Nowinski W L, Chua B C
Agency for Science Technology and Research, Singapore.
Neuroradiol J. 2013 Jun;26(3):252-62. doi: 10.1177/197140091302600302. Epub 2013 Jul 16.
Understanding brain pathology along with the underlying neuroanatomy and the resulting neurological deficits is of vital importance in medical education and clinical practice. To facilitate and expedite this understanding, we created a three-dimensional (3D) interactive atlas of neurological disorders providing the correspondence between a brain lesion and the resulting disorder(s). The atlas contains a 3D highly parcellated atlas of normal neuroanatomy along with a brain pathology database. Normal neuroanatomy is divided into about 2,300 components, including the cerebrum, cerebellum, brainstem, spinal cord, arteries, veins, dural sinuses, tracts, cranial nerves (CN), white matter, deep gray nuclei, ventricles, visual system, muscles, glands and cervical vertebrae (C1-C5). The brain pathology database contains 144 focal and distributed synthesized lesions (70 vascular, 36 CN-related, and 38 regional anatomy-related), each lesion labeled with the resulting disorder and associated signs, symptoms, and/or syndromes compiled from materials reported in the literature. The initial view of each lesion was preset in terms of its location and size, surrounding surface and sectional (magnetic resonance) neuroanatomy, and labeling of lesion and neuroanatomy. In addition, a glossary of neurological disorders was compiled and for each disorder materials from textbooks were included to provide neurological description. This atlas of neurological disorders is potentially useful to a wide variety of users ranging from medical students, residents and nurses to general practitioners, neuroanatomists, neuroradiologists and neurologists, as it contains both normal (surface and sectional) brain anatomy and pathology correlated with neurological disorders presented in a visual and interactive way.
了解脑部病理学以及潜在的神经解剖学和由此产生的神经功能缺损在医学教育和临床实践中至关重要。为了促进和加快这种理解,我们创建了一个神经系统疾病的三维(3D)交互式图谱,展示脑损伤与由此产生的疾病之间的对应关系。该图谱包含一个高度细分的正常神经解剖学3D图谱以及一个脑部病理学数据库。正常神经解剖学被分为约2300个部分,包括大脑、小脑、脑干、脊髓、动脉、静脉、硬脑膜窦、神经束、颅神经(CN)、白质、深部灰质核团、脑室、视觉系统、肌肉、腺体和颈椎(C1 - C5)。脑部病理学数据库包含144个局灶性和弥漫性合成病变(70个血管性、36个与颅神经相关、38个与局部解剖相关),每个病变都标注了由此产生的疾病以及从文献报道材料中汇编的相关体征、症状和/或综合征。每个病变的初始视图根据其位置、大小、周围表面和断层(磁共振)神经解剖学以及病变和神经解剖学的标注进行了预设。此外,还编制了神经系统疾病词汇表,并为每种疾病纳入了教科书材料以提供神经学描述。这个神经系统疾病图谱对从医学生、住院医师和护士到全科医生、神经解剖学家、神经放射学家和神经学家等广泛的用户群体可能都很有用,因为它既包含正常(表面和断层)脑解剖学,又包含与以视觉和交互式方式呈现的神经系统疾病相关的病理学。