Aperture

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  • 文章类型: Journal Article
    目的:在血管检查中,有时需要从线性阵列换能器的边缘引导超声束,以达到具有所需多普勒角度的样本体积。这项体模研究旨在评估位于阵列边缘的孔径对峰值速度(PV)测量的影响。
    方法:使用带有水平管的流动体模对3个主要超声供应商的装有8个换能器的3个超声扫描仪系统进行了测试。使用所有可用的扫描器-换能器组合,同时将所有扫描参数和样品体积保持在相同的管位置中,获得了具有定位在阵列的一个边缘处的孔径和具有在阵列的中心处的孔径的5个频谱多普勒测量。在4个恒定流速下比较中心孔和边缘孔之间的PV差异。
    结果:所有体模流速的平均PV距阵列中心的范围为24.4cm/s至138.2cm/s。对于每个流速,来自中心孔的平均PV显著大于来自边缘孔的相应测量值(所有p<0.001)。所有传感器和流速的相对PV差异范围为6.7%至19.4%。
    结论:在所有测试系统中,阵列边缘与中心的多普勒波束孔径一致显示出明显较低的PV。这可能是由于孔径宽度较窄,移动的中心轴,阵列边缘的固有光谱展宽误差较小。控制多普勒孔径位置的变化在依赖于一致的速度测量的临床应用中是重要的。
    OBJECTIVE: Ultrasound beams sometimes need to be steered from the edge of linear array transducers to reach the sample volume with a desired Doppler angle in vascular exams. This phantom study aims to evaluate the impact of apertures located at the array edge on peak velocity (PV) measurements.
    METHODS: Three ultrasound scanner systems equipped with eight transducers from 3 major ultrasound vendors were tested using a flow phantom with a horizontal tube. Five spectral Doppler measurements with the aperture positioned at one edge of the array and 5 with the aperture at the center of the array were obtained using all available scanner-transducer combinations while maintaining all scan parameters and the sample volume in the same tube location. Differences in PVs between center and edge apertures were compared across 4 constant flow rates.
    RESULTS: The averaged PVs for all phantom flow rates ranged from 24.4 cm/s to 138.2 cm/s from the array center. The averaged PVs from the center aperture were significantly greater than the corresponding measurements from the edge aperture for each flow rate (all p < 0.001). The relative PV differences ranged from 6.7% to 19.4% across all transducers and flow rates.
    CONCLUSIONS: Significantly lower PVs were consistently shown with the Doppler beam aperture at the array edge compared to center among all tested systems. This may be due to a narrower aperture width, shifted central axis, and less intrinsic spectral broadening error at the array edge. Controlling variations in Doppler aperture location is important in clinical applications which depend on consistent velocity measurements.
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  • 文章类型: Journal Article
    目的:质子立体定向放射外科(PSRS)已成为一种创新的质子治疗方式,旨在实现精确的剂量给药,同时对健康组织的影响最小。本研究通过关注目标体积较小的病例,探讨了PSRS与传统强度调节质子治疗(IMT)相比的剂量学结果。为质子治疗设计的定制孔径系统,专门针对小目标体积,是为这项调查开发和实施的。
    方法:在剂量测定评估之前,通过等中心测试进行的先决条件机械验证,确保机械和剂量测定分析的无缝集成。五名患者被纳入研究,包括两个脉络膜黑色素瘤和三个动静脉畸形(AVM)。为每位患者精心执行了两个治疗计划,一个利用准直孔径和其他没有。这两个计划都经过了鲁棒优化,保持相同的光束布置和一致的优化参数,以解决2mm的设置误差和3.5%的范围不确定性。包含异质性指数(HI)的计划评估指标,帕迪克合格指数(CIPaddick),梯度指数(GI),和R50%指数评估低剂量体积分布的变化。
    结果:PSRS和传统PBS治疗之间的比较分析显示计划结果没有显着差异,两种模式都显示出可比的目标覆盖率。然而,准直孔导致剂量一致性的明显改善,剂量下降,减少低剂量体积。
    结论:本研究强调了孔径系统对质子治疗的有利影响,特别是在涉及小目标量的情况下。
    OBJECTIVE: Proton stereotactic radiosurgery (PSRS) has emerged as an innovative proton therapy modality aimed at achieving precise dose delivery with minimal impact on healthy tissues. This study explores the dosimetric outcomes of PSRS in comparison to traditional intensity-modulated proton therapy (IMPT) by focusing on cases with small target volumes. A custom-made aperture system designed for proton therapy, specifically tailored to small target volumes, was developed and implemented for this investigation.
