit. The most frequent finding was a residual uncinate process in 64% of the patients (n = 48); other findings included a maxillary antrostomy not based on the natural ostium of the maxillary sinus in 47% (n = 35), an oversized antrostomy in 29% (n = 22), resected middle turbinates in 35% (n = 26), middle meatal stenosis in 15% (n = 11), synechiae in 29% (n = 22), and osteitic bone that required drilling in 13% (n = 10). Conclusion: Surgical technique can give rise to anatomic variations that may prevent adequate mucociliary clearance and medication delivery, which leads to failure in ESS in patients with CRS. This study demonstrated the surgical findings encountered in revision ESS that should be highlighted in the training of Ear, Nose and Throat surgeons to help prevent primary failure and reduce health care costs. PMID:28107148

  16. Anatomical study and morphometric analyses on the femoral insertions of the posterior cruciate ligament

    Directory of Open Access Journals (Sweden)

    Julio Cesar Gali

    2013-04-01

    Full Text Available PURPOSE: To provide an anatomical and morphometric basis for the femoral insertions of the posterior cruciate ligament (PCL in order to aid in the creation of anatomical femoral tunnels in ligament surgical reconstruction. Study design: laboratory controlled study. MATERIAL AND METHODS: The macroscopic details of the femoral insertions of the PCL's anterolateral (AL and posteromedial (PM bundles were analyzed in 24 cadaver knees. The specimens were photographed with a digital camera and the images obtained were studied using the software ImageJ. The bundles' insertion areas were measured in square millimeters, and the length of the structures and the distances between significant points were measured in millimeters. RESULTS: The PCL's femoral insertion average total area was 87.29 ± 31.42 mm².The mean insertion's areas of the AL and PM bundles were, respectively, 47.13 ± 19.14 and 40.67 ± 16.19 mm². In 95.8% of the examined knees was verified the presence of the medial intercondylar ridge and in 83.3% of the knees was noted the medial bifurcated ridge. The average length of the medial intercondylar ridge was 20.54 ± 2.26 mm and the medial bifurcated ridge's average length was 7.62 ± 2.35 mm. CONCLUSIONS: The AL had a femoral insertion area larger than the PM bundle; these bundles' insertion areas were lower than those previously described in the literature. There were important individual variations related to the area of the bundles in the samples, suggesting that there should be an individual recommendation for anatomical reconstructions of the PCL with single or double femoral tunnels.

  17. Total abdominal colectomy

    Science.gov (United States)

    ... the rectum. This can cause an infection or abscess. Scarring of the connection between the small intestine ... More Crohn disease Ileostomy Total proctocolectomy and ileal - anal pouch Total proctocolectomy with ileostomy Ulcerative colitis Patient ...

  18. Total parenteral nutrition - infants

    Science.gov (United States)

    ... medlineplus.gov/ency/article/007239.htm Total parenteral nutrition - infants To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) is a method of feeding that bypasses ...

  19. 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) is a method of feeding that bypasses ...

  20. 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.

  1. 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....

  2. Reemplazo total de cadera

    OpenAIRE

    Sánchez Vergel, Alfredo; Fundación Valle de Lili

    2002-01-01

    Definición/Tipos de prótesis/ ¿Qué pacientes se podrían beneficiar de un reemplazo total de cadera?/Artrosis de cadera/Tipos de artrosis de cadera/Alternativas al reemplazo total de cadera/Preguntas frecuentes sobre el reemplazo total de cadera.

  3. 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....

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Impaired thalamocortical connectivity in autism spectrum disorder: a study of functional and anatomical connectivity.

    Science.gov (United States)

    Nair, Aarti; Treiber, Jeffrey M; Shukla, Dinesh K; Shih, Patricia; Müller, Ralph-Axel

    2013-06-01

    The thalamus plays crucial roles in the development and mature functioning of numerous sensorimotor, cognitive and attentional circuits. Currently limited evidence suggests that autism spectrum disorder may be associated with thalamic abnormalities, potentially related to sociocommunicative and other impairments in this disorder. We used functional connectivity magnetic resonance imaging and diffusion tensor imaging probabilistic tractography to study the functional and anatomical integrity of thalamo-cortical connectivity in children and adolescents with autism spectrum disorder and matched typically developing children. For connectivity with five cortical seeds (prefontal, parieto-occipital, motor, somatosensory and temporal), we found evidence of both anatomical and functional underconnectivity. The only exception was functional connectivity with the temporal lobe, which was increased in the autism spectrum disorders group, especially in the right hemisphere. However, this effect was robust only in partial correlation analyses (partialling out time series from other cortical seeds), whereas findings from total correlation analyses suggest that temporo-thalamic overconnectivity in the autism group was only relative to the underconnectivity found for other cortical seeds. We also found evidence of microstructural compromise within the thalamic motor parcel, associated with compromise in tracts between thalamus and motor cortex, suggesting that the thalamus may play a role in motor abnormalities reported in previous autism studies. More generally, a number of correlations of diffusion tensor imaging and functional connectivity magnetic resonance imaging measures with diagnostic and neuropsychological scores indicate involvement of abnormal thalamocortical connectivity in sociocommunicative and cognitive impairments in autism spectrum disorder.

  9. Anatomical nuances of the internal carotid artery in relation to the quadrangular space.

    Science.gov (United States)

    Dolci, Ricardo L L; Ditzel Filho, Leo F S; Goulart, Carlos R; Upadhyay, Smita; Buohliqah, Lamia; Lazarini, Paulo R; Prevedello, Daniel M; Carrau, Ricardo L

    2017-02-24

    OBJECTIVE The aim of this study was to evaluate the anatomical variations of the internal carotid artery (ICA) in relation to the quadrangular space (QS) and to propose a classification system based on the results. METHODS A total of 44 human cadaveric specimens were dissected endonasally under direct endoscopic visualization. During the dissection, the anatomical variations of the ICA and their relationship with the QS were noted. RESULTS The space between the paraclival ICAs (i.e., intercarotid space) can be classified as 1 of 3 different shapes (i.e., trapezoid, square, or hourglass) based on the trajectory of the ICAs. The ICA trajectories also directly influence the volumetric area of the QS. Based on its geometry, the QS was classified as one of the following: 1) Type A has the smallest QS area and is associated with a trapezoid intercarotid space, 2) Type B corresponds to the expected QS area (not minimized or enlarged) and is associated with a square intercarotid space, and 3) Type C has the largest QS area and is associated with an hourglass intercarotid space. CONCLUSIONS The different trajectories of the ICAs can modify the area of the QS and may be an essential parameter to consider for preoperative planning and defining the most appropriate corridor to reach Meckel's cave. In addition, ICA trajectories should be considered prior to surgery to avoid injuring the vessels.

  10. Anatomical, chemical and physical characterization of candeia wood (Eremanthus erythropappus (DC. Macleish

    Directory of Open Access Journals (Sweden)

    Cláudia Lopes Selvati de Oliveira Mori

    2010-12-01

    Full Text Available This study determined the anatomical, chemical and physics characteristics of candeia wood (Eremanthus erythropappus (DC. Macleish. Five trees were collected from Carrancas-MG, and disks were obtained at the breast high (DBH to sample preparation. The description and mensuration were performed at the principal anatomical structures (fibers, vessel and radial parenchyma. For chemical analysis, the extractives content, hollocelulose, lignin and inorganic components were determined. The physical properties included the basic specific gravity, specific gravity at 12% moisture content as well as tangential, radial and volumetric shrinkage and coefficients of shrinkage and anisotropy. The main results found for macroscopic characteristics were: awkward odor due to presence of oil-resin; reversal grain and hardness to the cut; microscopical characteristics: scarce parenchyma axial and radial very thin, elements of vases with numerous and very small pits, short plates of simple perforation, libriforms fibers with thick cellular wall and presence of oil cells in the ray. Chemical composition: 20.89% total extractives; 50.52% holocelulose; 28.59% lignin and 0.39% of inorganic constituents. The specific gravity at 12% was of 0.98 g/cm3 and the basic specific gravity of 0.79 g/cm3. The anisotropy coefficient was 1.91 and the coefficient of volumetric retratibility was 0.28%.

  11. Altered Anatomical Network in Early Blindness Revealed by Diffusion Tensor Tractography

    OpenAIRE

    Ni Shu; Yong Liu; Jun Li; Yonghui Li; Chunshui Yu; Tianzi Jiang

    2009-01-01

    The topological architecture of the cerebral anatomical network reflects the structural organization of the human brain. Recently, topological measures based on graph theory have provided new approaches for quantifying large-scale anatomical networks. Diffusion MRI studies have revealed the efficient small-world properties and modular structure of the anatomical network in normal subjects. However, no previous study has used diffusion MRI to reveal changes in the brain anatomical network in e...

  12. Anatomical structure of moss leaves and their photosynthetic activity

    Directory of Open Access Journals (Sweden)

    Jan Krupa

    2014-01-01

    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.

  13. 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.

  14. Anatomical, functional and molecular biomarker applications of magnetic resonance neuroimaging.

    Science.gov (United States)

    Liu, Christina H

    2015-01-01

    MRI and magnetic resonance spectroscopy (MRS) along with computed tomography and PET are the most common imaging modalities used in the clinics to detect structural abnormalities and pathological conditions in the brain. MRI generates superb image resolution/contrast without radiation exposure that is associated with computed tomography and PET; MRS and spectroscopic imaging technologies allow us to measure changes in brain biochemistry. Increasingly, neurobiologists and MRI scientists are collaborating to solve neuroscience problems across sub-cellular through anatomical levels. To achieve successful cross-disciplinary collaborations, neurobiologists must have sufficient knowledge of magnetic resonance principles and applications in order to effectively communicate with their MRI colleagues. This review provides an overview of magnetic resonance techniques and how they can be used to gain insight into the active brain at the anatomical, functional and molecular levels with the goal of encouraging neurobiologists to include MRI/MRS as a research tool in their endeavors.

  15. Anatomical variation of the origin of the left vertebral artery

    Directory of Open Access Journals (Sweden)

    Patasi B

    2009-08-01

    Full Text Available This paper presents and describes the anatomical variation of the left vertebral artery originating from the arch of aorta as a case report. This variation was found in one of the cadavers at the Division of Clinical and Functional Anatomy, Faculty of Medicine, University of Ottawa. During routine dissection of a male cadaver, in the superior mediastinum and the neck we observed an atypical origin of the left vertebral artery. Atypical origin was compared to the typical origin of the left vertebral artery in the anatomical literature. We compared our findings with different possible variations of the origin of the left vertebral artery reported in the literature. The clinical importance of the variation is discussed.

  16. [Anatomical quantification of the tibial part of the plantar aponeurosis].

    Science.gov (United States)

    Hiramoto, Y

    1983-03-01

    The metrical analysis of the anatomical characteristics is important because of its objectiveness. As it is concerned with the organs belonging to the locomotor system, the metrical method of the bones has already been systematized by Martin (1928), whereas the same kind of method for use on other organs remains undeveloped. The author aims to establish the metrical method of the plantar aponeurosis. The method for measuring the tibial part of the aponeurosis developed in this paper is sufficiently applicable for obtaining its principal anatomical characteristics. The results show that the tibial portion of the plantar aponeurosis becomes statistically significantly wider and thinner in its anterior part, and that the thickness of the tibial portion of the aponeurosis in the anterior part is larger on the right side than on the left side.

  17. 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.

  18. Physical therapy management of female chronic pelvic pain: Anatomic considerations.

    Science.gov (United States)

    George, Susan E; Clinton, Susan C; Borello-France, Diane F

    2013-01-01

    The multisystem nature of female chronic pelvic pain (CPP) makes this condition a challenge for physical therapists and other health care providers to manage. This article uses a case scenario to illustrate commonly reported somatic, visceral, and neurologic symptoms and their associated health and participation impact in a female with CPP. Differential diagnosis of pain generators requires an in-depth understanding of possible anatomic and physiologic contributors to this disorder. This article provides a detailed discussion of the relevant clinical anatomy with specific attention to complex interrelationships between anatomic structures potentially leading to the patient's pain. In addition, it describes the physical therapy management specific to this case, including examination, differential diagnosis, and progression of interventions.

  19. Anatomical and biochemical investigation of primary brain tumours

    Energy Technology Data Exchange (ETDEWEB)

    Del Sole, A. [Univ. di Milano (Italy); Falini, A. [Univ. Vita e Salute (Italy). IRCCS; Ravasi, L.; Ottobrini, L.; Lucignani, G. [Univ. di Milano (Italy). Ist. di Scienze Radiologiche; De Marchis, D. [Univ. di Milano-Bicocca (Italy); Bombardieri, E. [Istituto Nazionale dei Tumori, Milano (Italy)

    2001-12-01

    Cancerous transformation entails major biochemical changes including modifications of the energy metabolism of the cell, e.g. utilisation of glucose and other substrates, protein synthesis, and expression of receptors and antigens. Tumour growth also leads to heterogeneity in blood flow owing to focal necrosis, angiogenesis and metabolic demands, as well as disruption of transport mechanisms of substrates across cell membranes and other physiological boundaries such as the blood-brain barrier. All these biochemical, histological and anatomical changes can be assessed with emission tomography, X-ray computed tomography (CT), magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). Whereas anatomical imaging is aimed at the diagnosis of brain tumours, biochemical imaging is better suited for tissue characterisation. The identification of a tumoural mass and the assessment of its size and vascularisation are best achieved with X-ray CT and MRI, while biochemical imaging can provide additional information that is crucial for tumour classification, differential diagnosis and follow-up. As the assessment of variables such as water content, appearance of cystic lesions and location of the tumour are largely irrelevant for tissue characterisation, a number of probes have been employed for the assessment of the biochemical features of tumours. Since biochemical changes may be related to the growth rate of cancer cells, they can be thought of as markers of tumour cell proliferation. Biochemical imaging with radionuclides of processes that occur at a cellular level provides information that complements findings obtained by anatomical imaging aimed at depicting structural, vascular and histological changes. This review focusses on the clinical application of anatomical brain imaging and biochemical assessment with positron emission tomography, single-photon emission tomography and MRS in the diagnosis of primary brain tumours, as well as in follow-up. (orig.)

