描述用于内血管装置植入的表面大脑皮层静脉解剖学:一个横截面成像研究
Jamie Brannigan1,2, Azadeh Kian3, Calvin Eiber3
1Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA jb2172@cam.ac.uk.
Journal of neurointerventional surgery
|August 19, 2025
概括
托拉德静脉是大脑计算机接口 (BCI) 的一个有前途的目标,因为它的持续存在. 然而,像收缩和角这样的解剖学挑战需要进一步研究才能成功地导航设备.
科学领域:
- 神经科学是一个神经科学.
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 大脑-计算机接口 (BCI) 提供最少的侵入性诊断和治疗神经系统疾病.
- 对BCI进行表面皮质静脉植入可能会增强运动功能恢复.
- 解剖学变化和复杂的静脉连接挑战BCI设备导航.
研究的目的:
- 用于BCI装置设计的皮质静脉解剖学的特征.
- 告知内血管BCI植入的程序规划.
- 探索影响BCI导航在表面皮层静脉中的解剖学因素.
主要方法:
- 追溯分析25名患者的MRV和CTV成像数据.
- 量化静脉参数:存在,直径,长度,角度和扭曲度.
- 在12名患者中使用T1加权MRI评估血管-皮质关系.
主要成果:
- 在84%的患者中发现了特洛拉德静脉 (平均直径为4.4毫米),频繁收缩.
- 在52%的病例中,前中心静脉双边存在.
- 大多数皮层静脉从SSS起飞时的起飞角度大于90度,这表明导航存在挑战.
结论:
- 特洛拉德静脉是内血管BCI的可行目标,尽管存在部署挑战.
- 静脉收缩和SSS汇合处的角使装置的放置变得复杂.
- 对于皮质静脉解剖学的新分类框架是必要的,用于患者选择和程序规划.
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