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Geometric target margin strategy of proton craniospinal irradiation for pediatric medulloblastoma.
J Radiat Res
September 2024
Department of Radiation Oncology, Faculty of Medicine, Hokkaido University, Sapporo 060-8648, Japan.
In proton craniospinal irradiation (CSI) for skeletally immature pediatric patients, a treatment plan should be developed to ensure that the dose is uniformly delivered to all vertebrae, considering the effects on bone growth balance. The technical (t) clinical target volume (CTV) is conventionally set by manually expanding the CTV from the entire intracranial space and thecal sac, based on the physician's experience. However, there are differences in contouring methods among physicians.
View Article and Find Full Text PDFBeyond the Bony Fragment: A Review of Limbus Vertebra.
Cureus
May 2024
Department of Radiology, Sf. Apostol Andrei County Hospital, Constanta, ROU.
Vertebral limbus is a condition characterized by the intraspongious herniation of a portion of the nucleus pulposus. It is often asymptomatic, but it can sometimes cause nonspecific symptoms such as local pain and muscle spasm, or, in rare cases, radiculopathies, which is why it can be confused with vertebral fractures, spondyloarthropathies, infectious or tumoral processes. Early recognition of this pathology is preferable for a correct diagnosis and adequate treatment, the latter ranging from conservative approaches (such as personalized exercise programs and physical therapy) to surgical interventions reserved for severe cases with nerve compression.
View Article and Find Full Text PDFThoracolumbar Vertebral Endplate Defect Morphology: A Descriptive Study of Human Cadaveric Spines Using Micro-Computed Tomography.
Spine (Phila Pa 1976)
October 2023
School of Physical Therapy, Faculty of Health Sciences and Western's Bone & Joint Institute, Western University, London, Ontario, Canada.
Study Design: A descriptive, cross-sectional cadaver study.
Objective: This study aimed to provide a thorough depiction of vertebral endplate defects classified based on their morphologic features and reported with respect to size, location, and prevalence in the human cadaveric spines of older adults.
Summary Of Background Data: Back pain has been associated with vertebral endplate defects; however, findings have been inconsistent.
Pediatric spinal injuries- current concepts.
J Clin Orthop Trauma
March 2023
Department of Spine Surgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, India.
Spinal injuries in children contribute to the highest mortality and morbidity among all pediatric injuries. Fortunately, these injuries are a rare clinical entity but pose a difficulty in diagnosis due to challenges in neurological evaluation of a child and varied radiological presentation. Anatomical and biomechanical aspects of developing musculoskeletal system, relative plasticity of the pediatric spine make children vulnerable to spine injuries.
View Article and Find Full Text PDFLimbus vertebra is a common radiological finding in an adult, especially in the mid-lumbar region. However it is less commonly seen in the mid cervical region. A case of an anterior limbus vertebra seen on the cervical spine on an adult suffering from a T5 fracture is reported.
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