• Title/Summary/Keyword: Anatomical variations

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

  • Yoon, Shin-Eui;Park, Sangwook;Ahn, Sung Gyun
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.94-98
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    • 2018
  • The radial artery is generally the preferred access route in coronary angiography and coronary intervention. However, small size, spasm, and anatomical variations concerning the radial artery are major limitations of transradial coronary intervention (TRI). We describe a successful case involving a patient with coronary artery disease who underwent TRI via a well-developed radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter.

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

  • Dupont, Graham;Iwanaga, Joe;Altafulla, Juan J.;Lachkar, Stefan;Oskouian, Rod J.;Tubbs, R. Shane
    • Anatomy and Cell Biology
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    • v.51 no.4
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    • pp.305-308
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    • 2018
  • Anatomical variations of the sternocleidomastoid muscle (SCM) have been observed to occupy multiple origins and insertion points and have supernumerary heads, sometimes varying in thickness. During routine dissection, a SCM was observed to have six distinct insertions that interface with the course of the superior nuchal line, ending at the midline, bilaterally. This variation was also seen to receive innervation from the accessory nerve as well as the great auricular nerve. To our knowledge, this variant of supernumerary insertions and nerve innervations has not yet been reported. These variants may pose as problematic during surgical approaches to the upper neck and occiput, and should thus be appreciated by the clinician. Herein we discuss the case report, possible embryological origins, and the clinical significance of the observed variant SCM.

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

  • Han, Won-Jeong
    • The Journal of the Korean dental association
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    • v.57 no.2
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    • pp.74-80
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    • 2019
  • Antrolith occurs within the maxillary sinuses and is circumscribed pathologic calcifications formed as a result of mineral salt deposition around an organic nucleus in the maxillary sinus. Radiographically, this lesion is a radiopaque mass showing variable sizes and shapes. Treatment by surgical removal is indicated only for large antrolith associated to clinical symptoms. CBCT should be required for treatment planning for implant-supported restorations in the maxilla because of the higher prevalence of anatomical variations and sinus disease. We report a 3 cases of antrolith which was found incidentally on panoramic images and CBCT, although there were no clinical symptoms.

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Non-conservative Management of Chylothorax

  • Ahn, Hyo Yeong;I, Hoseok
    • Journal of Chest Surgery
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    • v.54 no.4
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    • pp.325-329
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    • 2021
  • Chylothorax is caused by lymphatic leakage, which can develop after thoracic surgery and is associated with cancer. Although prospective randomized trials have not been performed, radiological interventions have been performed in several cases with persistent chylothorax, adjunct to 2 weeks of conservative management. The success rate of such interventions is diverse due to anatomical variations, although the results are promising. However, in cases of treatment failure after cycles of interventions, a team approach may be necessary to determine whether surgical management is warranted.

Genetic variations affecting response of radiotherapy

  • Choi, Eun Kyung
    • Journal of Genetic Medicine
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    • v.19 no.1
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    • pp.1-6
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    • 2022
  • Radiation therapy (RT) is a very important treatment for cancer that irradiates a large amount of radiation to lead cancer cells and tissues to death. The progression of RT in the aspect of personalized medicine has greatly advanced over the past few decades in the field of technical precision responding anatomical characteristics of each patient. However, the consideration of biological heterogeneity that makes different effect in individual patients has not actually applied to clinical practice. There have been numerous discovery and validation of biomarkers that can be applied to improve the efficiency of radiotherapy, among which those related to genomic information are very promising developments. These genome-based biomarkers can be applied to identify patients who can benefit most from altering their therapeutic dose and to select the best chemotherapy improving sensitivity to radiotherapy. The genomics-based biomarkers in radiation oncology focus on mutational changes, particularly oncogenes and DNA damage response pathways. Although few have translated into clinically viable tools, there are many promising candidates in this field. In this review the prominent mutation-based biomarkers and their potential for clinical translation will be discussed.

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

  • Park, Yung-Chul;Kim, Joo-Pil;Choe, Jae-Chun
    • Animal Systematics, Evolution and Diversity
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    • v.22 no.1
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    • pp.23-27
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    • 2006
  • Subsocial woodroaches of Cryptocercus occur in high mountainous forests in temperate regions and they live in a family in complicated galleries of rotten logs. A prominent feature of the geographical distribution of Cryptocercus is the wide disjunction between the eastern and western species in North America, and between West China and Northeast Asia. Recently, five species of the genus were added from Asian areas and two of them are distributed in Northeast Asian areas. We examined morpho-anatomical structures of male genitalia in Manchurian and Korean Cryptocercus, focusing on male genital hooks and subgenital plates.

