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An Approach to Thorax Morphometry with New Reference Values: A Morphological Study

Year 2024, Volume: 6 Issue: 3, 342 - 346, 24.09.2024
https://doi.org/10.37990/medr.1487542

Abstract

Aim: Radiological evaluation is frequently used in the evaluation of healthy individuals or patients. When performing radiological evaluations, certain anatomical reference regions and values must be known in order to discover anomalies or variations. In this study, it was aimed to bring new anatomical reference values, which have not been studied before, to the literature and clinical evaluation.
Material and Method: This is a retrospective study that examines the patient archives in the Department of Radiology of Adıyaman University Training and Research Hospital. 57 women, 55 men, a total of 112 cases (age range 0-50 years) were included in the study. By using radiological measurements with Computed Tomography (CT); Manubrio-Sternal Angle (MSA), Manubrio-Vertebral Distance (MVD), Xipho-Vertebral Distance (XVD), Manubrio-Xiphoid Distance (MXD) were measured.
Results: When the measurements were evaluated statistically, there was a significant gender difference in Louis angle (SA) and MVD values of the individuals participating in the study; There was a significant age-related difference in MXD and XVD values.
Conclusion: With this study, some morphometric measurements of the thorax cavity are presented. It will contribute to the literature in determining the normal reference values of the thorax and adjacent structures. Knowing the normal anatomical structure in the clinic will contribute to the physician in the differentiation of pathologies, diagnosis.

References

  • Standring S, Anand N, Birch R, et al. Section 7: Thorax. In: Standring S, Spratt JD. eds, Gray's anatomy: The anatomical basis of clinical practice 41st edition. New York; Elsevier Health Sciences. 2016;898-970.
  • Tortora GJ, Derrickson BH. Principles of anatomy and physiology. New York: John Wiley & Sons. 2018;226-375.
  • Kaminsky, D. The Netter Collection of Medical Illustrations: Respiratory System e- book. Amsterdam: Elsevier Health Sciences. 2011;7-10.
  • Standring S, Anand N, Birch R, et al. Section 7: Thorax. In: Standring S, Spratt JD, eds, Gray's anatomy: The anatomical basis of clinical practice 41st edition. New York: Elsevier Health Sciences. 2016;748, 898,933.
  • Gray’s Anatomy, 39th edition: The anatomical basis of clinical practice. AJNR Am J Neuroradiol. 2005;26:2703-4.
  • Oner Z, Turan MK, Oner S, et al. Sex estimation using sternum part lenghts by means of artificial neural networks. Forensic Sci Int. 2019;301:6-11.
  • Singh J, Pathak RK. Sex and age related non-metric variation of the human sternum in a Northwest Indian postmortem sample: a pilot study. Forensic Sci Int. 2013;228:181.e1-12.
  • Weiss G, Wittig H, Scheurer E, et al. Identification of deceased based on sternal bone computed tomography features. Forensic Sci Int. 2018;286:233-8.
  • Falavigna A, Righesso O, Pinto Filho DR, et al. Anterior approach to the cervicothoracic junction: case series and literature review. Coluna/Columna. 2009;8:153-60.
  • Falavigna A, Righesso O, Teles AR. Anterior approach to the cervicothoracic junction: proposed indication for manubriotomy based on preoperative computed tomography findings. J Neurosurg Spine. 2011;15:38-47.
  • Le H, Balabhadra R, Park J, Kim D. Surgical treatment of tumors involving the cervicothoracic junction. Neurosurg Focus. 2003;15:E3.
  • Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22:904-6.
  • Losanoff JE, Jones JW, Richman BW. Primary closure of median sternotomy: techniques and principles. Cardiovasc Surg. 2002;10:102-10.
  • Selthofer R, Nikolić V, Mrcela T, et al. Morphometric analysis of the sternum. Coll Antropol. 2006;30:43-7.
  • Peleg S, Pelleg Kallevag R, Dar G, et al. New methods for sex estimation using sternum and rib morphology. Int J Legal Med. 2020;134:1519-30.
  • Bedalov A, Bašić Ž, Marelja I, et al. Sex estimation of the sternum by automatic image processing of multi-slice computed tomography images in a Croatian population sample: a retrospective study. Croat Med J. 2019;60:237-45.
  • Ateşoğlu S, Deniz M, Uslu AI. Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography. Folia Morphol (Warsz). 2018;77:489-97.
  • Ekizoglu O, Hocaoglu E, Inci E, et al. Sex estimation from sternal measurements using multidetector computed tomography. Medicine. 2014;93:e240.
  • Xu HM, Hu F, Wang XY, Tong SL. Magnetic resonance-based morphological features of the manubrium and the surgeons' view line: when to use manubriotomy?. World Neurosurg. 2019;124:e793-8.
  • Macaluso PJ Jr. The efficacy of sternal measurements for sex estimation in South African blacks. Forensic Sci Int. 2010;202:111.e1-7.
  • Hunnargi SA, Menezes RG, Kanchan T, et al. Sexual dimorphism of the human sternum in a Maharashtrian population of India: a morphometric analysis. Leg Med (Tokyo). 2008;10:6-10.
  • Mukhopadhyay PP. Determination of sex from adult sternum by discriminant function analysis on autopsy sample of Indian Bengali population: a new approach. J Indian Acad Forensic Med. 2010;32:321-4.
  • Peleg S, Pelleg Kallevag R, Dar G, et al. New methods for sex estimation using sternum and rib morphology. Int J Legal Med. 2020;134:1519-30.
  • Marinho L, Almeida D, Santos A, Cardoso HF. Is the length of the sternum reliable for estimating adult stature? A pilot study using fresh sterna and a test of two methods using dry sterna. Forensic Sci Int. 2012;220:292.e1-4.
Year 2024, Volume: 6 Issue: 3, 342 - 346, 24.09.2024
https://doi.org/10.37990/medr.1487542