  20. Morphological and anatomical structure of Satureja hortensis L. herb

    Directory of Open Access Journals (Sweden)

    Марія Іванівна Шанайда

    2016-04-01

    Full Text Available Considering the fact that morphological and anatomical characteristic of this or that medicinal herb is rather sufficient for both identification and determination of the quality parameters of herbs, the analysis of diagnostic macroscopic and microscopic features of the unofficial herb of Summer savory (Satureja hortensis L. is relevant direction of pharmaceutical research.Aim of our research was morphological and anatomical study of the Satureja hortensis herb.Methods. Aerial part (herb of Summer savory was collected in 2014-2015 during full bloom period under cultivation in the Western Podillya region. Microscopic analysis of the dried and fixed in ethanol-glycerin-water (1:1:1 mixture herb was carried out according to the conventional methods. Prepared cross-sections and surface samples of stems, leaves and flowers was studied using МS 10 microscope and Sаmsung PL50 camera. Color, shape, surface character of the herbal material constituents were identified at morphological study, as well as their taste and odor.Results. The complex of specific morphological and anatomical diagnostic features of the species, which allow to identify the herb and to avoid impurities of other species during collecting and using of Summer savory herb were determined.Conclusion. The main morphological and anatomical features of stems, leaves and flowers of the unofficial herb of Summer savory (Satureja hortensis were determined. The obtained data will be used for the herbal material standardization and development of the normative documentation “Summer savory herb” as a promising source for herbal substances creation

  1. Anatomical variation of the origin of the left vertebral artery

    OpenAIRE

    Patasi B; Yeung A; Goodwin S; Jalali A

    2009-01-01

    This paper presents and describes the anatomical variation of the left vertebral artery originating from the arch of aorta as a case report. This variation was found in one of the cadavers at the Division of Clinical and Functional Anatomy, Faculty of Medicine, University of Ottawa. During routine dissection of a male cadaver, in the superior mediastinum and the neck we observed an atypical origin of the left vertebral artery. Atypical origin was compared to the typical origin of the left ver...

  2. Early Results of Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction

    Directory of Open Access Journals (Sweden)

    Demet Pepele

    2014-03-01

    Full Text Available Aim: The goal in anterior cruciate ligament reconstruction (ACLR is to restore the normal anatomic structure and function of the knee. In the significant proportion of patients after the traditional single-bundle ACLR, complaints of instability still continue. Anatomic double bundle ACLR may provide normal kinematics in knees, much closer to the natural anatomy. The aim of this study is to clinically assess the early outcomes of our anatomical double bundle ACLR. Material and Method: In our clinic between June 2009 and March 2010, performed the anatomic double bundle ACLR with autogenous hamstring grafts 20 patients were evaluated prospectively with Cincinnati, IKDC and Lysholm scores and in clinically for muscle strength and with Cybex II dynamometer. Results: The mean follow-up is 17.8 months (13-21 months. Patients%u2019 scores of Cincinnati, IKDC and Lysholm were respectively, preoperative 18.1, 39.3 and 39.8, while the post-op increased to 27.2, 76.3 and 86.3. In their last check, 17 percent of the patients according to IKDC scores (85% A (excellent and B (good group and 3 patients took place as C (adequate group. The power measurements of quadriceps and hamstring muscle groups of patients who underwent surgery showed no significant difference compared with the intact knees. Discussion: Double-bundle ACL reconstruction is a satisfactory method. There is a need comparative, long-term studies in large numbers in order to determine improving clinical outcome, preventing degeneration and restoring the knee biomechanics better.

  3. Anatomical evaluation of CT-MRI combined femoral model

    Directory of Open Access Journals (Sweden)

    Kim Gyu-Ha

    2008-01-01

    Full Text Available Abstract Background Both CT and MRI are complementary to each other in that CT can produce a distinct contour of bones, and MRI can show the shape of both ligaments and bones. It will be ideal to build a CT-MRI combined model to take advantage of complementary information of each modality. This study evaluated the accuracy of the combined femoral model in terms of anatomical inspection. Methods Six normal porcine femora (180 ± 10 days, 3 lefts and 3 rights with ball markers were scanned by CT and MRI. The 3D/3D registration was performed by two methods, i.e. the landmark-based 3 points-to-3 points and the surface matching using the iterative closest point (ICP algorithm. The matching accuracy of the combined model was evaluated with statistical global deviation and locally measure anatomical contour-based deviation. Statistical analysis to assess any significant difference between accuracies of those two methods was performed using univariate repeated measures ANOVA with the Turkey post hoc test. Results This study revealed that the local 2D contour-based measurement of matching deviation was 0.5 ± 0.3 mm in the femoral condyle, and in the middle femoral shaft. The global 3D contour matching deviation of the landmark-based matching was 1.1 ± 0.3 mm, but local 2D contour deviation through anatomical inspection was much larger as much as 3.0 ± 1.8 mm. Conclusion Even with human-factor derived errors accumulated from segmentation of MRI images, and limited image quality, the matching accuracy of CT-&-MRI combined 3D models was 0.5 ± 0.3 mm in terms of local anatomical inspection.

  4. 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

  5. Tree-space statistics and approximations for large-scale analysis of anatomical trees

    DEFF Research Database (Denmark)

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

    2013-01-01

    Statistical analysis of anatomical trees is hard to perform due to differences in the topological structure of the trees. In this paper we define statistical properties of leaf-labeled anatomical trees with geometric edge attributes by considering the anatomical trees as points in the geometric s...... healthy ones. Software is available from http://image.diku.dk/aasa/software.php....

  6. Midline fascial plication under continuous digital transrectal control: which factors determine anatomic outcome?

    NARCIS (Netherlands)

    Milani, A.L.; Withagen, M.I.J.; Schweitzer, K.J.; Janszen, E.W.; Vierhout, M.E.

    2010-01-01

    INTRODUCTION AND HYPOTHESIS: The aim of the study was to report anatomic and functional outcome of midline fascial plication under continuous digital transrectal control and to identify predictors of anatomic failure. METHODS: Prospective observational cohort. Anatomic success defined as POP-Q stage

  7. 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…

  8. Anatomical and functional neuroimaging in awake, behaving marmosets.

    Science.gov (United States)

    Silva, Afonso C

    2017-03-01

    The common marmoset (Callithrix jacchus) is a small New World monkey that has gained significant recent interest in neuroscience research, not only because of its compatibility with gene editing techniques, but also due to its tremendous versatility as an experimental animal model. Neuroimaging modalities, including anatomical (MRI) and functional magnetic resonance imaging (fMRI), complemented by two-photon laser scanning microscopy and electrophysiology, have been at the forefront of unraveling the anatomical and functional organization of the marmoset brain. High-resolution anatomical MRI of the marmoset brain can be obtained with remarkable cytoarchitectonic detail. Functional MRI of the marmoset brain has been used to study various sensory systems, including somatosensory, auditory, and visual pathways, while resting-state fMRI studies have unraveled functional brain networks that bear great correspondence to those previously described in humans. Two-photon laser scanning microscopy of the marmoset brain has enabled the simultaneous recording of neuronal activity from thousands of neurons with single cell spatial resolution. In this article, we aim to review the main results obtained by our group and by our colleagues in applying neuroimaging techniques to study the marmoset brain. © 2016 Wiley Periodicals, Inc. Develop Neurobiol 77: 373-389, 2017.

  9. 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...

  10. 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.

  11. 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.

  12. 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 ...

  13. 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...

  14. 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.

  15. Creation of a Neovagina by Laparoscopic Modified Vecchietti Technique: Anatomic and Functional Results.

    Science.gov (United States)

    Baptista, Eduardo; Carvalho, Giselda; Nobre, Carlos; Dias, Isabel; Torgal, Isabel

    2016-09-01

    Purpose To evaluate the anatomic and functional results of a laparoscopic modified Vecchietti technique for the creation of a neovagina in patients with congenital vaginal aplasia. Methods Retrospective study of nine patients with congenital vaginal aplasia submitted to the laparoscopic Vecchietti procedure, in our department, between 2006 and 2013. The anatomical results were evaluated by assessing the length, width and epithelialization of the neovagina at the postoperative visits. The functional outcome was evaluated using the Rosen Female Sexual Function Index (FSFI) questionnaire and comparing the patients' results to those of a control group of 20 healthy women. The statistical analysis was performed using SPSS Statistics version 19.0 (IBM, Armonk, NY, USA), Student t-test, Mann-Whitney U test and Fisher exact test. Results The condition underlying the vaginal aplasia was Mayer-Rokitansky-Küster-Hauser syndrome in eight cases, and androgen insensitivity syndrome in one case. The average preoperative vaginal length was 2.9 cm. At surgery, the mean age of the patients was 22.2 years. The surgery was performed successfully in all patients and no intra or postoperative complications were recorded. At the first postoperative visit (6 to 8 weeks after surgery), the mean vaginal length was 8.1 cm. In all cases, the neovagina was epithelialized and had an appropriate width. The mean FSFI total and single domain scores did not differ significantly from those of the control group: 27.5 vs. 30.6 (total); 4.0 vs. 4.2 (desire); 4.4 vs. 5.2 (arousal); 5.2 vs. 5.3 (lubrication); 4.2 vs. 5.0 (orgasm); 5.3 vs. 5.5 (satisfaction) and 4.4 vs. 5.4 (comfort). Conclusions This modified laparoscopic Vecchietti technique is a simple, safe and effective procedure, which allows patients with congenital vaginal aplasia to have a satisfactory sexual activity, comparable to that of normal controls.

  16. Deposition, Characterization, and Enhanced Adherence of Escherichia coli Bacteria on Flame-Sprayed Photocatalytic Titania-Hydroxyapatite Coatings

    Science.gov (United States)

    Liu, Yuxin; Huang, Jing; Ding, Siyue; Liu, Yi; Yuan, Jianhui; Li, Hua

    2013-08-01

    Nanostructured titania has been extensively investigated as photocatalytic material and is capable of killing bacteria attached on its surface. The persistent challenge yet is how to effectively promote adhesion of bacteria on its surface for consequent extermination. The study presented here deals with liquid flame-sprayed nanostructured titania-hydroxyapatite (HA) coatings. Addition of HA alleviated phase transformation of titania from anatase to rutile during the coating deposition, reducing rutile to anatase ratio from 9.58 to 1.99%, and precluded effectively aggregation of the nano titania particles in the as-sprayed coatings. Adherence of Escherichia coli bacteria on the coatings showed significant dependence on content of HA, and the increased HA content resulted in enhanced attachment of the bacteria. Examination of the photocatalytic activity of the coatings through decomposition of methylene blue dye in water revealed that addition of HA did not markedly deteriorate the photocatalytic performances of the coatings. The coatings consisting of 10 wt.% HA showed the best photocatalytic activity, which is comparable to that exhibited by immobilized Degussa P25 coatings. The unambiguous evidence provided in this study suggests that the coatings made from combination of biocompatible HA and photocatalytic nano titania have great potential for antibacterium applications.

  17. Hydroxyapatite coating on biodegradable AZ31 and Mg-Ca alloys prepared by RF-magnetron sputtering

    Science.gov (United States)

    Mukhametkaliyev, T.; Surmeneva, M.; Surmenev, R.; Mathan, B. K.

    2015-11-01

    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 Icorr reduced by ˜ 98% as compared to the base alloy.

  18. The effect of Er:YAG laser irradiation on the surface microstructure and roughness of hydroxyapatite-coated implant

    OpenAIRE

    2010-01-01

    Purpose The present study was performed to evaluate the effect of erbium:yttrium-aluminium-garnet (Er:YAG) laser irradiation on the change of hydroxyapatite (HA)-coated implant surface microstructure according to the laser energy and the application time. Methods The implant surface was irradiated by Er:YAG laser under combination condition using the laser energy of 100 mJ/pulse, 140 mJ/pulse and 180 mJ/pulse and application time of 1 minute, 1.5 minutes and 2 minutes. The specimens were exam...

  19. 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.

  20. Acute and Subacute Toxicity In Vivo of Thermal-Sprayed Silver Containing Hydroxyapatite Coating in Rat Tibia

    Directory of Open Access Journals (Sweden)

    Masatsugu Tsukamoto

    2014-01-01

    Full Text Available To reduce the incidence of implant-associated infection, we previously developed a novel coating technology using hydroxyapatite (HA containing silver (Ag. This study examined in vivo acute and subacute toxicity associated with the Ag-HA coating in rat tibiae. Ten-week-old rats received implantation of HA-, 2% Ag-HA-, or 50% Ag-HA-coated titanium rods. Concentrations of silver in serum, brain, liver, kidneys, and spleen were measured in the acute phase (2–4 days after treatment and subacute phase (4–12 weeks after treatment. Biochemical and histological examinations of those organs were also performed. Mean serum silver concentration peaked in the acute phase and then gradually decreased. Mean silver concentrations in all examined organs from the 2% Ag-HA coating groups showed no significant differences compared with the HA coating group. No significant differences in mean levels of glutamic-oxaloacetic transaminase, glutamic-pyruvic transaminase, lactate dehydrogenase, creatinine, or blood urea nitrogen were seen between the three groups and controls. Histological examinations of all organs revealed no abnormal pathologic findings. No acute or subacute toxicity was seen in vivo for 2% Ag-HA coating or HA coating. Ag-HA coatings on implants may represent biologically safe antibacterial biomaterials and may be of value for reducing surgical-site infections related to implantation.

