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At least 19 recordsLinked to original sources

The development of anatomic art and sciences: the ceroplastica anatomic models of La Specola.

Anatomic models are important heuristic aids for surgeons in training. They are uniquely able to convey the three-dimensional relationships of anatomic structures with a physical immediacy not allowed by any other media. We examine the conceptual development of the anatomic model in light of the history of neuroanatomic understanding and coexistent artistic movements. The teaching anatomic model traces its ancestry to the work of Gaetano Zumbo in the late 17th century, on the heels of important anatomic discoveries made in the preceding 100 years of investigation. The anatomic model reached its peak expression in the late 18th century with the founding of the ceroplastica laboratory in Florence. We discuss the technological, artistic, and scientific origins of the anatomic wax model and the conditions that allowed it to flourish in the late 18th century.

Anatomy, Artistic↗

A review of US anthropometric reference data (1971-2000) with comparisons to both stylized and tomographic anatomic models.

Two classes of anatomic models currently exist for use in both radiation protection and radiation dose reconstruction: stylized mathematical models and tomographic voxel models. The former utilize 3D surface equations to represent internal organ structure and external body shape, while the latter are based on segmented CT or MR images of a single individual. While tomographic models are clearly more anthropomorphic than stylized models, a given model's characterization as being anthropometric is dependent upon the reference human to which the model is compared. In the present study, data on total body mass, standing/sitting heights and body mass index are collected and reviewed for the US population covering the time interval from 1971 to 2000. These same anthropometric parameters are then assembled for the ORNL series of stylized models, the GSF series of tomographic models (Golem, Helga, Donna, etc), the adult male Zubal tomographic model and the UF newborn tomographic model. The stylized ORNL models of the adult male and female are found to be fairly representative of present-day average US males and females, respectively, in terms of both standing and sitting heights for ages between 20 and 60-80 years. While the ORNL adult male model provides a reasonably close match to the total body mass of the average US 21-year-old male (within approximately 5%), present-day 40-year-old males have an average total body mass that is approximately 16% higher. For radiation protection purposes, the use of the larger 73.7 kg adult ORNL stylized hermaphrodite model provides a much closer representation of average present-day US females at ages ranging from 20 to 70 years. In terms of the adult tomographic models from the GSF series, only Donna (40-year-old F) closely matches her age-matched US counterpart in terms of average body mass. Regarding standing heights, the better matches to US age-correlated averages belong to Irene (32-year-old F) for the females and Golem (38-year-old M) for the males. Both Helga (27-year-old F) and Donna, however, provide good matches to average US sitting heights for adult females, while Golem and Otoko (male of unknown age) yield sitting heights that are slightly below US adult male averages. Finally, Helga is seen as the only GSF tomographic female model that yields a body mass index in line with her average US female counterpart at age 26. In terms of dose reconstruction activities, however, all current tomographic voxel models are valuable assets in attempting to cover the broad distribution of individual anthropometric parameters representative of the current US population. It is highly recommended that similar attempts to create a broad library of tomographic models be initiated in the United States and elsewhere to complement and extend the limited number of tomographic models presently available for these efforts.

Adult↗

Acoustic rhinometry and paranasal sinuses: a systematic study in models, anatomic specimens, and in vivo.

OBJECTIVE/HYPOTHESIS: Acoustic rhinometry (AR) evaluates the cross-sectional areas (CSA) of the nasal cavity through acoustic reflections. The aim of this study was to test whether the paranasal sinuses are a cause for the measurement of increased CSA in the posterior cavum of the nose. STUDY DESIGN: : Experimental study to evaluate the influence of paranasal sinus volume on AR measurements in two anatomic nose models, an anatomic specimen, and seven individuals. METHODS: The paranasal sinus volume was systematically reduced by filling of the maxillary sinus with saline. The paranasal sinus ostia were enlarged in the models and the anatomic specimen by infundibulotomy and supraturbinal fenestration, with AR repeated thereafter. RESULTS: No modification of the posterior area-distance curve was found in the models, the specimen, and the individuals after changing the volume of the maxillary sinus with unmodified anatomy of the paranasal sinus ostia. The apparent CSA measured in the posterior cavum after infundibulotomy and supraturbinate fenestration in the models and the specimen increased with the volume of the paranasal sinuses. CONCLUSION: Regular anatomy provided, AR reveals reproducible measurements that correspond with the actual CSA up to the ostia of the paranasal sinuses. Untypical large openings to the paranasal sinuses (e.g., after paranasal sinus surgery) appear to contribute to the inaccuracy of AR by overlapping paranasal sinus CSA with the posterior part of the area distance curve.

Humans↗

A simplified technique for casting anatomical models.

For anyone desiring to cast anatomical models, a simplified technique for external casting has been developed using dental impression materials readily available in dental supply houses. These impressions yield life-like permanent models retaining topographical features of normal as well as pathological skin and nails.

Dental Impression Materials↗

An anatomical model for streaming potentials in osteons.

