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Abbreviations: mm², square millimeter; FMs, foramens
magnus; M, male; F, female; %, percentage
Introduction
The knowledge of the biometrics of the foramen magnum (FM) is
of great importance in the pathophysiology of several conditions, as
well as for anthropology, anatomy and forensic medicine. According
to Muthukumar et al.
1
based on morphometric limits, it would be
possible to report the possibility that the FM would be within a
predetermined numerical variation or an anatomical malformation. In
addition, the study of the FM region is important and is necessary in
view of the increased transcondylar approach for ventral access of
lesions at the craniocervical junction.
Smoker
2
stated that the confguration and size of the FM play
an important role in the pathophysiology of several diseases of the
craniocervical junction. Thus, it becomes important not only for the
physician who diagnoses it, but also for the surgeon who operates on
this region.
Teixeira
3
Günay &Altinkök
4
Gruber et al.,
5
Gapert et al.,
6
studied
the biometry of the foramen magnum for gender identifcation and
human biological characterization and evaluated its importance in
a criminal laboratory and in accidents, since this region remained
unscathed due to being heavily protected by soft tissues.
Although the morphometric limits have already been detailed in
some anatomical studies, the analysis of the dimensions of the foramen
magnum using imaging technology is still scarce in the literature.
7
Our objective was to determine the area of the foramen magnum using
the ImageJ software, and to correlate it with the formulas of Radinsky
8
and Teixeira
3
Materials and methods
104 foramina magna of dry human skulls were analyzed, belonging
to the anatomical collection of Universidade Tiradentes (UNIT) and
Universidade Federal de Sergipe (UFS). Of that total number 62 were
male, 42 were female, with ages ranging from 11 to 91 years (average
of 58.69 years old). Only skulls with intact occipital region were
included in the sample and determined as to sex and age.
In each skull, the area of the foramens magnum (FM) was calculated
using the ImageJ software (Figure 1), and using the formulas of
Radinsky
8
and Teixeira
3
(Figure 2). To perform the calculation with
the ImageJ software, the skull bases were photographed using a digital
camera attached to a static support, positioned at a standard distance
MOJ Anat Physiol. 2020;7(6):169‒171. 169
©2020 Aragão et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Biometric analysis of the area of the foramen
magnum using the ImageJ software, and its
correlation with the Radinsky and Teixeira formulas
Volume 7 Issue 6 - 2020
José Aderval Aragão,
1,3
Iapunira Catarina
Sant’Anna Aragão,
2
Felipe Matheus Sant’Anna
Aragão,
2
Marcos Guimarães de Souza
Cunha,
2
Victor Petersen Dantas Moreno,
3
Victoria Rezende de Brito,
3
João Vitor
Santana Souza,
3
Danilo Ribeiro Guerra,
1
Francisco Prado Reis
3
1
Department of Morphology, Federal University of Sergipe
(UFS), Brazil
2
Medical School, University Center of Volta Redonda (UNIFOA),
Brazil
3
Medical School of Tiradentes University (UNIT), Brazil
Correspondence: José Aderval Aragão, Federal University of
Sergipe, Marechal Rondon Avenue, São Cristóvão, Sergipe, Brazil,
Tel +55-79-991916767, Email
Received: October 28, 2020 | Published: November 12, 2020
Abstract
Introduction: The knowledge of biometrics in the area of the foramen magnum is of
importance in the pathophysiology of several disorders of the craniocervical junction, as
well as for anthropology, anatomy and forensic medicine. The analysis of the area using
image technology is still very scarce in the literature.
Objective: Determine the area of the foramen magnum using ImageJ and correlate it with
the areas calculated by the formulas of Radinsky and Teixeira.
Methodology: 104 human dry skulls of adults were studied, 62 male and 42 female,
belonging to the anatomy laboratories of the Universities: Tiradentes (UNIT) and Federal
de Sergipe (UFS). To calculate the area of the foramen magnum, the ImageJ software was
used, while the measures, length and width, were performed using a digital caliper. The
areas calculated by ImageJ were compared to those calculated using the Radinsky and
Teixeira formula.
Results: The area of the foramen magnum measured by ImageJ ranged from 532.14 to
1135.79mm², with an overall average of 758.71mm². According to Radinsky’s formula,
the area of the foramen magnum varied from 610.35 to 1233.09mm², with an average of
828.25mm²; and in Teixeira, the area ranged from 633.67 to 1241.29mm², with an average
of 840.16mm². The Cronbach’s alpha correlating the three methods was equal to 0.950.
Conclusion: The calculation of the area of the foramen magnum, using the ImageJ software
was signifcantly close to the area calculated by the formulas of Radinsky and Teixeira
(Cronbach’s alpha=0.950), proving to be useful for forensic practice. Sexual dismorphism
can be found, varying its appearance in literature, but only in relation to its size, but not
its shape. However some other authors seem to have not found any sexual dismorphism.
Keywords: sexual dimorphism, anatomy, anthropometry, foramen magnum, occipital
bone, software validation, skull base, biometry, forensic medicine, ImageJ software
MOJ Anatomy & Physiology
Research Article
Open Access