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Journal of Morphology Jun 2022The avian pelvis plays a critical role in the hindlimb function of birds, connecting the hindlimb and axial skeleton and serving as the major attachment site for...
The avian pelvis plays a critical role in the hindlimb function of birds, connecting the hindlimb and axial skeleton and serving as the major attachment site for proximal hindlimb musculature. To assess how diversification of locomotor modes in birds has impacted the evolution of avian pelvic morphology, we conducted a two-dimensional geometric morphometric analysis of bird pelves in dorsal and lateral views from 163 species (n = 261) across Aves. We investigated the relationships among pelvic shape and ecology, phylogeny, and allometry, and conducted disparity analyses to understand how pelvic morphospace has been explored through the diversification of Aves. We found that while phylogeny was correlated with shape, locomotor categories were significantly discriminated in morphospace in phylogenetically corrected analyses, as was pelvic size. Major shape trends across Aves distinguishing locomotor categories included the relative area of the preacetabular versus postacetabular ilium, how squat or narrow the pelvis is, and the extent of the caudal pelvic border. Birds adapted for hind limb-propelled swimming had particularly distinctive pelves, with narrow, elongated ilia likely useful for holding the hindlimbs close to the body midline and reducing drag. However, ecology and allometry only account for a small proportion of morphological variation, and in general locomotor groups overlapped substantially in morphospace. These results, alongside disparity through time analyses showing widespread convergence in pelvic morphology throughout the Cenozoic, suggest that avian lineages and ecotypes have extensively explored pelvic morphospace, perhaps aided by a loosening of evolutionary constraints following the evolution of forelimb-powered flight.
Topics: Animals; Biological Evolution; Birds; Bone and Bones; Hindlimb; Pelvis; Phylogeny
PubMed: 35531925
DOI: 10.1002/jmor.21479 -
Cirugia Espanola Oct 2021
Topics: Diagnosis, Differential; Humans; Pelvis; Teratoma
PubMed: 34315682
DOI: 10.1016/j.cireng.2021.07.004 -
Abdominal Radiology (New York) Aug 2022Involvement of the abdomen and pelvis is common in lymphoma. Nodal and extranodal abdominal and pelvic lymphoma may present with various complications. Complications are... (Review)
Review
Involvement of the abdomen and pelvis is common in lymphoma. Nodal and extranodal abdominal and pelvic lymphoma may present with various complications. Complications are most common in high-grade lymphomas, especially diffuse large B-cell lymphoma. Complications may occur as the initial manifestation of lymphoma, during treatment course, or late following complete disease remission. Most complications are associated with worse prognosis and increased mortality. Imaging is essential in evaluation of disease extent and diagnosis of complications. Therefore, radiologists should be familiar with the clinical context and imaging features of abdominal and pelvic lymphoma complications. We provide a comprehensive, organ system-based approach, and clinical and imaging review of complications of abdominal and pelvic lymphoma along with radiologic images of illustrated cases of the most commonly encountered complications.
Topics: Abdomen; Abdominal Neoplasms; Humans; Lymphoma, Large B-Cell, Diffuse; Lymphoma, Non-Hodgkin; Pelvis; Prognosis
PubMed: 35690955
DOI: 10.1007/s00261-022-03567-5 -
Abdominal Radiology (New York) Jun 2022Various ectopic lesions occur in the abdomen and pelvis and affect multiple organs including liver, gallbladder, pancreas, spleen, and organs of the genitourinary... (Review)
Review
Various ectopic lesions occur in the abdomen and pelvis and affect multiple organs including liver, gallbladder, pancreas, spleen, and organs of the genitourinary system. Ectopic organs may be present outside their normal positions, or ectopic tissues may develop while the original organ exists in its normal position. Both benign and malignant lesions can occur in ectopic organs and tissues. Owing to their unusual location, they can often be misdiagnosed as other lesions or even malignant lesions, such as metastasis or seeding. This multimodality pictorial review provides various cases of ectopic lesions in the abdomen and pelvis, which will help narrow the differential diagnosis and guide clinical decision-making.
