Tissue Dimensions Research Articles

Do pelvic dimensions and prostate location contribute to the risk of experiencing complications after radical prostatectomy?

To assess if pelvic size, such as a narrow, steep pelvis, as well as prostate location in relation to the pelvic anatomy might have an impact on the likelihood of experiencing complications after radical prostatectomy. In a standardized manner, different bony and soft tissue dimensions on preoperative staging MRI were retrospectively measured in a study cohort of 934 patients undergoing radical prostatectomy. Measurements were defined aimed at assessing pelvic size and prostate location. Medical and surgical complications after radical prostatectomy were meticulously reviewed and grouped into subcategories to assess whether a narrow, steep pelvis and an anatomically deeply situated prostate (which is thought to be more surgically challenging) might be associated with a higher likelihood of postoperative complications. Multivariate Cox regression was performed to assess if dimensions have a significant impact on the likelihood of postoperative complications. While known parameters such as a higher preoperative PSA and presence of comorbidities were associated with an increased risk of experiencing complications after surgical treatment, none of the dimensions assessed on preoperative MRI had a significant impact on the development of any medical or surgical complication. We report the largest cohort of patients where pelvic dimensions were evaluated in a standardized manner on preoperative MRI aimed at assessing anatomic factors and their impact on complications after radical prostatectomy. None of the measurements could significantly predict the likelihood of developing medical or surgical complications.

Dimensional profile of oral mucosa around combined tooth-implant-supported bridgework in macaque mandible

A stable oral mucosa is crucial for long-term survival and biofunctionality of implants. Most of this evidence is derived from clinical and animal studies based solely on implant-supported prosthesis. Much less is known about the dimensions and relationships of this soft tissue complex investing tooth-implant-supported bridgework (TISB). The aim here was to obtain experimental evidence on the dimensional characteristics of oral mucosa around TISB with two different abutment designs. Sixteen 3-unit TISB were constructed bilaterally in the mandible of eight adult Macaca fascicularis. An implant system with a standard progressive thread design was the bone-anchoring implant in the second mandibular molar region while the second mandibular premolar served as the natural tooth abutment. Eight implants were connected with the tapered abutment, the remaining with butt-joint abutment, in a split-mouth design. These were allowed to functional load for 6 months before sacrification for histomorphometry. Six soft tissue indices were scored: coronal gingival mucosa-to-implant top distance (DIM); sulcus depth (SD); junctional epithelium (JE); connective tissue contact (CTC); implant top to first bone-to-implant contact distance (DIB); and biologic width (BW=SD+JE+CTC); corresponding parameters in the natural tooth abutment were also measured. Mucosal dimensions in tapered implants (*BW=3.33±0.43; SD=1.03±0.24; JE=1.08±0.13; CTC=1.22±0.23 mm) were comparable with those of natural tooth abutments (BW=3.04±0.18; SD=0.93±0.1; JE=0.78±0.1; Attachment=1.33±0.09 mm), but differed from butt-joint implants (*BW=4.88±1.24; SD=1.47±0.38; JE=1.49±0.4; CTC=1.92±0.93 mm) (*P<0.05). Results suggested that soft tissue dimensions around TISB are influenced by the implant-abutment interface and abutment material used. Mucosa investing tapered abutment tends to recapitulate soft tissue physiologic dimensions of natural tooth.

Influence of various implant platform configurations on peri-implant tissue dimensions: an experimental study in dog

To evaluate the influence (i) of various implant platform configurations and (ii) of implant surface characteristics on peri-implant tissue dimensions in a dog model. Mandibular premolars and first molars were extracted bilaterally in six Labrador dogs. After 3 months of healing, two implants, one with a turned and a second with a moderately rough surface, were installed on each side of the mandible in the premolar region. On the right side of the mandible, implants with a tapered and enlarged platform were used, while standard cylindrical implants were installed in the left side of the mandible. Abutments with the diameter of the cylindrical implants were used resulting in a mismatch of 0.25 mm at the tapered implant sites. The flaps were sutured to allow a non-submerged healing. After 4 months, the animals were sacrificed and ground sections were obtained for histometric assessment. All implants were completely osseointegrated. A minimal buccal bone resorption was observed for both implant configurations and surface topographies. Considering the animals as the statistical unit, no significant differences were found at the buccal aspect in relation to bone levels and soft tissue dimensions. The surface topographies did not influence the outcomes either. The present study failed to show differences in peri-implant tissue dimensions when a mismatch of 0.25 mm from a tapered platform to an abutment was applied. The surface topographies influence a neither marginal bone resorption or peri-implant soft tissue dimension.

