Quantitative anatomical analysis of lumbar interspaces based on 3D CT imaging: optimized segment selection for lumbar puncture in different age groups.

BACKGROUND: Optimal lumbar puncture segment selection remains controversial. This study aims to analyze anatomical differences among L3-4, L4-5, and L5-S1 segments across age groups and provide quantitative evidence for optimized selection. METHODS: 80 cases of CT images were collected with patients aged 10-80 years old. Threedimensional models containing L3-S1 vertebrae, dural sac, and nerve roots were reconstructed. Computer simulation determined the optimal puncture angles for the L3-4, L4-5, and L5-S1 segments. The effective dural sac area (ALDS), traversing nerve root area (ATNR), and area of the lumbar inter-laminar space (ALILS) were measured. Puncture efficacy ratio (ALDS/ALILS) and nerve injury risk ratio (ATNR/ALILS) were calculated. Cases were divided into four groups: A (10-20 years), B (21-40 years), C (41-60 years), and D (61-80 years). Statistical analysis was performed using SPSS. RESULTS: 1) ALDS was similar among segments; 2) ATNR was greatest at L5-S1; 3) ALILS was greatest at L5-S1; 4) Puncture efficacy ratio was highest at L3-4 and lowest at L5-S1; 5) Nerve injury risk was highest at L5-S1. In group D, L5-S1 ALDS was larger than L3-4 and L4-5. ALDS decreased after age 40. Age variations were minimal across parameters. CONCLUSION: The comprehensive analysis demonstrated L3-4 as the optimal first-choice segment for ages 10-60 years, conferring maximal efficacy and safety. L5-S1 can serve as an alternative option for ages 61-80 years when upper interspaces narrow. This study provides quantitative imaging evidence supporting age-specific, optimized lumbar puncture segment selection.

The pretreatment of the sustainable biomass feedstock of Pennisetum giganteum for biorefinery using deep eutectic solvents.

In this study, Pennisetum giganteum (PG) was investigated as lignocellulosic feedstock to be pretreated by the acidic and basic deep eutectic solvents (DESs) to generate monomeric sugars. The basic DESs showed excellent efficiency of delignification and saccharification. ChCl/MEA can remove 79.8 % lignin and reserve 89.5 % cellulose. As a result, 95.6 % glucose and 88.0 % xylose yield were obtained, significantly enhanced 9.4 and 15.5 times in contrast with those of the unpretreated PG. The 3D microstructures of raw and pretreated PG were constructed for the first time to better investigate the pretreatment effect on its structure. The increasing porosity (20.5 %) and the reducing CrI (42.2 %) contributed in enhancing enzymatic digestion. Moreover, the recyclability of DES indicated that at least 90 % DES was recovered and 59.5 % lignin still can removed with 79.8 % glucose were obtained after five recycling cycles. Meanwhile, 51.6 % lignin was recovered throughout the recycling process.