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Cortex-sparing fiber dissection: an improved method for the study of white matter anatomy in the human brain

机译:保留皮质的纤维解剖:研究人脑白质解剖的一种改进方法

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摘要

Classical fiber dissection of post mortem human brains enables us to isolate a fiber tract by removing the cortex and overlying white matter. In the current work, a modification of the dissection methodology is presented that preserves the cortex and the relationships within the brain during all stages of dissection, i.e. ‘cortex-sparing fiber dissection’. Thirty post mortem human hemispheres (15 right side and 15 left side) were dissected using cortex-sparing fiber dissection. Magnetic resonance imaging study of a healthy brain was analyzed using diffusion tensor imaging (DTI)-based tractography software. DTI fiber tract reconstructions were compared with cortex-sparing fiber dissection results. The fibers of the superior longitudinal fasciculus (SLF), inferior fronto-occipital fasciculus (IFOF), inferior longitudinal fasciculus (ILF) and uncinate fasciculus (UF) were isolated so as to enable identification of their cortical terminations. Two segments of the SLF were identified: first, an indirect and superficial component composed of a horizontal and vertical segment; and second, a direct and deep component or arcuate fasciculus. The IFOF runs within the insula, temporal stem and sagittal stratum, and connects the frontal operculum with the occipital, parietal and temporo-basal cortex. The UF crosses the limen insulae and connects the orbito-frontal gyri with the anterior temporal lobe. Finally, a portion of the ILF was isolated connecting the fusiform gyrus with the occipital gyri. These results indicate that cortex-sparing fiber dissection facilitates study of the 3D anatomy of human brain tracts, enabling the tracing of fibers to their terminations in the cortex. Consequently, it is an important tool for neurosurgical training and neuroanatomical research.
机译:死后人类大脑的经典纤维解剖使我们能够通过去除皮层和上方的白质来隔离纤维束。在目前的工作中,我们提出了一种解剖方法的改进方法,该方法可以在解剖的所有阶段(即“保留皮质的纤维解剖”)中保留皮质和大脑内部的关系。使用保留皮层的纤维解剖法解剖了三十个尸检人半球(右侧15个,左侧15个)。使用基于弥散张量成像(DTI)的体检软件分析了健康大脑的磁共振成像研究。 DTI纤维束重建与保留皮质的纤维解剖结果进行了比较。分离了纵向上束(SLF),额枕下束(IFOF),纵向下束(ILF)和尾状束(UF)的纤维,以便能够鉴定其皮层末端。确定了SLF的两个部分:第一,由水平和垂直部分组成的间接和表面组件;其次,是直接的,深层次的组件或弓形束。 IFOF在岛状,颞干和矢状层内运行,并将额与枕骨,顶叶和颞基底皮层相连。 UF穿过石灰质绝缘体,并将眶额回与前颞叶相连。最后,分离出部分ILF,将梭状回与枕回连接。这些结果表明,保留皮质的纤维解剖有助于研究人脑束的3D解剖结构,从而能够追踪到皮质中其末端的纤维。因此,它是神经外科培训和神经解剖学研究的重要工具。

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