Department of Neurosurgery, Stanford University, 300 Pasteur Drive Palo Alto, 94304, California, USA.
Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Brain Struct Funct. 2019 Mar;224(2):907-923. doi: 10.1007/s00429-018-1812-0. Epub 2018 Dec 12.
We previously proposed a bipartite 'dorsal-ventral' model of human arcuate fasciculus (AF) morphology. This model does not, however, account for the 'vertical,' temporo-parietal subdivision of the AF described in earlier dissection and tractographic studies. In an effort to address the absence of the vertical AF (VAF) within 'dorsal-ventral' nomenclature, we conducted a dedicated tractographic and white-matter dissection study of this tract and another short, vertical, posterior-hemispheric fascicle: the vertical occipital fasciculus (VOF). We conducted atlas-based, non-tensor, deterministic tractography in 30 single subjects from the Human Connectome Project database and verified our results using an average diffusion atlas compiled from 842 separate normal subjects. We also performed white-matter dissection in four post-mortem specimens. Our tractography results demonstrate that the VAF is, in fact, a bipartite system connecting the ventral parietal and temporal regions, with variable connective, and no volumetric lateralization. The VOF is a non-lateralized, non-segmented system connecting lateral occipital areas with basal-temporal regions. Importantly, the VOF was spatially dissociated from the VAF. As the VAF demonstrates no overall connective or volumetric lateralization, we postulate its distinction from the AF system and propose its re-naming to the 'temporo-parietal aslant tract,' (TPAT), with unique dorsal and ventral subdivisions. Our tractography results were supported by diffusion atlas and white-matter dissection findings.
我们之前提出了一个人类弓状束(AF)形态的二分“背-腹”模型。然而,该模型没有考虑到在早期解剖和示踪研究中描述的 AF 的“垂直”颞顶部分。为了解决“背-腹”命名法中缺乏垂直 AF(VAF)的问题,我们对该束和另一个短的、垂直的、后半球束进行了专门的示踪和白质解剖研究:垂直枕束(VOF)。我们在 30 名来自人类连接组计划数据库的单个受试者中进行了基于图谱的、非张量、确定性示踪,并使用从 842 名单独正常受试者编译的平均扩散图谱验证了我们的结果。我们还在四个尸体标本中进行了白质解剖。我们的示踪结果表明,VAF 实际上是一个连接腹侧顶叶和颞叶的二分系统,具有可变的连接性,没有体积侧化。VOF 是一个非侧化的、不分节的系统,连接外侧枕叶区与基底颞叶区。重要的是,VOF 与 VAF 在空间上是分离的。由于 VAF 没有整体连接性或体积侧化,我们假设它与 AF 系统的区别,并提议将其重新命名为“颞顶斜交束”(TPAT),具有独特的背侧和腹侧细分。我们的示踪结果得到了扩散图谱和白质解剖发现的支持。