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腹侧胼胝体辐射的显微解剖:新的目的地,与弥散张量成像纤维追踪的相关性及临床意义。

Microsurgical anatomy of the ventral callosal radiations: new destination, correlations with diffusion tensor imaging fiber-tracking, and clinical relevance.

机构信息

Laboratory of Anatomy and Organogenesis, University of Picardy Jules Verne, Amiens, France.

出版信息

J Neurosurg. 2010 Mar;112(3):512-9. doi: 10.3171/2009.6.JNS081712.

Abstract

OBJECT

In the current literature, there is a lack of a detailed map of the origin, course, and connections of the ventral callosal radiations of the human brain.

METHODS

The authors used an older dissection technique based on a freezing process as well as diffusion tensor imaging to investigate this area of the human brain.

RESULTS

The authors demonstrated interconnections between areas 11, 12, and 25 for the callosal radiations of the trunk and rostrum of the corpus callosum; between areas 9, 10, and 32 for the genu; and between areas 6, 8, and 9 for the ventral third of the body. The authors identified new ventral callosal connections crossing the rostrum between both temporal poles and coursing within the temporal stem, and they named these connections the "callosal radiations of Peltier." They found that the breadth of the callosal radiations slightly increases along their course from the rostrum to the first third of the body of the corpus callosum.

CONCLUSIONS

The fiber dissection and diffusion tensor imaging techniques are complementary not only in their application to the study of the commissural system in the human brain, but also in their practical use for diagnosis and surgical planning. Further investigations, neurocognitive tests, and other contributions will permit elucidation of the functional relevance of the newly identified callosal radiations in patients with disease involving the ventral corpus callosum.

摘要

目的

在当前的文献中,对于人类大脑腹侧胼胝体辐射的起源、路径和连接,缺乏详细的图谱。

方法

作者使用了一种基于冷冻过程的旧解剖技术以及弥散张量成像来研究大脑的这一区域。

结果

作者展示了胼胝体干和吻部的胼胝体辐射的脑区 11、12 和 25 之间的连接;脑区 9、10 和 32 之间的连合部;脑区 6、8 和 9 之间的胼胝体体部的腹侧三分之一。作者发现了新的腹侧胼胝体连接,它们在两个颞极之间穿过吻部,并在颞干内穿行,作者将这些连接命名为“Peltier 胼胝体辐射”。他们发现,胼胝体辐射从吻部到胼胝体体部的前三分之一的过程中,其宽度略有增加。

结论

纤维解剖和弥散张量成像技术不仅在研究人类大脑的连合系统方面具有互补性,而且在诊断和手术计划的实际应用中也具有互补性。进一步的研究、神经认知测试和其他贡献将有助于阐明在涉及腹侧胼胝体的疾病患者中,新确定的胼胝体辐射的功能相关性。

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