  1. 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.

  2. 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.

  3. Mechanical stability of two-step chemically deposited hydroxyapatite coating on Ti substrate: effects of various surface pretreatments.

    Science.gov (United States)

    Zavgorodniy, Alexander V; Borrero-López, Oscar; Hoffman, Mark; LeGeros, Racquel Z; Rohanizadeh, Ramin

    2011-10-01

    The success of implants in orthopaedic and dental load-bearing applications crucially depends on the initial biological fixation of implants in surrounding bone tissues. Using hydroxyapatite (HA) coating on Ti implant as carrier for bone morphogenetic proteins (BMPs) may promote the osteointegration of implants; therefore, reduce the risk of implant failure. The goal of this study was to develop an HA coating method in conditions allowing the incorporation of protein-based drugs into the coating materials, while achieving a mechanical stable coating on Ti implant. HA coatings were deposited on six different groups of Ti surfaces: control (no pretreatment), pretreated with alkali, acid, heat at 800°C, grit blasted with Al₂O₃, and grit blasted followed by heat treatment. HA coating was prepared using a two-step procedure. First step was the chemical deposition of a monetite coating on Ti substrate in acidic condition at 75°C and the second step was the hydrolysis of the monetite coating to HA. Coatings were characterized by scanning electron microscope (SEM), energy-dispersive X-ray spectroscopy (EDS), and X-ray diffraction (XRD). The roughness of substrates and coatings was measured using profilometry technique. The mechanical stability of the coatings deposited on the pretreated substrates was assessed using scratch test. The coatings deposited on the grit-blasted Ti surface demonstrated superior adhesive properties with critical shearing stress 131.6 ± 0.2 MPa.

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

    DEFF Research Database (Denmark)

    Andersen, Mikkel R; Petersen, Michael M

    2015-01-01

    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 ...

  5. 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.

  6. Preparation and Characterisation of Hydroxyapatite Coatings on Nanotubular TiO2 Surface Obtained by Sol-Gel Process.

    Science.gov (United States)

    Shin, Jin-Ho; Kim, Jung-Hwa; Koh, Jeong-Tae; Lim, Hyun-Pil; Oh, Gye-Jeong; Lee, Seok-Woo; Lee, Kwang-Min; Yun, Kwi-Dug; Park, Sang-Won

    2015-08-01

    Hydroxyapatite (HA) coating on titanium dioxide (TiO2) nanotubular surface has been developed to complement the defects of both TiO2 and HA. A sol-gel processing technique was used to coat HA on TiO2 nanotubular surface. All the titanium discs were blasted with resorbable blast media (RBM). RBM-blasted Ti surface, anodized Ti surface, and sol-gel HA coating on the anodized Ti surface were prepared. The characteristics of samples were observed using scanning electron microscopy and X-ray photoemission spectroscopy. Biologic responses were evaluated with human osteosarcoma MG63 cells in vitro. The top of the TiO2 nanotubes was not completely covered by HA particles when the coating time was less than 60 sec. It was demonstrated the sol-gel derived HA film was well-crystallized and this enhanced biologic responses in early stage cell response.

  7. Development of electrophoretically deposited hydroxyapatite coatings on anodized nanotubular TiO{sub 2} structures: Corrosion and sintering temperature

    Energy Technology Data Exchange (ETDEWEB)

    Goudarzi, Mona; Batmanghelich, Farhad, E-mail: farhad.batmanghelich@rockets.utoledo.edu; Afshar, Abdollah; Dolati, Abolghasem; Mortazavi, Golsa

    2014-05-01

    Highlights: • HA nanoparticles were deposited on TiO{sub 2} nanotubular surface by EPD. • Nanotubular TiO{sub 2} structure enhances HA coating adhesion formed by EPD process. • Vacuum sintered coatings offered enhanced corrosion protection. • HA particles over TiO{sub 2} nanotubes decrease corrosion protection compared to their absence. - Abstract: Hydroxyapatite (HA) coatings in and onto anodized TiO{sub 2} nanotube arrays were presented and prepared by electrophoretic deposition technique (EPD). Coatings were characterized by X-ray diffraction (XRD) and scanning electron microscopy (SEM). EPD proved to be an innovative and versatile technique to coat HA on and into nanotubular structures of TiO{sub 2} with enhanced adhesion between nanotubes and HA particles provided by mechanical interlocking. After EPD of HA on TiO{sub 2} layer, samples were sintered at 400 °C, 600 °C and 800 °C for 2 h in an Ar atmosphere. Effect of EPD processing parameters on thickness of the deposits and rate of deposition was elucidated for HA coatings on the nanotubular TiO{sub 2} structures. It was shown that higher applied voltages increase deposition rate and thickness of the coatings. Potentiodynamic polarization measurements proved corrosion protection caused by both HA coating and nanotubular TiO{sub 2} structure in simulated body fluid (SBF). Effect of sintering temperature on adhesion strength of HA coatings on TiO{sub 2} nanotubes and their composition were also studied.

  8. Magnesium substituted hydroxyapatite coating on titanium with nanotublar TiO2 intermediate layer via electrochemical deposition

    Science.gov (United States)

    Yajing, Yan; Qiongqiong, Ding; Yong, Huang; Han, Shuguang; Pang, Xiaofeng

    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 (TiO2) 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 Mg2+ incorporation, Ca2+ was substituted by Mg2+ 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.

  9. 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.

  10. 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)

  11. Obtaining hydroxyapatite coatings on titanium by the biomimetic method; Obtencion de recubrimientos de hidroxiapatita sobre titanio mediante el metodo biomimetico

    Energy Technology Data Exchange (ETDEWEB)

    Paz, A.; Martin, Y.; Pazos, L. M.; Parodi, M. B.; Ybarra, G. O.; Gonzalez, J. E.

    2011-07-01

    In this work, a study about the deposition of hydroxyapatite on a titanium substrate employing the biomimetic method is presented. A solution with high content of calcium and phosphorus (SCS) was used. In addition, activation of titanium with hydrogen peroxide and hydrochloric acid and a subsequent heat treatment was performed. The characterization of materials used and the coating obtained was carried out by Infrared Spectroscopy (FT-IR), X-ray Diffraction (XRD), Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray Spectroscopy (EDX). As a result of the activation processes a hydrated titanium oxide was formed. On the active surface, a coating of hydroxyapatite was obtained after a period of 24 h, which has a thickness of about 2-4 {mu}m. (Author) 21 refs.

  12. 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.

  13. 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

    Defects in the hydroxyapatite (HA) ceramic coatings applied to metallic implant systems may occur at the time of insertion or at the time of in vivo loading. However, defects may also occur with time because of interaction with physiological fluids. A canine study was performed to make a histolog......Defects in the hydroxyapatite (HA) ceramic coatings applied to metallic implant systems may occur at the time of insertion or at the time of in vivo loading. However, defects may also occur with time because of interaction with physiological fluids. A canine study was performed to make...

  14. Silver nanoparticles and growth factors incorporated hydroxyapatite coatings on metallic implant surfaces for enhancement of osteoinductivity and antibacterial properties.

    Science.gov (United States)

    Xie, Chao-Ming; Lu, Xiong; Wang, Ke-Feng; Meng, Fan-Zhi; Jiang, Ou; Zhang, Hong-Ping; Zhi, Wei; Fang, Li-Ming

    2014-06-11

    Research on incorporation of both growth factors and silver (Ag) into hydroxyapatite (HA) coatings on metallic implant surfaces for enhancing osteoinductivity and antibacterial properties is a challenging work. Generally, Ag nanoparticles are easy to agglomerate and lead to a large increase in local Ag concentration, which could potentially affect cell activity. On the other hand, growth factors immobilization requires mild processing conditions so as to maintain their activities. In this study, bone morphology protein-2 (BMP-2) and Ag nanoparticle contained HA coatings were prepared on Ti surfaces by combining electrochemical deposition (ED) of Ag and electrostatic immobilization of BMP-2. During the ED process, chitosan (CS) was selected as the stabilizing agent to chelate Ag ions and generate Ag nanoparticles that are uniformly distributed in the coatings. CS also reduces Ag toxicity while retaining its antibacterial activity. Afterwards, a BMP/heparin solution was absorbed on the CS/Ag/HA coatings. Consequently, BMP-2 was immobilized on the coatings by the electrostatic attraction between CS, heparin, and BMP-2. Sustained release of BMP-2 and Ag ions from HA coatings was successfully demonstrated for a long period. Results of antibacterial tests indicate that the CS/Ag/HA coatings have high antibacterial properties against both Staphylococcus epidermidis and Escherichia coli. Osteoblasts (OB) culture reveals that the CS/Ag/HA coatings exhibit good biocompatibility. Bone marrow stromal cells (BMSCs) culture indicates that the BMP/CS/Ag/HA coatings have good osteoinductivity and promote the differentiation of BMSCs. Ti bars with BMP/CS/Ag/HA coatings were implanted into the femur of rabbits to evaluate the osteoinductivity of the coatings. Results indicate that BMP/CS/Ag/HA coatings favor bone formation in vivo. In summary, this study presents a convenient and effective method for the incorporation of growth factors and antibacterial agents into HA coatings. This method can be utilized to modify a variety of metallic implant surfaces.

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

    Science.gov (United States)

    Rojaee, Ramin; Fathi, Mohammadhossein; Raeissi, Keyvan

    2013-10-01

    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(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(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.

  16. 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.

  17. 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...

  18. 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.

  19. Fatigue property of a bioabsorbable magnesium alloy with a hydroxyapatite coating formed by a chemical solution deposition.

    Science.gov (United States)

    Hiromoto, Sachiko; Tomozawa, Masanari; Maruyama, Norio

    2013-09-01

    A hydroxyapatite (HAp) coating was directly formed on an extruded AZ31 magnesium alloy by a single-step chemical solution deposition. The HAp coating consists of an outer porous HAp layer, an inner continuous HAp layer, and a thin intermediate MgO layer, and the inner HAp and MgO layers are composed of nanocrystals. Tensile and fatigue tests were performed on the HAp-coated AZ31 in air. The HAp coating microscopically showed neither crack nor detachment at 5% static elongation (1.5% residual strain). With further elongation under tensile stress, cracks were formed perpendicularly to the tensile direction, and fragments of the coating detached with a fracture inside the inner continuous HAp layer. The fatigue strengths at 10(7) cycles (fatigue limit) of HAp-coated and mechanically polished AZ31 were ca. 80 MPa and ca. 90 MPa, respectively. The slight decrease in the fatigue limit with the HAp coating is attributed to small pits with a depth of ca. 10 μm formed on the substrate during the HAp-coating treatment. The HAp coating remained on the specimen without cracks after 10(7) cycles at the fatigue limit, which provides ca. 3% cyclic elongation.

  20. Preparation and properties of in-situ growth of carbon nanotubes reinforced hydroxyapatite coating for carbon/carbon composites.

    Science.gov (United States)

    Liu, Shoujie; Li, Hejun; Su, Yangyang; Guo, Qian; Zhang, Leilei

    2017-01-01

    Carbon nanotubes (CNTs) possess excellent mechanical properties for their role playing in reinforcement as imparting strength to brittle hydroxyapatite (HA) bioceramic coating. However, there are few reports relating to the in-situ grown carbon nanotubes reinforced hydroxyapatite (CNTs-HA) coating. Here we demonstrate the potential application in reinforcing biomaterials by an attempt to use in-situ grown of CNTs strengthen HA coating, using a combined method composited of injection chemical vapor deposition (ICVD) and pulsed electrodeposition. The microstructure, phases and chemical compositions of CNTs-HA coatings were characterized by various advanced methods. The scanning electron microscopy (SEM) images indicated that CNTs-HA coatings avoided the inhomogeneous dispersion of CNTs inside HA coating. The result show that the interfacial shear strength between CNTs-HA coating and the C/C composite matrix reaches to 12.86±1.43MPa. Potenitodynamic polarization and electrochemical impedance spectroscopy (EIS) studies show that the content of CNTs affects the corrosion resistance of CNTs-HA coating. Cell culturing and simulated body fluid test elicit the biocompatibility with living cells and bioactivity of CNTs-HA coatings, respectively.

  1. Controllable preparation of a nano-hydroxyapatite coating on carbon fibers by electrochemical deposition and chemical treatment.

    Science.gov (United States)

    Wang, Xudong; Zhao, Xueni; Wang, Wanying; Zhang, Jing; Zhang, Li; He, Fuzhen; Yang, Jianjun

    2016-06-01

    A nano-hydroxyapatite (HA) coating with appropriate thickness and morphology similar to that of human bone tissue was directly prepared onto the surfaces of carbon fibers (CFs). A mixed solution of nitric acid, hydrochloric acid, sulfuric acid, and hydrogen peroxide (NHSH) was used in the preparation process. The coating was fabricated by combining NHSH treatment and electrochemical deposition (ECD). NHSH treatment is easy to operate, produces rapid reaction, and highly effective. This method was first used to induce the nucleation and growth of HA crystals on the CF surfaces. Numerous O-containing functional groups, such as hydroxyl (-OH) and carboxyl (-COOH) groups, were grafted onto the CF surfaces by NHSH treatment (NHSH-CFs); as such, the amounts of these groups on the functionalized CFs increased by nearly 8- and 12-fold, respectively, compared with those on untreated CFs. After treatment, the NHSH-CFs not only acquired larger specific surface areas but retained surfaces free from serious corrosion or breakage. Hence, NHSH-CFs are ideal depositional substrates of HA coating during ECD. ECD was successfully used to prepare a nano-rod-like HA coating on the NHSH-CF surfaces. The elemental composition, structure, and morphology of the HA coating were effectively controlled by adjusting various technological parameters, such as the current density, deposition time, and temperature. The average central diameter of HA crystals and the coating density increased with increasing deposition time. The average central diameter of most HA crystals on the NHSH-CFs varied from approximately 60 nm to 210 nm as the deposition time increased from 60 min to 180 min. Further studies on a possible deposition mechanism revealed that numerous O-containing functional groups on the NHSH-CF surfaces could associate with electrolyte ions (Ca(2+)) to form special chemical bonds. These bonds can induce HA coating deposition and improve the interfacial bonding strength between the HA coating and NHCH-CFs. The results of this study and the proposed preparation of uniform and dense nano-HA coating provide theoretical and practical guidance for future investigations of active HA coatings on fiber materials for medical products and implants. This work also lays the foundation for the wider use of HA-coated CFs/HA composite implants in clinical application.

