Park Hyo Seok, Chung Min Suk, Shin Dong Sun, Jung Yong Wook, Park Jin Seo
Department of Anatomy, Keimyung University School of Medicine, 1095 Dalgubeol-daero, Daegu, 704-701, Republic of Korea.
Anat Rec (Hoboken). 2015 Feb;298(2):436-43. doi: 10.1002/ar.23048. Epub 2014 Sep 22.
In medicine, the neuroanatomy of the oculomotor (III), trochlear (IV), and abducens nerves (VI) is learned essentially by cadaver dissection, histological specimens, and MRI. However, these methods have many limitations and it is necessary to compensate for the insufficiencies of previous methods. The aim of this research was to present sectioned images and surface models that allow the whole courses of III, IV, and VI and circumjacent structures to be observed in detail. To achieve this, the structures of whole courses of III, IV, and VI were traced on the sectioned images, and surface models of the structures were reconstructed. As a result, nucleus of III, Edinger-Westphal nucleus, nucleus of IV, and nucleus of VI and their fibers were identified on brainstem in the sectioned images. In the sectioned images, III, IV, and VI passed both sides of the cavernous sinus and entered at the orbit through the superior orbital fissure. In the sectioned images, III, IV, and VI innervated extraocular muscles in orbit. In surface models, the whole courses of III, IV, and VI and circumjacent structures could be explored freely three-dimensionally. The greatest advantage of the sectioned images was that they allowed the whole courses of III, IV, and VI and circumjacent structures to be observed as real colored in an unbroken line. In addition, the surface models allowed the stereoscopic shapes and positions of III, IV, and VI to be comprehended. The sectioned images and surface models could be applied for medical education purposes or training tools. All data generated during this study is available free of charge at anatomy.dongguk.ac.kr/cn/.
在医学领域,动眼神经(III)、滑车神经(IV)和展神经(VI)的神经解剖学知识主要是通过尸体解剖、组织学标本和磁共振成像(MRI)来学习的。然而,这些方法存在许多局限性,因此有必要弥补先前方法的不足。本研究的目的是呈现切片图像和表面模型,以便能够详细观察动眼神经、滑车神经和展神经的全程及其周围结构。为实现这一目标,在切片图像上追踪了动眼神经、滑车神经和展神经全程的结构,并重建了这些结构的表面模型。结果,在切片图像的脑干上识别出了动眼神经核、动眼神经副核、滑车神经核和展神经核及其纤维。在切片图像中,动眼神经、滑车神经和展神经穿过海绵窦两侧,并通过眶上裂进入眼眶。在切片图像中,动眼神经、滑车神经和展神经支配眼眶内的眼外肌。在表面模型中,可以自由地三维探索动眼神经、滑车神经和展神经的全程及其周围结构。切片图像的最大优点是它们能够以连续的真实颜色观察动眼神经、滑车神经和展神经的全程及其周围结构。此外,表面模型能够让人理解动眼神经、滑车神经和展神经的立体形状和位置。切片图像和表面模型可用于医学教育目的或作为培训工具。本研究期间生成的所有数据可在anatomy.dongguk.ac.kr/cn/上免费获取。