    METHODS: A prerequisite mechanical validation through an isocentricity test precedes dosimetric assessments, ensuring the seamless integration of mechanical and dosimetry analyses. Five patients were enrolled in the study, including two with choroid melanoma and three with arteriovenous malformations (AVM). Two treatment plans were meticulously executed for each patient, one utilizing a collimated aperture and the other without. Both plans were subjected to robust optimization, maintaining identical beam arrangements and consistent optimization parameters to account for setup errors of 2 mm and range uncertainties of 3.5%. Plan evaluation metrics encompassing the Heterogeneity Index (HI), Paddick Conformity Index (CIPaddick), Gradient Index (GI), and the R50% index to evaluate alterations in low-dose volume distribution.
    RESULTS: The comparative analysis between PSRS and traditional PBS treatment revealed no significant differences in plan outcomes, with both modalities demonstrating comparable target coverage. However, collimated apertures resulted in discernible improvements in dose conformity, dose fall-off, and reduced low-dose volume.
    CONCLUSIONS: This study underscores the advantageous impact of the aperture system on proton therapy, particularly in cases involving small target volumes.
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  • 文章类型: Journal Article
    结论:创新,我们认为气孔检测是旋转物体检测,并提供端到端,批处理,旋转,实时气孔密度和孔径大小智能检测与识别系统,RotatedestomataNet。气孔在呼吸过程中充当空气和水蒸气的通道,蒸腾作用,和其他气体代谢,因此气孔表型对植物的生长发育具有重要意义。高通量造口的智能检测是一个关键问题。然而,当前可用的方法在面对密集和不均匀排列的气孔时通常会遇到检测错误或繁琐的操作。提出的RotatedStomataNet创新地将气孔检测视为旋转物体检测,启用端到端,实时,气孔和孔的智能表型分析。该系统是基于破坏性获取的拟南芥和玉米气孔数据集构建的,以无损方式获取的玉米气孔数据集,实现了表型的一站式自动收集,比如位置,密度,长度,以及气孔和孔的宽度,无需分步操作。该系统获取气孔和孔的准确性已经在单子叶植物和双子叶植物中得到了很好的证明,如拟南芥,大豆,小麦,和玉米。实验结果表明,该方法的预测结果与人工标注的结果一致。测试集,系统代码,和他们的用法也给出了(https://github.com/AITAhenu/RotatedStomataNet)。
    CONCLUSIONS: Innovatively, we consider stomatal detection as rotated object detection and provide an end-to-end, batch, rotated, real-time stomatal density and aperture size intelligent detection and identification system, RotatedeStomataNet. Stomata acts as a pathway for air and water vapor in the course of respiration, transpiration, and other gas metabolism, so the stomata phenotype is important for plant growth and development. Intelligent detection of high-throughput stoma is a key issue. Nevertheless, currently available methods usually suffer from detection errors or cumbersome operations when facing densely and unevenly arranged stomata. The proposed RotatedStomataNet innovatively regards stomata detection as rotated object detection, enabling an end-to-end, real-time, and intelligent phenotype analysis of stomata and apertures. The system is constructed based on the Arabidopsis and maize stomatal data sets acquired destructively, and the maize stomatal data set acquired in a non-destructive way, enabling the one-stop automatic collection of phenotypic, such as the location, density, length, and width of stomata and apertures without step-by-step operations. The accuracy of this system to acquire stomata and apertures has been well demonstrated in monocotyledon and dicotyledon, such as Arabidopsis, soybean, wheat, and maize. The experimental results that the prediction results of the method are consistent with those of manual labeling. The test sets, the system code, and their usage are also given ( https://github.com/AITAhenu/RotatedStomataNet ).
