Blanchet B, Roland J, Braun M, Anxionnat R, Moret C, Picard L
Département d'Anatomie, Faculté de Médecine de Nancy, CHU.
J Neuroradiol. 1995 Dec;22(4):237-51.
Correlation of myelin-stained or cryotomic sections of human brain with inversion-recovery MR images can display the cerebral commissures as white-matter tracts (in hypersignal on MRI), crossing the mid-line. MRI shows routinely in three orthogonal planes a) the corpus callosum stretched above the supra-tentorial ventricles, it's four portions (rostrum, genu, body and splenium) and connections with the Deep Grey Nuclei b) the fornix, intralimbic commissure joining anteriorly the mammillary bodies (through it's columns) to the alveus posteriorly and inferiorly (via it's two crura), arcing around the thalamus and lying over the hippocampus and the dentate gyrus as shown on the frontal sections c) the anterior commissure, white-matter tract connecting the two temporal lobes. In axial view, the anterior commissure has the shape of bicycle handlebars, coursing posteriorly, inferiorly and laterally behind the head of the caudate nucleus and passes into the lateral nucleus of the globus pallidus into the inferior and middle temporal gyri. Because the anterior commissure is easily recognisable in all planes, it's appears to be a important landmark for identification of the lateral and medial nuclei of the globus pallidus on axial and sagittal planes d) at least, the posterior commissure, anterior margin of the pineal region, closely related to the superior colliculi, acquire a major importance in the AC-PC line delineation becoming a reference landmark for stereotatical procedures.
人脑的髓鞘染色切片或冷冻切片与反转恢复磁共振图像的相关性可将大脑连合显示为穿过中线的白质束(在磁共振成像上呈高信号)。磁共振成像通常在三个正交平面上显示:a)胼胝体伸展在幕上脑室上方,其四个部分(嘴部、膝部、体部和压部)以及与深部灰质核的连接;b)穹窿,边缘内连合,在前方通过其柱将乳头体与后方和下方的海马槽(通过其两个脚)相连,围绕丘脑呈弧形,位于海马和齿状回上方,如额叶切片所示;c)前连合,连接两个颞叶的白质束。在轴位视图中,前连合呈自行车车把的形状,向后、向下和向外侧走行,位于尾状核头部后方,进入苍白球外侧核,再进入颞下回和颞中回。由于前连合在所有平面上都易于识别,它似乎是在轴位和矢状位平面上识别苍白球外侧核和内侧核的重要标志;d)至少,后连合是松果体区域的前缘,与上丘密切相关,在AC-PC线的划定中具有重要意义,成为立体定向手术的参考标志。