Topics: Abdomen; Humans; Multimodal Imaging; Neoplasms; Pelvis; Spleen
PubMed: 35441342
DOI: 10.1007/s00261-022-03520-6 -
Abdominal Radiology (New York) Jun 2020Endometriosis affects approximately 10% of reproductive age women and represents a significant cause of pelvic pain and infertility. Unfortunately, the diagnosis of... (Review)
Review
Endometriosis affects approximately 10% of reproductive age women and represents a significant cause of pelvic pain and infertility. Unfortunately, the diagnosis of endometriosis is often delayed by years. Endometriosis may manifest as cystic lesions in the ovaries known as endometriomas. Superficial endometriosis is typically detected by laparoscopy along the pelvic peritoneum as these lesions tend to be difficult to detect by imaging. Deep infiltrative endometriosis may be detected by ultrasound, CT or MRI in classic locations within the pelvis, such as the posterior cul-de-sac and uterosacral ligaments. Endometriosis may also involve the thorax, gastrointestinal and urinary tracts, and locations such as the abdominal wall and abdominal organs. We present MRI and CT case examples, together with corresponding laparoscopic and histopathology images to enhance radiologists' understanding of this disease.
Topics: Endometriosis; Female; Humans; Magnetic Resonance Imaging; Pelvic Pain; Pelvis; Ultrasonography
PubMed: 31919647
DOI: 10.1007/s00261-019-02381-w -
Anatomia, Histologia, Embryologia Jan 2021The current study used topographic anatomy, distribution of arteries and nerves, sectional anatomy of the pelvis, computed tomography (CT) and ultrasonography...
The current study used topographic anatomy, distribution of arteries and nerves, sectional anatomy of the pelvis, computed tomography (CT) and ultrasonography examination to describe the canine pelvis and its organs. This study was conducted on twenty male and female baladi dogs, weighing 30-35 kg and aged between 1.5 and 2 years. The pelvis dorsal boundary appeared long and reached to the level of the third caudal vertebra. The vesicogenital pouch in the female extended further caudally than the rectogenital pouch while in the male the two pouches were at the same level and extended to the level of the first sacral vertebra. The plexus lumbosacralis formed from the ventral branches of the last three lumbar nerves and the first three sacral nerves. The obturator nerve arose from the ventral branches of the fifth and sixth lumbar nerves. We developed an anatomical atlas of the pelvis of both sexes of the dog using CT scans compared to anatomical sections. Our study is the first research on the pelvis in both sexes of the dog to compare sagittal CT scan data to sagittal anatomical sections. In the CT slices, the prostate appeared homogenous, relatively hypodense presenting with a soft tissue density. It appeared oval in the longitudinal sections and elliptical to round at the cross sections. It was situated on the floor of the pelvic cavity or the pelvic brim depending on its size. The present study is also the first to describe the fascia diaphragmatic pelvis.
Topics: Animals; Dogs; Female; Genitalia, Female; Genitalia, Male; Male; Muscle, Skeletal; Pelvis; Tomography, X-Ray Computed; Ultrasonography
PubMed: 32888195
DOI: 10.1111/ahe.12608 -
Abdominal Radiology (New York) Oct 2023Immunoglobulin G4-related disease (IgG4-RD) is a systemic, immune-mediated disease that can affect multiple organs, including the orbits, salivary glands, thyroid gland,... (Review)
Review
BACKGROUND
Immunoglobulin G4-related disease (IgG4-RD) is a systemic, immune-mediated disease that can affect multiple organs, including the orbits, salivary glands, thyroid gland, lungs, aorta, pancreas, bile ducts, lymph nodes, and retroperitoneum. While timely diagnosis is particularly important given the efficacy of glucocorticoid treatment for IgG4-RD, accurate recognition can prove a challenge given the overlap between the imaging features of this disease and other entities.
PURPOSE
After a review of the epidemiology, pathophysiology, and clinical considerations (including treatment) associated with IgG4-RD, this pictorial review will showcase the variable imaging manifestations of this disease in the abdomen and pelvis. Post-treatment imaging appearance of these entities will be reviewed and mimickers of this disease in the abdomen and pelvis will be presented.
CONCLUSION
The presence of mass-like soft tissue with radiographic characteristics of fibrosis affecting multiple organs should raise suspicion for IgG4-RD, although definite diagnosis can only be made with appropriate clinical, serological, and pathologic data.
