Anatomy Atlases: Awards, Reviews, Statistics and Comments Book
Awards, Reviews, Statistics and Comments Book
January 2013 - Radiologie
Chosen as an interesting and helpful Web site for radiologists in the article "Internetressourcen fur Radiologen. Eine Positivauslese (Internet resources for radiologists - A positive selection)"
December 2011 - MERLOT - Peer Review of "Atlas of Human Anatomy"
"In summary, the MERLOT Biology Editorial Board Editorial Board wishes to acknowledge the valuable contributions that (Atlas of Human Anatomy) has made to advancing the teaching and learning within the discipline. (Atlas of Human Anatomy) is a model of the scholarship of teaching that can benefit faculty teaching and student learning around the world."
November 2011 - Clinical Anatomy
"Between 1979 and 1981...Dr. Bergman was busy at that time and continued for years after compiling the definitive tome on anatomical human variants, which was first published in book form in 1988, and now is available gratis on the Internet (http://www.anatomyatlases.org/AnatomicVariants/AnatomyHP.shtml). The website, which is curated by Dr. Bergman, allows alphabetical searches of variant structures by type (e.g. cardiovascular vs. nervous), is richly illustrated and...allows far more access than any book could...I would like to publically thank Dr. Bergman for his work as do the letters that follow from prominent anatomists...Many of us use Dr. Bergman's website regularly. We use it when we teach, quickly checking a variant that an energetic medical student thinks he or she has discovered and wants to name after himself/herself. Most importantly, however, I use it in my role as Editor of the Compendium of Anatomical Variants for this journal. As stated in previous editorials (Carmichael 2006; Vilensky and Carmichael, 2010), Clinical Anatomy is not interested in re-publishing case reports on anatomical variants that have been described previously unless there is a new clinical perspective on such a variation. Nevertheless, every year the journal receives 20-30 manuscripts describing variants that a very quick search of Dr. Bergman's website would have revealed to the authors that their presumptive ''new'' variant was not new at all and that it would not be published in Clinical Anatomy. Such a quick check of the website is my first action upon receiving a manuscript."
December 2008 - ANZ Journal of Surgery
"...useful site for anatomical variations and cross-sectional anatomy..."
June 2008 - International Journal of Anatomical Variations
...our aim is to constitute an online compendium for anatomical variations similar to the invaluable book written by Ronad A Bergman, Adel K Afifi and Ryosuke Miyauchi [Bergman RA, Afifi AK, Miyauchi R. Compendium of Human Anatomical Variations. Baltimore: Urban and Scdhwarzenberg. 1988]. - (Note this book is the basis of Anatomy Atlases' own Illustrated Encyclopedia of Human Anatomic Variations)
May 2008 - Indian Journal of Radiology and Imaging
"...a set of useful educational anatomy atlases..."
December 15, 2007 - British Medical Journal Careers
"This is an extensive collection of anatomical images and makes an excellent reference tool. As well as conventional line drawings of each section of the body, there are cross sectional images, microanatomy slides, and a list of links to various digital image banks. The index is easy to follow and the "search" facility is also useful. A clinical section includes relevant anatomy for procedures such as chest drain insertion and amputation."
September 2007 - Student British Medical Journal
"The Anatomy Atlases database has an extensive encyclopedia, complete with images and videos, and a unique section on the anatomy of first aid."
February 1, 2007 - Diagnostic Imaging Europe
"All the anatomy you will ever need is here."
August 24, 2006 - Los Angeles Times
"'Atlas of Human Anatomy' offers fantastic images of human body parts."
July 2006 - How to Excel in Medical School by Norma Swsswin Saks, Ed.D. and Mark Ari Saks, M.D. M.P.H.
"This is an anatomy atlas with detailed labeled drawings."
April 2006 - Clinical Anatomy
"Finally, the human body exhibits an infinite variety of variations from "normal" structure, as well as, normal and variant development of structures with age. It is unrealistic to expect that samples of all variations at all stages of development can be sectioned, so information on aging and body variation must be cataloged and coded for use in simulations. The best electronic collection of this kind is currently provided by Bergman et al. at Anatomy Atlases."