An anatomical model for streaming potentials in osteons is developed to characterize the electromechanical effect in bone. The model accounts for the microstructure of the osteon and is based upon first principles of electrochemistry, electrokinetics, continuum mechanics and fluid dynamics. Intra-osteonal potentials and their relaxation times are numerically evaluated. Many of the previously reported observations of potentials in osteons and across macroscopic specimens are explained for the first time in terms of an electrokinetic model. The cusp-like behavior of intra-osteonal potentials is explained, the dependence of the potentials on solution viscosity and conductivity is demonstrated, and insight is gained relative to the time dependence of stress generated potentials.

Biomechanical Phenomena↗

Anatomic models of the tracheobronchial and pulmonary regions of the rat.

Models of the lung airways of a rat were developed from complete measurements of the tracheobronchial airways. A silicone rubber cast of the tracheobronchial airways of a rat lung was prepared and all individual airway segments down to and including the terminal bronchioles were measured to obtain the segment diameters, lengths, branching angles and angles of inclination to gravity. Models of the rat tracheobronchial airways were constructed based on the original measurements and the subsequent analysis. Some mathematical assumptions about acinar anatomy distal to terminal bronchioles were made to extend the models to include pulmonary regions. Emphasis was placed on the "Typical Path Lung Model" which used one typical pathway to represent either a whole lung or a lobe of the lung. The models are simple and can be applied in calculation of physiologic variables or particle deposition during inhalation in various lobes of the lung.

Animals↗

Anatomical model of the human trunk for analysis of respiratory muscles mechanics.

A realistic two-dimensional (2D) model of the human trunk was developed for quantitative analysis of the relative contribution to breathing mechanics of seven groups of respiratory muscles. Along with noninvasive measurements of electromyography (EMG) signals from respiratory muscles near the skin surface, it provides predictions for the forces generated by inner respiratory muscles as well as the instantaneous work of each muscle. The results revealed that inspiratory muscles reach their maximal force towards the end of inspiration, while expiratory muscles reach their maximal force at mid-expiration. Inspiratory muscles contributed to the work of breathing even at low efforts, while that of the expiratory muscles was observed only at relatively high efforts. The study clearly showed that the diaphragm muscle generates forces, which are of the same order as those generated by other inspiratory muscles, but performed 60-80% of the inspiratory work. The contribution of the external intercostal muscle to inspiration was not negligible, especially at high breathing efforts.

Algorithms↗

Single-step stereolithography of complex anatomical models for optical flow measurements.

Transparent stereolithographic rapid prototyping (RP) technology has already demonstrated in literature to be a practical model construction tool for optical flow measurements such as digital particle image velocimetry (DPIV), laser doppler velocimetry (LDV), and flow visualization. Here, we employ recently available transparent RP resins and eliminate time-consuming casting and chemical curing steps from the traditional approach. This note details our methodology with relevant material properties and highlights its advantages. Stereolithographic model printing with our procedure is now a direct single-step process, enabling faster geometric replication of complex computational fluid dynamics (CFD) models for exact experimental validation studies. This methodology is specifically applied to the in vitro flow modeling of patient-specific total cavopulmonary connection (TCPC) morphologies. The effect of RP machining grooves, surface quality, and hydrodynamic performance measurements as compared with the smooth glass models are also quantified.

Blood Flow Velocity↗

Flow dynamics in anatomical models of abdominal aortic aneurysms: computational analysis of pulsatile flow.

Blood flow in human arteries is dominated by time-dependent transport phenomena. In particular, in the abdominal segment of the aorta under a patient's average resting conditions, blood exhibits laminar flow patterns that are influenced by secondary flows induced by adjacent branches and in irregular vessel geometries. The flow dynamics becomes more complex when there is a pathological condition that causes changes in the normal structural composition of the vessel wall, for example, in the presence of an aneurysm. An aneurysm is an irreversible dilation of a blood vessel accompanied by weakening of the vessel wall. This work examines the importance of hemodynamics in the characterization of pulsatile blood flow patterns in individual Abdominal Aortic Aneurysm (AAA) models. These patient-specific computational models have been developed for the numerical simulation of the momentum transport equations utilizing the Finite Element Method (FEM) for the spatial and temporal discretization. We characterize pulsatile flow dynamics in AAAs for average resting conditions by means of identifying regions of disturbed flow and quantifying the disturbance by evaluating wall pressure and wall shear stresses at the aneurysm wall.

Aorta, Abdominal↗

Validation of the conceptual anatomical model of the lung airway.

