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Brain Vasculature Color-Labeling Using the Triple-Injection Method in Cadaveric Heads: A Technical Note for Improved
Kathleen Smith1,2, Giancarlo J Ventre1, Paolo Palmisciano1
1Goodyear Microsurgery Anatomy Laboratory, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Operative Neurosurgery (Hagerstown, Md.)
|December 1, 2022
Summary
A novel triple-injection method significantly improves color-labeling of cadaveric cranial vasculature, enabling visualization of smaller vessels for enhanced neuroanatomy education.
Area of Science:
- Anatomical studies
- Medical education techniques
- Vascular research
Background:
- Current silicone-based and latex-based coloring techniques for cadaveric neurovascular anatomy have limitations due to solution viscosity.
- Effective visualization of intricate vascular structures is crucial for anatomical education.
Purpose of the Study:
- To introduce and evaluate a novel "triple-injection method" for coloring cadaveric cranial vasculature.
- To assess the penetration and distribution of colored solutions within the vasculature using qualitative and semiquantitative methods.
Main Methods:
- Embalmed cadaveric heads underwent catheter preparation, vessel cannulation, and water irrigation.
- A sequential injection of food coloring, gelatin, and silicone solutions into arteries (red) and veins (blue) was performed.
- Qualitative and semiquantitative analyses compared the triple-injection method with a silicone-based control method.
Main Results:
- The triple-injection method demonstrated superior color intensity and more distal labeling in both intracranial and extracranial vasculature compared to the silicone-based method.
- Microscopic evaluation revealed color-filling of significantly smaller vessels (119 μm) with the triple-injection method versus the control (773 μm).
Conclusions:
- The novel triple-injection method provides enhanced visualization of small-caliber vessels in cadaveric cranial vasculature.
- This technique offers superior distal penetration, improving the educational value for neurovascular anatomy studies.