Scaling of caterpillar body properties and its biomechanical implications for the use of a hydrostatic skeleton

Caterpillars can increase their body mass 10,000-fold in 2 weeks. It is therefore remarkable that most caterpillars appear to maintain the same locomotion kinematics throughout their entire larval stage. This study examined how the body properties of a caterpillar might change to accommodate such dramatic changes in body load. Using Manduca sexta as a model system, we measured changes in body volume, tissue density and baseline body pressure, and the dimensions of load-bearing tissues (the cuticle and muscles) over a body mass range from milligrams to several grams. All Manduca biometrics relevant to the hydrostatic skeleton scaled allometrically but close to the isometric predictions. Body density and pressure were almost constant. We next investigated the effects of scaling on the bending stiffness of the caterpillar hydrostatic skeleton. The anisotropic non-linear mechanical response of Manduca muscles and soft cuticle has previously been quantified and modeled with constitutive equations. Using biometric data and these material laws, we constructed finite element models to simulate a hydrostatic skeleton under different conditions. The results show that increasing the internal pressure leads to a non-linear increase in bending stiffness. Increasing the body size results in a decrease in the normalized bending stiffness. Muscle activation can double this stiffness in the physiological pressure range, but thickening the cuticle or increasing the muscle area reduces the structural stiffness. These non-linear effects may dictate the effectiveness of a hydrostatic skeleton at different sizes. Given the shared anatomy and size variation in Lepidoptera larvae, these mechanical scaling constraints may implicate the diverse locomotion strategies in different species.

Correction of the Cleft Lip Lateral Bulge Deformity Using Anatomic Muscle Repair

The lateral bulge deformity may result after primary cleft lip repair. In a pilot study, greater orbicularis oris thickness and levator width underlying the lateral bulge were identified using ultrasound. The purpose of this study was to evaluate postoperative results of anatomic muscle repair for lateral bulge correction. Patients with a lateral bulge after primary unilateral cleft lip repair were prospectively recruited. Oronasal musculature and connective tissue dimensions were measured using ultrasound, preoperatively and postoperatively. Guided by preoperative ultrasound findings in each patient, lateral bulge correction consisted of total lip takedown and anatomic orbicularis oris reapproximation. Within each group, measurements between sides at corresponding landmarks were compared using t-tests. Ratios between sides at corresponding landmarks preoperatively and postoperatively were compared using parametric and nonparametric tests. Repeat measurements were performed to calculate intrarater reliability. Standardized video assessments of dynamic lip function were recorded preoperatively and postoperatively. Average patient age was 17.4 years. Patients were evaluated preoperatively and postoperatively (n=14) at 7.8 months' mean follow-up. Cleft-side orbicularis thickness and levator width were greater preoperatively versus postoperatively (P=0.003 and P=0.018, respectively). Postoperatively, no differences were seen between sides for both orbicularis thickness (P=0.763) and levator width (P=0.626). All patients demonstrated improved lip contour and symmetry, both static and dynamically, on video assessments. Lip contour, function, and aesthetics improved clinically, and lip muscle anatomy normalized postoperatively as assessed using ultrasound. Complete orbicularis oris takedown and anatomic reapproximation effectively addressed the lateral bulge deformity.

Preservation of the relation between infarct characteristics and left ventricular remodeling following successful early revascularization for myocardial infarction: an observational study with contrast-enhanced cardiovascular MRI

Left ventricular (LV) remodeling following myocardial infarction (MI) is the result of complex interactions between various factors, including presence or absence of early revascularization. Cardiovascular Magnetic Resonance (CMR) imaging with contrast-enhancement (CE) permits assessment of myocardial tissue and LV dimensions and function, but the impact of early revascularization on the relationship between infarct tissue characteristics and LV remodeling has not yet been investigated.

