Sano Centre for Computational Personalised Medicine, Krakow, Poland.
J Anat. 2023 Oct;243(4):690-696. doi: 10.1111/joa.13880. Epub 2023 Apr 26.
The human cerebral cortex is highly convoluted forming patterns of gyri separated by sulci. The cerebral sulci and gyri are fundamental in cortical anatomy as well as neuroimage processing and analysis. Narrow and deep cerebral sulci are not fully discernible either on the cortical or white matter surface. To cope with this limitation, I propose a new sulci presentation method that employs the inner cortical surface for sulci examination from the inside of the cerebrum. The method has four steps, construct the cortical surface, segment and label the sulci, dissect (open) the cortical surface, and explore the fully exposed sulci from the inside. The inside sulcal maps are created for the left and right lateral, left and right medial, and basal hemispheric surfaces with the sulci parcellated by color and labeled. These three-dimensional sulcal maps presented here are probably the first of this kind created. The proposed method demonstrates the full course and depths of sulci, including narrow, deep, and/or convoluted sulci, which has an educational value and facilitates their quantification. In particular, it provides a straightforward identification of sulcal pits which are valuable markers in studying neurologic disorders. It enhances the visibility of sulci variations by exposing branches, segments, and inter-sulcal continuity. The inside view also clearly demonstrates the sulcal wall skewness along with its variability and enables its assessment. Lastly, this method exposes the sulcal 3-hinges introduced here.
人类大脑皮层高度卷曲,形成由脑沟分隔的脑回模式。脑沟和脑回是皮质解剖学以及神经影像学处理和分析的基础。狭窄和深的脑沟在皮质或白质表面都不容易完全分辨。为了应对这一限制,我提出了一种新的脑沟呈现方法,该方法利用内皮质表面从大脑内部检查脑沟。该方法有四个步骤,构建皮质表面、分割和标记脑沟、解剖(打开)皮质表面以及从内部探索完全暴露的脑沟。为左右外侧、左右内侧和基底半球表面创建了内侧脑沟图,并通过颜色分割和标记将脑沟分段。这里呈现的这些三维脑沟图可能是首次创建的此类图。所提出的方法展示了脑沟的完整过程和深度,包括狭窄、深和/或卷曲的脑沟,具有教育价值,并有助于对其进行量化。特别是,它提供了对脑沟凹陷的直接识别,脑沟凹陷是研究神经紊乱的有价值的标志物。通过暴露分支、片段和脑沟间连续性,增强了脑沟变化的可见性。内侧视图还清晰地显示了脑沟壁的偏斜及其可变性,并能够对其进行评估。最后,该方法还暴露了这里介绍的脑沟三铰链。