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1.
Materials (Basel) ; 16(10)2023 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-37241376

RESUMO

The microstructure and tensile behavior of two heavy section castings that had chemical compositions typical of GJS400 were investigated. Conventional metallography, fractography, and micro-Computer Tomography (µ-CT) were employed, enabling the quantification of the volume fractions of eutectic cells with degenerated Chunky Graphite (CHG), which was identified as the major defect in the castings. The Voce equation approach was exploited to evaluate the tensile behaviors of the defective castings for integrity assessment. The results demonstrated that the Defects-Driven Plasticity (DDP) phenomenon, which refers to an unexpected regular plastic behavior related to defects and metallurgical discontinuities, was consistent with the observed tensile behavior. This resulted in a linearity of Voce parameters in the Matrix Assessment Diagram (MAD), which contradicts the physical meaning of the Voce equation. The findings suggest that the defects, such as CHG, contribute to the linear distribution of Voce parameters in the MAD. Furthermore, it is reported that the linearity in the MAD of Voce parameters for a defective casting is equivalent to the existence of a pivotal point in the differential data of the tensile strain hardening data. This pivotal point was exploited to propose a new material quality index assessing the integrity of castings.

2.
Biomech Model Mechanobiol ; 22(2): 739-759, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36539625

RESUMO

The rapid spread of the finite element method has caused that it has become, among other methods, the standard tool for pre-clinical estimates of bone properties. This paper presents an application of this method for the calculation and prediction of strain and stress fields in the femoral head. The aim of the work is to study the influence of the considered anisotropy and heterogeneity of the modeled bone on the mechanical fields during a typical gait cycle. Three material models were tested with different properties of porous bone carried out in literature: a homogeneous isotropic model, a heterogeneous isotropic model, and a heterogeneous anisotropic model. In three cases studied, the elastic properties of the bone were determined basing on the Zysset-Curnier approach. The tensor of elastic constants defining the local properties of porous bone is correlated with a local porosity and a second order fabric tensor describing the bone microstructure. In the calculations, a model of the femoral head generated from high-resolution tomographic scans was used. Experimental data were drawn from publicly available database "Osteoporotic Virtual Physiological Human Project." To realistically reflect the load on the femoral head, main muscles were considered, and their contraction forces were determined based on inverse kinematics. For this purpose, the results from OpenSim packet were used. The simulations demonstrated that differences between the results predicted by these material models are significant. Only the anisotropic model allowed for the plausible distribution of stresses along the main trabecular groups. The outcomes also showed that the precise evaluation of the mechanical fields is critical in the context of bone tissue remodeling under mechanical stimulations.


Assuntos
Cabeça do Fêmur , Modelos Biológicos , Humanos , Cabeça do Fêmur/diagnóstico por imagem , Análise de Elementos Finitos , Fenômenos Biomecânicos , Tomografia Computadorizada por Raios X , Anisotropia , Estresse Mecânico
3.
J Mech Behav Biomed Mater ; 131: 105217, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35500496

RESUMO

Bone presents the ability to adapt itself to the evolving mechanical environment. A simple anisotropic model for bone adaptation allowing reproducing the evolution of the elastic properties and the reorientation of the anisotropy frame is proposed is this work. The elastic properties are related to the value of the bone apparent density. The evolution law of the density is described via two functions reflecting the activities of the osteoclast and osteoblast cells. The anisotropy of the elastic properties of the bone is assumed evolving continuously between those of trabecular and compact tissues. The existence of a target material frame is assumed to describe its reorientation. The rate of rotation or spin of the material frame is supposed to be proportional to the target orientation angle and to the activity of the osteoclasts and osteoblasts. The mechanical stimulus governing the evolution of the apparent density is defined as the ratio between the current strain energy density and its critical value corresponding to the initiation of bone damage. The simulations showed that this simple model can reproduce some essential phenomena observed during bone adaptation process.