Measuring Lifting Forces in Rock Climbing: Effect of Hold Size and Fingertip Structure

This study investigates the hypothesis that shallow edge lifting force in high-level rock climbers is more strongly related to fingertip soft tissue anatomy than to absolute strength or strength to body mass ratio. Fifteen experienced climbers performed repeated maximal single hand lifting exercises on rectangular sandstone edges of depth 2.8, 4.3, 5.8, 7.3, and 12.5 mm while standing on a force measurement platform. Fingertip soft tissue dimensions were assessed by ultrasound imaging. Shallow edge (2.8 and 4.3 mm) lifting force, in newtons or body mass normalized, was uncorrelated with deep edge (12.5 mm) lifting force (r < .1). There was a positive correlation (r = .65, p < .05) between lifting force in newtons at 2.8 mm edge depth and tip of bone to tip of finger pulp measurement (r < .37 at other edge depths). The results confirm the common perception that maximum lifting force on a deep edge ("strength") does not predict maximum force production on very shallow edges. It is suggested that increased fingertip pulp dimension or plasticity may enable increased deformation of the fingertip, increasing the skin to rock contact area on very shallow edges, and thus increase the limit of force production. The study also confirmed previous assumptions of left/right force symmetry in climbers.

Pelvimetric Dimensions do not Impact upon Nerve Sparing or Erectile Function Recovery in Patients Undergoing Radical Retropubic Prostatectomy

The impact of unfavorable pelvic anatomy on the likelihood of having a nerve sparing radical retropubic prostatectomy (RRP) and the potential correlation between pelvic dimensions and recovery of erectile function (EF) after RRP have not been previously evaluated. To determine the impact of different pelvic bony and soft tissue dimensions as well as apical prostate depth on the likelihood of performing bilateral nerve sparing and on recovery of EF after RP. Between November 2001 and June 2007, 644 potent men undergoing RRP had preoperative MRI where pelvimetry was performed with bilateral nerve sparing in 504 men. Outcomes including varying degrees of recovery of EF (level 1: normal; level 2: partial erections routinely sufficient for intercourse; level 3: partial erections occasionally sufficient for intercourse) were assessed. Median follow-up was 44.1 (interquartile range: 29.2, 65.3) months. We evaluated independent predictors of performing a bilateral nerve sparing procedure and of recovery of EF using multivariable Cox proportional hazards methods. Likelihood of performing bilateral nerve sparing as well as recovery of EF after RRP. Patients with higher clinical stage and biopsy Gleason score are less likely to undergo bilateral nerve sparing. Surgeon is also a factor in the likelihood of having bilateral nerve sparing RRP. On multivariate Cox regression analysis, factors predictive of recovery of EF were age, pretreatment erectile function, surgeon, and modified Charlson score. None of the pelvimetric dimensions were significant predictors of any degree of recovery of EF. However, the study is limited by its retrospective nature and by being based on MRI evaluations useful for cancer staging rather than anatomical evaluation of pelvimetric dimensions. We did not find unfavorable pelvic anatomy to impact the likelihood of performing a nerve sparing procedure or to be predictive of any degree of recovery of EF after RRP.

Dimensional changes of peri-implant soft tissue over 2 years with single-implant crowns in the anterior maxilla

To compare the peri-implant soft tissue dimensions after insertion of single-implant crowns in the anterior maxilla. Twenty patients were accepted according to well-defined inclusion criteria and randomized to porcelain-fused-to-metal (PFM) or all-ceramic groups. Follow-up was at: Baseline (B), Crown Insertion (CI), 1-year (1Y), and 2-year (2Y). The following parameters were statistically analysed: distance implant shoulder to marginal peri-implant mucosa (DIM), papilla height (PH), width of keratinized mucosa (KM), crestal bone level (CBL), full mouth plaque score (FMPS), full mouth bleeding score (FMBS), and probing pocket depth. Between groups measurements for DIM, PH, KM, CBL, FMPS, and FMBS showed no statistically significant differences except the distal CBLs to adjacent tooth. DIM (mid-facial) decreased from B to CI remaining stable at 1Y and 2Y (p-value 0.0014). DIM mesial and distal aspects significantly increased from B to CI showing signs of stability at the 2Y. PH between B and CI increased at the mesial site and at the distal site, thereafter, peri-implant soft tissues were stable at the 2Y. The insertion of an implant crown affects the peri-implant mucosa morphology by an apical displacement at the mid-facial aspect and coronal at mesial and distal sites.

