Szmuda T, Rogowska M, Słoniewski P, Abuhaimed A, Szmuda M, Springer J, Sabisz A, Dzierżanowski J, Starzyńska A, Przewoźny T
Neurosurgery Department, Medical University of Gdansk, Poland..
Folia Morphol (Warsz). 2017;76(4):574-581. doi: 10.5603/FM.a2017.0039. Epub 2017 May 29.
BACKGROUND: Frontal aslant tract (FAT) is a white matter bundle connecting the pre-supplementary motor area (pre-SMA) and the supplementary motor area (SMA) with the inferior frontal gyrus (IFG). The purpose of the present study was to evaluate the anatomical variability of FAT. MATERIALS AND METHODS: Total number of fibres and the lateralisation index (LI) were calculated. We attempted to find factors contributing to the diversity of FAT regarding IFG terminations to the pars opercularis (IFG-Op) and to the pars triangularis (IFG-Tr). Magnetic resonance imaging of adult patients with diffusion tensor imaging (DTI) with total number of 98 hemispheres composed a cohort. V-shaped operculum was the most common (60.5%). RESULTS: Total number of FAT fibres had widespread and unimodal distribution (6 to 1765; median: 160). Left lateralisation was noted in 64.3% of cases and was positively correlated with total number of FAT fibres and the bundle projecting to IFG-Op (p < 0.01). LI correlated with total number of FAT fibres (r = 0.43, p < 0.01). FAT projected predominantly to IFG-Op (88.9%; 88 of 99). Only in 3 (3.1%) cases more fibres terminated in IFG-Tr than in IFG-Op. Total number of FAT fibres and number of fibres terminating at IFG-Op did not correlate with the ratio of fibre numbers: FAT/IFG-Op, FAT/IFG-Tr and IFG-Op/IFG-Tr (p > 0.05). The greater total number of fibres to IFG-Tr was, the higher were the ratios of IFG-Tr/ /FAT (r = 0.57, p < 0.01) and IFG-Tr/IFG-Op (r = 0.32, p = 0.04). CONCLUSIONS: Among the IFG, the major termination of FAT is IFG-Op. Whereas the IFG-Tr projection seems to be related to the expansion of the entire FAT bundle regardless of side, domination and handedness. Nevertheless, FAT features a significant anatomical variability which cannot be explained in terms of DTI findings.
背景:额斜束(FAT)是连接辅助运动前区(pre - SMA)、辅助运动区(SMA)与额下回(IFG)的白质束。本研究旨在评估FAT的解剖变异性。 材料与方法:计算纤维总数和偏侧化指数(LI)。我们试图找出与FAT在额下回盖部(IFG - Op)和三角部(IFG - Tr)的终末相关的导致FAT多样性的因素。对98个半球进行扩散张量成像(DTI)的成年患者的磁共振成像构成了一个队列。V形脑盖最为常见(60.5%)。 结果:FAT纤维总数呈广泛的单峰分布(6至1765;中位数:160)。64.3%的病例出现左侧化,且与FAT纤维总数及投射至IFG - Op的束呈正相关(p < 0.01)。LI与FAT纤维总数相关(r = 0.43,p < 0.01)。FAT主要投射至IFG - Op(88.9%;99例中的88例)。仅3例(3.1%)中,终止于IFG - Tr的纤维多于IFG - Op。FAT纤维总数及终止于IFG - Op的纤维数与纤维数量比值:FAT/IFG - Op、FAT/IFG - Tr和IFG - Op/IFG - Tr均无相关性(p > 0.05)。投射至IFG - Tr的纤维总数越多,IFG - Tr/FAT(r = 0.57,p < 0.01)和IFG - Tr/IFG - Op(r = 0.32,p = 0.04)的比值越高。 结论:在额下回中,FAT的主要终末部位是IFG - Op。而IFG - Tr投射似乎与整个FAT束的扩展有关,与侧别、优势侧和利手无关。然而,FAT具有显著的解剖变异性,无法用DTI结果来解释。
Folia Morphol (Warsz). 2017
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