Anatomical variation of quadratus plantae in relation with flexor digitorum brevis

  • Punnapa Raviteja;Mrudula Chandrupatla;Ramoju Harshitha;Marni Sameer Chowdary
    • Anatomy and Cell Biology
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    • v.56 no.4
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    • pp.562-565
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    • 2023
  • The muscles of the sole have been traditionally categorized into four layers, but it is more practical to divide them into peripheral and central groups. The peripheral groups include medial and lateral groups. The central plantar muscles are more numerous and divided into superficial and deep layers. During routine dissection in the Department of Anatomy, All India Institute of Medical Sciences Bibinagar, Hyderabad, variations are been observed in the plantar intrinsic muscle in the left foot & right foot of a 53-year-old male cadaver. This is the first cadaveric report of a combination of discrepancies especially the inter-tendinous connection between quadratus plantae and flexor digitorum brevis. Similar observations in the literature were not found by us. It is important to identify and study these dissimilarities of muscles of the sole for surgeons, anatomists, radiologists and orthopaedics as these muscles and tendons are used in foot reconstructive procedures, and for the treatment of some congenital anomalies.

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

  • Shin, Il-Young;Chung, Yong-Gu;Shin, Won-Han;Im, Soo-Bin;Hwang, Sun-Chul;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.44 no.2
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    • pp.78-83
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    • 2008
  • Objective : To understand the anatomic characteristics of the aortic arch (AA) and its major branches to build a foundation toward performing endovascular surgery safely. Methods : A total of 25 formalin fixed Korean adult cadavers were used. The authors investigated : anatomical variations of the AA and its major branches; curvature of the AA; distance from the mid-vertebrae line to the origin of the major branches; distances from the origin of the major branches of AA to the origin of its distal branches; and the angle of the three major branches, the brachiocephalic trunk (BCT), the left common carotid artery (LCCA) and the left subclavian artery (LSCA) arising from AA. Results : The three major branches directly originated from AA in 21 (84%) of the cadavers. In two (8%) of remaining four cadavers. orifice of LCCA was slightly above the stem of BCT. In remaining two (8%) cadavers, the left vertebral artery (LVA) was directly originated from AA. Average angle of AA curvature to the coronal plane was 62.2 degrees. BCT originated 0.92 mm on the right of the mid-vertebrae line. LCCA and LSCA originated from 12.3 mm and 22.8 mm on the left of the mid-vertebrae line. Mean distance from the origin of the BCT to the origin of the RCCA was 32.5 mm. Mean distance from the origin of the LSCA to the origin of the LVA was 33.8 mm. Average angles at which the major branches arise from the AA were 65.3, 46.9 and 63.8 degrees. Conclusion : This study may provides a basic anatomical information to catheterize AA and its branches for safely performing endovascular surgery.

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

  • Choi, Myung Hwan;Koo, Bon Yeol;Chae, Je Wook;Kim, Jay Jung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.38 no.10
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    • pp.1139-1145
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    • 2014
  • Creation of a human skeleton model and characterization of the variation in the bone shape are fundamentally important in many applications of biomechanics. In this paper, we present a parametric shape modeling method for femurs that is based on extracting the main parameter of variations of the femur shape from a 3D model database by using statistical shape analysis. For this shape analysis, principal component analysis (PCA) is used. Application of the PCA to 3D data requires bringing all the models in correspondence to each other. For this reason, anatomical landmarks are used for guiding the deformation of the template model to fit the 3D model data. After subsequent application of PCA to a set of femur models, we calculate the correlation between the dominant components of shape variability for a target population and the anatomical parameters of the femur shape. Finally, we provide tools for visualizing and creating the femur shape using the main parameter of femur shape variation.

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

  • Park, Seong-Won;Oh, Sung-Hwan;Lee, Jae-In
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.1
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    • pp.34-40
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    • 2012
  • Purpose: The study was performed to compare patients with anatomical variations in facial asymmetry with patients in the normal range using cone-beam computed tomography (CBCT) and to take the preoperative condition into consideration in the case of a sagittal split ramus osteotomy (SSRO). Methods: The study was conducted on 46 adult patients composed of 2 subdivided groups, an asymmetry group (n=26) and a symmetry group (n=20). The asymmetry group was divided between patients with hemimandibular hyperplasia (HH, n=8) and hemimandibular elongation (HE, n=18). Using cross-sectional computed tomography images, the thickness of cancelleous bone in the buccal area of the mandible, thickness of buccal cortex in the buccal aspect of the mandible, thickness of cancellous bone in the inferior aspect of the mandible, thickness of buccal cortex in the inferior aspect of the mandible, and cross-sectional surface area of the mandible were measured. Results: In the asymmetry group, the cross-sectional area of the mandible including the inferior alveolar nerve positioned on the affected side was significantly different from the symmetry group. Thickness of cancelleous bone in the buccal aspect of the mandible, thickness of cancelleous bone in the inferior aspect of the mandible, and cross-sectional surface area of the mandible in the affected site of hemimandibular hyperplasia was significantly smaller than in the symmetry group. Conclusion: The inferior alveolar nerve runs lower and in a more buccal direction and shows a smaller cross-sectional surface of the mandible in the hemimandibular hyperplasia patients with asymmetry.