上部海马体动脉:血管图重新发现,全面评估和胚胎学影响
Maksim Shapiro1,2,3,4, Vera Sharashidze5,2,3,4, Erez Nossek5,4,6
1Neurosurgery, NYU Grossman School of Medicine, New York, NY, USA maksim.shapiro@nyumc.org.
Journal of neurointerventional surgery
|October 24, 2023
概括
在体内使用圆束CT血管造影 (CBCTA) 可视化上下垂体动脉 (SHAs). 这项研究证实了它们的持续存在和解剖供应区域,推进了神经血管成像.
科学领域:
- 神经成像是一种神经成像.
- 血管解剖学 血管解剖学
- 内血管外科 血管内血管外科
背景情况:
- 上垂体动脉 (SHAs) 对于前垂体和视觉器官供应至关重要.
- 由于它们的小尺寸和复杂的血管关系,SHAs的体内成像一直是有限的.
- 高分辨率圆束CT血管学 (CBCTA) 的进步为可视化这些血管提供了新的可能性.
研究的目的:
- 通过使用CBCTA对上下垂体动脉 (SHAs) 进行第一个全面的体内成像评估.
- 评估SHAs的存在,数量和供应领土.
- 将体内发现与现有的解剖学和手术文献相关联.
主要方法:
- 分析了25个关于动脉的CBCTA研究.
- 第二次重建的重点是动脉吸管,以识别SHAs.
- 一种频谱方法评估了与相邻动脉相关的SHA领土.
主要成果:
- 在所有CBCTA研究中,SHAs始终被可视化.
- 在96%的病例中,通过SHAs观察到前垂体供应,其中44%来自"洞穴"区域.
- 在大多数情况下,观察到光学装置供应,在流量转移器放置后的SHA通透性是典型的.
结论:
- 通过CBCTA,可以在体内对SHAs进行一致的可视化.
- 这些发现与已知的解剖学和手术数据一致.
- 这项研究为未来对SHAs的体内研究奠定了基础.
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