The instruction of our program which was written based on Matlab 1 Processing of CT data All cranial bases were taken with multi-detector row CT (Sensation 16, Siemens Medical Systems) in helical mode. Acquired DICOM images were reconstructed with 0.75-mm-thick sections at 0.5-mm increment. Each pixel has its own address. The address of each pixel corresponds to its own three-dimensional coordinates (x, y, z). These coordinates can be read by some sofewares (such as Mimics). The X-axis runs left to right, the Y-axis runs anterior to posterior, and the Z-axis runs superior to inferior. 2 Instruction of the related algorithms of spatial analytical geometry Below formulae are based on spatial analytical geometry 2.1 Spatial linear equation Write the linear equation of a line from two spatial points M1(x1,y1,z1) and M2(x2,y2,z2) and calculate the distance between them. The linear equation is x x1 tl y y1 tm z z tn 1 t is the parameter, l,m and n are vectors of the line M 1M 2 . l =x2-x1; m=y2-y1; n=z2-z1. Therefore, x=x1 + (x2-x1) t y=y1 + (y2-y1) t z=z1 + (z2-z1) t Eliminate the parameter t, x x1 y y1 z z1 l m n or x x1 y y1 z z1 x2 x1 y 2 y z 2 z1 1 This equation set is the standard form equation of a line. The distance (d) between two points, M1 and M2 is d= ( x2 x1 ) 2 ( y 2 y1 ) 2 ( z 2 z1 ) 2 The coordinates of the midpoint M0(x0,y0,z0) of a line segment joining two points M1 and M2 is x0=(x1+x2)/2 y0=(y1+y2)/2 z0=(z1+z2)/2 2.2 Spatial plane equation Three spatial points which do not lie on the same line can determine a plane. The general equation for the spatial plane is Ax + By + Cz + D = 0 If three points M1 (x1,y1,z1), M2(x2,y2,z2) and M3(x3,y3,z3) are not lying on the same line, the equation for the plane passing through these three points is x x1 y y1 z z1 x2 x1 y 2 y1 z 2 z1 =0 x3 x1 y3 y1 z3 z1 Solve this determinant, A= y1·z2-y2·z1-y1·z3+y3·z1+y2·z3-y3·z2 B= - x1·z2+x2·z1+x1·z3-x3·z1-x2·z3+x3·z2 C= x1·y2-x2·y1-x1·y3+x3·y1+x2·y3-x3·y2 D= x1·y3·z2-x1·y2·z3+x2·y1·z3-x2·y3·z1-x3·y1·z2+x3·y2·z1 2.3 the angle between two planes If equations for planes 1 and 2 are A1 x B1 y C1 z D1 0 , A2 x B2 y C2 z D2 0 ,respectively. The angle between the two planes is equal to the acute angle φ determined by the normal vectors of the planes. cos A1 A2 B1 B2 C1C2 A12 B12 C12 A22 B22 C22