March 2006 - Annals of the Royal College of Surgeons of England
"This work [Atlas of Human Anatomy in Cross Section] provides a high-quality colour photographic and radiological atlas of cross-sectional anatomy...This is a great resource for the anatomist, surgeon, and radiologist. Given its easy-to-use format and attractive photography it may also act as a good educational and diagnostic aid."
February 2005 - Southern Medical Journal
"The Atlas of Microscopic Anatomy is aimed at promoting an understanding of the structure and function of cells, tissues, and organs as viewed under light microscopy. Classroom-oriented, it provides concise structural/functional correlations clearly labeled for easy assimilation."
1995-1999 - Data not available (as part of Virtual Hospital)
2000 - 3,272,072 pages read (page hits) from 788,583 visitors (users) in the form of 5,897,785 successful accesses (qualified hits) representing 116 gigabytes of data transferred (as part of Virtual Hospital)
2001 - 4,528,907 pages read (page hits) from 1,128,957 visitors (users) in the form of 8,511,280 successful accesses (qualified hits) representing 177 gigabytes of data transferred (as part of Virtual Hospital)
2002 - 5,717,488 pages read (page hits) from 1,423,184 visitors (users) in the form of 11,329,517 successful accesses (qualified hits) representing 241 gigabytes of data transferred (as part of Virtual Hospital)
2003 - 5,788,823 pages read (page hits) from 1,496,835 visitors (users) in the form of 12,476,496 successful accesses (qualified hits) representing 328 gigabytes of data transferred (as part of Virtual Hospital)
2004 - 7,061,313 pages read (page hits) from 1,814,433 visitors (users) in the form of 15,893,016 successful accesses (qualified hits) representing 462 gigabytes of data transferred (as part of Virtual Hospital)
2005 - 9,343,034 pages read (page hits) from 3,710,898 visitors (users) in the form of 21,495,469 successful accesses (qualified hits) representing 790 gigabytes of data transferred (as part of Virtual Hospital)
2006 - 7,403,444 pages read (page hits) from 923,932 visitors (users) representing 605 gigabytes of data transferred.
2007 - 6,172,100 pages read (page hits) from 1,026,470 visitors (users) representing 487 gigabytes of data transferred.
2008 - 3,983,969 pages read (page hits) from 611,391 visitors (users) representing 355 gigabytes of data transferred.
2009 - 3,990,077 pages read (page hits) from 851,732 visitors (users) representing 518 gigabytes of data transferred.
2010 - 4,192,917 pages read (page hits) from 1,119,934 visitors (users) representing 602 gigabytes of data transferred.
2011 - 3,996,595 pages read (page hits) from 1,181,935 visitors (users) representing 560 gigabytes of data transferred.
2012 - 3,489,991 pages read (page hits) from 1,177,821 visitors (users) representing 617 gigabytes of data transferred.
2013 - 2,355,231 pages read (page hits) from 742,317 visitors (users) representing 684 gigabytes of data transferred.
December 4, 2014 - "I'm using the images from your atlas "Atlas of Human Anatomy in Cross Section" in my lectures for last two years. I'm very grateful for your effort for creating this spectacular atlas." - B.B., Turkey (Professor of Anatomy)
July 6, 2014 - "I found your site when I asked Google what makes the elastic component of connective tissue. Your site was the best I found. I look forward to coming back to your site...I thank you for your concise text and beautiful pictures." - P.H., D.O. (Attending physician)
January 1, 2014 - "The website is fabulous. I am finding it extremely useful in researching my book. The cadaver specimens are more real, accurate and detailed than the idealized pictures in the anatomy books, which are useful in their own way. I have not been able to answer these questions by reviewing other available anatomy resources." - C.B., M.D. (Neurologist)
September 22, 2013 - "The "online treasure trove of anatomy" that is how I would like to describe the Anatomy Atlases - the above statement is self explanatory. The illustrations make anatomy easy to learn and visualize the important structures." - S.S., India (Medical student)
June 10, 2013 - "The illustrations are beautiful. Thank you so much for the resource." - W.R. (Community college biology instructor)
March 26, 2013 - "Thanks for having an online Atlas, it was good to have it, as I have lost all my Anatomy Books." - P.H., M.D. (Psychiatrist)
January 12, 2013 - "Among the best histology light-micrographs I have found on the Internet" - P.L., Ph.D. (Professor of Biology)
December 18, 2012 - " I am interested in ultrasound nerve block anesthesia. I would like to thank you for this wonderful web site." - - A.T., M.B.B.S., Egypt (Consultant in Anesthesia)
October 16, 2012 - "Your wonderful web site (Cross section anatomy) simplfies understanding the ultrasound images for nerve block." - A.T., M.B.B.S., Egypt (Consultant in Anesthesia)
October 5, 2012 - "Thank you for sharing this with everyone!" - D.M.