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  • 文章类型: Journal Article
    气孔是连接光合作用和蒸腾作用的关键节点。通过调节气孔的开度,植物相继实现了水分损失和二氧化碳获取之间的平衡。气孔的动态行为是植物适应性的重要基石。尽管已经有关于气孔及其组成细胞的各种实验结果,保卫细胞和辅助细胞,目前的气孔调控理论远未明确统一。在这项工作中,在现有实验结果的基础上,我们建立了一个综合模型来描述种子植物的气孔动态。该模型包括三个部分:(1)气孔孔的被动力学模型,作为保卫细胞膨胀和附属细胞膨胀的双变量函数;(2)主动调节模型,保卫细胞中的目标离子含量取决于其水势;(3)钾离子和水含量运动的动力学模型。我们的模型已用于半定量地再现大量的实验现象。通过精确测量参数,我们的模型也可用于预测气孔对环境条件变化的反应。
    Stomata are the key nodes linking photosynthesis and transpiration. By regulating the opening degree of stomata, plants successively achieve the balance between water loss and carbon dioxide acquisition. The dynamic behaviour of stomata is an important cornerstone of plant adaptability. Though there have been miscellaneous experimental results on stomata and their constituent cells, the guard cells and the subsidiary cells, current theory of stomata regulation is far from clear and unified. In this work, we develop an integrated model to describe the stomatal dynamics of seed plants based on existing experimental results. The model includes three parts: (1) a passive mechanical model of the stomatal aperture as a bivariate function of the guard-cell turgor and the subsidiary-cell turgor; (2) an active regulation model with a target ion-content in guard cells as a function of their water potential; and (3) a dynamical model for the movement of potassium ions and water content. Our model has been used to reproduce abundant experimental phenomena semi-quantitatively. With accurately measured parameters, our model can also be used to predict stomatal responses to changes of environmental conditions.
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  • 文章类型: Journal Article
    本文介绍了在闪烁体探测器的腔室中进行流动研究时,将实验测量与数学物理分析相结合,这是环境扫描电子显微镜的一部分。这些腔室被小开口隔开,这些开口在三个腔室之间保持所需的压力差:样本腔室,差动泵送的中间室,和闪烁体室。对这些孔存在矛盾的要求。一方面,孔的直径必须尽可能大,以便它们引起通过的二次电子的最小损失。另一方面,可以仅在一定程度上放大孔,因此旋转和涡轮分子真空泵可以在单独的腔室中保持所需的操作压力。本文介绍了使用绝对压力传感器和数学物理分析进行实验测量的组合,以绘制腔室之间的孔中出现的临界超音速流的所有细节。根据实验和他们的调整分析,确定组合涉及检测器中不同操作压力的每个孔径的大小的最有效变体。所描述的每个孔分隔不同的压力梯度的事实使情况变得更加困难。所以通过每个孔的气流都有自己的特性,具有不同类型的临界流,他们相互影响,从而影响由闪烁体检测到的二次电子的最终通过,从而影响所得到的显示图像。
    The article describes the combination of experimental measurements with mathematical-physics analyses in flow investigation in the chambers of the scintillator detector, which is a part of the environmental scanning electron microscope. The chambers are divided with apertures by small openings that keep the desirable pressure differences between three chambers: The specimen chamber, the differentially pumped intermediate chamber, and the scintillator chamber. There are conflicting demands on these apertures. On the one hand, the diameter of the apertures must be as big as possible so that they incur minimal losses of the passing secondary electrons. On the other hand, it is possible to magnify the apertures only to a certain extent so the rotary and turbomolecular vacuum pump can maintain the required operating pressures in separate chambers. The article describes the combination of experimental measurement using an absolute pressure sensor and mathematical physics analysis to map all the specifics of the emerging critical supersonic flow in apertures between the chambers. Based on the experiments and their tuned analyses, the most effective variant of combining the sizes of each aperture concerning different operating pressures in the detector is determined. The situation is made more difficult by the described fact that each aperture separates a different pressure gradient, so the gas flow through each aperture has its own characteristics with a different type of critical flow, and they influence each other, thereby influencing the final passage of secondary electrons detected by the scintillator and thus affecting the resulting displayed image.
