He Jie, Liu Huaijun, Huang Boyuan, Chi Chen
Department of Medical Imaging, The Second Affiliated Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2007 Feb;24(1):39-44.
To observe the morphology and anatomic variations of the circle of Willis and its clinical significance. To measure and establish the normal reference parameters of average diameters of its component vessels in the healthy Chinese by using 3D-TOF MR angiograms and to determine whether age-or sex-related differences exists in the circle' anatomy. MRA was performed in 153 healthy subjects. According to its integrity, Willis'circle was divided into four types: (1) Type I, showing an intact circle. (2) Type II, having a complete anterior circulation but an incomplete posterior circulation. (3) Type III, having an incomplete anterior circulation but a complete posterior circulation. (4) Type IV, having an incomplete anterior and posterior circulation. Based on the development of the components of the circle, each type was subdivided into four subtypes: typical, variable, hypoplastic and mixed. The statistically significant differences were not found in each type or subtypes between the different age and sex groups. Result of 153 cases, Type I, II, III and IV was found in 53 (34.64%), 73 (47.71%), 8 (5.23%), and 19 (12.42%) respectively. The display rate of the anterior and the posterior communicating arteries was 87.58%o (134/153) and 65.34% (100/153) respectively. Display rate of fetaltype posterior cerebral artery(PCA) was 20.92%. 3D-TOF MR angiography has important clinical significance for evaluating morphology and anatomic variations of circle of Willis. The normal values of diameter of cerebral arteries on MR angiograms may play a reference role in diagnosing cerebral vascular diseases.
观察 Willis 环的形态、解剖变异及其临床意义。通过三维时间飞跃法磁共振血管造影(3D - TOF MR angiograms)测量并建立健康中国人 Willis 环各组成血管平均直径的正常参考参数,确定该环的解剖结构是否存在年龄或性别相关差异。对 153 名健康受试者进行了磁共振血管造影(MRA)检查。根据 Willis 环的完整性,将其分为四种类型:(1)I 型,显示为完整的环。(2)II 型,前循环完整而后循环不完整。(3)III 型,前循环不完整而后循环完整。(4)IV 型,前后循环均不完整。根据环各组成部分的发育情况,每种类型又细分为四个亚型:典型型、变异型、发育不全型和混合型。不同年龄和性别组在各类型或亚型之间未发现统计学上的显著差异。153 例结果中,I 型、II 型、III 型和 IV 型分别有 53 例(34.64%)、73 例(47.71%)、8 例(5.23%)和 19 例(12.42%)。前交通动脉和后交通动脉的显示率分别为 87.58%(134/153)和 65.34%(100/153)。胎儿型大脑后动脉(PCA)的显示率为 20.92%。3D - TOF MR 血管造影对评估 Willis 环的形态和解剖变异具有重要临床意义。磁共振血管造影上脑动脉直径的正常值可能对诊断脑血管疾病起到参考作用。