July 5, 2012 - "These atlases are very helpful in anatomy study. Dr. Bergman is my role model and I have been always interested in anatomical variations." - K.D., Ph.D., India (Associate Professor of Anatomy)
April 21, 2012 - "I admired your website and examined it with great excitement. I am an anesthesiologist who is crazy about regional anesthesia especially on nerve blocks. When I was looking for some imformation about the obturator nerve and especially on the topic of "variations". I've taken the advantage of your website and found so precious imformation about obturator variations." - T.T., M.D., Turkey (Anesthesiologist)
April 11, 2012 - "I am very happy to have found your web site. I have referred it to several of my co workers that are also studying for their Radiology and/or CT Scan Registry. I find it very easy to understand and learn. Thanks so very much and God Bless You!" - R.F. (Radiology Technologist)
March 27, 2012 - "Congratulations for your brilliant work with this book. It is unique!" - G.K.
March 13, 2012 - "It's very useful site especially for medical students." - B.Z.
March 2, 2012 - "I use AnatomyAtlases in many ways. I use every day in every single moment in fact I study from that book..and is really nice helping me to solve my query in many ways." - H.J., India (Medical student)
February 23, 2012 - "I use the atlas of variability to describe potential variations students can expect in cadaver lab when they are dissecting." - M.P., Ph.D. (Anatomy instructor)
November 27, 2011 - "This is a wonderful collection, and I use it for a better understanding of human variations...Thank you for putting this together and maintaining it! This is a fantastic resource." - S.B. (Master of Science in Anatomy student)
November 19, 2011 - "Great stuff thanks - very useful in correlating MRI cross sectional images with anatomy" - S.R., M.B.B.S., Australia (Academic physician)
October 8, 2011 - "I would like to thank you so much for providing these beautiful pictures and keeping alive the detailed knowledge of human anatomy which practical clinicians use more and more. As radiological imaging improves, the need to understand the detail has become increasingly more important, but simoultaneously the attention to training in anatomical detail has declined. Ordinary textbooks are woefully inadequate. Finding decent DETAILED anatomy diagrams to use in lectures is really difficult. Please make sure that your website continues to grow and give! - R.W., M.B.B.S., Australia (General and Vascular surgeon)
October 8, 2011 - "I think your book is excellent, and love the case studies to learn from." - L.B., RNC MSN (Family Nurse Practitioner)
September 12, 2011 - "Images are very helpful in understanding radiology and other reports." - B.B. (Patient)
November 23, 2010 - "I use AnatomyAtlases almost all the time when I am studying gross anatomy; to prepare for theory exams, practical exams, personal revision. Basically, atlases accompany theory books whose pictures are not so clear, they guide my imagination and ultimately, my understanding." - C.K., Zambia (Medical student)
October 25, 2010 - I think this is a great resource you're providing to the public and I have your site bookmarked for future studies." - S.M. (Radiologic technology student)
September 13, 2010 - "Our (art) students need to be able to view different parts of the body to complete a few sketching assignments and I found that your atlas is a very good resource for these assignments." - R.M. (University instructional designer)
August 3, 2010 - "Your atlas is great, easy to use and complete." - N.G., Belgium (University student)
May 1, 2010 - "I like it very much. Thanks." - S.B., M.D., Cuba
March 26, 2010 - "The images and text is very great." - R.A., Indonesia (Medical student)
February 21, 2010 - "I appreciate this online publication a lot and it really helped me and my fellow students in my course work tasks and assignments in my university." - M.D., Nigeria (Medical student)
November 7, 2009 - "I would like to express my gratitude to the founders of this site. Tons of information, easily understood!" - T.I. (patient)
November 1, 2009 - "Thanks for the great site!" - M.B. (First year medical student)
October 24, 2009 - "Thank you for the amazing resource your cross sectional anatomy website is." - D.C., Canadian (Osteopathic student)
September 9, 2009 - "Occasionally I've got access to your Anatomy Atlases and it was quite useful for my anatomy studying. Thanks for your Anatomy Atlases." - J.H., China (Medical student)
August 31, 2009 - "I want to thank you for your hard work and well organized site, it was a great tool for me" - T.B., RTR (Radiology Technologist)
June 19, 2009 - "I like AnatomyAtlases.org very good, and this website has been very helpful in the medical study for me." -A.A.