Assuntos
Densidade Óssea , Osso e Ossos , Anisotropia , Osteoblastos , Osteoclastos , Estresse Mecânico
4.
Materials (Basel) ; 14(12)2021 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-34201154

RESUMO

The lifetime of a blast furnace (BF), and, consequently, the price of steel, strongly depends on the degradation of micropore carbon refractory materials used as lining materials in the BF hearth. One of the major degradation mechanisms in the BF hearth is related to the infiltration and dissolution of refractory materials in molten metal. To design new and more resilient materials, we need to know more about degradation mechanisms, which can be achieved using laboratory tests. In this work, we present a new investigation method of refractory materials infiltration resistance. The designed method combines a standard degradation test (hot metal penetration test) with X-ray computed tomography (XCT) measurements. Application of XCT measurements before and after molten metal infiltration allows observing changes in the micropore carbon refractory material's microstructure and identifying the elements of the open pore structure that are crucial in molten metal infiltration.

5.
Nanomaterials (Basel) ; 11(6)2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34208099

RESUMO

The properties of Sn99Ag0.3Cu0.7 (SACX0307) solder alloy reinforced with ZnO nanoparticles were investigated. The primary ZnO particle sizes were 50, 100, and 200 nm. They were added to a solder paste at a ratio of 1.0 wt %. The wettability, the void formation, the mechanical strength, and the thermoelectric parameters of the composite solder alloys/joints were investigated. Furthermore, microstructural evaluations were performed using scanning electron and ion microscopy. ZnO nanoparticles decreased the composite solder alloys' wettability, which yielded increased void formation. Nonetheless, the shear strength and the thermoelectric parameters of the composite solder alloy were the same as those of the SACX0307 reference. This could be explained by the refinement effects of ZnO ceramics both on the Sn grains and on the Ag3Sn and Cu6Sn5 intermetallic grains. This could compensate for the adverse impact of lower wettability. After improving the wettability, using more active fluxes, ZnO composite solder alloys are promising for high-power applications.

6.
Materials (Basel) ; 14(12)2021 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-34199177

RESUMO

An understanding of the microstructure of geomaterials such as rocks is fundamental in the evaluation of their functional properties, as well as the decryption of their geological history. We present a semi-automated statistical protocol for a complex 3D characterization of the microstructure of granular materials, including the clustering of grains and a description of their chemical composition, size, shape, and spatial properties with 44 unique parameters. The approach consists of an X-ray microtomographic image processing procedure, followed by measurements using image analysis and statistical multivariate analysis of its results utilizing freeware and widely available software. The statistical approach proposed was tested out on a sandstone sample with hidden and localized deformational microstructures. The grains were clustered into distinctive groups covering different compositional and geometrical features of the sample's granular framework. The grains are pervasively and evenly distributed within the analysed sample. The spatial arrangement of grains in particular clusters is well organized and shows a directional trend referring to both microstructures. The methodological approach can be applied to any other rock type and enables the tracking of microstructural trends in grains arrangement.

7.
Molecules ; 26(11)2021 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-34067434

RESUMO

The flexibility of dose and dosage forms makes 3D printing a very interesting tool for personalized medicine, with fused deposition modeling being the most promising and intensively developed method. In our research, we analyzed how various types of disintegrants and drug loading in poly(vinyl alcohol)-based filaments affect their mechanical properties and printability. We also assessed the effect of drug dosage and tablet spatial structure on the dissolution profiles. Given that the development of a method that allows the production of dosage forms with different properties from a single drug-loaded filament is desirable, we developed a method of printing ketoprofen tablets with different dose and dissolution profiles from a single feedstock filament. We optimized the filament preparation by hot-melt extrusion and characterized them. Then, we printed single, bi-, and tri-layer tablets varying with dose, infill density, internal structure, and composition. We analyzed the reproducibility of a spatial structure, phase, and degree of molecular order of ketoprofen in the tablets, and the dissolution profiles. We have printed tablets with immediate- and sustained-release characteristics using one drug-loaded filament, which demonstrates that a single filament can serve as a versatile source for the manufacturing of tablets exhibiting various release characteristics.


