Evidence map›Paper›PMID 41863132›Full record

ArticleCurrent medical imaging2026

MRI-based Quantification of Ossification Centers in the Human Fetal Atlas and Axis Vertebrae.

Qinyi Han, Peng Zhao, Peng Su, Hui Zhao, Nan Lin, Mimi Tian, Lianjie Cheng, Xiangtao Lin

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Article in Current medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Qinyi HanDepartment of Hand & Foot and Reconstructive Microsurgery, Shandong Provincial Hospital, Shandong University, Jinan, China.
Peng ZhaoDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Peng SuDepartment of Hand & Foot and Reconstructive Microsurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Hui ZhaoDepartment of Radiology, Shandong Provincial ENT Hospital, Shandong University, Jinan, China.
Nan LinDepartment of Medical Imaging, Shandong Public Health Clinical Center, Jinan, Shandong Province, 250021, China.
Mimi TianDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Lianjie ChengDepartment of Hand & Foot and Reconstructive Microsurgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Xiangtao LinDepartment of Radiology, Shandong Provincial Hospital, Shandong University, Jinan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough fetal MRI has been increasingly widely used in clinical and research settings, quantitative studies specifically targeting the ossification centers of the atlas and axis remain scarce. This study aims to quantitatively assess the ossification centers of the atlas and axis in fetuses using Magnetic Resonance Imaging (MRI) and establish standardized reference data for prenatal evaluation. MATERIALS AND

methodsThis study included 41 human fetuses (24 males and 17 females) at 17 to 42 weeks of gestation, collected after spontaneous abortion or preterm birth that met ethical standards. High-resolution imaging was obtained by an MRI scanner. Three-dimensional volumetric data of the ossification centers were obtained and analyzed using the 3D Slicer software. Morphometric parameters, which included the 3D maximum diameter, projection surface area, and volume, were measured. Statistical analysis was conducted with SPSS 23, and growth dynamics were evaluated by regression models.

resultsAnalysis shows that the ossification centers of the atlas and axis increase proportionally with gestational age, and there is a significant correlation between age and measurement parameters. The average 3D maximum diameter, projected surface area, and volume show consistent growth patterns, with no significant differences between genders. The linear regression model is the best at describing developmental dynamics, with high coefficients of determination for all parameters (R 2>0.70). DISCUSSION: This study indicates that the ossification centers of the fetal atlas and axis increase proportionally with gestational age, and a high correlation is observed in all morphological measurement parameters. Compared with ultrasound or CT, MRI has been proven to be a superior non-invasive imaging method that can provide high-resolution three-dimensional data for detailed evaluation of the fetal cervical spine without radiation exposure. The lack of gender-based differences supports the use of a unified growth model. These normative data provide valuable benchmarks for detecting cervical dysplasia. Although the sample size and cross-sectional design are relatively limited, this study provides clinically applicable growth references that may aid in the early diagnosis of congenital spinal abnormalities.

conclusionThis study provides standardized morphometric data for the main ossification centers of the atlas and axis in human fetuses. These findings contribute to a better understanding of fetal cervical spine development and establish a reference framework for early detection of congenital abnormalities. In addition, the research findings emphasize that MRI is a reliable and non-invasive tool for the detailed assessment of fetal skeletal maturity.

Indexed as

Axis, Cervical VertebraCervical AtlasMagnetic Resonance ImagingOsteogenesisPrenatal DiagnosisFemaleGestational AgeHumansImaging, Three-DimensionalMalePregnancyCongenital spinal abnormalitiesFetal cervical spineMagnetic resonance imagingOssification centersPrenatal skeletal developmentQuantitative morphometry

Identifiers

PMID41863132
PMCPMC13584077

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