  2. 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.

  3. Induction of osteoconductivity by BMP-2 gene modification of mesenchymal stem cells combined with plasma-sprayed hydroxyapatite coating

    Science.gov (United States)

    Wu, Jiang; Guo, Ying-qiang; Yin, Guang-fu; Chen, Huai-qing; Kang, Yunqing

    2008-11-01

    Success in bone implant depends greatly on the composition and surface features of the implant. The surface-modification measures not only favor the implant's osteoconductivity, but also promote both bone anchoring and biomechanical stability. This paper reports an approach to combine a hydroxyapatite (HA) coated substrate with a cellular vehicle for the delivery of bone morphogenetic protein-2 (BMP-2) synergistically enhancing the osteoconductivity of implant surfaces. We examined the attachment, growth and osteoinductive activity of transfected BMP-producing bone marrow mesenchymal stem cells (BMSCs) on a plasma-sprayed HA coated substrate. It was found that the HA coated substrate could allow the attachment and growth of BMP-2 gene modified BMSCs, and this combined application synergistically enhanced osteconductivity of the substrate surface. This synergistic method may be of osseointegration value in orthopedic and dental implant surgery.

  4. 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.

  5. Rapamycin/sodium hyaluronate binding on nano-hydroxyapatite coated titanium surface improves MC3T3-E1 osteogenesis

    Science.gov (United States)

    Liu, Chao; Dong, Jian Yong; Yue, Lin Lin; Liu, Shao Hua; Wan, Yi; Liu, Hong; Tan, Wan Ye; Guo, Qian Qian; Zhang, Dong

    2017-01-01

    Endosseous titanium (Ti) implant failure due to poor biocompatibility of implant surface remains a major problem for osseointegration. Improving the topography of Ti surface may enhance osseointegration, however, the mechanism remains unknown. To investigate the effect of modified Ti surface on osteogenesis, we loaded rapamycin (RA) onto nano-hydroxyapatite (HAp) coated Ti surface which was acid-etched, alkali-heated and HAp coated sequentially. Sodium hyaluronate (SH) was employed as an intermediate layer for the load of RA, and a steady release rate of RA was maintained. Cell vitality of MC3T3-E1 was assessed by MTT. Osteogenesis of MC3T3-E1 on this modified Ti surface was evaluated by alkaline phosphatase (ALP) activity, mineralization and related osteogenesis genes osteocalcin (OCN), osteopontin (OPN), Collagen-I and Runx2. The result revealed that RA/SH-loaded nano-HAp Ti surface was innocent for cell vitality and even more beneficial for cell osteogenesis in vitro. Furthermore, osteogenesis of MC3T3-E1 showed significant association with the mammalian target of rapamycin (mTOR) phosphorylation by RA, which required further study about the mechanism. The approach to this modified Ti surface presented in this paper has high research value for the development of Ti-based implant. PMID:28182765

  6. The Bioactivated Interfacial Behavior of the Fluoridated Hydroxyapatite-Coated Mg-Zn Alloy in Cell Culture Environments

    OpenAIRE

    Jianan Li; Lei Cao; Yang Song; Shaoxiang Zhang; Changli Zhao; Fan Zhang; Xiaonong Zhang

    2011-01-01

    A partially fluorine substituted hydroxyapatite- (FHA-) coated Mg-Zn alloy was prepared to investigate the interfacial behavior of degradable Mg-based biomaterials with degradable bioactive coatings in a cell culture environment. Peaks from the results of X-ray diffraction (XRD) were characterized and compared before and after cell culture. It was found that Ca-P, including poorly crystalline ion-substituted Ca-deficient HA (CDHA), was formed in greater amounts on the interface of coated samp...

  7. 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.

  8. Laparoscopic total pancreatectomy

    Science.gov (United States)

    Wang, Xin; Li, Yongbin; Cai, Yunqiang; Liu, Xubao; Peng, Bing

    2017-01-01

    Abstract Rationale: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. Patients and Methods: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. Diagnosis and Outcomes: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. Lessons: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. PMID:28099344

  9. A micro-computed tomography study of the negotiation and anatomical feature in apical root canal of mandibular molars.

    Science.gov (United States)

    Min, Yi; Ma, Jing-Zhi; Shen, Ya; Cheung, Gary Shun-Pan; Gao, Yuan

    2016-11-01

    The aim of this study was to investigate the clinical negotiation of various apical anatomic features of the mandibular first molars in a Chinese population using micro-computed tomography (micro-CT). A total of 152 mandibular first molars were scanned with micro-CT at 30 µm resolution. The apical 5 mm of root canal (ARC) was reconstructed three dimensionally and classified. Subsequently, the access cavity was prepared with the ARC anatomy blinded to the operator. The ARC was negotiated with a size 10 K file with or without precurve. Information on the ability to obtain a reproducible glide path was recorded. The anatomical classification of ARC was Type I with 68.45% in mandibular first molars. The negotiation result of ARC with Category i was 387 canals (74.00%). With a bent negotiating file, 96 canals were negotiated, including 88 reproducible glide paths (Category ii) and 8 irregular glide paths (Category iii). About 7.65% canals could not be negotiated with patency successfully (Category iv). The statistical analyze shown the anatomic feature of ARC had effect on the negotiation of ARC (p negotiation. The category of negotiation in ARC would be helpful in the using of NiTi rotary instruments. Negotiation of ARC to the working length with patency should be careful and skillful because of the complexities of ARC. SCANNING 38:819-824, 2016. © 2016 Wiley Periodicals, Inc.

  10. 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

  11. An arthroscopic evaluation of the anatomical "critical zone".

    Science.gov (United States)

    Naidoo, Nerissa; Lazarus, Lelika; Osman, Shameem Ahmed; Satyapal, Kapil Sewsaran

    2016-09-26

    The "critical zone", a region of speculated vascularity, is situated approximately 10mm proximal to the insertion of the supraspinatus tendon. Despite its obvious role as an anatomical landmark demarcator, its patho-anatomic nature has been identified as the source of rotator cuff pathology. Although many studies have attempted to evaluate the vascularity of this region, the architecture regarding the exact length, width and shape of the critical zone, remains unreported. This study aimed to determine the shape and morphometry of the "critical zone" arthroscopically. The sample series, which comprised of 38 cases (n = 38) specific to pathological types, employed an anatomical investigation of the critical zone during routine real-time arthroscopy. Demographic representation: i) Sex: 19 Males, 19 Females; ii) Age range: 18 - 76 years old; iii) Race: White (29), Indian (7) and Coloured (2). The incidence of shape and the mean lengths and widths of the critical zone were determined in accordance with the relevant demographic factors and patient history. Although the cresenteric shape was predominant, hemispheric and sail-shaped critical zones were also identified. The lengths and widths of the critical zone appeared markedly increased in male individuals. While the increase in age may account for the increased incidence of rotator cuff degeneration due to poor end vascular supply, the additional factors of height and weight presented as major determinants of the increase in size of the critical zone. In addition, the comparisons of length and width with each other and shape yielded levels of significant difference, therefore indicating a directly proportional relationship between the length and width of the critical zone. This detailed understanding of the critical zone may prove beneficial for the success of post-operative rotator cuff healing.

  12. A propositional representation model of anatomical and functional brain data.

    Science.gov (United States)

    Maturana, Pablo; Batrancourt, Bénédicte

    2011-01-01

    Networks can represent a large number of systems. Recent advances in the domain of networks have been transferred to the field of neuroscience. For example, the graph model has been used in neuroscience research as a methodological tool to examine brain networks organization, topology and complex dynamics, as well as a framework to test the structure-function hypothesis using neuroimaging data. In the current work we propose a graph-theoretical framework to represent anatomical, functional and neuropsychological assessment instruments information. On the one hand, interrelationships between anatomic elements constitute an anatomical graph. On the other hand, a functional graph contains several cognitive functions and their more elementary cognitive processes. Finally, the neuropsychological assessment instruments graph includes several neuropsychological tests and scales linked with their different sub-tests and variables. The two last graphs are connected by relations of type "explore" linking a particular instrument with the cognitive function it explores. We applied this framework to a sample of patients with focal brain damage. Each patient was related to: (i) the cerebral entities injured (assessed with structural neuroimaging data) and (ii) the neusopsychological assessment tests carried out (weight by performance). Our model offers a suitable platform to visualize patients' relevant information, facilitating the representation, standardization and sharing of clinical data. At the same time, the integration of a large number of patients in this framework will make possible to explore relations between anatomy (injured entities) and function (performance in different tests assessing different cognitive functions) and the use of neurocomputational tools for graph analysis may help diagnostic and contribute to the comprehension of neural bases of cognitive functions.

  13. 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.

  14. A surgical view of the superior nasal turbinate: anatomical study.

    Science.gov (United States)

    Orhan, Mustafa; Govsa, Figen; Saylam, Canan

    2010-06-01

    Differences of the superior nasal turbinate (SNT), presence of the supreme nasal turbinate (SpNT) and measurements of opening sphenoid sinus (OSS) are consistent anatomical landmarks that allow for safe entrances, such as posterior ethmoidectomy and sphenoid sinusotomy. The purpose of study was to investigate the anatomical details of the SNT for approaching the OSS on 20 specimens of adult cadavers under an operating microscope. The SNT and SpNT were localized more perpendicular than parallel to their axes. The SpNT structure was observed in 12 specimens (60%) and it was classified into three types. Type A SpNT was shortest of all turbinates (58.3%). In types B and C, SpNT was equal or larger than the SNT. These types were seen in 41.7% of specimens. In 11 specimens, posterior ethmoidal cells opened to supreme nasal meatus. In 7 specimens, there was one opening to supreme nasal meatus, while 2 openings were detected in 12 specimens, and 3 openings were seen in 1 specimen. All these openings belonged to posterior ethmoidal cells. To determine the position of the OSS, distances between some anatomical points were measured. In cases where the SpNT is present or the SpNT is bigger than the SNT, it is certain that a different method will be applied during the procedure in the nasal cavity. The SNT and the SpNT may easily be injured by unrecognized dissection in types B and C, leading to the disruption of its olfactory neuroepithelium and possibly to postoperative hyposmia.

  15. Automatic semantic interpretation of anatomic spatial relationships in clinical text.

    Science.gov (United States)

    Bean, C A; Rindflesch, T C; Sneiderman, C A

    1998-01-01

    A set of semantic interpretation rules to link the syntax and semantics of locative relationships among anatomic entities was developed and implemented in a natural language processing system. Two experiments assessed the ability of the system to identify and characterize physico-spatial relationships in coronary angiography reports. Branching relationships were by far the most common observed (75%), followed by PATH (20%) and PART/WHOLE relationships. Recall and precision scores were 0.78 and 0.67 overall, suggesting the viability of this approach in semantic processing of clinical text.

  16. 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.

  17. Correlative CT and anatomic study of the sciatic nerve

    Energy Technology Data Exchange (ETDEWEB)

    Pech, P.; Haughton, V.

    1985-05-01

    Sciatica can be caused by numerous processes affecting the sciatic nerve or its components within the pelvis including tumors, infectious diseases, aneurysms, fractures, and endometriosis. The CT diagnosis of these causes of sciatica has not been emphasized. This study identified the course and appearance of the normal sciatic nerve in the pelvis by correlating CT and anatomic slices in cadavers. For purposes of discussion, the sciatic nerve complex is conveniently divided into three parts: presacral, muscular, and ischial. Each part is illustrated here by two cryosections with corresponding CT images.

  18. A high-rising epiglottis: a benign anatomical variant.

    Science.gov (United States)

    Alamri, Yassar; Stringer, Mark D

    2011-07-01

    We report an asymptomatic 10-year-old boy who was found to have a high-rising epiglottis visible in his pharynx. This benign anatomical variant is not widely recognized yet may cause anxiety to patients and their families. The prevalence of this finding is controversial, and it is uncertain whether it reflects an abnormal position, size, and/or shape of the epiglottis. It is probably more common in children, which is to be expected considering the normal descent of the larynx with postnatal growth. To date, the condition has not been associated with any significant clinical sequelae.

  19. 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.

  20. A Methodology for Anatomic Ultrasound Image Diagnostic Quality Assessment

    DEFF Research Database (Denmark)

    Hemmsen, Martin Christian; Lange, Theis; Brandt, Andreas Hjelm

    2017-01-01

    is valuable in the continuing process of method optimization and guided development of new imaging methods. It includes a three phased study plan covering from initial prototype development to clinical assessment. Recommendations to the clinical assessment protocol, software, and statistical analysis......This paper discusses methods for assessment of ultrasound image quality based on our experiences with evaluating new methods for anatomic imaging. It presents a methodology to ensure a fair assessment between competing imaging methods using clinically relevant evaluations. The methodology...... to properly reveal the clinical value. The paper exemplifies the methodology using recent studies of Synthetic Aperture Sequential Beamforming tissue harmonic imaging....

