Pavel Timonov

Prof. Dr. Pavel Timonov


Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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6 September 2026 in Journal of Clinical Medicine
Verified
Journal Article
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PPPetar-Preslav Petrov
Petar-Preslav Petrov
DDDelyan Dimitrov
Delyan Dimitrov
DBDarina Barbutska
Darina Barbutska
TKTanya Kitova
Tanya Kitova
AFAntoaneta Fasova
Antoaneta Fasova
IMIvaylo Todorov Minev
Ivaylo Todorov Minev
Background/Objectives: The infraclavicular region contains a complex arrangement of the brachial plexus cords and axillary vessels. Accurate ultrasonographic characterization of these relationships is important for anatomical image interpretation and has direct relevance to ultrasound-guided infraclavicular procedures. This study aimed to evaluate the bilateral topographic distribution and morphometric relationships of the lateral, medial, and posterior cords relative to the axillary artery and axillary vein. Methods: This prospective, multicenter, observational anatomical–ultrasonographic study included 50 adults (25 women and 25 men), each examined bilaterally, yielding 100 potential side-specific examinations. The lateral cord (LC), medial cord (MC), posterior cord (PC), and axillary vein (AV) were mapped using a 12-sector radial model centered on the axillary artery (AA). Center-to-center intercord, cord-to-AA, and cord-to-AV distances were measured. Topographic confidence intervals were estimated using participant-level cluster bootstrap resampling, and bilateral morphometric data were analyzed using linear mixed-effects models. Results: The LC was located in sectors 10–11 in 85/94 examinations (90.4%; 95% CI, 84.4–95.7%), the MC in sectors 2–4 in 84/89 (94.4%; 95% CI, 89.2–98.9%), the PC in sectors 6–7 in 78/83 (94.0%; 95% CI, 88.6–98.8%), and the AV in sectors 4–5 in 95/100 (95.0%; 95% CI, 90.0–99.0%). Mean intercord distances were 11.20 ± 1.18 mm for LC/MC, 7.30 ± 1.61 mm for LC/PC, and 5.70 ± 1.10 mm for MC/PC. Mean cord-to-AA distances were 7.60 ± 0.74, 4.60 ± 0.93, and 6.60 ± 0.91 mm for the LC, MC, and PC, respectively. Mean cord-to-AV distances were 15.50 ± 2.01, 6.60 ± 1.22, and 8.50 ± 1.10 mm, respectively. Mixed-effects models demonstrated significant differences among measurements within each distance family (all p < 0.001), without significant overall side or sex effects. Conclusions: The brachial plexus cords and AV demonstrated a consistent topographic organization around the AA during bilateral mid-infraclavicular ultrasonographic assessment. The MC showed the shortest center-to-center distance to both the AA and AV, and the three cords formed a non-equidistant spatial configuration.

31 March 2024 in Proceedings of the Bulgarian Academy of Sciences
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Journal Article
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TPTsvetanka Petleshkova
Tsvetanka Petleshkova
SSStefan Sivkov
Stefan Sivkov
ABAtanas Baltadjiev
Atanas Baltadjiev
ZHZdravka Harizanova
Zdravka Harizanova
Hristo ManevHristo Manev
Hristo Manev
PTPavel Timonov
Pavel Timonov
The present study aimed to provide up-to-date information on normal sex-related dimensions of the orbital region in young Bulgarian adults, using a 3D laser scanner. The three-dimensional coordinates of several soft-tissue landmarks on the orbits and face were obtained using a hand-held laser scanner (FastSCAN Cobra, Polhemus Inc, Colchester VT) in 95 healthy individuals (46 males and 49 females) of Bulgarian origin aged 21–30 years. From the landmarks outer and intercanthal widths, length of eye fissure, and height of the orbit were calculated and averaged for sex. The data were analyzed using descriptive statistics and paired t-test. Statistically significant difference was found in outer canthal width, both eyes fissure length, and orbital height between sexes. The differences in the inner canthal width did not reach statistical significance (p > 0.05). The data of the present study could serve as a quantitative characteristic of human orbital morphology. Forensic applications, evaluations of traumas, craniofacial alterations, and facial reconstruction may also benefit from the data.

29 August 2023 in Proceedings of the Bulgarian Academy of Sciences
Verified
Journal Article
Closed access
ABAtanas Baltadjiev
Atanas Baltadjiev
MOMaria Mitkova Orbetzova
Maria Mitkova Orbetzova
SSStefan Sivkov
Stefan Sivkov
TPTsvetanka Petleshkova
Tsvetanka Petleshkova
MIMaria Ilieva-Gerova
Maria Ilieva-Gerova
PTPavel Timonov
Pavel Timonov

8 October 2026 in Diagnostics
Verified
Journal Article
Open access
PDF file
PPPetar-Preslav Petrov
Petar-Preslav Petrov
DDDelyan Dimitrov
Delyan Dimitrov
TKTanya Kitova
Tanya Kitova
PTPavel Timonov
Pavel Timonov
AFAntoaneta Fasova
Antoaneta Fasova
MSMilena Sandeva
Milena Sandeva
Background/Objectives: Quantitative MRI data describing the infraclavicular brachial plexus cords together with both axillary vessels remain limited. This study characterized artery-centered cord topography and neurovascular morphometry on 0.55 T MRI and discussed the potential anatomical implications for infraclavicular block. Methods: This prospective cross-sectional imaging study included 100 adults undergoing clinically indicated MRI. One infraclavicular region was analyzed per participant. Within the mid-infraclavicular retropectoral region posterior to the pectoralis minor muscle, the axial T1-weighted image providing the clearest simultaneous visualization of the lateral cord (LC), medial cord (MC), posterior cord (PC), axillary artery (AA), and axillary vein (AV) was selected. The LC, MC, PC, and AV were mapped using a 12-sector clock-face model centered on the AA, and center-to-center intercord, cord-to-AA, and cord-to-AV distances were measured. Results: The LC was most frequently located at 11 o’clock (62%), the MC at 3 o’clock (41%), the PC at 6 o’clock (40%), and the AV at 2 o’clock (71.1%; n = 90). Mean intercord distances were 11.73 ± 3.17 mm (LC-MC), 11.09 ± 2.43 mm (LC-PC), and 8.13 ± 2.83 mm (MC-PC). Mean cord-to-AA distances were 6.33 ± 1.69, 7.36 ± 2.03, and 7.13 ± 1.83 mm for LC, MC, and PC, respectively. In 92 participants with complete cord-to-AV measurements, corresponding means were 17.01 ± 5.01, 9.61 ± 2.90, and 16.54 ± 3.87 mm. Conclusions: At the mid-infraclavicular retropectoral level, 0.55 T MRI demonstrated a structured but non-equidistant neurovascular arrangement. These imaging-derived data provide quantitative anatomical reference information but are not procedural safety margins or predictors of block success.