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.

Cureus
|May 22, 2023
PubMed

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.