Abstract

References

  • Standring S, Anand N, Birch R, et al. Section 7: Thorax. In: Standring S, Spratt JD. eds, Gray's anatomy: The anatomical basis of clinical practice 41st edition. New York; Elsevier Health Sciences. 2016;898-970.
  • Tortora GJ, Derrickson BH. Principles of anatomy and physiology. New York: John Wiley & Sons. 2018;226-375.
  • Kaminsky, D. The Netter Collection of Medical Illustrations: Respiratory System e- book. Amsterdam: Elsevier Health Sciences. 2011;7-10.
  • Standring S, Anand N, Birch R, et al. Section 7: Thorax. In: Standring S, Spratt JD, eds, Gray's anatomy: The anatomical basis of clinical practice 41st edition. New York: Elsevier Health Sciences. 2016;748, 898,933.
  • Gray’s Anatomy, 39th edition: The anatomical basis of clinical practice. AJNR Am J Neuroradiol. 2005;26:2703-4.
  • Oner Z, Turan MK, Oner S, et al. Sex estimation using sternum part lenghts by means of artificial neural networks. Forensic Sci Int. 2019;301:6-11.
  • Singh J, Pathak RK. Sex and age related non-metric variation of the human sternum in a Northwest Indian postmortem sample: a pilot study. Forensic Sci Int. 2013;228:181.e1-12.
  • Weiss G, Wittig H, Scheurer E, et al. Identification of deceased based on sternal bone computed tomography features. Forensic Sci Int. 2018;286:233-8.
  • Falavigna A, Righesso O, Pinto Filho DR, et al. Anterior approach to the cervicothoracic junction: case series and literature review. Coluna/Columna. 2009;8:153-60.
  • Falavigna A, Righesso O, Teles AR. Anterior approach to the cervicothoracic junction: proposed indication for manubriotomy based on preoperative computed tomography findings. J Neurosurg Spine. 2011;15:38-47.
  • Le H, Balabhadra R, Park J, Kim D. Surgical treatment of tumors involving the cervicothoracic junction. Neurosurg Focus. 2003;15:E3.
  • Haller JA Jr, Kramer SS, Lietman SA. Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report. J Pediatr Surg. 1987;22:904-6.
  • Losanoff JE, Jones JW, Richman BW. Primary closure of median sternotomy: techniques and principles. Cardiovasc Surg. 2002;10:102-10.
  • Selthofer R, Nikolić V, Mrcela T, et al. Morphometric analysis of the sternum. Coll Antropol. 2006;30:43-7.
  • Peleg S, Pelleg Kallevag R, Dar G, et al. New methods for sex estimation using sternum and rib morphology. Int J Legal Med. 2020;134:1519-30.
  • Bedalov A, Bašić Ž, Marelja I, et al. Sex estimation of the sternum by automatic image processing of multi-slice computed tomography images in a Croatian population sample: a retrospective study. Croat Med J. 2019;60:237-45.
  • Ateşoğlu S, Deniz M, Uslu AI. Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography. Folia Morphol (Warsz). 2018;77:489-97.
  • Ekizoglu O, Hocaoglu E, Inci E, et al. Sex estimation from sternal measurements using multidetector computed tomography. Medicine. 2014;93:e240.
  • Xu HM, Hu F, Wang XY, Tong SL. Magnetic resonance-based morphological features of the manubrium and the surgeons' view line: when to use manubriotomy?. World Neurosurg. 2019;124:e793-8.
  • Macaluso PJ Jr. The efficacy of sternal measurements for sex estimation in South African blacks. Forensic Sci Int. 2010;202:111.e1-7.
  • Hunnargi SA, Menezes RG, Kanchan T, et al. Sexual dimorphism of the human sternum in a Maharashtrian population of India: a morphometric analysis. Leg Med (Tokyo). 2008;10:6-10.
  • Mukhopadhyay PP. Determination of sex from adult sternum by discriminant function analysis on autopsy sample of Indian Bengali population: a new approach. J Indian Acad Forensic Med. 2010;32:321-4.
  • Peleg S, Pelleg Kallevag R, Dar G, et al. New methods for sex estimation using sternum and rib morphology. Int J Legal Med. 2020;134:1519-30.
  • Marinho L, Almeida D, Santos A, Cardoso HF. Is the length of the sternum reliable for estimating adult stature? A pilot study using fresh sterna and a test of two methods using dry sterna. Forensic Sci Int. 2012;220:292.e1-4.
There are 24 citations in total.

Details

Primary Language English
Subjects Anatomy
Journal Section Original Articles
Authors

Zümrüt Doğan 0000-0001-7131-2317

Busra Zencirci 0000-0002-6015-3047

Muhammed Emre Yüzer 0000-0002-0115-9473

Hıdır Pekmez 0000-0002-4916-7675

Ali Baykan 0000-0002-9281-652X

Publication Date September 24, 2024
Submission Date May 21, 2024
Acceptance Date June 21, 2024
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

AMA Doğan Z, Zencirci B, Yüzer ME, Pekmez H, Baykan A. An Approach to Thorax Morphometry with New Reference Values: A Morphological Study. Med Records. September 2024;6(3):342-346. doi:10.37990/medr.1487542

17741

Chief Editors

Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Türkiye

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Türkiye

E-mail: medrecsjournal@gmail.com

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