Journal of Medical Council of Iran
مجله علمی پژوهشی سازمان نظام پزشکی ایران
jmciri
Medical Sciences
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توزیع نوع جمجمه و تفاوت های جنسیتی در کرانیومتری جمجمه جمعیت ایلام با استفاده از توموگرافی کامپیوتری دو بعدی و سه بعدی
Cranial Type Distribution and Gender Differences In Skull Craniometry of Ilam Population Using 2D and 3D Computed Tomography
تخصصي
Special
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"> </span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:15.0pt"><span b="" mitra="" style="font-family:"><span style="color:#16469d">چکید</span></span></span></b><b><span dir="LTR" style="font-size:15.0pt"><span style="color:#16469d"></span></span></b><b><span lang="AR-SA" style="font-size:15.0pt"><span b="" mitra="" style="font-family:"><span style="color:#16469d">ه</span></span></span></b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">زمینه: </span></span></span></b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">در شرایط پاتولوژیک و همچنین به طور طبیعی تفاوت های از منظر انسان</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">شناسی </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">(Anthropological)</span></span></span><span style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> در جمجمه جوامع مختلف دیده شده است. بررسی تصاویر پزشکی از جمله توموگرافی کامپیوتری یک روش دقیق برای اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری پارامترهای انتروپومتریک ناحیه جمجمه و صورت می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">باشد. داده</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های انتروپومتریک در حوزه پزشکی در غربالگری، تشخیص، پیگیری و درمان بیماری</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">ها مورد استفاده قرار می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیرد. هدف مطالعه حاضر انجام اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های انتروپومتریک به منظور تعیین شاخص</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های کرانیومتریک قاعده جمجمه در دو جنس مذکر و مؤنث در ایلام بود.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">روش کار:</span></span></span></b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> در این مطالعه از 200 تصویر توموگرافی کامپیوتری جمجمه (100 مرد و 100 زن) موجود بر روی سامانه </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">PACS</span></span></span><span style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> بیمارستان امام خمینی </span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">ره ایلام استفاده شد. این تصاویر متعلق به افراد ایلامی سالم 35 تا 50 ساله بودند. بر روی این تصاویر اندازه گیری</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های انتروپومتریک شامل چهار اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری خطی و سه اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری زاویه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">ای انجام شد. همچنین شاخص کرانیال محاسبه شد. داده توسط نرم افزار</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> SPSS 22 </span></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">در سطح معناداری کمتر از</span></span></span> <span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">0.05</span></span></span><span style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> تحلیل شدند. </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">یافته ها:</span></span></span></b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> تمام اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های انتروپومتریک خطی (فاصله بین نقاط مختلف) در بین دو جنس مذکر و مؤنث اختلاف معناداری نشان دادند </span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">(p=0.0)</span></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">. در مورد اندازه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های زاویه</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">ای در دو مورد اختلاف جنسیتی دیده نشد</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> (p>0.05)</span></span></span><span style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> و در یک مورد اختلاف دیده شد</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> (p<0.05)</span></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">. همچنین، مقدار شاخص کرانیال در بین دو جنس مذکر و مؤنث اختلاف معناداری را نشان نداد</span></span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> (p>0.05)</span></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">. تعیین توزیع انواع جمجمه بر اساس شاخص کرانیال نشان داد که 71 درصد افراد جمجمه مزوسفالیک،</span></span></span> <span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">17 درصد افراد جمجمه براکی سفالیک و </span></span></span><span b="" lang="FA" mitra="" style="font-family:"><span style="color:black">12</span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> درصد افراد جمجمه دولیکوسفالیک داشتند. </span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:17.0pt"><span style="text-autospace:none"><span style="vertical-align:middle"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجه</span></span></span></b><b><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span></b><b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">گیری:</span></span></span></b><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black"> مطالعه حاضر یافته</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">های مفیدی را در خصوص مشخصات انتروپولوژیکی جمجمه جامعه ایلام به ثبت رساند که می</span></span></span><span dir="LTR" style="font-size:12.5pt"><span style="color:black"></span></span><span lang="FA" style="font-size:12.5pt"><span b="" mitra="" style="font-family:"><span style="color:black">تواند توسط محققین و پزشکان مورد استفاده قرار بگیرند.