  1. DESIGN OF 3D MODEL OF CUSTOMIZED ANATOMICALLY ADJUSTED IMPLANTS

    OpenAIRE

    Miodrag Manić; Zoran Stamenković; Milorad Mitković; Miloš Stojković; Duncan E.T. Shephard

    2015-01-01

    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. Wit...

  2. Risky Cerebrovascular Anatomic Orientation: Implications for Brain Revascularization.

    Science.gov (United States)

    Nagm, Alhusain; Horiuchi, Tetsuyoshi; Yanagawa, Takao; Hongo, Kazuhiro

    2016-12-01

    This study documents a risky vascular anatomic orientation that might play an important role in the postoperative hemodynamics following anterior cerebral artery (ACA) revascularization. A 71-year-old woman presented with uncontrollable frequent right lower limb transient ischemic attacks (TIAs) attributed to a left cerebral ischemic lesion due to severe left ACA stenosis. She underwent successful left-sided superficial temporal artery-ACA bypass using interposed vascular graft. The patient awoke satisfactory from anesthesia; however, on postoperative day 1, she developed right-sided hemiparesis. Extensive postoperative investigations disclosed that watershed shift infarction was considered the etiology for this neurologic deterioration.

  3. [Measurement and analysis of anatomical parameter values in tree shrews].

    Science.gov (United States)

    Li, Bo; Zhang, Rong-Ping; Li, Jin-Tao; He, Bao-Li; Zhen, Hong; Wang, Li-Mei; Jiao, Jian-Lin

    2013-04-01

    Anatomical parameter values in tree shrews are major biological characteristic indicators in laboratory animals. Body size, bones and mammilla, organ weights, coefficient intestinal canal and other anatomical data were measured and analyzed in laboratory domesticated tree shrews (7 to 9 months of age). Measurement of 31 anatomical parameters showed that body height, width of the right ear, ileum and colon had significant differences between males and females (P<0.05). Highly significant differences were also found in body slanting length, chest depth, torso length, left and right forelimb length, right hind limb length, left and right ear length, left ear width, keel bone length, left and right tibia length, duodenum and jejunum (P<0.01). With body length as the dependent variable, and tail length, torso length, right and left forelimb length, and left and right hind limb length as independent variables for stepwise regression analysis, the regression equation for body length = 13.90 + tail length × 0.16. The results of 37 organs weights between female and male tree shrews showed very significant differences (P<0.01) for weight of heart, lungs, spleen, left and right kidney, bladder, left and right hippocampus, left submandibular gland, and left and right thyroid gland, as well as significant (P<0.05) differences in the small intestine, right submandibular gland, and left adrenal gland. The coefficient of heart, lung, stomach, bladder, small and large intestine, brain, right hippocampus, and left adrenal gland showed highly significant differences (P<0.01), while differences in the right kidney, left hippocampus, left submandibular gland, right adrenal gland, and left and right thyroid gland were significant (P<0.05). With animal weight as the dependent variable and indicators of heart, lung, liver, spleen, left and right kidney and brain as independent variables for stepwise regression analysis, the regression equation showed that weight = 62.73 + left kidney

  4. 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.

  5. 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.)

  6. 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...

  7. 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...

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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

  13. Functional Connectivity Patterns of Visual Cortex Reflect its Anatomical Organization.

    Science.gov (United States)

    Genç, Erhan; Schölvinck, Marieke Louise; Bergmann, Johanna; Singer, Wolf; Kohler, Axel

    2016-09-01

    The brain is continuously active, even without external input or task demands. This so-called resting-state activity exhibits a highly specific spatio-temporal organization. However, how exactly these activity patterns map onto the anatomical and functional architecture of the brain is still unclear. We addressed this question in the human visual cortex. We determined the representation of the visual field in visual cortical areas of 44 subjects using fMRI and examined resting-state correlations between these areas along the visual hierarchy, their dorsal and ventral segments, and between subregions representing foveal versus peripheral parts of the visual field. We found that retinotopically corresponding regions, particularly those representing peripheral visual fields, exhibit strong correlations. V1 displayed strong internal correlations between its dorsal and ventral segments and the highest correlation with LGN compared with other visual areas. In contrast, V2 and V3 showed weaker correlations with LGN and stronger between-area correlations, as well as with V4 and hMT+. Interhemispheric correlations between homologous areas were especially strong. These correlation patterns were robust over time and only marginally altered under task conditions. These results indicate that resting-state fMRI activity closely reflects the anatomical organization of the visual cortex both with respect to retinotopy and hierarchy.

  14. Anatomical and functional characteristics of carotid sinus stimulation in humans

    Science.gov (United States)

    Querry, R. G.; Smith, S. A.; Stromstad, M.; Ide, K.; Secher, N. H.; Raven, P. B.

    2001-01-01

    Transmission characteristics of pneumatic pressure to the carotid sinus were evaluated in 19 subjects at rest and during exercise. Either a percutaneous fluid-filled (n = 12) or balloon-tipped catheter (n = 7) was placed at the carotid bifurcation to record internal transmission of external neck pressure/neck suction (NP/NS). Sustained, 5-s pulses, and rapid ramping pulse protocols (+40 to -80 Torr) were recorded. Transmission of pressure stimuli was less with the fluid-filled catheter compared with that of the balloon-tipped catheter (65% vs. 82% negative pressure, 83% vs. 89% positive pressure; P Anatomical location of the carotid sinus averaged 3.2 cm (left) and 3.6 cm (right) from the gonion of the mandible with a range of 0-7.5 cm. Transmission was not altered by exercise or Valsalva maneuver, but did vary depending on the position of the carotid sinus locus beneath the sealed chamber. These data indicate that transmission of external NP/NS was higher than previously recorded in humans, and anatomical variation of carotid sinus location and equipment design can affect transmission results.

  15. Anatomic structural study of cerebellopontine angle via endoscope

    Institute of Scientific and Technical Information of China (English)

    XIA Yin; LI Xi-ping; HAN De-min; ZHENG Jun; LONG Hai-shan; SHI Jin-feng

    2007-01-01

    Background Minimally invasive surgery in skull base relying on searching for possible anatomic basis for endoscopic technology is controversial. The objective of this study was to observe the spatial relationships between main blood vessels and nerves in the cerebellopontine angle area and provide anatomic basis for lateral and posterior skull base minimally invasive surgery via endoscopic retrosigmoid keyhole approach.Methods This study was conducted on thirty dried adult skulls to measure the spatial relationships among the surface bony marks of posterior cranial fossa, and to locate the most appropriate drilling area for retrosigmoid keyhole approach.In addition, we used 10 formaldehyde-fixed adult cadaver specimens for simulating endoscopic retrosigmoid approach to determine the visible scope.Results The midpoint between the mastoid tip and the asterion was the best drilling point for retrosigmoid approach. A hole centered on this point with the 2.0 cm in diameter was suitable for exposing the related structures in the cerebellopontine angle. Retrosigmoid keyhole approach can decrease the pressure on the cerebellum and expose the related structures effectively which include facial nerve, vestibulocochlear nerve, trigeminal nerve, glossopharyngeal nerve, vagus nerve, accessory nerve, hypoglossal nerve, anterior inferior cerebellar artery, posterior inferior cerebellar artery and labyrinthine artery, etc.Conclusions Exact location on endoscope retrosigmoid approach can avoid dragging cerebellum during the minimally invasive surgery. The application of retrosigmoid keyhole approach will extend the application of endoscopic technology.

  16. 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.

  17. 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.

  18. Assessment of anatomical knowledge: Approaches taken by higher education institutions.

    Science.gov (United States)

    Choudhury, Bipasha; Freemont, Anthony

    2017-04-01

    Assessment serves the primary function of determining a student's competence in a subject. Several different assessment formats are available for assessing anatomical skills, knowledge and understanding and, as assessment can drive learning, a careful selection of assessments can help to engender the correct deep learning facility required of the safe clinical practitioner. The aim of this review was to survey the published literature to see whether higher education institutions are taking an andragogical approach to assessment. Five databases (EMBASE, ERIC, Medline, PubMed, and Web of Knowledge) were searched using standardized search terms with two limits applied (English language, and 2000 to the present). Among the 2,094 papers found, 32 were deemed suitable for this review. Current literature on assessment can be categorized into the following themes: assessment driven learning, types of assessments, frequency of assessments, and use of images in assessments. The consensus is to use a variety of methods, written and practical, to assess anatomical knowledge and skill in different domains. Institutions aim for different levels of Bloom's taxonomy for students at similar stages of their medical degree. Formative assessments are used widely, in differing formats, with mostly good effects on the final examination grade. In conclusion, a wide variety of assessments, each aimed at a different level of Bloom's taxonomy, are used by different institutions. Clin. Anat. 30:290-299, 2017. © 2017 Wiley Periodicals, Inc.

  19. 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

  20. 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...

  1. 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.

  2. Anatomic (positional) variation of maxillary wisdom teeth with special regard to the maxillary sinus.

    Science.gov (United States)

    Lanzer, Martin; Pejicic, Rada; Kruse, Astrid L; Schneider, Thomas; Grätz, Klaus W; Lübbers, Heinz-Theo

    2015-01-01

    The removal of wisdom teeth is one of the most common interventions in oral surgery. In order to avoid complications, a profound knowledge of the anatomy of teeth and adjacent tissues is crucial. In the case of maxillary wisdom teeth, their relationship to the maxillary sinus, to the pterygoid fossa, to the maxillary tuber and the adjacent venous plexus is particularly important. Three-dimensional (3D) imaging, for example by means of cone beam computed tomography (CBCT), is increasingly utilized in practice. However, the necessity of CBCT imaging is still a matter of intensive debate. The aim of this study was to describe the anatomic (positional) variation of maxillary wisdom teeth and, based on these findings, to elucidate the additional benefit of such imaging. A retrospective case study was performed using patients examined by means of CBCT imaging in the Department of Dento-Maxillofacial Radiology during the period from 2008 to 2013. Primary study variables comprised the spatial relationship of the teeth to the maxillary sinus, the degree of retention and root development, the covering of the root with bone and mucosa, the root configuration, and the developmental stage of the tooth. In addition, the association of the inclination of teeth in the transversal and sagittal plane with the above variables was evaluated. Descriptive statistical parameters were calculated for all results of the examination. In total, CBCT recordings of 713 maxillary wisdom teeth from 430 patients were evaluated. Their mean age was 29.8 years, and the proportion of male patients slightly prevailed (54.4%). Most teeth exhibited fully developed roots (64.1%). Overall 22.9% of third molars were impacted, 32.3% were retained, and 6.5% were erupting. In more than a third of the patients, wisdom teeth were in occlusion. The inclination of the third molars both in the transversal and sagittal plane was significantly associated with the distance of the root from the maxillary sinus as well

  3. Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

    Directory of Open Access Journals (Sweden)

    Oluleye TS

    2013-05-01

    Full Text Available TS Oluleye, OA Ibrahim, BA OlusanyaRetina and Vitreous Unit, Department of Ophthalmology, University College Hospital, Ibadan, NigeriaBackground: Scleral buckle surgery is not a commonly performed surgical procedure in Sub-Saharan Africa due to a paucity of trained vitreo retinal surgeons. The aim of the study was to review sclera buckle procedures with a view to evaluating the anatomical and visual outcomes.Methods: Case records of patients that had scleral buckle surgery at the Retina Unit of the University College Hospital, Ibadan, Nigeria, between 2007 and 2010 were reviewed. Information retrieved included patients' demographics, duration of symptoms, and presenting vision. Other information included site of retinal break, extent of retinal detachment, involvement of the fellow eye, and macular involvement. Postoperative retina reattachment and postoperative visual acuity were also recorded. Proportions and percentages were used to analyze data.Results: Forty five eyes of 42 patients were studied with a male to female ratio of 1.6:1. The mean age was 47.7 years (±17.6 years. The median duration before presentation was 3 months (range: 5 days – 156 months. Subtotal retinal detachment was found in 35 eyes (77.8% while total retinal detachment occurred in ten eyes (22.2%. Thirty four eyes (75.6% had "macular off" detachments. At 6 weeks, there was an improvement in visual acuity in 23 eyes (51.1%, while visual acuity remained the same in nine eyes (20% and was worse in 13 eyes (28.9%. Anatomical attachment was seen in 43 eyes (95.6% on the operation table, in 40 eyes (90.9% at first day postoperatively and in 32 eyes (86.5% at 6 weeks after surgery.Conclusion: Outcome of sclera buckle surgery for rhegmatogenous retinal detachment may be improved in developing countries of Sub Sahara Africa if adequate awareness is created to educate the populace on early presentation.Keywords: retinal detachment, scleral buckle surgery, anatomical and visual

  4. 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

  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. Anatomical variants of the superficial temporal artery in patients with microtia: a pilot descriptive study

    Science.gov (United States)

    Yong, Chong Kong; Das, Srijit; Huei, Yap Lok

    2016-01-01

    Superficial temporal artery (STA) based pedicled fascial flap plays a pivotal role in ear reconstruction for microtia patients. There is paucity of literature on the anatomy of the STA in microtia patients. The present study aimed to describe any possible anatomical variations seen in the STA of patients afflicted with microtia. Pre-operative carotid computer tomographic angiography images of patients under the microtia database of Plastic and Reconstructive Surgery Unit at a tertiary medical centre were selected and 3-dimensionally reconstructed. Measurements were made on the 3D reconstructed computed tomographic angiography images of the STA on both the sides of the microtic ear and the non-microtic ear to assess its various anatomical parameters. We managed to obtain a total of 39 computed tomographic angiography images of STAs for analysis. There was a significant difference in the number of main branches of STA between the two groups (P=0.006). The proportion of ears with 2 main branches was higher in the non-microtia group (89.5%) compared to the microtia group (45.0%). A significant difference was found in the STA diameter between the two groups (P=0.012). The mean diameter of STA in the non-microtia group was larger by 0.4 mm. Furthermore, the median angle of STA was larger on the side of the non-microtic ears compared to that of microtic ears by 24.5°, with a P-value of 0.011. The results of the study may be of clinical importance while planning and performing ear reconstructive surgeries using STA based pedicled fascial flaps. PMID:28127502

