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1.
Surg Radiol Anat ; 46(3): 303-311, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38376527

RESUMEN

BACKGROUND: Understanding and teaching the three-dimensional architecture of the brain remains difficult because of the intricate arrangement of grey nuclei within white matter tracts. Although cortical area functions have been well studied, educational and three-dimensional descriptions of the organization of deep nuclei and white matter tracts are still missing. OBJECTIVE: We propose herein a detailed step-by-step dissection of the lateral aspect of a left hemisphere using the Klingler method and provide high-quality stereoscopic views with the aim to help teach medical students or surgeons the three-dimensional anatomy of the brain. METHODS: Three left hemispheres were extracted and prepared. Then, according to the Klingler method, dissections were carried out from the lateral aspect. Photographs were taken at each step and were modified to provide stereoscopic three-dimensional views. RESULTS: Gray and white structures were described: cortex, claustrum, putamen, pallidum, caudate nucleus, amygdala; U-fibers, external and internal capsules, superior longitudinal fasciculus, frontal aslant fasciculus, uncinate fasciculus, inferior fronto-occipital fasciculus, inferior longitudinal fasciculus, corticospinal fasciculus, corona radiata, anterior commissure, and optic radiations. CONCLUSION: This educational stereoscopic presentation of an expert dissection of brain white fibers and basal ganglia would be of value for theoretical or hands-on teaching of brain anatomy; labeling and stereoscopy could, moreover, improve the teaching, understanding, and memorizing of brain anatomy. In addition, this could be also used for the creation of a mental map by neurosurgeons for the preoperative planning of brain tumor surgery.


Asunto(s)
Cerebro , Sustancia Blanca , Humanos , Encéfalo/anatomía & histología , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/anatomía & histología , Cerebro/anatomía & histología , Disección/métodos , Fibras Nerviosas
2.
Neurosurg Rev ; 46(1): 82, 2023 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-37002437

RESUMEN

ABTRACT: The dichotomy of the cingulum bundle into the dorsal supracallosal and ventral parahippocampal parts is widely accepted; however, the retrosplenial component with its multiple alternative connections has not been revealed. The aim of this study was to delineate the microsurgical anatomy of a connectionally transition zone, the isthmic cingulum, in relation to the posteromedial interhemispheric access to the atrium and discuss the relevant patterns of glioma invasion on the basis of its fiber connections. White matter (WM) fibers were dissected layer by layer in a medial-to-lateral, lateral-to-medial, and posterior-to-anterior fashion. All related tracts and their connections were generated using deterministic tractography. The magnetic resonance imaging (MRI) tractography findings were correlated with those of fiber dissection. A medial parieto-occipital approach to reach the atrium was performed with special emphasis on the cingulate isthmus and underlying WM connections. The isthmic cingulum, introduced as a retrosplenial connectional crossroad for the first time, displayed multiple connections to the splenium and the superior thalamic radiations. Another new finding was the demonstration of lateral hemispheric extension of the isthmic cingulum fibers through the base of the posterior part of the precuneus at the base of the parieto-occipital sulcus. The laterally crossing cingulum fibers were interconnected with three distinct association tracts: the middle longitudinal (MdLF), the inferior frontooccipital fasciculi (IFOF), and the claustro-cortical fibers (CCF). In the process of entry to the atrium during posterior interhemispheric approaches, the splenial and thalamic connections, as well as the laterally crossing fibers of the isthmic cingulum, were all in jeopardy. The connectional anatomy of the retrosplenial area is much more complicated than previously known. The isthmic cingulum connections may explain the concept of interhemispheric and medial to lateral cerebral hemisphere invasion patterns in medial parieto-occipital and posteromesial temporal gliomas. The isthmic cingulum is of key importance in posteromedial interhemispheric approaches to both: the atrium and the posterior mesial temporal lobe.


Asunto(s)
Cerebro , Glioma , Sustancia Blanca , Humanos , Sustancia Blanca/cirugía , Sustancia Blanca/patología , Cerebro/anatomía & histología , Cerebro/cirugía , Corteza Cerebral , Lóbulo Parietal , Glioma/cirugía , Glioma/patología , Vías Nerviosas/cirugía
3.
J Anat ; 241(3): 789-808, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35638263

