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Systematic Review of Morphometric Analysis of Anterior Cerebral Artery (ACA) Emphasizing on Its Clinical Implications
Suyashi Sharma1, Hare Krishna1, Shilpi G Dixit1
1Anatomy, All India Institute of Medical Sciences, Jodhpur, Jodhpur, IND.
Insights
This systematic review determined the effective range for anterior cerebral artery (ACA) dimensions. ACA length and diameter vary with age and sex, offering crucial data for neurosurgical and radiological procedures.
Area of Science:
- Neuroscience
- Anatomy
- Radiology
Background:
- Morphometric data of the Circle of Willis (CW) arteries is vital for radiological and neurosurgical interventions.
- Understanding variations in the anterior cerebral artery (ACA) is essential for accurate diagnosis and treatment planning.
Purpose of the Study:
- To establish the effective range of length and diameter for the anterior cerebral artery (ACA).
- To investigate potential changes in ACA dimensions based on age and sex.
Main Methods:
- Systematic review of cadaveric and radiological studies.
- Comprehensive literature search across Cochrane Library, PubMed, and Scopus.
- Data analysis of selected research papers addressing focused questions on ACA morphometry.
Main Results:
- The anterior cerebral artery (ACA) length ranged from 8.1 mm to 21 mm.
- The ACA diameter ranged from 0.5 Å to 3.4 mm.
- ACA dimensions were generally larger in younger individuals (>40 years), with greater length observed in females and greater diameter in males.
Conclusions:
- The established ranges for ACA length and diameter provide valuable data for interpreting angiographic images.
- These findings support improved construction and decipherment of imaging, aiding in the guided treatment of intracranial pathologies.
Abstract:
Thorough data of morphometric measurements of arteries forming Circle of Willis (CW) is crucial for radiological and neurosurgical interventions. This systematic review has been conducted with the objective to find an effective range of length and diameter of anterior cerebral artery (ACA) and to observe whether there is any change in the length and diameter of ACA depending on age or sex. Articles based on length and diameter of ACA via any mode of study like cadaveric or radiological were considered in this systematic review. A comprehensive literature search using databases Cochrane Library, PubMed, and Scopus for relevant articles was done. Research papers which answered the focused questions were selected for data analysis. It was observed that the range of length and diameter of ACA were 8.1 mm-21 mm and 0.5 Å-3.4 mm, respectively. In majority of the studies, length and diameter of ACA were more in the younger age group (>40 years); and the length of ACA was more in females whereas the diameter of ACA was more in males. These data will be applicable for better construction and decipherment of angiographic images. This will help in the proper and guided treatment of intracranial pathologies.
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