  7. Anatomic pulmonary resection by video-assisted thoracoscopy: the Brazilian experience (VATS Brazil study)

    Science.gov (United States)

    Terra, Ricardo Mingarini; Kazantzis, Thamara; Pinto-Filho, Darcy Ribeiro; Camargo, Spencer Marcantonio; Martins-Neto, Francisco; Guimarães, Anderson Nassar; Araújo, Carlos Alberto; Losso, Luis Carlos; Ghefter, Mario Claudio; de Lima, Nuno Ferreira; Gomes-Neto, Antero; Brito-Filho, Flávio; Haddad, Rui; Saueressig, Maurício Guidi; Lima, Alexandre Marcelo Rodrigues; de Siqueira, Rafael Pontes; Pinho, Astunaldo Júnior de Macedo e; Vannucci, Fernando

    2016-01-01

    ABSTRACT Objective: The objective of this study was to describe the results of anatomic pulmonary resections performed by video-assisted thoracoscopy in Brazil. Methods: Thoracic surgeons (members of the Brazilian Society of Thoracic Surgery) were invited, via e-mail, to participate in the study. Eighteen surgeons participated in the project by providing us with retrospective databases containing information related to anatomic pulmonary resections performed by video-assisted thoracoscopy. Demographic, surgical, and postoperative data were collected with a standardized instrument, after which they were compiled and analyzed. Results: The surgeons provided data related to a collective total of 786 patients (mean number of resections per surgeon, 43.6). However, 137 patients were excluded because some data were missing. Therefore, the study sample comprised 649 patients. The mean age of the patients was 61.7 years. Of the 649 patients, 295 (45.5%) were male. The majority-521 (89.8%)-had undergone surgery for neoplasia, which was most often classified as stage IA. The median duration of pleural drainage was 3 days, and the median hospital stay was 4 days. Of the 649 procedures evaluated, 598 (91.2%) were lobectomies. Conversion to thoracotomy was necessary in 30 cases (4.6%). Postoperative complications occurred in 124 patients (19.1%), the most common complications being pneumonia, prolonged air leaks, and atelectasis. The 30-day mortality rate was 2.0%, advanced age and diabetes being found to be predictors of mortality. Conclusions: Our analysis of this representative sample of patients undergoing pulmonary resection by video-assisted thoracoscopy in Brazil showed that the procedure is practicable and safe, as well as being comparable to those performed in other countries. PMID:27383936

  8. 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.

  9. 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.

  10. Anatomist on the dissecting table? Dutch anatomical professionals' views on body donation.

    Science.gov (United States)

    Bolt, Sophie; Venbrux, Eric; Eisinga, Rob; Gerrits, Peter O

    2012-03-01

    Anatomical professionals know better than anyone else that donated bodies are a valuable asset to anatomical science and medical education. They highly value voluntary donations, since a dearth of bodies negatively affects their profession. With this in mind, we conducted a survey (n = 54) at the 171st scientific meeting of the Dutch Anatomical Society in 2009 to see to what extent anatomical professionals are willing to donate their own body. The results reveal that none of the survey participants are registered as a whole body donor and that only a quarter of them would consider the possibility of body donation. We argue that the two main constraints preventing Dutch anatomical professionals from donating their own body are their professional and their social environments. In contrast to the absence of registered body donors, half of the anatomical professionals are registered as an organ donor. This figure far exceeds the proportion of registered organ donors among the general Dutch population.

  11. 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

    . CONCLUSION: Our framework automatically detects volumetric abnormalities in anatomical MRIs to aid in generating a priori hypotheses concerning anatomical connectivity that then can be tested using DTI. Additionally, automation enhances the reliability of ROIs, fiber tracking, and fiber clustering.......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 interest...... for fiber tracking. In our applied example, a comparison of fiber tracts in the two diagnostic groups showed that most fiber tracts failed to correspond across groups, suggesting that anatomical connectivity was severely disrupted in fiber bundles leading from regions of known anatomical abnormality...

  12. Supravaginal eller total hysterektomi?

    DEFF Research Database (Denmark)

    Edvardsen, L; Madsen, E M

    1994-01-01

    is examined. It is concluded that the risk of developing carcinoma of the cervical stump is low, and no longer a weighty indication for the total in preference to the supravaginal hysterectomy as long as subsequent screening of the cervix is performed. At the same time it is important to inform the women...

  13. Total Cost of Ownership

    DEFF Research Database (Denmark)

    Zachariassen, Frederik

    2007-01-01

    Total Cost of Ownership (TCO), som giver et bud på, hvordan virksomheder kan opnå en bedre indsigt i, hvilke leverandører der forårsager hvilke omkostninger og dermed danne et forbedret beslutningsgrundlag for besparelser i leverandørleddet. I artiklen argumenteres først og fremmest for, hvorfor TCO er...

  14. CSF total protein

    Science.gov (United States)

    CSF total protein is a test to determine the amount of protein in your spinal fluid, also called cerebrospinal fluid (CSF). ... The normal protein range varies from lab to lab, but is typically about 15 to 60 milligrams per deciliter (mg/dL) ...

  15. Total Synthesis of Naloxone

    Institute of Scientific and Technical Information of China (English)

    HU Wen-Xiang; WANG Jian-Ying; XU Ming

    2003-01-01

    @@ Naloxone (1) is one of the 14-hydroxyl substituted opium antagonists which are valuable medications for treat ment of opiate abuse, opiate overdose, and alcohol addiction. Here, the total synthesis of naloxone was described. We selected 2,6-dihydroxynaphalene (2) as the starting material.

  16. Total hip arthroplasty

    Directory of Open Access Journals (Sweden)

    Slavković Nemanja

    2012-01-01

    Full Text Available Total hip arthroplasty is most common reconstructive hip procedure in adults. In this surgery we replace some parts of the upper femur and acetabulum with biocompatible materials. The main goal of this surgery is to eliminate pain and regain full extent of joint motion, maintaining hip stability. Surgical technique, biomaterials, design of the prosthesis and fixation techniques have evolved with time adjusting to each other. After total hip arthroplasty patients’ quality of life should be improved. There are many various postoperative complications. Some of them are fatal, and some are minor, which may become manifested years after surgery. Each next surgical procedure following previous hip surgery is associated with considerably lower chances to be successful. Therefore, in primary total hip arthroplasty, preoperative evaluation and preparation of patients are essential. Every orthopaedic surgeon needs to improve already adopted surgical skills applying them with precision and without compromise, with the main goal to achieve long-term durability of the selected implant. The number of total hip arthroplasties will also increase in future, and newer and higher quality materials will be used.

  17. 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...

  18. Total Quality Management Simplified.

    Science.gov (United States)

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  19. Total Quality Management Seminar.

    Science.gov (United States)

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management…

  20. 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.

  1. 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

  2. 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

  3. Two unusual anatomic variations create a diagnostic dilemma in distal ulnar nerve compression.

    Science.gov (United States)

    Kiehn, Mark W; Derrick, Allison J; Iskandar, Bermans J

    2008-09-01

    Diagnosis of peripheral neuropathies is based upon patterns of functional deficits and electrodiagnostic testing. However, anatomic variations can lead to confounding patterns of physical and electrodiagnostic findings. Authors present a case of ulnar nerve compression due to a rare combination of anatomic variations, aberrant branching pattern, and FCU insertion at the wrist, which posed a diagnostic and therapeutic dilemma. The literature related to isolated distal ulnar motor neuropathy and anatomic variations of the ulnar nerve and adjacent structures is also reviewed. This case demonstrates how anatomic variations can complicate the interpretation of clinical and electrodiagnostic findings and underscores the importance of thorough exploration of the nerve in consideration for possible variations.

  4. 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.

  5. 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

  6. 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

  7. A Methodology for Anatomic Ultrasound Image Diagnostic Quality Assessment.

    Science.gov (United States)

    Hemmsen, Martin Christian; Lange, Theis; Brandt, Andreas Hjelm; Nielsen, Michael Bachmann; Jensen, Jorgen Arendt

    2017-01-01

    This paper discusses the methods for the assessment of ultrasound image quality based on our experiences with evaluating new methods for anatomic imaging. It presents a methodology to ensure a fair assessment between competing imaging methods using clinically relevant evaluations. The methodology is valuable in the continuing process of method optimization and guided development of new imaging methods. It includes a three phased study plan covering from initial prototype development to clinical assessment. Recommendations to the clinical assessment protocol, software, and statistical analysis are presented. Earlier uses of the methodology has shown that it ensures validity of the assessment, as it separates the influences between developer, investigator, and assessor once a research protocol has been established. This separation reduces confounding influences on the result from the developer to properly reveal the clinical value. This paper exemplifies the methodology using recent studies of synthetic aperture sequential beamforming tissue harmonic imaging.

  8. The Anatomical Society core regional anatomy syllabus for undergraduate medicine.

    Science.gov (United States)

    Smith, C F; Finn, G M; Stewart, J; Atkinson, M A; Davies, D C; Dyball, R; Morris, J; Ockleford, C; Parkin, I; Standring, S; Whiten, S; Wilton, J; McHanwell, S

    2016-01-01

    The Anatomical Society's core syllabus for anatomy (2003 and later refined in 2007) set out a series of learning outcomes that an individual medical student should achieve on graduation. The core syllabus, with 182 learning outcomes grouped in body regions, referenced in the General Medical Council's Teaching Tomorrow's Doctors, was open to criticism on the grounds that the learning outcomes were generated by a relatively small group of anatomists, albeit some of whom were clinically qualified. We have therefore used a modified Delphi technique to seek a wider consensus. A Delphi panel was constructed involving 'experts' (n = 39). The revised core syllabus of 156 learning outcomes presented here is applicable to all medical programmes and may be used by curriculum planners, teachers and students alike in addressing the perennial question: 'What do I need to know ?'

  9. Anatomía de los Cítricos

    OpenAIRE

    2015-01-01

    La agricultura del s. XXI debe estar basada en el conocimiento científico, y no solo en el empirismo y la experiencia, por muy amplia que ésta sea. Solo de este modo el agricultor será capaz de comprender e interpretar la adaptación de las especies al medio y favorecer la producción de frutos. A todo ello contribuye el conocimiento en Anatomía, Bioquímica, Biología, Botánica, Climatología, Edafología, Entomología, Fisiología, Genética, Patología. El primer paso para el avance en el cultivo...

  10. 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.

  11. Anatomical investigation on Cactaceae Juss.: a historical retrospect

    Directory of Open Access Journals (Sweden)

    Galina V. Kalashnyk

    2014-04-01

    Full Text Available Cactaceae consists of perennial stem succulents with diverse morphology. Due the distinctive structure and form the interest of researchers to this group of plants is increasing nowadays. The present paper provides an overview of published data concerning anatomical studies on the family Cactaceae since the mid-nineteenth century to our days. It is important to consider that recent interest in this field does not reduce, while the number of studies dealing with the structure and features of seedlings, the effect of various environmental factors on them is uprising. Such studies have a great practical importance for introduction and reintroduction of cacti, as well as for determination of their adaptive characteristics to environmental conditions.

  12. Reentry confined to the atrioventricular node: electrophysiologic and anatomic findings.

    Science.gov (United States)

    Sheinman, M M; Gonzalez, R; Thomas, A; Ullyot, D; Bharati, S; Lev, M

    1982-05-01

    A patient with recurrent disabling, paroxysmal supraventricular tachycardia refractory to drug treatment underwent electrophysiologic studies. The paroxysmal supraventricular tachycardia was found to be due to atrioventricular (A-V) nodal reentry. The patient died shortly after surgical His bundle section and detailed anatomic studies were performed. These showed fatty infiltration of the approaches to the sinoatrial node, atrial preferential pathways, and A-V node and common bundle. The A-V node was mechanically damaged and the common His bundle was completely severed. These abnormalities were clearly delineated and there was no evidence of an atrio-His bundle bypass tract to an accessory A-V node. Specifically, the central fibrous body and pars membranacea were defined and no atrial muscular fibers pierced these structures to joint the A-V bundle. It is concluded that paroxysmal supraventricular tachycardia due to A-V nodal reentry can be confined to the A-V node.

  13. Simultaneous molecular and anatomical imaging of the mouse in vivo.

    Science.gov (United States)

    Goertzen, Andrew L; Meadors, A Ken; Silverman, Robert W; Cherry, Simon R

    2002-12-21

    Non-invasive imaging technologies are opening up new windows into mouse biology. We have developed a mouse imaging system that integrates positron emission tomography (PET) with x-ray computed tomography (CT), allowing simultaneous anatomic and molecular imaging in vivo with the potential for precise registration of the two image volumes. The x-ray system consists of a compact mini-focal x-ray tube and an amorphous selenium flat panel x-ray detector with a low-noise CMOS readout. The PET system uses planar arrays of lutetium oxyorthosilicate scintillator coupled to position-sensitive photomultiplier tubes. We describe the design of this dual-modality imaging system and show, for the first time, simultaneously acquired PET and CT images in a phantom and in mice.