Assuntos
Química Farmacêutica/métodos , Cetoprofeno/química , Cetoprofeno/síntese química , Impressão Tridimensional , Comprimidos , Varredura Diferencial de Calorimetria , Preparações de Ação Retardada , Composição de Medicamentos/métodos , Desenho de Fármacos , Liberação Controlada de Fármacos , Elasticidade , Excipientes/química , Álcool de Polivinil , Medicina de Precisão , Reprodutibilidade dos Testes , Solubilidade , Espectroscopia de Infravermelho com Transformada de Fourier , Temperatura , Difração de Raios X , Microtomografia por Raio-X
8.
Folia Med Cracov ; 61(4): 45-54, 2021 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-35180201

RESUMO

Three-dimensional (3D) printed model of the renal vasculature shows a high level of accuracy of subsequent divisions of both the arterial and the venous tree. However, minor artifacts appeared in the form of oval endings to the terminal branches of the vascular tree, contrary to the anticipated sharply pointed segments. Unfortunately, selective laser sintering process does not currently permit to present the arterial, venous and urinary systems in distinct colors, hence topographic relationship between the vascular and the pelvicalyceal systems is difficult to attain. Nonetheless, the 3D printed model can be used for educational purposes to demonstrate the vast renal vasculature and may also serve as a reference model whilst evaluating morphological anomalies of the intrarenal vasculature in a surgical setting.


Assuntos
Artefatos , Rim , Molde por Corrosão , Humanos , Imageamento Tridimensional/métodos , Rim/diagnóstico por imagem , Tecnologia , Microtomografia por Raio-X
9.
Homo ; 71(2): 121-128, 2020 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-32142093

RESUMO

The aim of the present study was to verify the lateral angle method for sex estimation by using computed micro-tomography. Two measurements of the anterior lateral angle of the internal acoustic meatus were assessed. The performed analysis revealed that the mean angle at the level of transverse crest of the fundus of the internal acoustic meatus in adults is significantly greater in females (45.58° vs. 39.68°; p < 0.05). A 45° sectioning point was applied, and sex allocation using this measurement was correct in 81.81% of adult samples. In turn, when utilizing the measurement at the level of modiolus of the cochlea, we did not obtain a satisfactory result in sex classification (59.09%). In subadults (male and female samples), the anterior lateral angles were undifferentiated. Thus, the conducted micro-CT analysis shows that the anterior lateral angle measurement method can be used as a preliminary indication of sex in adult individuals.


Assuntos
Orelha Interna/anatomia & histologia , Orelha Interna/diagnóstico por imagem , Osso Petroso/anatomia & histologia , Osso Petroso/diagnóstico por imagem , Determinação do Sexo pelo Esqueleto/métodos , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Antropologia Forense , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Microtomografia por Raio-X , Adulto Jovem
10.
Proc Inst Mech Eng H ; 234(3): 265-272, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32126905

RESUMO

The usage of finite element method techniques gives a possibility to replace time-consuming experiments or imitate physical process in the ear by numerical simulation. Especially, the research of spatial motion of ossicular chain in the middle ear is of high interest for the oto-surgeons and engineers. It is known that the most affected bone from the ossicular chain is the incus. After the cholesteatoma operation and tympanoplasty, the affected incus is removed or sacrificed; thus, the possibility of transducing noise lays on the stapes, new titanium or other material prosthesis. In this case, the affected incus was removed because of the cholesteatoma that was lying in front of it in the tympanic cavity. The removed incus with the affected long process passed micro-computed tomography. The computer-aided design systems allowed redesigning a 'healthy' incus with an intact long process. In this way, it was possible to evaluate the influence of damaged long process of incus in the vibrational analysis. This article analyses the problems of mechanical behaviour of injured and healthy human incus. The numerical simulation has demonstrated that the features of healthy incus and analysed injured incus do not differ significantly, especially at low (about 500 Hz) frequencies. It explains why there is no impact of cholesteatoma on hearing for a long time in the audiogram.


Assuntos
Análise de Elementos Finitos , Bigorna/lesões , Fenômenos Mecânicos , Fenômenos Biomecânicos , Humanos , Imageamento Tridimensional , Bigorna/diagnóstico por imagem , Tomografia Computadorizada por Raios X
11.
Mater Sci Eng C Mater Biol Appl ; 108: 110370, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31923950