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  • 文章类型: Journal Article
    尽管孢子的进化对陆地上植物的多样化至关重要,对于模型植物,例如Physcomitriumpatens,孢子发生的特征不完全。在这项研究中,P.patens孢子发生的完整过程从胶囊扩张到成熟孢子形成,重点是复杂孢子壁和近端孔的构造。二倍体(孢子体)和单倍体(孢子)细胞都有助于孢子的发育和成熟。在胶囊扩张期间,胶囊的二倍体细胞,包括孢子母细胞(SMC),内囊壁层(孢子囊),还有小柱,贡献一个包含孢子个体发育的机械和营养的局部纤维状基质。新生孢子被封闭在第二基质中,所述第二基质被薄的SMC壁包围并悬浮在所述小室材料中。随着它们的扩展和分离,在三部分薄片的薄基础层的外部产生外膜带。致密的小球在整个小室中均匀地聚集,并且这些逐渐结合到孢子表面上以形成外壁外部的perine。在远端孢子表面,内部形式,而多刺的perine装饰被组装。外泌体至少部分起源于异类,而perine完全来自孢子外。穿过极地孢子的近端表面,一个孔在孢子发育开始时开始形成,由一个扩大的内部组成,一个环,和一个带有辐射纤维的中央垫。该复杂的孔是弹性的并且使得近侧孢子表面能够在被压缩(凹形)和膨胀(圆形)之间循环。除了提供取水和发芽的场所外,弹性孔可能与干燥耐受性有关。根据目前的系统发育,祖先的植物孢子有一个孔,exine,intine,还有Perine.艾草和耳草孢子的还原进化导致两组中的紫铜损失和艾草的孔径损失。这项研究为与其他植物群体进行比较以及未来研究跨植物孢子的发育遗传学和进化奠定了基础。
    Although the evolution of spores was critical to the diversification of plants on land, sporogenesis is incompletely characterized for model plants such as Physcomitrium patens. In this study, the complete process of P. patens sporogenesis is detailed from capsule expansion to mature spore formation, with emphasis on the construction of the complex spore wall and proximal aperture. Both diploid (sporophytic) and haploid (spores) cells contribute to the development and maturation of spores. During capsule expansion, the diploid cells of the capsule, including spore mother cells (SMCs), inner capsule wall layer (spore sac), and columella, contribute a locular fibrillar matrix that contains the machinery and nutrients for spore ontogeny. Nascent spores are enclosed in a second matrix that is surrounded by a thin SMC wall and suspended in the locular material. As they expand and separate, a band of exine is produced external to a thin foundation layer of tripartite lamellae. Dense globules assemble evenly throughout the locule, and these are incorporated progressively onto the spore surface to form the perine external to the exine. On the distal spore surface, the intine forms internally, while the spiny perine ornamentation is assembled. The exine is at least partially extrasporal in origin, while the perine is derived exclusively from outside the spore. Across the proximal surface of the polar spores, an aperture begins formation at the onset of spore development and consists of an expanded intine, an annulus, and a central pad with radiating fibers. This complex aperture is elastic and enables the proximal spore surface to cycle between being compressed (concave) and expanded (rounded). In addition to providing a site for water intake and germination, the elastic aperture is likely involved in desiccation tolerance. Based on the current phylogenies, the ancestral plant spore contained an aperture, exine, intine, and perine. The reductive evolution of liverwort and hornwort spores entailed the loss of perine in both groups and the aperture in liverworts. This research serves as the foundation for comparisons with other plant groups and for future studies of the developmental genetics and evolution of spores across plants.