RESUMEN

Although the term sulcus is known for almost four centuries, its formal, precise, consistent, constructive, and quantitative definition is practically lacking. As the cerebral sulci (and gyri) are vital in cortical anatomy which, in turn, is central in neuroeducation and neuroimage processing, a new sulcus definition is needed. The contribution of this work is threefold, namely to (1) propose a new, morphology-based definition of the term sulcus (and consequently that of gyrus), (2) formulate a constructive method for sulcus calculation, and (3) provide a novel way for the presentation of sulci. The sulcus is defined here as a volumetric region on the cortical mantle between adjacent gyri separated from them at the levels of their gyral white matter crest lines. Consequently, the sulcal inner surface is demarcated by the crest lines of the gyral white matter of its adjacent gyri. Correspondingly, the gyrus is defined as a volumetric region on the cortical mantle separated from its adjacent sulci at the level of its gyral white matter crest line. This volumetric sulcus definition is conceptually simple, anatomy-based, educationally friendly, quantitative, and constructive. Considering the sulcus as a volumetric object is a major differentiation from other works. Based on the introduced sulcus definition, a method for volumetric sulcus construction is proposed in two, conceptually straightforward, steps, namely, sulcal intersection formation followed by its propagation which steps are to be repeated for every sulcal segment. These sulcal and gyral constructions can be automated by applying existing methods and public tools. As a volumetric sulcus forms an imprint into the white matter, this enables prominent sulcus presentation. Since this type of presentation is novel yet unfamiliar to the reader, also a dual surface presentation was proposed here by employing the spatially co-registered white matter and cortical surfaces. The results were presented as dual surface labeled sulci on eight standard orthogonal views, anterior, left lateral, posterior, right lateral, superior, inferior, medial left, and medial right by using a 3D brain atlas. Moreover, additional 108 labeled images were created with sulcus-oriented views for 27 individual left and right sulci forming 54 dual white matter-cortical surface images strengthening in this way the educational value of the proposed approach. These images were included for public use in the NOWinBRAIN neuroimage repository with over 7700 3D images available at www.nowinbrain.org. The results demonstrated the superiority of white matter surface sulci presentation over the standard cortical surface and cross-sectional presentations in terms of sulcal course, continuity, size, shape, width, depth, side branches, and pattern. To my best knowledge, this is the first work ever presenting the labeling of sulci on all cerebral white matter surfaces as well as on dual white matter-cortical surfaces. Additionally to neuroeducation, three other applications of the proposed approach were discussed, sulcal reference maps, sulcus quantification in terms of new parameters introduced here (sulcal volume, wall skewness, and the number of white matter basins), and an atlas-assisted tool for exploration and studying of cerebral sulci and gyri .


Asunto(s)
Cerebro/anatomía & histología , Sustancia Blanca/anatomía & histología , Encéfalo/anatomía & histología , Corteza Cerebral/anatomía & histología , Estudios Transversales , Humanos , Imagen por Resonancia Magnética , Sustancia Blanca/diagnóstico por imagen
4.
Hum Brain Mapp ; 42(6): 1805-1828, 2021 04 15.
Artículo en Inglés | MEDLINE | ID: mdl-33528884

RESUMEN

In-scanner head motion represents a major confounding factor in functional connectivity studies and it raises particular concerns when motion correlates with the effect of interest. One such instance regards research focused on functional connectivity modulations induced by sustained cognitively demanding tasks. Indeed, cognitive engagement is generally associated with substantially lower in-scanner movement compared with unconstrained, or minimally constrained, conditions. Consequently, the reliability of condition-dependent changes in functional connectivity relies on effective denoising strategies. In this study, we evaluated the ability of common denoising pipelines to minimize and balance residual motion-related artifacts between resting-state and task conditions. Denoising pipelines-including realignment/tissue-based regression, PCA/ICA-based methods (aCompCor and ICA-AROMA, respectively), global signal regression, and censoring of motion-contaminated volumes-were evaluated according to a set of benchmarks designed to assess either residual artifacts or network identifiability. We found a marked heterogeneity in pipeline performance, with many approaches showing a differential efficacy between rest and task conditions. The most effective approaches included aCompCor, optimized to increase the noise prediction power of the extracted confounding signals, and global signal regression, although both strategies performed poorly in mitigating the spurious distance-dependent association between motion and connectivity. Censoring was the only approach that substantially reduced distance-dependent artifacts, yet this came at the great cost of reduced network identifiability. The implications of these findings for best practice in denoising task-based functional connectivity data, and more generally for resting-state data, are discussed.