RESUMO

This work reports for the first time on a new class of flexible polyurethane foam hybrids (PUFs) synthesized with the use of less toxic aliphatic hexamethylene diisocyanate (HDI), which have been chemically modified by POSS moieties. The flexible polyurethane foam hybrids (PUFs) chemically modified by functionalized polyhedral oligomeric silsesquioxanes: octa(3-hydroxy-3-methylbutyldimethylsiloxy)POSS (OCTA-POSS) and 1,2-propanediolizo-butylPOSS (PHI-POSS), was obtained. The resulting foams, which contain 0 to 15 wt % POSS, were characterized in terms of their structure, morphology, density and compressive strength. The FT-IR results indicate the chemical incorporation of both OCTAPOSS and PHIPOSS into the polyurethane matrix. SEM-EDS analysis showed that both OCTAPOSS and PHIPOSS nanoparticles are distributed homogeneously in the foam structure; at 15 wt % load PHIPOSS characteristic "crosses" are formed. With the increase of PHIPOSS content in the matrix, the formation of agglomerates is observed, as revealed by WAXD spectra. The introduction of POSS compounds reduces the porosity of the polyurethane, with the number of pores increasing as the amount of modifier increases. Mechanical tests - compressive strength - show that the hardness of modified materials (5 wt % POSS) increases compared to the reference material. An incubation was carried out in a simulated physiological fluid (SBF) to pre-assess the bioactivity of the materials obtained. The obtained results confirmed the formation of a hydroxyapatite layer on the PUF-POSS surface. Cytotoxicity, cell cycle and apoptosis of osteoblast cells and fibroblasts were assessed in the presence of the PUF-POSS materials. Test materials have a cytotoxic effect on both established cell lines. PUF-PHIPOSS samples showed better biocompatibility than reference and PUF-OCTAPOSS samples, as they caused lower mortality of the examined cells.


Assuntos
Materiais Biocompatíveis/farmacologia , Compostos de Organossilício/química , Poliuretanos/farmacologia , Apoptose/efeitos dos fármacos , Contagem de Células , Ciclo Celular/efeitos dos fármacos , Forma Celular/efeitos dos fármacos , Força Compressiva , Fluorescência , Humanos , Nanopartículas/química , Necrose , Osteoblastos/citologia , Osteoblastos/efeitos dos fármacos , Porosidade , Espectroscopia de Infravermelho com Transformada de Fourier , Difração de Raios X
12.
Mater Sci Eng C Mater Biol Appl ; 104: 109913, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31499964

RESUMO

This study describes the preparation, and evaluates the biocompatibility, of hydroxylated multi-walled carbon nanotubes (fCNTs) functionalized with magnetic iron oxide nanoparticles (IONs) creating hybrid nanoparticles. These nanoparticles were used for preparing a composite porous poly(ε-caprolactone) scaffolds for potential utilization in regenerative medicine. Hybrid fCNT/ION nanoparticles were prepared in two mass ratios - 1:1 (H1) and 1:4 (H4). PCL scaffolds were prepared with various concentrations of the nanoparticles with fixed mass either of the whole nanoparticle hybrid or only of the fCNTs. The hybrid particles were evaluated in terms of morphology, composition and magnetic properties. The cytotoxicity of the hybrid nanoparticles and the pure fCNTs was assessed by exposing the SAOS-2 human cell line to colloids with a concentration range from 0.01 to 1 mg/ml. The results indicate a gradual increase in the cytotoxicity effect with increasing concentration. At low concentrations, interestingly, SAOS-2 metabolic activity was stimulated by the presence of IONs. The PCL scaffolds were characterized in terms of the scaffold architecture, the dispersion of the nanoparticles within the polymer matrix, and subsequently in terms of their thermal, mechanical and magnetic properties. A higher ION content was associated with the presence of larger agglomerates of particles. With exception of the scaffold with the highest content of the H4 nanoparticle hybrid, all composites were superparamagnetic. In vitro tests indicate that both components of the hybrid nanoparticles may have a positive impact on the behavior of SAOS-2 cells cultivated on the PCL composite scaffolds. The presence of fCNTs up to 1 wt% improved the cell attachment to the scaffolds, and a content of IONs below 1 wt% increased the cell metabolic activity.