Topics: Humans; Immunoglobulin G4-Related Disease; Autoimmune Diseases; Abdomen; Fibrosis; Pelvis
PubMed: 37407744
DOI: 10.1007/s00261-023-03996-w -
Radiographics : a Review Publication of... 2020Venous thromboembolism (VTE), which includes deep venous thrombosis and pulmonary embolism, is a significant cause of morbidity and mortality. In recent decades, US, CT,... (Review)
Review
Venous thromboembolism (VTE), which includes deep venous thrombosis and pulmonary embolism, is a significant cause of morbidity and mortality. In recent decades, US, CT, and MRI have surpassed catheter-based angiography as the imaging examinations of choice for evaluation of vascular structures and identification of thrombus owing to their ready availability, noninvasive nature, and, in the cases of US and MRI, lack of exposure to ionizing radiation. As a result, VTE and associated complications are commonly identified in day-to-day radiologic practice across a variety of clinical settings. A wide range of hereditary and acquired conditions can increase the risk for development of venous thrombosis, and many patients with these conditions may undergo imaging for unrelated reasons, leading to the incidental detection of VTE or one of the associated complications. Although the development of VTE may be an isolated occurrence, the imaging findings, in conjunction with the clinical history and vascular risk factors, may indicate a predisposing condition or underlying diagnosis. Furthermore, awareness of the many clinical conditions that result in an increased risk of venous thrombosis may aid in detection of thrombus and any concomitant complications. For these reasons, it is important that practicing radiologists be familiar with the multimodality imaging findings of thrombosis, understand the spectrum of diseases that contribute to the development of thrombosis, and recognize the potential complications of hypercoagulable states and venous thrombosis. RSNA, 2020.
Topics: Abdominal Cavity; Humans; Pelvis; Thrombophilia; Venous Thrombosis
PubMed: 32330086
DOI: 10.1148/rg.2020190097 -
Abdominal Radiology (New York) Dec 2023
Topics: Humans; Abdomen; Positron-Emission Tomography; Pelvis; Magnetic Resonance Imaging
PubMed: 37884750
DOI: 10.1007/s00261-023-04085-8 -
Der Radiologe Mar 2020Traumatic fractures of the pelvic ring are relatively rare, but are associated with increased risk of mortality. Depending on injury mechanism and main vector of energy... (Review)
Review
EPIDEMIOLOGY
Traumatic fractures of the pelvic ring are relatively rare, but are associated with increased risk of mortality. Depending on injury mechanism and main vector of energy impact, a distinction is made between anteroposterior compression, lateral compression, and vertical shear (Young and Burgess classification), while the stability-related classification according to Tile distinguishes between type A (stable), type B (rotationally unstable) and type C (completely unstable). A comprehensive modern classification is given by the AO/OTA.
RADIOLOGICAL FRACTURE DIAGNOSIS
Plain pelvis x‑rays lack sufficient sensitivity but are still used to detect highly unstable pelvic fractures. CT has superior sensitivity and specificity. In addition to fracture classification, CT allows reliable assessment of associated vascular and bladder/urethral injuries and large soft tissue hemorrhage. MRI is unparalleled in showing bone marrow edema, cauda and plexus complications, and peripelvic soft tissue damage. MRI may also prove to be a valuable diagnostic tool for pelvic ring injuries in children, adolescents and young women, provided they are hemodynamically stable. Angiography, ultrasonography and bone scintigraphy are additional important diagnostic and therapeutic options.
PRACTICAL RECOMMENDATIONS
Knowledge of basic pelvic trauma mechanisms is important to understand the potential severity of traumatic pelvic fractures and to classify them correctly in terms of stability. Being familiar with typical concomitant injuries in pelvic ring fractures allows reliable diagnosis and their communication with the clinician. CT remains the "diagnostic workhorse". In fragile pelvic fractures, the often prolonged course with fracture progression must be taken into account, which is why MRI is of particular importance herein.
Topics: Abdominal Injuries; Adolescent; Child; Female; Fractures, Bone; Humans; Magnetic Resonance Imaging; Pelvic Bones; Pelvis; Tomography, X-Ray Computed
PubMed: 32108247
DOI: 10.1007/s00117-020-00656-8