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胎儿透明隔腔和Vergae 腔在宫内 MRI 中的正常外观和大小。

Normal appearances and dimensions of the foetal cavum septi pellucidi and vergae on in utero MR imaging.

机构信息

Academic Unit of Radiology, University of Sheffield, Floor C, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK.

出版信息

Neuroradiology. 2020 May;62(5):617-627. doi: 10.1007/s00234-020-02364-5.

DOI:10.1007/s00234-020-02364-5
PMID:32002585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7186260/
Abstract

PURPOSE

The aim of this study is to provide normative data about the appearances and dimensions of the cavum septi pellucidi and vergae (CSPV) on in utero MR (iuMR) imaging in second and third trimester foetuses.

METHODS

Two hundred normal foetuses (from a low-risk pregnancy, with normal ante-natal USS findings and no intracranial abnormality of iuMR) had iuMR imaging between 18 and 37 gestational weeks (gw). The anatomical features on those studies were compared with published atlases of post-mortem foetal brains. The length, width and volume of the CSPV were measured in all foetuses.

RESULTS

The anatomy of the CSPV and its relationship with the corpus callosum and the fornices on iuMR imaging was comparable with post-mortem data at all gestational ages studied. The length of the CSPV increased throughout pregnancy, whereas the width and volume of CSPV reached a maximum between 29 and 31 gw and then showed a reduction later in pregnancy.

CONCLUSION

The iuMR imaging features of the CSPV and its close anatomical relations closely correspond to post-mortem data. The CSPV was patent in all cases but we have shown that closure commences in the midpart of the third trimester and advances in a posterior to anterior direction.

摘要

目的

本研究旨在提供中孕期和晚孕期胎儿透明隔腔和穹窿(CSPV)的磁共振成像(iuMR)表现和测量值的正常值范围。

方法

200 例正常胎儿(来自低危妊娠,产前超声检查正常,无颅内异常)在 18 至 37 孕周行 iuMR 检查。将这些研究的解剖特征与已发表的胎儿大脑尸检图谱进行比较。所有胎儿均测量透明隔腔的长度、宽度和体积。

结果

在所有研究的孕周,CSPV 的解剖结构及其与胼胝体和穹窿的关系在 iuMR 成像上与尸检数据具有可比性。CSPV 的长度在整个孕期逐渐增加,而 CSPV 的宽度和体积在 29 至 31 孕周达到最大值,随后在妊娠后期减小。

结论

CSPV 的 iuMR 成像特征及其密切的解剖关系与尸检数据非常吻合。所有病例均显示 CSPV 是开放的,但我们已经表明,它从中孕期的中段开始闭合,并从前向后逐渐进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/32b5144a1045/234_2020_2364_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/5afcfa175b7f/234_2020_2364_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/1b0ff89201d7/234_2020_2364_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/3188a16c3a68/234_2020_2364_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/9f50c00ef57d/234_2020_2364_Fig4a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/0f9b3c16723f/234_2020_2364_Fig5a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/e6ebabd0b052/234_2020_2364_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/d5f1c3384643/234_2020_2364_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/8953978aa18f/234_2020_2364_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/53710c687f1d/234_2020_2364_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/32b5144a1045/234_2020_2364_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/5afcfa175b7f/234_2020_2364_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/1b0ff89201d7/234_2020_2364_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/3188a16c3a68/234_2020_2364_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/9f50c00ef57d/234_2020_2364_Fig4a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/0f9b3c16723f/234_2020_2364_Fig5a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/e6ebabd0b052/234_2020_2364_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/d5f1c3384643/234_2020_2364_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/8953978aa18f/234_2020_2364_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/53710c687f1d/234_2020_2364_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f98/7186260/32b5144a1045/234_2020_2364_Fig10_HTML.jpg

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Clin Radiol. 2019 Jul;74(7):527-533. doi: 10.1016/j.crad.2019.03.010. Epub 2019 Apr 12.
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Normative volume measurements of the fetal intra-cranial compartments using 3D volume in utero MR imaging.应用宫内 3D 容积磁共振成像对胎儿颅内各腔室进行规范化容积测量。
Eur Radiol. 2019 Jul;29(7):3488-3495. doi: 10.1007/s00330-018-5938-5. Epub 2019 Jan 25.
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Enlarged Cavum Septi Pellucidi and Vergae in the Fetus: A Cause for Concern.
胎儿透明隔腔和穹窿腔增大:一个值得关注的问题。
J Ultrasound Med. 2017 Aug;36(8):1657-1668. doi: 10.7863/ultra.16.06081. Epub 2017 Apr 18.
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In defense of the "cavum septum pellucidum".为“透明隔腔”辩护。
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Enlarged cavum septum pellucidum as a neurodevelopmental marker in adolescent-onset opiate dependence.透明隔腔扩大可作为青少年发病型阿片类药物依赖的神经发育标志物。
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