Spectral shift of an electromagnetic Gaussian Schell-model beam propagating through tissue

Based on the unified theory of coherence and polarization for stochastic electromagnetic beams, spectral changes of an electromagnetic Gaussian Schell-model (EGSM) beam propagating through tissue are investigated in detail. Numerical results show that the spectral shift of an electromagnetic GSM beam is closely determined by the parameters of the tissue (e.g. the fractal dimension of tissue and the ensemble-averaged variance of the refractive index fluctuations). The spectral shift changes from blue-shift to red-shift with the increase of the transverse coordinate.

Physiological and morphological factors influencing leaf, rhizome and stolon tensile strength in C4 turfgrass species.

The intrinsic resistance of plant tissue to several biomechanical stresses, including tensile stress, is a decisive factor in determining the wear resistance of a turfgrass species. Lignin, dry matter, starch, sugars and silica are some of the tissue constituents that have been associated with leaf and stem mechanical resistance, whereas little information is available concerning stolons and rhizomes. These organs not only enable C4 turfgrass species lateral growth, soil colonisation and injury recovery, but are also key constituents of mature swards. This study consisted in an extensive investigation on the effective leaf, stolon and rhizome tensile strength of Cynodon dactylon (L.) Pers. var. dactylon×C. transvaalensis Burt-Davy cv. Tifway 419, Zoysia matrella (L.) Merr. cv. Zeon and Paspalum vaginatum Swartz. cv. Salam, as measured with a Fédération Internationale de Football Association (FIFA)-approved dynamometer and correlating the results with laboratory investigations on key tissue constituents. Tensile strength per unit area was influenced by both tissue constituents and tissue dimension. In rhizomes and stolons, tissue breakage usually occurred in the area at the intercalary meristem at the apical zone in the immediate proximity of a node. Older tissues had higher tensile strength owing to their higher levels of lignification. Lignin was the principal constituent determining tissue tensile strength and as such it could be used as a turfgrass wear resistance predictor in the cultivar breeding stages. Stolon total soluble sugars were generally inversely proportional to lignin content and, therefore, can also be considered clear markers of tissue mechanical strength. Silica was found to have no influence on the mechanical properties tissues.

Salinity induced anatomical and morphological changes in Chloris gayana Kunth roots

Chloris gayana Kunth is a grass species valuable as forage which was introduced into Argentina to be used as pasture in saline soils of subtropical and warm-temperate zones, given its good adaptability to drought, salinity and mild freezing. However, its tolerance varies according to the cultivar. In tetraploid cultivars, important reductions in yield have been observed. Here, a study of the variations produced on the root and stem system by salinity at different NaCl concentrations (0, 150 and 250 mM) was performed in the Boma cultivar, with the aim of determining the anatomical and morphological alterations produced by the salt excess. Plants cultivated with the highest level of salinity showed, in the whole, significant differences in the measured variables. A diminution in absolute values of the variables and a major reduction in vascular tissue dimensions were observed, which suggests that the lack of tolerance to salt stress could be related to a deficient adaptation to absorb and transport water and nutrients from the roots.

Performance of Bioprosthetic Valves after Glycerol Dehydration, Ethylene Oxide Sterilization, and Rehydration