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:13pt"><span irmitra="" style="font-family:"><span style="color:black"><span style="font-weight:bold"><span style="font-size:14.0pt"><span style="font-family:IRMitra"><span style="color:#16469d"><span style="letter-spacing:-.05pt">Abstract</span></span></span></span><span style="font-family:IRMitra"><span style="letter-spacing:-.05pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:13pt"><span irmitra="" style="font-family:"><span style="color:black"><span style="font-weight:bold"><span style="font-family:IRMitra"><span style="letter-spacing:-.05pt">Background: </span></span><span class="latin" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="letter-spacing:-.05pt"><span style="font-weight:normal">Craniometric differences have been demonstrated in different population and ethics under pathologic and normal situations. Using the medical images such as computer tomography is an accurate method for anthropometry of the skull and face. Anthropometric data are used in medicine in the screening, diagnosis, follow-up and treatment of diseases. The aim of the present study was to perform anthropometric measurements in order to determine the craniometric indices of the base of the skull in both males and females in Ilam.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:13pt"><span irmitra="" style="font-family:"><span style="color:black"><span style="font-weight:bold"><span style="font-family:IRMitra"><span style="letter-spacing:-.05pt">Methods:</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="letter-spacing:-.05pt"><span style="font-weight:normal"> In this study, 200 head CT scan images (100 men and 100 women, 35 to 50 years old) were collected from the PACS system of Imam Khomeini Hospital of Ilam. Anthropometric measurements including four linear measurements and three angular measurements were performed on these images. Cranial index was also calculated. The data were analyzed by SPSS 22 software using a p-value less than 0.05. </span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:13pt"><span irmitra="" style="font-family:"><span style="color:black"><span style="font-weight:bold"><span style="font-family:IRMitra"><span style="letter-spacing:-.05pt">Findings:</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="letter-spacing:-.05pt"><span style="font-weight:normal"> A significant difference was observed in all linear measurements between males and females (p=0.0). In the angular measurements, on the other hand, only one angle showed a significant difference between males and females (p<0.05). Also, the the cranial index did not show a significant difference between two genders (p>0.05). In addition, categorization of the skulls based on the cranial index showed that 71% of people were mesocephalic, 17% were brachycephalic and 12% were dolichocephalic.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:13pt"><span irmitra="" style="font-family:"><span style="color:black"><span style="font-weight:bold"><span style="font-family:IRMitra"><span style="letter-spacing:-.05pt">Conclusion:</span></span><span class="latin" new="" roman="" style="font-family:" times=""><span style="font-size:10.0pt"><span style="letter-spacing:-.05pt"><span style="font-weight:normal"> The present study recorded some useful data about the anthropometric ind of the skull in Ilam population, which can be used in research and clinic.</span></span></span></span></span></span></span></span></span><br>
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<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span><span dir="RTL" style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"B Nazanin""></span></span></span><span style="font-size:12.0pt"><span style="line-height:115%"></span></span></span></span></span>
انتروپومتری, کرانیومتری, قاعده جمجمه, توموگرافی کامپیوتری, ایلام
Anthropometry, Craniometry, Base of skull, computed tomography, Ilam
69
76
http://jmciri.ir/browse.php?a_code=A-10-1758-1&slc_lang=fa&sid=1
Reza
Pakzad
رضا
پاکزاد
rezapakzad2010@yahoo.com
4539896814
10031947532846008045
No
Department of Epidemiology, School of Health, Ilam university of Medical Sciences, Ilam, Iran
گروه اپیدمیولوژی، دانشکده بهداشت
Adib
Mirzaee
ادیب
میرزائی
adibm7777@gmail.com
10031947532846008046
10031947532846008046
No
Student of Medicine, School of Medicine, Ilam university of Medical Sciences, Ilam,Iran
دانشکده پزشکی
Yousef
Mohamadi
یوسف
محمدی
yosef.1365@yahoo.com
4529990605
10031947532846008047
Yes
Department of Anatomy, School of Medicine, Ilam university of Medical Sciences, Ilam,Iran
گروه علوم تشریح، دانشکده پزشکی