Takeda S, Hirashima Y, Ikeda H, Yamamoto H, Sugino M, Endo S
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Sugitani 2630, Toyama-shi, 930-0194 Toyama, Japan.
Neuroradiology. 2003 Aug;45(8):513-8. doi: 10.1007/s00234-003-1019-8. Epub 2003 Jul 22.
Indices of the corpus callosum with normal aging and their sex differences were elucidated using quantitative MRI. We studied 94 Japanese men (mean+/-SD 57.3+/-20.8 years, range 6-90 years) and 111 Japanese women (mean+/-SD 61.2+/-17.6 years, range 9-86 years) who had no intracranial lesions on MRI and no history of neurological illness. The widths of the rostrum, body and splenium, the anterior to posterior length, and the maximum height in the midsagittal image were selected for measurement. The Evans index, which is the relative ratio of lateral ventricle expansion, and the maximum width of the third ventricle in the axial image were also estimated for comparison. The widths of rostrum, body and splenium of the corpus callosum became thinner with age. Conversely, the anterior to posterior length and the maximum height of the corpus callosum increased with age. The ratio of the width of the body to the length of the corpus callosum and the ratio of the width of the body to the height of the corpus callosum are best correlated with age. No sex differences in regional size of corpus callosum, including these two ratios, were observed in any raw measures, although ventricular indices were larger in men than women. Evaluation of the ratio of the width of the body to its length and the ratio of the width of the body to its height may enable accurate estimation of normal or pathological changes of the corpus callosum. Aging and pathological atrophy of corpus callosum can be evaluated without any adjustment for gender.
利用定量磁共振成像技术阐明了胼胝体在正常衰老过程中的指标及其性别差异。我们研究了94名日本男性(平均±标准差57.3±20.8岁,范围6 - 90岁)和111名日本女性(平均±标准差61.2±17.6岁,范围9 - 86岁),这些人在磁共振成像上没有颅内病变且无神经疾病史。选择在矢状面图像上测量胼胝体嘴部、体部和压部的宽度、前后长度以及最大高度。还估计了侧脑室扩张的相对比率——埃文斯指数以及轴位图像上第三脑室的最大宽度用于比较。胼胝体嘴部、体部和压部的宽度随着年龄增长而变薄。相反,胼胝体的前后长度和最大高度随着年龄增长而增加。胼胝体体部宽度与胼胝体长度的比率以及胼胝体体部宽度与高度的比率与年龄的相关性最好。在任何原始测量中,包括这两个比率在内,未观察到胼胝体区域大小存在性别差异,尽管男性的脑室指数大于女性。评估胼胝体体部宽度与长度的比率以及体部宽度与高度的比率可能有助于准确估计胼胝体的正常或病理变化。无需对性别进行任何调整即可评估胼胝体的衰老和病理性萎缩。