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  • 文章类型: Journal Article
    目的:质子治疗是治疗眼黑色素瘤的关键方法。传统上,使用具有被动散射质子束和黄铜孔的专用眼线来治疗眼部部位。这项工作旨在设计和表征光束准直孔,以使用基于机架的点扫描质子束治疗眼目标。
    方法:设计并构造了一种塑料孔径系统,该系统滑入点扫描质子束的龙门喷嘴中。它由中间刮刀层组成,以衰减杂散质子,以及距眼睛表面5.7cm的3D打印患者专用孔。在TOPAS中对孔径系统进行建模,并通过胶片测量验证了蒙特卡罗模拟。研究了两种不同的斑点配置以进行治疗计划,并根据外侧半影进行了表征,中心轴(CAX)剂量和相对效率。通过实验膜测量来研究对准和泄漏。使用多层电离室验证范围。用PinPoint3D离子室进行参考剂量测量。通过蒙特卡罗模拟评估中子剂量。
    结果:确定在0°的机架角下,与辐射等中心的孔径对准在0.31mm内。具有10mm直径孔径的单点配置产生了1mm至1.25mm的胶片测量横向半影,取决于扩展的布拉格峰的深度。TOPAS模拟发现,对于10mm直径的孔,单点配置导致平坦的剂量分布,并且对于直径小于14mm的孔,提供小于106%的CAX剂量。对于更大的目标,添加四个角点以填充剂量分布是有益的。横向半影之间的权衡,CAX剂量和相对效率对不同的斑点配置进行表征,可用于未来的临床决策。实验确定孔径不影响质子束范围,并且没有确定有关泄漏辐射或中子剂量。使用PinPoint离子室的参考剂量测量在蒙特卡罗计算的剂量的2.1%内。
    结论:在这项工作中开发的孔径系统提供了一种在基于机架的点扫描质子系统上治疗眼部部位的方法。开发兼容的凝视跟踪和门控基础设施的其他工作正在进行中。
    OBJECTIVE: Proton therapy is a key modality used in the treatment of ocular melanoma. Traditionally ocular sites are treated using a dedicated eyeline with a passively scattered proton beam and a brass aperture. This work aims to design and characterize a beam-collimating aperture to treat ocular targets with a gantry-based spot scanning proton beam.
    METHODS: A plastic aperture system that slides into the gantry nozzle of a spot scanning proton beam was designed and constructed. It consists of an intermediate scraper layer to attenuate stray protons and a 3D-printed patient-specific aperture positioned 5.7 cm from the surface of the eye. The aperture system was modeled in TOPAS and Monte Carlo simulations were validated with film measurements. Two different spot configurations were investigated for treatment planning and characterized based on lateral penumbra, central axis (CAX) dose and relative efficiency. Alignment and leakage were investigated through experimental film measurements. Range was verified using a multi-layer ionization chamber. Reference dose measurements were made with a PinPoint 3D ion chamber. Neutron dose was evaluated through Monte Carlo simulations.
    RESULTS: Aperture alignment with radiation isocenter was determined to be within 0.31 mm at a gantry angle of 0°. A single-spot configuration with a 10 mm diameter aperture yielded film-measured lateral penumbras of 1 mm to 1.25 mm, depending on depth in the spread-out Bragg peak. TOPAS simulations found that a single spot configuration results in a flat dose distribution for a 10 mm diameter aperture and provides a CAX dose of less than 106% for apertures less than 14 mm in diameter. For larger targets, adding four corner spots to fill in the dose distribution is beneficial. Trade-offs between lateral penumbra, CAX dose and relative efficiency were characterized for different spot configurations and can be used for future clinical decision-making. The aperture was experimentally determined to not affect proton beam range, and no concerning leakage radiation or neutron dose was identified. Reference dose measurements with a PinPoint ion chamber were within 2.1% of Monte Carlo calculated doses.
    CONCLUSIONS: The aperture system developed in this work provides a method of treating ocular sites on a gantry-based spot scanning proton system. Additional work to develop compatible gaze tracking and gating infrastructure is ongoing.