Assuntos
Regeneração Óssea/fisiologia , Compostos Férricos/química , Nanotubos de Carbono/química , Poliésteres/química , Linhagem Celular Tumoral , Humanos , Fenômenos Magnéticos , Nanopartículas/química , Nanopartículas/ultraestrutura , Nanotubos de Carbono/ultraestrutura , Tamanho da Partícula , Estresse Mecânico , Alicerces Teciduais/química
13.
Nanomaterials (Basel) ; 8(10)2018 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-30262741

RESUMO

The aim of this work was to investigate of biocompatibility of polymeric implants modified with silver nanoparticles (AgNPs). Middle ear prostheses (otoimplants) made of the (poly)acrylonitrile butadiene styrene (ABS) and ABS modified with silver nanoparticles were prepared through extrusion and injection moulding process. The obtained prostheses were characterized by SEM-EDX, micro-CT and mechanical tests, confirming their proper shape, good AgNPs homogenization and mechanical parameters stability. The biocompatibility of the implants was evaluated in vivo on rats, after 4, 12, 24 and 48 weeks of implantation. The tissue-healing process and cytotoxicity of the implants were evaluated on the basis of microscopic observations of the materials morphology after histochemical staining with cytochrome c oxidase (OCC) and acid phosphatase (AP), as well as via micro-tomography (ex vivo). The in vivo studies confirmed biocompatibility of the implants in the surrounding tissue environment. Both the pure ABS and nanosilver-modified ABS implants exhibited a distinct decrease in the area of granulation tissue which was replaced with the regenerating muscle tissue. Moreover, a slightly smaller area of granulation tissue was observed in the surroundings of the silver-doped prosthesis than in the case of pure ABS prosthesis. The kinetics of silver ions releasing from implants was investigated by ICP-MS spectrometry. The measurement confirmed that concentration of the silver ions increased within the implant's immersion period. Our results showed that middle ear implant with the nanoscale modification is biocompatible and might be used in ossicular reconstruction.

14.
J Appl Crystallogr ; 51(Pt 3): 732-745, 2018 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29896059

RESUMO

The main focus of the presented work was the investigation of structure and residual stress gradients in the near-surface region of materials studied by X-ray diffraction. The multireflection method was used to measure depth-dependent stress variation in near-surface layers of a Ti sample (grade 2) subjected to different mechanical treatments. First, the multireflection grazing incidence diffraction method was applied on a classical diffractometer with Cu Kα radiation. The applicability of the method was then extended by using a white synchrotron beam during an energy dispersive (ED) diffraction experiment. An advantage of this method was the possibility of using not only more than one reflection but also different wavelengths of radiation. This approach was successfully applied to analysis of data obtained in the ED experiment. There was good agreement between the measurements performed using synchrotron radiation and those with Cu Kα radiation on the classical diffractometer. A great advantage of high-energy synchrotron radiation was the possibility to measure stresses as well as the a0 parameter and c0/a0 ratio for much larger depths in comparison with laboratory X-rays.

15.
Clin Anat ; 31(6): 838-853, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29732629

RESUMO

The aim of this work was to conduct a radiological micro-CT study and meta-analysis to determine the morphological features of the root canal anatomy of the maxillary molars. The radiological study included micro-CT scans of 110 maxillary first molars and 98 maxillary second molars. To identify articles eligible for inclusion in our meta-analysis, PubMed, Embase, and Web of Science were search comprehensively. The following data were extracted: study type (cadaveric, intraoperative or imaging), Vertucci types of canal configuration, presence/number of canals, roots, apical foramina, apical deltas, and inter-canal communications. The mesiobuccal root was the most variable with respect to canal configuration, type I being the most common configuration followed by type II and type IV. Type I was the most common canal configuration in the distobuccal and palatal root. Regarding the number of canals in the maxillary first and second molars, one canal was most prevalent in all roots of the three molars, except for the mesiobuccal root of maxillary first molar, in which two canals were most prevalent. The most prevalent number of roots in all maxillary molars was three. Knowledge of endodontic anatomy determines the parameters of root canal treatment and significantly affects the probability of success. It is therefore especially important to know the morphology of the root canal system in order to perform endodontic treatment correctly. Clin. Anat. 31:838-853, 2018. © 2018 Wiley Periodicals, Inc.