Asunto(s)
Cerebro/diagnóstico por imagen , Cerebro/fisiología , Cognición/fisiología , Conectoma/métodos , Conectoma/normas , Adulto , Artefactos , Percepción Auditiva/fisiología , Cerebro/anatomía & histología , Conjuntos de Datos como Asunto , Movimientos de la Cabeza , Humanos , Imagen por Resonancia Magnética/métodos , Imagen por Resonancia Magnética/normas , Memoria a Corto Plazo/fisiología , Descanso/fisiología
5.
N Engl J Med ; 377(18): 1746-1753, 2017 11 02.
Artículo en Inglés | MEDLINE | ID: mdl-29091569

RESUMEN

BACKGROUND: There is limited information regarding the effects of spaceflight on the anatomical configuration of the brain and on cerebrospinal fluid (CSF) spaces. METHODS: We used magnetic resonance imaging (MRI) to compare images of 18 astronauts' brains before and after missions of long duration, involving stays on the International Space Station, and of 16 astronauts' brains before and after missions of short duration, involving participation in the Space Shuttle Program. Images were interpreted by readers who were unaware of the flight duration. We also generated paired preflight and postflight MRI cine clips derived from high-resolution, three-dimensional imaging of 12 astronauts after long-duration flights and from 6 astronauts after short-duration flights in order to assess the extent of narrowing of CSF spaces and the displacement of brain structures. We also compared preflight ventricular volumes with postflight ventricular volumes by means of an automated analysis of T1-weighted MRIs. The main prespecified analyses focused on the change in the volume of the central sulcus, the change in the volume of CSF spaces at the vertex, and vertical displacement of the brain. RESULTS: Narrowing of the central sulcus occurred in 17 of 18 astronauts after long-duration flights (mean flight time, 164.8 days) and in 3 of 16 astronauts after short-duration flights (mean flight time, 13.6 days) (P<0.001). Cine clips from a subgroup of astronauts showed an upward shift of the brain after all long-duration flights (12 astronauts) but not after short-duration flights (6 astronauts) and narrowing of CSF spaces at the vertex after all long-duration flights (12 astronauts) and in 1 of 6 astronauts after short-duration flights. Three astronauts in the long-duration group had optic-disk edema, and all 3 had narrowing of the central sulcus. A cine clip was available for 1 of these 3 astronauts, and the cine clip showed upward shift of the brain. CONCLUSIONS: Narrowing of the central sulcus, upward shift of the brain, and narrowing of CSF spaces at the vertex occurred frequently and predominantly in astronauts after long-duration flights. Further investigation, including repeated postflight imaging conducted after some time on Earth, is required to determine the duration and clinical significance of these changes. (Funded by the National Aeronautics and Space Administration.).


Asunto(s)
Astronautas , Encéfalo/anatomía & histología , Encéfalo/diagnóstico por imagen , Ventrículos Cerebrales/anatomía & histología , Imagen por Resonancia Magnética , Vuelo Espacial , Ingravidez/efectos adversos , Ventrículos Cerebrales/diagnóstico por imagen , Cerebro/anatomía & histología , Cerebro/diagnóstico por imagen , Humanos , Presión Intracraneal , Persona de Mediana Edad , Factores de Tiempo , Trastornos de la Visión/etiología
6.
Cereb Cortex ; 29(11): 4889-4901, 2019 12 17.
Artículo en Inglés | MEDLINE | ID: mdl-30810159

RESUMEN

Structural and functional differences in brain hemispheric asymmetry have been well documented between female and male adults. However, potential differences in the connectivity patterns of the rich-club organization of hemispheric structural networks in females and males remain to be determined. In this study, diffusion tensor imaging was used to construct hemispheric structural networks in healthy subjects, and graph theoretical analysis approaches were applied to quantify hemisphere and gender differences in rich-club organization. The results showed that rich-club organization was consistently observed in both hemispheres of female and male adults. Moreover, a reduced level of connectivity was found in the left hemisphere. Notably, rightward asymmetries were mainly observed in feeder and local connections among one hub region and peripheral regions, many of which are implicated in visual processing and spatial attention functions. Additionally, significant gender differences were revealed in the rich-club, feeder, and local connections in rich-club organization. These gender-related hub and peripheral regions are involved in emotional, sensory, and cognitive control functions. The topological changes in rich-club organization provide novel insight into the hemisphere and gender effects on white matter connections and underlie a potential network mechanism of hemisphere- and gender-based differences in visual processing, spatial attention and cognitive control.


Asunto(s)
Cerebro/anatomía & histología , Cerebro/fisiología , Caracteres Sexuales , Sustancia Blanca/anatomía & histología , Sustancia Blanca/fisiología , Adulto , Encéfalo/anatomía & histología , Encéfalo/fisiología , Conectoma/métodos , Imagen de Difusión Tensora , Femenino , Humanos , Masculino , Vías Nerviosas/anatomía & histología , Vías Nerviosas/fisiología , Adulto Joven
7.
Neuroimage ; 199: 336-341, 2019 10 01.
Artículo en Inglés | MEDLINE | ID: mdl-31176832