April 20, 2009 - "I am a final year dental student from England and I have used Anatomy Atlases for your slides of teeth. The slides are well labelled and I have found them useful for my final examination revision." - C.A.W., United Kingdom (Dental student)
March 21, 2009 - "I am a medical student from Florida and recently discovered your website. It's fantastic! I only wish I had found it sooner--like when I had begun my anatomy and physiology classes. I still find your tutorials very informative and helpful as they contain information that my regular classes have not covered as of yet...I have fully enjoyed the site thus far. I look forward to further exploring and learning from this very helpful tool. Thank you so much for providing something available to the curious student looking to learn beyond the typical textbook." - C.M. (Medical student)
March 12, 2009 - "Lots of information available and is well ordered so easy to find what you are interested in." - M.K., United Kingdom (Medical Physicist)
March 2, 2009 - "When designing medical devices and when depicting medical devices in figures in patent applications, it is important to use realistic anatomy. The images in your web site provide examples of realistic anatomy instead of cartoons...I like (your) beautiful accurate images instead of cartoons, clean simple web pages, no extraneous junk, and no animated distractions." - J.L., Ph.D., J.D. (Medical inventor and patent attorney)
January 19, 2009 - "Thank you so much! The Anatomy section is VERY helpful to me as I am trying to identify and trace out the borders of muscles of the leg in MRIs." - R.C. (Graduate student in Biomechanics)
September 22, 2008 - "I was using your atlases, which are quite helpful, to study..." - T.B. (Undergraduate anatomy student)
September 14, 2008 - "I am currently working on an ambitious project and your website is invaluable...Your website is a great resource for artists...Thank you for your website and your help...I greatly appreciate it." - P.P. (Art student)
September 6, 2008 - "I just saw on the Internet the Atlas and I feel it is a very good action." - N.L., Brazil (Anatomy teacher in applied anatomy to orthopedics and hand surgery residents)
August 6, 2008 - "I found these atlases very helpful." - T.N. (Computed tomography radiology technologist)
July 22, 2008 - "Thanks so much for sharing your knowledge and expertise!" - J.C., PA-C (Professor of Physician Assistant Studies)
May 2, 2008 - "I like the short, but very important descriptions on Human Anatomy." - O.D., D.D.S., Japan
April 23 - 2008 - "This is a great resource made available to the general public." - J.M.
March 31, 2008 - "I was delighted to discover this site on the Web. It is just what I need to further develop my knowledge base about anatomical variations." - S.E., Switzerland (Occupational and Hand Therapist)
March 15, 2008 - "I am currently enrolled in a cross-sectional anatomy class. I use Anatomy Atlases very frequently as study material for the course and find the web site very helpful...Thank you for this excellent resource!" - V.D., (Undergraduate in Radiographic Science)
February 11, 2008 - "The brain section of your Anatomy Atlases is very well done, the way it explains pathways and functions for the labeled structures is the best I have ever seen." - K.S., Ph.D.
January 24, 2008 - "This is the first time I have seen this site and I love it!! Thank you for putting up such amazing images." - G.I., N.D. (Naturopathic physician)
December 20, 2007 - "(I use AnatomyAtlases.org) on a daily basis for health needs for both personal and professional needs. I love the way it is set up just fine." - F.E., L.P.N. (Travel nurse)
October 9, 2007 - "I appreciate the documented listing of anatomical variations. It's very useful to have this information in one location...I have always valued your listing of anatomical variations, and am glad to learn that you are keeping it active." - T.G., Ph.D. (Anatomy instructor)
October 6, 2007 - "Your Web site is fantastic, it must be noted that my 92 grade in anatomy is partly attributable to you, and of course the teaching staff at university. Your site provides quick and easy access excellent sections for pre exam preparation be it either minutes before or weeks before the exam." - M.W., Australia (Physiotherapy student)
October 4, 2007 - "I am very impressed with this site - it has wonderful micrographs" - B.P., DVM (Community College anatomy and physiology instructor)
September 16, 2007 - "I'm preparing for my anatomy exam and I have to say that your site is really, really well done. I have to thank you." - C.C., Italy (Second year medical student)
September 6, 2007 - "I congratulate you for the Illustrated Encyclopedia of Human Anatomic Variation, (it) is very very good, complete and useful. It contain unique things and I think it must be a common source for anatomic variations." - C.N., Chile (Third year medical student)
September 6, 2007 - "I have gone through your Web site AnatomyAtlases.org and I found very informative contents that I needed most urgently. Thanks for your kindly services like this to all the students and professionals like me...Hence I once again thank you for such a great activity. Please keep up the service like the same." - C.R., M.B.B.S.