Assuntos
Cavidade Pulpar/anatomia & histologia , Dente Molar/anatomia & histologia , Cavidade Pulpar/diagnóstico por imagem , Endodontia/educação , Humanos , Maxila , Dente Molar/diagnóstico por imagem , Microtomografia por Raio-X
16.
Eur J Pharm Sci ; 119: 234-243, 2018 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-29679708

RESUMO

Sildenafil citrate has short biological half-life in humans. Thus, matrix tablets of controlled release were designed and prepared by compaction on the basis of hydrophilic polymers, i.e. HPMC, sodium alginate, carbomer, poloxamer and their mixtures. The impact of these polymers on sildenafil release in vitro and its pharmacokinetics in vivo was evaluated. Since drug release rate from hydrophilic matrices can be govern by the porosity of the matrix, the microstructure of tablets was studied using X-ray microcomputed tomography. 3D network of either open (percolating) or closed (non-percolating) pores was reconstructed. The tortuosity and the diameter of both kinds of pores were determined. Their spatial distribution within the matrix was analyzed in linear and radial direction. Polymer-dependent characteristics of the open pores (Ø > 2 µm) architecture was shown. The release profiles of sildenafil from matrix tablets fitted to Korsmeyer-Peppas model (r2: 0.9331-0.9993) with either Fickian diffusion or anomalous transport involved. Mean dissolution time (MDT) from tablets made of HPMC, carbomer or a mixture of HPMC and sodium alginate (2:1) was ca. 100 min, which was more than twelve times longer as compared to matrices prepared of silicified microcrystalline cellulose (MDT = 8 min). MDT correlated with the number of the open pores (Pearson's r = 0.94). Sustained release of sildenafil from ground carbomer tablets reflected in the slow absorption of the drug (tmax = 5.0 ±â€¯1.2 h) in vivo and the relative bioavailability of 151%. Interestingly, the relative bioavailability of sildenafil from binary matrices composed of HPMC and sodium alginate (2:1) was almost four times higher than that of sildenafil alone.


Assuntos
Inibidores da Fosfodiesterase 5 , Citrato de Sildenafila , Resinas Acrílicas/administração & dosagem , Resinas Acrílicas/química , Resinas Acrílicas/farmacocinética , Alginatos/administração & dosagem , Alginatos/química , Alginatos/farmacocinética , Animais , Preparações de Ação Retardada/administração & dosagem , Preparações de Ação Retardada/química , Preparações de Ação Retardada/farmacocinética , Liberação Controlada de Fármacos , Ácido Glucurônico/administração & dosagem , Ácido Glucurônico/química , Ácido Glucurônico/farmacocinética , Ácidos Hexurônicos/administração & dosagem , Ácidos Hexurônicos/química , Ácidos Hexurônicos/farmacocinética , Interações Hidrofóbicas e Hidrofílicas , Derivados da Hipromelose/administração & dosagem , Derivados da Hipromelose/química , Derivados da Hipromelose/farmacocinética , Masculino , Inibidores da Fosfodiesterase 5/administração & dosagem , Inibidores da Fosfodiesterase 5/química , Inibidores da Fosfodiesterase 5/farmacocinética , Ratos Wistar , Citrato de Sildenafila/administração & dosagem , Citrato de Sildenafila/química , Citrato de Sildenafila/farmacocinética
17.
Otol Neurotol ; 39(5): 558-564, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29649044

RESUMO

BACKGROUND: The oval window is an important structure with regard to stapes surgeries, including stapedotomy for the treatment of otosclerosis. Recent study of perioperative imaging of the oval window has revealed that oval window niche height can indicate both operative difficulty and subjective discomfort during otosclerosis surgery. With regard to shape, structures incorporated into the oval window niche, such as cartilage grafts, must be compatible with the shape of the oval window. Despite the clinical importance of the oval window, there is little information regarding its size and shape. METHODS: This study assessed oval window size and shape via micro-computed tomography paired with modern morphometric methodology in the fetal, infant, child, and adult populations. Additionally, the study compared oval window size and shape between sexes and between left- and right-sided ears. RESULTS: No significant differences were found among traditional morphometric parameters among age groups, sides, or sexes. However, geometric morphometric methods revealed shape differences between age groups. Further, geometric morphometric methods provided the average oval window shape and most-likely shape variance. CONCLUSION: Beyond demonstrating oval window size and shape variation, the results of this report will aid in identifying patients among whom anatomical variation may contribute to surgical difficulty and surgeon discomfort, or otherwise warrant preoperative adaptations for the incorporation of materials into and around the oval window.