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  • 文章类型: Journal Article
    目的:质子笔形束扫描(PBS)技术中的侧向剂量下降仍然是避免邻近器官处于危险中的首选,而不是远端边缘,因为质子范围的不确定性和潜在的相对高生物有效性。然而,由于大量的光斑尺寸以及空气和患者体内的散射,PBS中的侧半影可以降解。将PBS与孔径结合可以导致更尖锐的剂量下降,特别是对于浅层目标。
    方法:这项工作的目的是表征准直和未准直的100和140MeV质子束产生的辐射场,使用蒙特卡罗模拟和MiniPIX-Timepix检测器进行测量。然后将剂量和线性能量转移(LET)与已发表的计算机生物物理模型相结合,以阐明准直和非准直场的潜在生物学效应。
    结果:将一个孔与PBS结合使用,使侧向脱落和场外的吸收剂量减少了60%。然而,结果还表明,绝对频率平均LET(LETF)值在准直相对于非准直场的最大增加了3.5keV/µm,而剂量平均LET(LETD)最大增加了7keV/µm。尽管准直场产生的LET值较高,预测的DNA损伤产量仍然较低,由于大剂量减少。
    结论:这项工作证明了将孔径与PBS结合以及较低的DNA损伤诱导的剂量学优势。还提出了一种计算水中剂量的方法,该方法是通过使用硅基检测器进行测量得出的。这项工作是第一个通过实验证明通过将PBS与孔径结合而导致的LET增加的研究,并评估潜在的DNA损伤,这是导致大多数辐射诱导的生物效应的级联事件的第一步。
    Objective. The lateral dose fall-off in proton pencil beam scanning (PBS) technique remains the preferred choice for sparing adjacent organs at risk as opposed to the distal edge due to the proton range uncertainties and potentially high relative biological effectiveness. However, because of the substantial spot size along with the scattering in the air and in the patient, the lateral penumbra in PBS can be degraded. Combining PBS with an aperture can result in a sharper dose fall-off, particularly for shallow targets.Approach. The aim of this work was to characterize the radiation fields produced by collimated and uncollimated 100 and 140 MeV proton beams, using Monte Carlo simulations and measurements with a MiniPIX-Timepix detector. The dose and the linear energy transfer (LET) were then coupled with publishedin silicobiophysical models to elucidate the potential biological effects of collimated and uncollimated fields.Main results. Combining an aperture with PBS reduced the absorbed dose in the lateral fall-off and out-of-field by 60%. However, the results also showed that the absolute frequency-averaged LET (LETF) values increased by a maximum of 3.5 keVμm-1in collimated relative to uncollimated fields, while the dose-averaged LET (LETD) increased by a maximum of 7 keVμm-1. Despite the higher LET values produced by collimated fields, the predicted DNA damage yields remained lower, owing to the large dose reduction.Significance. This work demonstrated the dosimetric advantages of combining an aperture with PBS coupled with lower DNA damage induction. A methodology for calculating dose in water derived from measurements with a silicon-based detector was also presented. This work is the first to demonstrate experimentally the increase in LET caused by combining PBS with aperture, and to assess the potential DNA damage which is the initial step in the cascade of events leading to the majority of radiation-induced biological effects.