August 31, 2007 - "I find your service to be quick, easy to use and of great help in understanding my own rare condition: Arytenoid Joint Fixation due to arthritis. May God Bless you for providing this service to others." - F.S. (Patient)
August 23, 2007 - "Congratulation for the web site and thank you very much for your help. I really love anatomy and your page is a very good help for me and my students. Congratulations once more and again THANK YOU VERY MUCH!" - I.W., Argentina (Anatomy helper at university)
April 12, 2007 - "Keep up the good work...This is a great tool." - R.T., M.D. (Attending obstetrician/gynecologist)
April 4, 2007 - "Your page is very good." H.R., M.D., Columbia (Plastic surgeon)
April 4, 2007 - "Thank you for the excellent references on anatomy. I regret that they were not available decades ago." - P.S. (Emergency Medical Technologist)
March 27, 2007 - "I would like to thank you for this Web-site for the advanced anatomy, were I can learn more then what the school has taught me." - A.J. (Massage therapist)
March 7, 2007 - "I am currently taking Principles of Human Structure and Function in college...Your site has been very helpful for my lab practical's. I do appreciate your efforts in helping people recognize all the parts of the skeleton and muscles, it helped me tremendously!! - S.J. (Undergraduate student)
March 1, 2007 - "I first would say congratulations on an excellent and informative website." - I.E., Ireland (Undergraduate student)
February 19, 2007 - "The information in Anatomy Atlases is very, very good. I'm a professor of the Medicine Faculty and for my classes it is very important to consult. Thanks my friends." - E.E., M.D., Mexico (Professor of Medicine)
January 16, 2007 - "Please allow me to give you the highest praise for your achievement. IT IS ASTONISHING! Please know that you are providing an incredible (I cannot even imagine how much myself) service to the medical communities. And of course, to endless number of non-medical communities as well. I just wish there was a WWW and a Web site like this when I was in medical school and in training." - T.M., M.D. (Attending physician)
January 10, 2007 - "Terrific site!" - C.S.
December 28, 2006 - "I am a 43 year old permanently disabled man, who is very interested in finding out more on the inner workings of my body, so that I may utilize the information collected to assist with my pain management. I have always been fasinated with how the human body works. I use a "Tens Unit" to help with pain management, and I find the information collected at your web site will help me to localize the treatment to the appropriate nerve and muscles. I love the information you have. Thank you for making this site available to us little guys." - F.W. (Patient)
November 29, 2006 - "Thanks for the wonderful site." - O.T., Nigeria (Medical student)
November 14, 2006 - "I think you have an EXCELLENT site. I use this for studying and its helping ALOT. Thanks for a great, free, site." - A.K. (First year medical student)
October 23, 2006 - "Your Web site has been an excellent teaching material for us." - C.K., M.D., Taiwan
September 8, 2006 - "I use AnatomyAtlases to update my knowledge for clinical use in day to day professional life." A.G., M.B.B.S, England (Consultant Anesthesiologist)
August 24, 2006 - "I use AnatomyAtlases to make easier the study of anatomy...So I have to say that this is a very good page, especially because of the cross sections, that's the difficult thing for me...The Lessons From a Bone Box are such a very good idea." - C.S., Chile, (Medical student)
August 17, 2006 - "This is a wonderful resource." - W.A. (Medical illustrator)
August 3, 2006 - "It is impressive review literature on suprarenal arteries. " - S.D., M.D
May 24, 2006 - "(I use the site) along with my theory lecture notes, for studying. I like how clear the diagrams are, even on printouts and about how they are labelled, not directly onto the pic so we can fill it in ourselves. Just wanted to say thanks." - A.A., Australia (4th year medical student)
May 12, 2006 - "I really appreciate your online atlas, and use it frequently." - D.P., M.D. (Attending Radiologist)
May 11, 2006 - "I recently discovered the Anatomy Atlases and became really overwhelmed with this /chef-d'oeuvre/. This is a great mine of information. I just wanted to thank you and the others to have made such a great bundle of resources available online. I truly appreciate." - G.C., Canada (Nursing Student)