: Most commercially available bioprosthetic valves are stored in an aldehyde solution. We report a new alternative method: Self-expanding valves composed of dehydrated tissues with a high glycerin:water ratio can be collapsed into specially designed sheaths prior to sterilization for ease of delivery and storage. : Changes in tissue dimension of five samples of bovine pericardium were evaluated from baseline after glycerol treatment, air-drying, ethylene oxide (EtO) sterilization, and rehydration with water. Three valves fabricated from glutaraldehyde cross-linked tissues, including porcine pericardial tissue, bovine pericardial tissue, and porcine aortic valve, were dehydrated through a proprietary glycerin-based process, collapsed, placed within a catheter, EtO sterilized, stored for up to 212 days, and rehydrated with water. These valves were characterized in a mock circulation by mounting them at the inlet portion of a pneumatic pump before dehydration and after rehydration to evaluate the effects of dehydration and rehydration on the valve performance. : Tissues treated with glycerol solution showed no significant changes in dimension from baseline after glycerol treatment, air-drying, EtO sterilization, and rehydration with water. In all the valves, pump flows reached the maximum output capacity of the pneumatic pump after rehydration without an increase in filling pressures as compared with those before dehydration. : This method for storing collapsible bioprosthetic valves using a proprietary glycerin-based process demonstrated excellent valve performance.

Tissue Dimensions Affect Follicle Survival and the Development of in Vitro Human Ovarian Culture

Objective: To determine the relationship between ovarian cortical tissue dimensions and the growth and survival of human primordial follicles in vitro. Design: Human study. Setting: Research laboratory of university hospital. Patient(s): Women undergoing benign gynaecological procedures. Intervention(s): Fresh ovarian cortical tissues were removed and cut into 32 smaller pieces of various sizes/shapes and 22 were cultured in serum-free medium for 7 days. Main outcome measure(s): Follicle viability, density and growth potential assessed by histology. Result(s): Strong correlations were observed between the density-weighted shape descriptor and the reciprocals of viability and growth ratio. Conclusion(s): The correlation between follicular surface area and viability/development suggests the use of the smallest practical size as the most efficient way to maximise follicular viability and growth potential. Our mathematical model may also provide an analytical technique for future research relating to in vitro tissue culture.

Age relationships of postmortem observations in Portuguese Water Dogs

A dog model has been used to evaluate histological changes arising from senescence. Autopsies of 145 Portuguese Water Dogs have been used to evaluate the individual and group "state of health" at time of death. For each dog, weights or dimensions of organs or tissues were obtained, together with histological evaluation of tissues. Twenty-three morphological metrics correlated significantly to age at death. Many of these involved muscles; others were associated with derivatives of embryonic foregut. The latter included lengths of the small intestine and trachea as well as weights of the stomach and some lung lobes. Nearly all of the dogs examined had histological changes in multiple tissues, ranging from two to 12 per dog. Associations among pathologies included inflammatory bowel disease with osteoporosis and dental calculus/periodontitis with atherosclerosis and amyloidosis. In addition, two clusters of histological changes were correlated to aging: hyperplasia, frequency of adenomas, and hemosiderosis constituted one group; inflammation, plasmacytic and lymphocytic infiltration, fibrosis, and atrophy, another. Heritability analysis indicated that many of the changes in tissue/organ morphology or histology could be heritable and possibly associated with IGF1, but more autopsies will be required to substantiate these genetic relationships.

Definition of the Lateral Bulge Deformity After Primary Cleft Lip Repair Using Real-Time High-Resolution Ultrasound

The lateral bulge is a common secondary deformity after primary cleft lip repair; however, its underlying anatomy remains undefined. The purpose of this study was to use real-time high-resolution ultrasound to better understand the anatomy underlying the lateral bulge deformity. Twenty-three patients with a lateral bulge were included in addition to 12 patients without clefts to validate ultrasound measurements. Muscle and connective tissue dimensions were recorded at standardized landmarks using ultrasound, both at rest and with movement. The cleft and noncleft sides (right and left in noncleft patients) were compared within groups, and ratios between sides were compared across groups using parametric and nonparametric tests. Repeat measurements were recorded to calculate intrarater reliability. Orbicularis oris thickness was greater on the cleft side in the lateral bulge group at rest, both at the philtral column and alar crease (P < 0.001), and with facial movement at the corresponding landmarks (alar crease: smile P < 0.001 and pucker P = 0.003; philtral column: smile P < 0.001 and pucker P = 0.001). The ratio for levator width was also greater in the lateral bulge group (P < 0.001). No differences were identified between sides at the corresponding landmarks in the noncleft group. Ultrasound enabled real-time high-resolution evaluation of anatomic differences underlying the lateral bulge deformity. It was associated with greater orbicularis oris thickness and levator width on the cleft side. Findings from this study may guide future surgical correction of the lateral lip bulge.