Assuntos
Janela do Vestíbulo/anatomia & histologia , Cirurgia do Estribo/métodos , Adulto , Variação Anatômica , Criança , Feminino , Feto , Humanos , Lactente , Masculino , Microtomografia por Raio-X
19.
Circ J ; 81(7): 1043-1050, 2017 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-28344201

RESUMO

BACKGROUND: Valve calcification is well estimated by ex-vivo micro-computed tomography (micro-CT). The objective of this study was to investigate the associations between micro-CT findings and biological indices of calcification in aortic stenosis (AS), as well as differences between bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV).Methods and Results:Aortic valves and plasma were obtained from patients undergoing valve surgery. Valves were dissected and underwent micro-CT, genetic analyses, and calcium content assessment. Plasma levels of calcification markers were measured. Forty-two patients with isolated severe AS, including 22 with BAV, were studied. BAV patients had a lower median CT value (140.0 [130.0-152.0] vs. 157.0 [147.0-176.0], P=0.002) and high-density calcification (HDC) fraction (9.3 [5.7-23.3] % vs. 21.3 [14.3-31.2] %, P=0.01), as compared with TAV. Calcification fraction (CF) correlated with AS severity (measured as maximal transvalvular pressure gradient [r=0.34, P=0.03], maximal flow velocity [r=0.38, P=0.02], and indexed aortic valve area [r=-0.37, P=0.02]). For TAV patients only, mRNA expression of integrin-binding sialoprotein correlated with CF (r=0.45, P=0.048), and the receptor activator of the nuclear factor κ-B ligand transcript correlated with HDC corrugation (r=0.54, P=0.01). CONCLUSIONS: TAV patients with AS present more mineralized calcifications in micro-CT than BAV subjects. The relative volume of calcifications increases with the AS severity. In TAV patients, upregulated expression of genes involved in osteoblastogenesis in AS correlates with leaflet mineralization in micro-CT.


Assuntos
Estenose da Valva Aórtica , Sialoproteína de Ligação à Integrina/biossíntese , Valva Mitral , Ligante RANK/biossíntese , Valva Tricúspide , Calcificação Vascular , Microtomografia por Raio-X , Idoso , Estenose da Valva Aórtica/diagnóstico por imagem , Estenose da Valva Aórtica/metabolismo , Feminino , Regulação da Expressão Gênica , Humanos , Masculino , Pessoa de Meia-Idade , Valva Mitral/diagnóstico por imagem , Valva Mitral/metabolismo , Valva Tricúspide/diagnóstico por imagem , Valva Tricúspide/metabolismo , Calcificação Vascular/diagnóstico por imagem , Calcificação Vascular/metabolismo
20.
Surg Radiol Anat ; 39(4): 375-382, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27637761

RESUMO

PURPOSE: To depict the anatomy of the tympanic segment of the facial canal using a 3D visualization technique, to detect dehiscences, and to evaluate their frequency, location, shape, and size. METHODS: Research included 36 human temporal bones (18 infant and 18 adult samples) which were scanned using a Nanotom 180N device. The final resolution of the reconstructed object was 18 µm. Obtained micro-CT data were subsequently processed by the volume rendering software. RESULTS: The micro-CT study allowed for the 3D visualization of the tympanic segment of the facial canal and detects dehiscences in the studied material in both infants and adults. Most of the dehiscences (66.7 %) involved the inferior wall of the tympanic segment in infants as well as in adults, and were located above and backward to the oval window. The most frequent dehiscence shape was elliptic (66.7 % in infants; 50 % in adults). Furthermore, we observed dehiscences of fusiform and trapezoidal shape in infants. Length of the dehiscences in most cases ranged from 0.5 to 1.4 mm (50 % in infants; 75 % in adults). CONCLUSIONS: Volumetric reconstructions demonstrated the course of the tympanic segment of the facial canal and its relationship with the tympanic cavity. Knowledge about the size and location of any dehiscence within the tympanic segment of the facial canal is necessary due to the surgical significance of this region. If a dehiscence occurs, there is an increased risk of injury to the facial nerve during the operations or spread of inflammation from the middle ear.


Assuntos
Orelha Média/anatomia & histologia , Nervo Facial/anatomia & histologia , Osso Temporal/anatomia & histologia , Adolescente , Adulto , Variação Anatômica , Criança , Pré-Escolar , Orelha Média/diagnóstico por imagem , Orelha Média/inervação , Feminino , Humanos , Imageamento Tridimensional , Lactente , Masculino , Osso Temporal/diagnóstico por imagem , Osso Temporal/inervação , Microtomografia por Raio-X , Adulto Jovem
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