April 29, 2006 - "IĞm a medical student, and IĞm an instructor in anatomy and dissection at the Second Anatomy Department of the Medicine School of the Buenos Aires University of Argentina. I teach anatomy at the Dissection Team of the Second Anatomy Department, and I am the one in charge of the Anatomic Variation Sector of the dissection team. I use Anatomy Atlases, and especially, Opera, the Illustrated Encyclopedia of Human Anatomic Variation, for my activity at the anatomy department, for the investigations of basic/morphology science that we do at the Dissection Team of the Second Anatomy Department. I think that the Illustrated Encyclopedia of Human Anatomic Variation is a great recompilation of the anatomy. We study anatomy from Testut, and the Illustrated Encyclopedia of Human Anatomic Variation is the best complement to our dissection activity. The anatomic variation are very important for our activity. We have 20 years of anatomical variations statistics and experience, so we give to anatomical variations a lot of importance." - N.E., Argentina
April 28, 2006 - "I am a physiotherapy lecturer...I have referred my students to your site for the last 4 or 5 years by linking it through our virtual campus...I will continue to link my students to your anatomy sites as I find it very useful for students to be able to visualise the parts of the body." - V.C., M.C.S.P., Scotland
March 29, 2006 - "This peer reviewed and referenced information appears to be very thorough and is therefore excellent for postgraduate teaching. It also provides many examples of variation "to get that message across" to undergraduate students...This is a recently discovered gold mine for me. I wish I had known about it years ago...Particularly useful for information on anatomical variations." - R.A., Ph.D., Australia (Anatomy Professor)
March 28, 2006 - "I use the atlas daily at the workstation and in prep for unusual musculoskeletal injections. Great help and a great site." - J.H., M.D. (Attending radiologist)
March 27, 2006 - "Your website is an absolutely fantastic resource for students at all levels. Congratulations" - T.W., United Kingdom (Daughter of patient)
February 26, 2006 - "This is the most useful site I ever saw." - M.C., M.D.
January 31, 2006 - "Useful for incoming as well as for continuing students in this program..." - S.B., Australia (Librarian)
January 31, 2006 - "Many thanks! On behalf of my students, present and past, I'm deeply grateful for this resource." - D.T., Ph.D. (Professor)
January 31, 2006 - "I have had a new look at your atlases, and I must say I'm impressed!" - A.W., M.D., Norway
January 28, 2006 - "Very helpful. Many thanks!" - A.N., M.D.
January 25, 2006 - "Anatomy Atlases is a treasure for all the Doctors and medical students in the whole world; I can only congratulate you for this enormous work which you achieved." - A.A., M.D. (Attending obstetrician /gynecologist)
January 25, 2006 - "Since it's hard to take anatomy classes I've been studying a lot of books on Anatomy. One of the major difficulties was the knowing the different anatomical terms and your glossary really helped me out...Your "Illustrated Encyclopedia of Human Anatomic Variations" was very interesting - while most artistic anatomy books refer to attachments and movements they don't provide any information about the variations. So it was very insightful going all through those pages." - Y.C., Korea (Art student)
January 24, 2006 - "My Human Anatomy and Physiology and Histology students and I have found these resources to be very valuble. " - A.R., Ph.D. (Professor)
January 24, 2006 - "Thank you! Our students love your Web sites (especially those studying Anatomy and Physiology). Please keep up the good work." - S.A.
January 24, 2006 - "Really is excellent especially The Human Anatomy in Cross Section and helpful." - S.M., M.D., Argentina (Attending radiologist)
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"Anatomy Atlases", the Anatomy Atlases logo, and "A digital library of anatomy information" are all Trademarks of Michael P. D'Alessandro, M.D.
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The information contained in Anatomy Atlases is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.