Stem Tissue Dimensions Correlate with Vulnerability to Injury for Six Cycas Species

Dimensions of pith, vascular tissue, cortex, live leaf bases, and periderm layers comprising the diameter of the stems of six Cycas species were measured at the standardized stem height where two vascular cylinders existed. The six species represent a range in susceptibility to injuries that occur in routine horticultural operations. We assigned a subjective numeric ranking from 1 for difficult to 10 for easy and then determined if this ranking correlated with any of the dimension characteristics. Pith diameter and cortex width differed among the species with the highly sensitive C. macrocarpa Griff. exhibiting the widest pith and most narrow cortex. Width of tissues peripheral to the vascular tissue (cortex, leaf base, and periderm layers) also differed among the species as did the proportion of total stem diameter occupied by these peripheral tissues. The sensitive C. macrocarpa exhibited the smallest values for these two variables. Simple correlation and multiple regression analyses indicated cortex width, total stem diameter, absolute width of peripheral tissues, and the relative proportion of these peripheral tissues in relation to stem diameter were positively correlated with susceptibility ranking. Of these, the relative proportion of peripheral tissues emerged as the variable with the most significant association with susceptibility ranking. Among these six representative species, the species that tend to be least susceptible to injuries during horticultural operations protect the youngest vascular tissues within a relatively wide zone of peripheral tissue. In contrast, the sensitive species exhibit a narrow zone of protective peripheral tissues.

Immediate implants at fresh extraction sockets: an experimental study in the beagle dog comparing four different implant systems. Soft tissue findings

To evaluate whether different implants placed immediately upon tooth extraction may affect the dimension and composition of the peri-implant soft tissues. Eight beagle dogs received implants randomly installed into the distal socket of 3P3 and 4P4. Four commercially available implant systems were evaluated: 3i Osseotite Certain straight; Astra MicroThread-OsseoSpeed; Thommen SPI Element; and Straumann ITI standard. Each animal provided four test implant sites. All animals were sacrificed 6 weeks after implant placement, providing specimens for the evaluation of the soft tissue dimensions by histometric analysis. The biological width at 6 weeks after implant placement consisted of a junctional epithelium measuring between 2 and 2.7 mm and a connective tissue component between 1 and 1.8 mm with no statistical differences among the four implant systems. This study failed to demonstrate differences in the soft tissue healing outcome when placing four different implant systems into fresh extraction sockets. Nevertheless, the length of the epithelium achieved with the four implant systems is longer than what has been reported when placing implants in healed-ridge experimental models.

Preparation of Caco-2 cell sheets using plasma polymerised acrylic acid as a weak boundary layer

The use of cell sheets for tissue engineering applications has considerable advantages over single cell seeding techniques. So far, only thermoresponsive surfaces have been used to manufacture cell sheets without chemically disrupting the cell-surface interactions. Here, we present a new and facile technique to prepare sheets of epithelial cells using plasma polymerised acrylic acid films. The cell sheets are harvested by gentle agitation of the media without the need of any additional external stimulus. We demonstrate that the plasma polymer deposition conditions affect the viability and metabolic activity of the cells in the sheet and relate these effects to the different surface properties of the plasma polymerised acrylic acid films. Based on surface analysis data, a first attempt is made to explain the mechanism behind the cell sheet formation. The advantage of the epithelial cell sheets generated here over single cell suspensions to seed a PLGA scaffold is presented. The scaffold itself, prepared using a mould fabricated via photolithography, exhibits a unique architecture that mimics closely the dimensions of the native tissue (mouse intestine).

Comparative Soft and Hard Tissue Responses to Titanium and Polymer Healing Abutments

Limited information exists regarding soft tissue and hard tissue responses to abutments with different material composition. The aim of this study is to evaluate soft and hard tissue responses to titanium and polymer healing abutments over a 3-month period. Sixteen patients were included in this prospective trial. Implants were provisionalized with either titanium or polymer healing abutments. Changes of marginal bone level and soft tissue dimensions were recorded at implant installation and at 3months.