Background: Sectional image of the peripheral nerves is a prerequisite for studying the morphological parameters of fascicular groups. Ultra-high precision MicroCT scan can explicitly display the internal morphology of physiological tissues. This study aimed to quantitatively measure the basic morphological parameters of fascicular groups of a peripheral nerve on MicroCT images, obtain the statistical principles and investigate the variation pattern of these morphological parameters during the process of fascicular group extension.
Methods: Peripheral nerve specimens were processed with fat removal, decellularization, freezing, and drying, etc. The morphological parameters including area, perimeter, and the degree of circularity of each fascicular group in the peripheral nerve on MicroCT images were obtained by the image processing method. The cross-sectional area, cross-sectional perimeter, and cross-sectional degree of circularity of the single fascicular group were analyzed. Correlation between the cross-sectional area of single fascicular group and fascicular group extension, the correlation between the perimeter of cross-sectional single fascicular group and fascicular group extension, and correlation between the cross-sectional degree of circularity of single fascicular group and fascicular group extension were analyzed.
Results: The cross-sectional area of fascicular groups confirmed the Beta distribution with a dominant proportion of small-area fascicular groups and a low percentage of large-area fascicular groups. Within the range of 3 mm, no significant correlation was observed between the cross-sectional area and the spatial extension of fascicular groups. The perimeter of the fascicular group section was normally distributed. The perimeter of the fascicular group section that did not remain stable immediately after the fascicular group - was split or merged, but it gradually became stable after the fascicular groups extended to a certain distance. The cross-sectional area of the fascicular groups did not change significantly during this period. The degree of circularity of the fascicular group section followed the t distribution pattern with scale/position parameters. Similarly, it gradually approached the average value only after the fascicular groups extended to a certain length.
Conclusion: Current study revealed the general rules of the basic morphometric parameters of fascicular groups in the process of spatial extension, which provided a pivotal basis for the repair of peripheral nerves and the diagnosis and treatment of neurological diseases and was of academic value and significance.
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J Pathol
January 2025
Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
DICER1-associated sarcoma is an emerging entity, defined by either somatic or germline dicer 1, ribonuclease III (DICER1) mutations and sharing characteristic morphologic features irrespective of the site of origin. In addition to the DICER1 driver mutation, concurrent genomic alterations, including tumor protein 53 (TP53) inactivation and RAS pathway activation, are frequently detected. Tumors that morphologically resemble malignant peripheral nerve sheath tumor (MPNST) have rarely been reported among DICER1 sarcomas and often pose diagnostic challenges.
View Article and Find Full Text PDFInt J Gynecol Pathol
December 2024
Department of Pathology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, P.R. China.
The incidence of neurotrophic tyrosine kinase receptor (NTRK) fusion uterine sarcoma is extremely low, and reports have been mostly focused on cases localized to the cervix. So far, only 4 cases have been reported of the uterine corpus. In this study, we reported a case of NTRK fusion corpus sarcoma.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
December 2024
Department of Cardiology, Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Background: Idiopathic ventricular arrhythmias (VAs) arising from the left anterior fascicle (LAF) are uncommonly seen, and their characteristics still need to be sufficiently investigated. This study aimed to conclude these VAs' characteristics and explore efficient ablation strategies.
Methods: Data were analyzed from 118 patients undergoing successful catheter ablation for LAF VAs.
Am J Case Rep
December 2024
Department of Cardiac Pacing and Electrophysiology, Fortis Escorts Heart Institute (FEHI), New Delhi, India.
BACKGROUND Second-degree atrioventricular (AV) block is a frequently encountered conduction abnormality on surface electrocardiogram (ECG). However, it does not always imply a block at the AV nodal level. In rare cases, this block can occur below the bundle of His, within the infra-Hisian region of the His-Purkinje system.
View Article and Find Full Text PDFJ Orthop Sci
November 2024
Department of Orthopaedic Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano, 390-8621, Japan. Electronic address:
Background: Spontaneous anterior interosseous nerve (AIN) palsy is characterized by the sudden onset of upper limb pain followed by weakness of muscles mainly innervated by the AIN. Although this palsy is conventionally treated conservatively, interfascicular neurolysis to release hourglass-like fascicular constrictions has been recommended. The present study aimed to establish the clinical characteristics and treatment strategy for this condition.
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