Insausti Ricardo, Córcoles-Parada Marta, Ubero Mar Maria, Rodado Adriana, Insausti Ana Maria, Muñoz-López Mónica
Human Neuroanatomy Laboratory, School of Medicine, University of Castilla-La Mancha, Albacete, Spain.
Departamento de Anatomía, Universidad Católica San Antonio de Murcia, Murcia, Spain.
Front Neuroanat. 2019 Feb 21;13:21. doi: 10.3389/fnana.2019.00021. eCollection 2019.
The is a gross anatomical prominence in the medial temporal lobe (MTL), associated closely with Brodmann area 34 (BA34). It is formed largely by the medial intermediate subfield of the entorhinal cortex (EC) [Brodmann area 28 (BA28)]. Although the MTL has been widely studied due to its well-known role on memory and spatial information, the anatomical relationship between , BA34, and medial intermediate EC subfield has not been completely defined, in particular whether BA34 is part of the EC or a different type of cortex. In order to clarify this issue, we carried out a detailed analysis of 37 human MTLs, determining the exact location of medial intermediate EC subfield and its extent within the , its cortical thickness, and the histological-MRI correspondence of the with the medial intermediate EC subfield in 10 MRI. Our results show that the is limited between two small sulci in the medial aspect of the MTL, which correspond almost perfectly to the extent of the medial intermediate EC subfield, although the rostral and caudal extensions of the may extend to the olfactory (rostrally) and intermediate (caudally) entorhinal subfields. Moreover, the cortical thickness averaged 2.5 mm (1.3 mm for layers I-III and 1 mm for layers V-VI). Moreover, distance among different landmarks visible in the MRI scans which are relevant to the identification of the in MRI are provided. These results suggest that BA34 is a part of the EC that fits best with the medial intermediate subfield. The histological data, together with the MRI identification and thickness of these structures may be of use when assessing changes in MRI scans in clinical settings, such as Alzheimer disease.
该结构是内侧颞叶(MTL)中的一个大体解剖学隆起,与布罗德曼34区(BA34)紧密相关。它主要由内嗅皮质(EC)的内侧中间亚区[布罗德曼28区(BA28)]形成。尽管MTL因其在记忆和空间信息方面的著名作用而受到广泛研究,但该结构、BA34与内侧中间EC亚区之间的解剖关系尚未完全明确,特别是BA34是EC的一部分还是不同类型的皮质。为了阐明这个问题,我们对37个人类MTL进行了详细分析,确定了内侧中间EC亚区的确切位置及其在该结构内的范围、其皮质厚度,以及10个MRI中该结构与内侧中间EC亚区的组织学-MRI对应关系。我们的结果表明,该结构局限于MTL内侧的两个小沟之间,这几乎与内侧中间EC亚区的范围完全对应,尽管该结构的前后延伸可能延伸至嗅(向前)和中间(向后)内嗅亚区。此外,皮质厚度平均为2.5毫米(I-III层为1.3毫米,V-VI层为1毫米)。此外,还提供了MRI扫描中与MRI中该结构识别相关的不同标志之间的距离。这些结果表明,BA34是最适合内侧中间亚区的EC的一部分。这些组织学数据,连同这些结构的MRI识别和厚度,在临床环境中评估MRI扫描变化(如阿尔茨海默病)时可能会有用。