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  • 文章类型: Journal Article
    在本文中,提出了一种新型的嵌入式螺旋介质棒天线,用于具有圆极化(CP)和低旁瓣电平的高增益辐射,用于物联网应用。不同于传统的介质棒天线,这种提出的天线是一种集成结构,结合了螺旋和介质棒天线的优点。所提出的天线主要由三部分组成:锥形螺旋作为CP的主要馈电,带有嵌入更高方向性的印刷回路的介质棒,以及用于进一步改善增益的介质杆端。在研究和分析了各部分的工作原理之后,以8-9.7GHz的最佳设计为例。还制造和测试了原型。实测结果表明,该样机在7.7λ的长度内可提供18.41dB的最大增益。旁瓣电平低于-20dB,在整个频带中,轴比优于1.14dB。与相同电长度的传统螺旋天线和介质棒天线相比,所提出的天线具有较高的增益、较低的旁瓣电平和良好的极化纯度。
    In this paper, a novel embedded helix dielectric rod antenna is presented for high gain radiation with circular polarization (CP) and low side lobe levels for IoT Applications. Different from the conventional dielectric rod antennas, this proposed antenna is an integrated structure that combines the advantages of the helix and dielectric rod antennas. The presented antenna mainly consists of three parts: a tapered helix as primary feeding for CP, a dielectric rod with printed loops embedded for higher directivity, and a dielectric rod end for improving the gain further. After studying and analyzing the working principles of each part, an optimum design operating at 8-9.7 GHz is carried out as an example. A prototype is also fabricated and tested. The measured results show that the prototype can provide 18.41 dB maximum gain within the length of 7.7 λ. The side lobe level is below -20 dB, and the axial ratio is better than 1.14 dB in the whole frequency band. Compared with the traditional helix antenna and dielectric rod antenna with the same electric length, the presented antenna has a higher gain with a lower side lobe level and with good polarization purity.
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  • 文章类型: Journal Article
    目的:我们旨在阐明肱骨鹰嘴孔(OA)的形态及其与肱骨远端(上髁宽度)和髓管宽度的关系。
    方法:总共,检查了156例干燥的成年肱骨是否存在OA。当存在时,我们报告了它们的形状,测量的横向(TD)和垂直直径(VD),从其内侧边界到内侧上髁尖端的距离(D1),外侧上髁(D2)尖端的外侧边界和滑车尖端的下边界(D3)。还测量了所有肱骨的上髁宽度(EW)和髓管宽度。
    结果:据报道,32例肱骨(20.6%)以左侧为主,半透明隔膜占35.8%,和不透明的隔膜占43.6%。注意到的最典型的形状是椭圆形。在右边,平均VD和TD分别为4.30±0.54mm和5.85±0.45mm,分别,而在左边,这些值分别为4.21±0.56mm和5.64±0.43mm,分别。D1、D2、D3的平均值为25.86±0.43mm,26.50±0.28mm,右侧15.07±0.53mm,右侧24.80±0.41mm,左侧26.84±0.21mm和15.81±0.31mm,差异有统计学意义(P<0.05)。OA肱骨的髓管明显较小。
    结论:OA的地形图定位可能在确定肱骨髁上骨折逆行钉固定的安全区中起作用。由于OA与髓内管的大小有直接关系,术前计划和选择合适的肱骨下段手术入路至关重要。
    OBJECTIVE: We aimed to clarify the morphology of the olecranon aperture (OA) of the humerus with its relationship to the distal end of the humerus (epicondylar width) and the width of the medullary canal.
    METHODS: In total, 156 dry adult humeri were examined for the presence of OA. When present, we reported their shape, measured transverse (TD) and vertical diameter (VD), the distance from its medial border to the tip of medial epicondyle (D1), lateral border to the tip of lateral epicondyle (D2) and lower border to the tip of trochlea (D3). The epicondylar width (EW) and the width of the medullary canal were also measured in all the humeri.
    RESULTS: OA was reported in 32 humeri (20.6%) with left side predominance, translucent septum in 35.8%, and opaque septum in 43.6%. The most typical shape noted was oval. On right side, mean VD and TD was 4.30±0.54mm and 5.85±0.45mm, respectively, whereas on left, these value were 4.21±0.56mm and 5.64±0.43mm, respectively. The mean of D1, D2 and D3 was 25.86±0.43mm, 26.50±0.28mm and 15.07±0.53mm on right and 24.80±0.41mm, 26.84±0.21mm and 15.81±0.31mm on left with significant difference (P<0.05). The medullary canal was significantly smaller in humeri with OA.
    CONCLUSIONS: Topographic location of OA may have possible role in determining safe zone for retrograde nailing in supracondylar humeral fractures. Since OA has a direct relation to the size of the intramedullary canal, it is crucial during preoperative planning and choosing an adequate surgical approach involving lower segment of humerus.
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