The conceptual anatomical model of the lung airway considers each lung volume divided into ten concentric shells. It specifies the volume of each airway generation in each shell, using Weibel morphometry. This study updates and validates the model and evaluates the errors obtained when using it to estimate inhaled aerosol deposition per generation from spatial imaging data. A comparison of different airway models describing the volume per generation, including data from CT images of a lung cast and a human subject, was performed. A revised version of the conceptual model was created, using the average volume per generation from these data. The new model was applied to derive the aerosol deposition per generation from 24 single photon emission computed tomography (SPECT) studies. Analysis errors were assessed by applying the same calculations but using airway models based on the minimum and maximum volumes per generation. The mean shell position of each generation in the average model was not significantly different from either CT model. However there were differences between the volumes per generation of the different models. The root mean square differences between bronchial airways deposition fraction (generations 2-8) obtained from the maximum and minimum models compared to the new average model was 0.66 percentage points (14%). For the conducting airways deposition fraction (generations 2-15) this was 1.66 percentage points (12%). The conceptual model is consistent with CT measurements of airway geometry. The errors resulting from using a generic airway model to interpret 3D radionuclide image data have been defined.

Humans↗

The rapid prototyping of anatomic models in pulmonary atresia.

OBJECTIVE: The goal of this study was to assess the utility and accuracy of solid anatomic models constructed with rapid prototyping technology for surgical planning in patients with pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries. METHODS: In 6 patients with pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries, anatomic models of the pulmonary vasculature were rapid prototyped from computed tomographic angiographic data. The surgeons used the models for preoperative and intraoperative planning. The models' accuracy and utility were assessed with a postoperative questionnaire completed by the surgeons. An independent cardiac radiologist also assessed each model for accuracy of major aortopulmonary collateral artery origin, course, and caliber relative to conventional angiography. RESULTS: Of the major aortopulmonary collateral arteries identified during surgery and conventional angiography, 96% and 93%, respectively, were accurately represented by the models. The surgeons found the models to be very useful in visualizing the vascular anatomy. CONCLUSION: This study presents the novel vascular application of rapid prototyping to pediatric congenital heart disease. Anatomic models are an intuitive means of communicating complex imaging data, such as the pulmonary vascular tree, which can be referenced intraoperatively.

Biomedical Engineering↗

Anatomic modeling from unstructured samples using variational implicit surfaces.

We describe the use of variational implicit surfaces (level sets of an embedded generating function modeled using radial basis interpolants) in anatomic modeling. This technique allows the practitioner to employ sparsely and unevenly sampled data to represent complex biological surfaces, including data acquired as a series of non-parallel image slices. The method inherently accommodates interpolation across irregular spans. In addition, shapes with arbitrary topology are easily represented without interpolation or aliasing errors arising from discrete sampling. To demonstrate the medical use of variational implicit surfaces, we present the reconstruction of the inner surfaces of blood vessels from a series of endovascular ultrasound images.

Animals↗

Anatomic models and phantoms for diagnostic ultrasound instruction.

The preparation and application of anatomic models and phantoms to facilitate learning diagnostic ultrasound is described. Imaging with diagnostic ultrasound requires mastery of many skills, along with knowledge of sound-tissue interactions which contribute to the formation of diagnostic images and artifacts. Understanding the genesis of artifacts encountered during ultrasound scanning can avoid misinterpretation and aid diagnosis. In addition, development of machine related knowledge and skills, including manipulation of the transducer and the selection of correct settings for variables such as gain, power, time-gain compensation, and transducer type, is dependent on an understanding of how these factors affect the image. The normal appearance of an organ relates to both its echogenicity and morphologic characteristics, and confirmation of the nature of an abnormality often requires ultrasound guided biopsy. The use of anatomic models and phantoms in ultrasound instruction allows principles to be demonstrated, knowledge acquired, and biopsy procedures practiced and mastered in a controlled setting. This can minimize live animal use, and enhance the knowledge base and skills of the clinician prior to applying this diagnostic technique to the clinical patient.

Animals↗

[Method for segmenting medical image based on anatomical model].

OBJECTIVE: To improve the automatization and reliability of medical image segmentation. METHOD: An anatomical model was built and used to guide the low-level segmentation process. The system architecture was made up of an anatomical model, image processing routines and an inference engine, the interaction of which are governed by a blackboard. RESULT: The result of application of the segmentation for chest CT image was satisfactory and needs less operator intensive. CONCLUSION: This method improves automatization and reliability of the medical image segmentation. Because of the good expansibility, it may serve as a template for knowledge-based processing of medical image.

Computer Simulation↗

Patient-specific anatomic models from three dimensional medical image data for clinical applications in surgery and endoscopy.

Virtual surgery and endoscopy use computer-generated volume renderings and/or models created from 3D medical image scans (CT or MRI) of individual patients. The patient's anatomy, including organs and other internal structures of interest, are then traversed in a virtual "fly-through," giving nearly the same visual impression as if the corresponding real organ was being examined intraoperatively, or as if an actual video or fiberoptic endoscopic procedure was being performed. Such virtual examinations may provide capabilities and information not possible or available in physical examinations. The potential is to provide a noninvasive computer-aided treatment plan or diagnostic screening procedure to augment or replace conventional invasive procedures. With sophisticated image processing and computational analysis, it is possible to perform realistic and useful simulations of surgical and endoscopic procedures, including "virtual dissection and resection" and "virtual biopsy." Surgical margins can be accurately assessed and differential tissue diagnoses made based upon spectral or other information contained in the patient-specific images and models.

Algorithms↗