  14. MULTIDETECTOR CT STUDY OF ANATOMICAL VARIANTS OF ETHMOID SINUS

    Institute of Scientific and Technical Information of China (English)

    李玉华; 薛建平; 朱铭

    2004-01-01

    Objective To evaluate the significance of multidetector CT 3D reconstruction technique in showing anatomy of ethmoid sinus, at the same time, anatomic variations of ethmoid sinus and its clinical significance were also discussed. Methods 250 cases of ethmoid sinuses were scanned transversally by multidetector scaner, coronal and sagittal views were reconstructed. Results Coronal and sagittal views were good enough to make diagnosis. 5 kinds of common ethmoid sinus variations were seen, including pneumatization of ethmoid bulla (56. 5% ) , Onodi air cell(26% ) , Hailer cell(6. 5% ) ,low ethmoid foveolas( 4. 3% )and over intromigratiny lamella papyracea (6. 5% ). Conclusion The coronal and other special views of ethmoid sinus are showed clearly by 3 D reconstruction which can provide detailed image informations for functional endoscopic sinus surgery.

  15. 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.

  16. 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.

  17. Bioreactor cultivation of anatomically shaped human bone grafts.

    Science.gov (United States)

    Temple, Joshua P; Yeager, Keith; Bhumiratana, Sarindr; Vunjak-Novakovic, Gordana; Grayson, Warren L

    2014-01-01

    In this chapter, we describe a method for engineering bone grafts in vitro with the specific geometry of the temporomandibular joint (TMJ) condyle. The anatomical geometry of the bone grafts was segmented from computed tomography (CT) scans, converted to G-code, and used to machine decellularized trabecular bone scaffolds into the identical shape of the condyle. These scaffolds were seeded with human bone marrow-derived mesenchymal stem cells (MSCs) using spinner flasks and cultivated for up to 5 weeks in vitro using a custom-designed perfusion bioreactor system. The flow patterns through the complex geometry were modeled using the FloWorks module of SolidWorks to optimize bioreactor design. The perfused scaffolds exhibited significantly higher cellular content, better matrix production, and increased bone mineral deposition relative to non-perfused (static) controls after 5 weeks of in vitro cultivation. This technology is broadly applicable for creating patient-specific bone grafts of varying shapes and sizes.

  18. MR-anatomy of infants hip: comparison to anatomical preparations.

    Science.gov (United States)

    Krasny, R; Prescher, A; Botschek, A; Lemke, R; Casser, H R; Adam, G

    1991-01-01

    The correlation between anatomical preparations and MRI images of the most important structures of newborn hips in coronal and axial orientation was performed in 18 post mortem babies. T1-weighted images present a good differentiation between cartilage, bone, ligaments and surrounding soft tissues. Coronal images give the best opportunity to study the clinically important structures of the roof of acetabulum including the labrum and the ground of the acetabulum. The latter is shown in a more detailed way by MRI than by sonography. Axial images allow additional examinations of the ventral and dorsal parts of the joint. By using both coronal and axial images the exact determination of the centering of the femur head in the hip joint is possible.

  19. [The anatomic lobulation of the prostate, a controversial description].

    Science.gov (United States)

    Dauge, M C; Delmas, V; Potier, M

    1999-03-01

    Vésalius, in 1543, described, for the first time, the prostate as an unique organ. But, in the 19th century, two schools confronted; for Cruveilhier and Testut, the prostate was made of several lobes, when Cloquet and Sappey thought it as a unique zone. Albarran, in 1902, described the sub-uretral glands. Thereafter, Cuneo, in 1911 and Franks, in 1954, described two zones, one, internal, formed by the Albarran's glands, and the other, external, concerning the whole prostatic gland. On the contrary, Lowsley, in 1912, and Gil Vernet, in 1953, described several lobes, 5 for Lowsley, 3 for Gil Vernet. Recently, in 1968, and 1978, McNeal had made the proof that the prostate is histologically and anatomically heterogeneous, with three zones, transitional, central and peripheral ones.

  20. Craniofacial pain and anatomical abnormalities of the nasal cavities.

    Science.gov (United States)

    Mendonça, Jeferson Cedaro de; Bussoloti Filho, Ivo

    2005-01-01

    The causal relation between anatomical variations of the nose and headaches and facial pain is analyzed through literature review of the topic. The pathogenesis that can be involved in this relation proves to be wider than simple alteration of nasal septum and turbinates that can cause mechanical stimulus through contact between these structures, which covers infectious factors, neurogenic inflammation, correlation with migraines and the role of nasal obstruction. The clinical findings of a lot of authors including the test with topical anesthetic to prove this causal relation, the indication of surgical treatment, in addition to good results of this treatment, are reported. The mechanism of pain relief obtained through surgical correction of nasal septum and turbinate is discussed. These data make us conclude that there are multiple etiologic factors involved, which makes us question the fundamental role of the mechanical aspect.

  1. Wood anatomical characteristics of Durio Adans. (malvaceae - helicteroideae: Durioneae)

    Science.gov (United States)

    Nordahlia, A. S.; Noraini, T.; Chung, R. C. K.; Nadiah, I.; Lim, S. C.; Norazahana, A.; Noorsolihani, S.

    2016-11-01

    A wood anatomy study was carried out on 10 Durio species. Three species, namely D. griffithii, D. grandiflorus and D. excelsus were included, and these species were previously placed in the genus Boschia. Findings have shown presence of prismatic crystals in chambered and non-chambered axial parenchyma in seven Durio species studied, whilst silica was absent. However, in the other three species (D. griffithii, D. grandiflorus and D. excelsus) silica was present, whilst crystal was absent. The presence of this mineral inclusion in these three species was not good taxonomic character at generic level and cannot be used to distinguish Boschia from Durio. Therefore, Durio is suggested to be maintained based on findings in this study. There is no diagnostic wood anatomical characteristic that can be used to differentiate species in Durio. As a conclusion the wood anatomy alone does not aid in delimiting species in Durio.

  2. 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...

  3. 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.

  4. 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.

  5. A novel computer-assisted surgical technique for revision total knee arthroplasty.

    Science.gov (United States)

    Marcacci, Maurilio; Nofrini, Laura; Iacono, Francesco; Di Martino, Alessandro; Bignozzi, Simone; Lo Presti, Mirco

    2007-12-01

    Revision total knee arthroplasty (RTKA) is a skill-demanding intervention presenting several technical challenges to the surgeon due to bone deficiencies and lack of anatomical references. Computer-assisted navigation systems can potentially solve these problems. An innovative computer-assisted surgical technique for RTKA is presented. The system is image free. Based on anatomical landmarks acquired on the patient, the system automatically plans the intervention, and provides the surgeon with tools to analyse and modify the proposed plan and to accurately reproduce it on the patient. Although we performed few cases with this navigated procedure, early results obtained demonstrated to be very promising.

  6. Total ankle replacement using HINTEGRA, an unconstrained, three-component system: surgical technique and pitfalls.

    Science.gov (United States)

    Barg, Alexej; Knupp, Markus; Henninger, Heath B; Zwicky, Lukas; Hintermann, Beat

    2012-12-01

    Total ankle replacement (TAR) has become a valuable treatment option in patients with end-stage ankle osteoarthritis. One popular 3-component system, the HINTEGRA TAR, is an unconstrained system that provides inversion-eversion stability. More natural biomechanics of the replaced ankle may be expected when anatomic considerations drive prosthesis design. The HINTEGRA prosthesis includes 2 anatomically contoured metal components and a polyethylene insert, providing axial rotation and physiologic flexion-extension mobility. This article describes the HINTEGRA TAR design and surgical technique. Use of the prosthesis for complex hindfoot reconstruction in patients with an osteoarthritic, varus, or valgus ankle deformity is described.

  7. Total synthesis of teixobactin

    Science.gov (United States)

    Jin, Kang; Sam, Iek Hou; Po, Kathy Hiu Laam; Lin, Du'an; Ghazvini Zadeh, Ebrahim H.; Chen, Sheng; Yuan, Yu; Li, Xuechen

    2016-08-01

    To cope with the global bacterial multidrug resistance, scientific communities have devoted significant efforts to develop novel antibiotics, particularly those with new modes of actions. Teixobactin, recently isolated from uncultured bacteria, is considered as a promising first-in-class drug candidate for clinical development. Herein, we report its total synthesis by a highly convergent Ser ligation approach and this strategy allows us to prepare several analogues of the natural product.

  8. Cervical Total Disc Arthroplasty

    OpenAIRE

    Basho, Rahul; Hood, Kenneth A.

    2012-01-01

    Symptomatic adjacent segment degeneration of the cervical spine remains problematic for patients and surgeons alike. Despite advances in surgical techniques and instrumentation, the solution remains elusive. Spurred by the success of total joint arthroplasty in hips and knees, surgeons and industry have turned to motion preservation devices in the cervical spine. By preserving motion at the diseased level, the hope is that adjacent segment degeneration can be prevented. Multiple cervical disc...

  9. Total Synthesis of (-)-Conolutinine.

    Science.gov (United States)

    Feng, Xiangyang; Jiang, Guangde; Xia, Zilei; Hu, Jiadong; Wan, Xiaolong; Gao, Jin-Ming; Lai, Yisheng; Xie, Weiqing

    2015-09-18

    The first enantioselective synthesis of (-)-conolutinine was achieved in 10 steps. The synthesis featured a catalytic asymmetric bromocyclization of tryptamine to forge the tricycle intermediate. Hydration of an alkene catalyzed by Co(acac)2 was also employed as a key step to diastereoselectively introduce the tertiary alcohol moiety. The absolute configuration of (-)-conolutinine was established to be (2S,5aS,8aS,13aR) based on this asymmetric total synthesis.

  10. TOTAL PERFORMANCE SCORECARD

    OpenAIRE

    Anca ȘERBAN; Oana DUMITRAȘCU

    2013-01-01

    The purpose of this paper is to present the evolution of the Balanced Scorecard from a measurement instrument to a strategic performance management tool and to highlight the advantages of implementing the Total Performance Scorecard, especially for Human Resource Management. The study has been accomplished using the methodology of bibliographic study and various secondary sources. Implementing the classical Balanced Scorecard indicated over the years, repeatedly failure. It can be indicated t...

  11. Multivariate models of inter-subject anatomical variability.

    Science.gov (United States)

    Ashburner, John; Klöppel, Stefan

    2011-05-15

    This paper presents a very selective review of some of the approaches for multivariate modelling of inter-subject variability among brain images. It focusses on applying probabilistic kernel-based pattern recognition approaches to pre-processed anatomical MRI, with the aim of most accurately modelling the difference between populations of subjects. Some of the principles underlying the pattern recognition approaches of Gaussian process classification and regression are briefly described, although the reader is advised to look elsewhere for full implementational details. Kernel pattern recognition methods require matrices that encode the degree of similarity between the images of each pair of subjects. This review focusses on similarity measures derived from the relative shapes of the subjects' brains. Pre-processing is viewed as generative modelling of anatomical variability, and there is a special emphasis on the diffeomorphic image registration framework, which provides a very parsimonious representation of relative shapes. Although the review is largely methodological, excessive mathematical notation is avoided as far as possible, as the paper attempts to convey a more intuitive understanding of various concepts. The paper should be of interest to readers wishing to apply pattern recognition methods to MRI data, with the aim of clinical diagnosis or biomarker development. It also tries to explain that the best models are those that most accurately predict, so similar approaches should also be relevant to basic science. Knowledge of some basic linear algebra and probability theory should make the review easier to follow, although it may still have something to offer to those readers whose mathematics may be more limited.

  12. 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

  13. 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.

  14. 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

  15. TissueCypher™: A systems biology approach to anatomic pathology

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    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

  16. Patellar calcar: MRI appearance of a previously undescribed anatomical entity

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    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.)

  17. 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.

  18. 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.

  19. Global tractography with embedded anatomical priors for quantitative connectivity analysis

    Directory of Open Access Journals (Sweden)

    Alia eLemkaddem

    2014-11-01

    Full Text Available The main assumption of fiber-tracking algorithms is that fiber trajectories are represented by paths of highest diffusion, which is usually accomplished by following the principal diffusion directions estimated in every voxel from the measured diffusion MRI data. The state-of-the-art approaches, known as global tractography, reconstruct all the fiber tracts of the whole brain simultaneously by solving a global energy minimization problem. The tractograms obtained with these algorithms outperform any previous technique but, unfortunately, the price to pay is an increased computational cost which is not suitable in many practical settings, both in terms of time and memory requirements. Furthermore, existing global tractography algorithms suffer from an important shortcoming that is crucial in the context of brain connectivity analyses. As no anatomical priors are used during in the reconstruction process, the recovered fiber tracts are not guaranteed to connect cortical regions and, as a matter of fact, most of them stop prematurely in the white matter. This does not only unnecessarily slow down the estimation procedure and potentially biases any subsequent analysis but also, most importantly, prevents the de facto quantification of brain connectivity. In this work, we propose a novel approach for global tractography that is specifically designed for connectivity analysis applications by explicitly enforcing anatomical priors of the tracts in the optimization and considering the effective contribution of each of them, i.e. volume, to the acquired diffusion MRI image. We evaluated our approach on both a realistic diffusion MRI phantom and in-vivo data, and also compared its performance to existing tractography aloprithms.

  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. Anatomy of the bovine ascending aorta and brachiocephalic artery found unfavorable for total artificial heart implant.

    Science.gov (United States)

    Karimov, Jamshid H; Sunagawa, Gengo; Such, Kimberly A; Sale, Shiva; Golding, Leonard A R; Moazami, Nader; Fukamachi, Kiyotaka

    2015-12-01

    The biocompatibility assessment of the Cleveland Clinic continuous-flow total artificial heart is an important part of the device developmental program. Surgical and postoperative management are key factors in achieving optimal outcomes. However, the presence of vascular anatomical abnormalities in experimental animal models is often unpredictable and may worsen the expected outcomes. We report a technical impediment encountered during total artificial heart implantation complicated by unfavorable bovine anatomy of the ascending aorta and brachiocephalic arterial trunk.

  2. Total quality accounting

    Directory of Open Access Journals (Sweden)

    Andrijašević Maja

    2008-01-01

    Full Text Available The focus of competitive "battle" shifted from the price towards non-price instruments, above all, towards quality that became the key variable for profitability increase and achievement of better comparative position of a company. Under such conditions, management of a company, which, according to the established and certified system of total quality, strives towards achieving of a better market position, faces the problem of quality cost measurement and determination. Management, above all, cost accounting can help in solving of this problem, but the question is how much of its potential is being used for that purpose.

  3. Total Logistic Plant Solutions

    Directory of Open Access Journals (Sweden)

    Dusan Dorcak

    2016-02-01

    Full Text Available The Total Logistics Plant Solutions, plant logistics system - TLPS, based on the philosophy of advanced control processes enables complex coordination of business processes and flows and the management and scheduling of production in the appropriate production plans and planning periods. Main attributes of TLPS is to create a comprehensive, multi-level, enterprise logistics information system, with a certain degree of intelligence, which accepts the latest science and research results in the field of production technology and logistics. Logistic model of company understands as a system of mutually transforming flows of materials, energy, information, finance, which is realized by chain activities and operations

  4. Total ankle joint replacement.

    Science.gov (United States)

    2016-02-01

    Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is effective at reducing pain in the shorter term, but results in a fixed joint, and over time the loss of mobility places stress on other joints in the foot that may lead to arthritis, pain and dysfunction. Another option is to perform a total ankle joint replacement, with the aim of giving the patient a mobile and pain-free ankle. In this article we review the efficacy of this procedure, including how it compares to ankle arthrodesis, and consider the indications and complications.

  5. Extra-anatomic transplantations in autologous adult cell therapies aiding anatomical regeneration and physiological recovery – An insight and categorization

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    Editorial

    2015-12-01

    Full Text Available Autologous mature adult cells as well as stem cells, which are not considered pluripotent, have been reported to be safe and efficacious in clinical applications for regenerating cartilage [1] and corneal epithelium [2]. Use of primary autologous cells and stem cells expanded in number from cartilage and corneal epithelial tissues have shown abilities to reconstruct and regenerate tissues, de novo. It is to be noted that in both these cases, the source of the cells that have been used for transplantation into the cornea and cartilage have been from the same organ and tissue. The replacement cells for regeneration have also been sourced from the same germ layer, as that of the cells of the target tissue; corneal epithelial tissue embryologically originating from the ectoderm has been replaced with corneal limbal stem cells that are also of ectodermal origin from the unaffected healthy eye of the same individual. Similarly, the cartilage which developmentally is from the mesoderm has been replaced with mature chondrocytes from the non-weight bearing area of the cartilage, again of the same individual. Figure 1: Autologous, in vitro cultured, adult cell based therapies; An overview and categorization. (Click here for High Resol. Image The proceedings of the IIDIAS session published in this issue have described two novel cell therapies, where cells taken from a tissue or organ, after normal in vitro expansion, have been clinically applied to aid the regeneration of a different tissue or organ, i.e skeletal myoblasts having been used for myocardial regeneration and buccal mucosal epithelium having been used for corneal epithelial regeneration heralding the birth of a new paradigm called ‘extra-anatomic cell therapy’. The myocardium is a specialized muscle in that it works as an electrical synctitium with an intrinsic capacity to generate and propagate action potentials (involuntary as opposed to the skeletal muscles that are dependent on neuronal

  6. Salto Talaris fixed-bearing total ankle replacement system.

    Science.gov (United States)

    Rush, Shannon M; Todd, Nicholas

    2013-01-01

    The Salto Talaris total ankle replacement is an anatomically designed fixed bearing prosthesis available in the United States based on the successful design of the mobile-bearing Salto prosthesis available outside the United States. The original mobile-bearing design was modified and the mobile-bearing was transferred to the precision instrumentation at the trial phase evaluation. Instrumentation and technique allow the surgeon to determine the functional joint axis before final implantation. The Salto Talaris total ankle replacement design blends minimal bone resection and optimizes surface area, cortical contact, and ultra-high molecular weight polyethylene conformity. The authors present an overview of the Salto Talaris total ankle replacement surgical technique and pearls for successful application.

  7. Use of contextual inquiry to understand anatomic pathology workflow: Implications for digital pathology adoption

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    Jonhan Ho

    2012-01-01

    Full Text Available Background: For decades anatomic pathology (AP workflow have been a highly manual process based on the use of an optical microscope and glass slides. Recent innovations in scanning and digitizing of entire glass slides are accelerating a move toward widespread adoption and implementation of a workflow based on digital slides and their supporting information management software. To support the design of digital pathology systems and ensure their adoption into pathology practice, the needs of the main users within the AP workflow, the pathologists, should be identified. Contextual inquiry is a qualitative, user-centered, social method designed to identify and understand users′ needs and is utilized for collecting, interpreting, and aggregating in-detail aspects of work. Objective: Contextual inquiry was utilized to document current AP workflow, identify processes that may benefit from the introduction of digital pathology systems, and establish design requirements for digital pathology systems that will meet pathologists′ needs. Materials and Methods: Pathologists were observed and interviewed at a large academic medical center according to contextual inquiry guidelines established by Holtzblatt et al. 1998. Notes representing user-provided data were documented during observation sessions. An affinity diagram, a hierarchal organization of the notes based on common themes in the data, was created. Five graphical models were developed to help visualize the data including sequence, flow, artifact, physical, and cultural models. Results: A total of six pathologists were observed by a team of two researchers. A total of 254 affinity notes were documented and organized using a system based on topical hierarchy, including 75 third-level, 24 second-level, and five main-level categories, including technology, communication, synthesis/preparation, organization, and workflow. Current AP workflow was labor intensive and lacked scalability. A large number

  8. Anatomist on the dissecting table? Dutch anatomical professionals' views on body donation

    NARCIS (Netherlands)

    Bolt, Sophie; Venbrux, Eric; Eisinga, Rob; Gerrits, Peter O.

    2012-01-01

    Anatomical professionals know better than anyone else that donated bodies are a valuable asset to anatomical science and medical education. They highly value voluntary donations, since a dearth of bodies negatively affects their profession. With this in mind, we conducted a survey (n = 54) at the 17

  9. Anatomist on the dissecting table? Dutch anatomical professionals' views on body donation

    NARCIS (Netherlands)

    Bolt, S.H.; Venbrux, H.J.M.; Eisinga, R.N.; Gerrits, P.O.

    2012-01-01

    Anatomical professionals know better than anyone else that donated bodies are a valuable asset to anatomical science and medical education. They highly value voluntary donations, since a dearth of bodies negatively affects their profession. With this in mind, we conducted a survey (n ¼ 54) at the 17

  10. Living AnatoME: Teaching and Learning Musculoskeletal Anatomy through Yoga and Pilates

    Science.gov (United States)

    McCulloch, Carrie; Marango, Stephanie Pieczenik; Friedman, Erica S.; Laitman, Jeffrey T.

    2010-01-01

    Living AnatoME, a program designed in 2004 by two medical students in conjunction with the Director of Anatomy, teaches musculoskeletal anatomy through yoga and Pilates. Previously offered as an adjunct to the Gross Anatomy course in 2007, Living AnatoME became an official part of the curriculum. Previous research conducted on the program…

  11. Anatomical Dolls: Their Use in Assessment of Children Who May Have Been Sexually Abused

    Science.gov (United States)

    Faller, Kathleen Coulborn

    2005-01-01

    This article examines anatomical dolls in interviews of children who may have been sexually abused from three perspectives. The article summarizes research findings on anatomical dolls, discusses advantages and disadvantages of using them, and describes endorsed doll uses. Although additional, ecologically-valid research is needed on anatomical…

  12. Altered anatomical network in early blindness revealed by diffusion tensor tractography.

    Science.gov (United States)

    Shu, Ni; Liu, Yong; Li, Jun; Li, Yonghui; Yu, Chunshui; Jiang, Tianzi

    2009-09-28

    The topological architecture of the cerebral anatomical network reflects the structural organization of the human brain. Recently, topological measures based on graph theory have provided new approaches for quantifying large-scale anatomical networks. Diffusion MRI studies have revealed the efficient small-world properties and modular structure of the anatomical network in normal subjects. However, no previous study has used diffusion MRI to reveal changes in the brain anatomical network in early blindness. Here, we utilized diffusion tensor imaging to construct binary anatomical networks for 17 early blind subjects and 17 age- and gender-matched sighted controls. We established the existence of structural connections between any pair of the 90 cortical and sub-cortical regions using deterministic tractography. Compared with controls, early blind subjects showed a decreased degree of connectivity, a reduced global efficiency, and an increased characteristic path length in their brain anatomical network, especially in the visual cortex. Moreover, we revealed some regions with motor or somatosensory function have increased connections with other brain regions in the early blind, which suggested experience-dependent compensatory plasticity. This study is the first to show alterations in the topological properties of the anatomical network in early blindness. From the results, we suggest that analyzing the brain's anatomical network obtained using diffusion MRI data provides new insights into the understanding of the brain's re-organization in the specific population with early visual deprivation.

  13. Altered anatomical network in early blindness revealed by diffusion tensor tractography.

    Directory of Open Access Journals (Sweden)

    Ni Shu

    Full Text Available The topological architecture of the cerebral anatomical network reflects the structural organization of the human brain. Recently, topological measures based on graph theory have provided new approaches for quantifying large-scale anatomical networks. Diffusion MRI studies have revealed the efficient small-world properties and modular structure of the anatomical network in normal subjects. However, no previous study has used diffusion MRI to reveal changes in the brain anatomical network in early blindness. Here, we utilized diffusion tensor imaging to construct binary anatomical networks for 17 early blind subjects and 17 age- and gender-matched sighted controls. We established the existence of structural connections between any pair of the 90 cortical and sub-cortical regions using deterministic tractography. Compared with controls, early blind subjects showed a decreased degree of connectivity, a reduced global efficiency, and an increased characteristic path length in their brain anatomical network, especially in the visual cortex. Moreover, we revealed some regions with motor or somatosensory function have increased connections with other brain regions in the early blind, which suggested experience-dependent compensatory plasticity. This study is the first to show alterations in the topological properties of the anatomical network in early blindness. From the results, we suggest that analyzing the brain's anatomical network obtained using diffusion MRI data provides new insights into the understanding of the brain's re-organization in the specific population with early visual deprivation.

  14. The finger of God : anatomical practice in 17th century Leiden

    NARCIS (Netherlands)

    Huisman, Tijs

    2008-01-01

    A description of 17th century anatomical activity at the major Dutch university in a cultural context This study offers a history of the Leiden anatomical theatre in the first century of its existence; who were the scientists working there in the 17th century, the Dutch Golden Age. What was the mot

  15. "Anatomizing" Reversed: Use of Examination Questions that Foster Use of Higher Order Learning Skills by Students

    Science.gov (United States)

    Burns, E. Robert

    2010-01-01

    "Anatomizing" is a new verb some use to describe the breaking apart of a complex entity such as the human body, into isolated tidbits of information for study, which can never equal the complex, integrated whole. Although popular with first-year medical students, this practice of "tidbitting" anatomical information into easy to memorize facts or…

  16. Fusing Simultaneous EEG and fMRI Using Functional and Anatomical Information

    DEFF Research Database (Denmark)

    Hansen, Sofie Therese; Winkler, Irene; Hansen, Lars Kai

    2015-01-01

    SPoC), to not only use functional but also anatomical information. The goal is to extract correlated source components from electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). Anatomical information enters our proposed extension to mSPoC via the forward model, which relates the activity...

  17. The Science and Politics of Naming: Reforming Anatomical Nomenclature, ca. 1886-1955.

    Science.gov (United States)

    Buklijas, Tatjana

    2017-02-11

    Anatomical nomenclature is medicine's official language. Early in their medical studies, students are expected to memorize not only the bodily geography but also the names for all the structures that, by consensus, constitute the anatomical body. The making and uses of visual maps of the body have received considerable historiographical attention, yet the history of production, communication, and reception of anatomical names-a history as long as the history of anatomy itself-has been studied far less. My essay examines the reforms of anatomical naming between the first modern nomenclature, the 1895 Basel Nomina Anatomica (BNA), and the 1955 Nomina Anatomica Parisiensia (NAP, also known as PNA), which is the basis for current anatomical terminology. I focus on the controversial and ultimately failed attempt to reform anatomical nomenclature, known as Jena Nomina Anatomica (INA), of 1935. Discussions around nomenclature reveal not only how anatomical names are made and communicated, but also the relationship of anatomy with the clinic; disciplinary controversies within anatomy; national traditions in science; and the interplay between international and scientific disciplinary politics. I show how the current anatomical nomenclature, a successor to the NAP, is an outcome of both political and disciplinary tensions that reached their peak before 1945.

  18. Femoral rotation unpredictably affects radiographic anatomical lateral distal femoral angle measurements

    DEFF Research Database (Denmark)

    Miles, James Edward

    2016-01-01

    Objective: To describe the effects of internal and external femoral rotation on radiographic measurements of the anatomical lateral distal femoral angle (a-LDFA) using two methods for defining the anatomical proximal femoral axis (a-PFA). Methods: Digital radiographs were obtained of 14 right fem...

  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. Anatomic structure of stem leave petioles of some species of the genus Potentilla (Rosaceae

    Directory of Open Access Journals (Sweden)

    T. N. Motorykina

    2015-10-01

    Full Text Available The anatomic structure of stem leaf petioles of 15 species of the genus Potentilla is studied. During the research the anatomical features characterizing the species Potentilla as a whole, and also characters whichcan be used for differentiation of subgenera, sections and closely related species of this genus are allocated.