RESUMEN

The relationship between the topological characteristics of the white matter (WM) network have been shown to be related to neural development, intelligence, and various diseases; however, few studies have been conducted to explore the relationship between topological characteristics of the WM network and cerebral metabolism. In a recent study we investigated the relationship between WM network topological and metabolic metrics of the cerebral parenchyma in healthy volunteers using the newly developed T2-relaxation-under-spin-tagging (TRUST) magnetic resonance imaging technique and graph theory approaches. Ninety-six healthy adults (25.5 ±â€¯1.8 years of age) were recruited as volunteers in the current study. The cerebral metabolic rate of oxygen (CMRO2), oxygen extraction fraction, and the global topological metrics of the WM network (global efficiency [Eglob], local efficiency, and small-worldliness) were assessed. A stepwise multiple linear regression model was estimated. CMRO2 was entered as the dependent variable. The topological and demographic parameters (age, gender, FIQ, SBP, gray matter volume, and WM volume) were entered as independent variables in the model. The final performing models were comprised of predictors of Eglob, FIQ, and age (adjusted R2 values were 0.489 [L-AAL] and 0.424 [H-1024]). Our study initially revealed a relationship between Eglob and cerebral oxygen metabolism in healthy young adults.


Asunto(s)
Cerebro , Imagen por Resonancia Magnética/métodos , Red Nerviosa , Sustancia Blanca , Adulto , Cerebro/anatomía & histología , Cerebro/diagnóstico por imagen , Cerebro/metabolismo , Imagen de Difusión Tensora/métodos , Femenino , Humanos , Masculino , Red Nerviosa/anatomía & histología , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/metabolismo , Consumo de Oxígeno/fisiología , Sustancia Blanca/anatomía & histología , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/metabolismo , Adulto Joven
8.
Hum Brain Mapp ; 40(13): 3832-3842, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-31111980

RESUMEN

Understanding the associations between brain biomarkers (BMs) and cognition across age is of paramount importance. Five hundred and sixty-two participants (19-80 years old, 16 mean years of education) were studied. Data from structural T1, diffusion tensor imaging, fluid-attenuated inversion recovery, and resting-state functional magnetic resonance imaging scans combined with a neuropsychological evaluation were used. More specifically, the measures of cortical, entorhinal, and parahippocampal thickness, hippocampal and striatal volume, default-mode network and fronto-parietal control network, fractional anisotropy (FA), and white matter hyperintensity (WMH) were assessed. z-Scores for three cognitive domains measuring episodic memory, executive function, and speed of processing were computed. Multiple linear regressions and interaction effects between each of the BMs and age on cognition were examined. Adjustments were made for age, sex, education, intracranial volume, and then, further, for general cognition and motion. BMs were significantly associated with cognition. Across the adult lifespan, slow speed was associated with low striatal volume, low FA, and high WMH burden. Poor executive function was associated with low FA, while poor memory was associated with high WMH burden. After adjustments, results were significant for the associations: speed-FA and WMH, memory-entorhinal thickness. There was also a significant interaction between hippocampal volume and age in memory. In age-stratified analyses, the most significant associations for the young group occurred between FA and executive function, WMH, and memory, while for the old group, between entorhinal thickness and speed, and WMH and speed, executive function. Unique sets of BMs can explain variation in specific cognitive domains across adulthood. Such results provide essential information about the neurobiology of aging.


Asunto(s)
Envejecimiento/fisiología , Cerebro , Cognición/fisiología , Conectoma , Sustancia Gris , Desempeño Psicomotor/fisiología , Sustancia Blanca , Adulto , Anciano , Anciano de 80 o más Años , Biomarcadores , Cerebro/anatomía & histología , Cerebro/diagnóstico por imagen , Cerebro/fisiología , Femenino , Sustancia Gris/anatomía & histología , Sustancia Gris/diagnóstico por imagen , Sustancia Gris/fisiología , Humanos , Masculino , Persona de Mediana Edad , Sustancia Blanca/anatomía & histología , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/fisiología , Adulto Joven
9.
J Evol Biol ; 32(12): 1418-1431, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31507000

RESUMEN

Cetaceans possess brains that rank among the largest to have ever evolved, either in terms of absolute mass or relative to body size. Cetaceans have evolved these huge brains under relatively unique environmental conditions, making them a fascinating case study to investigate the constraints and selection pressures that shape how brains evolve. Indeed, cetaceans have some unusual neuroanatomical features, including a thin but highly folded cerebrum with low cortical neuron density, as well as many structural adaptations associated with acoustic communication. Previous reports also suggest that at least some cetaceans have an expanded cerebellum, a brain structure with wide-ranging functions in adaptive filtering of sensory information, the control of motor actions, and cognition. Here, we report that, relative to the size of the rest of the brain, both the cerebrum and cerebellum are dramatically enlarged in cetaceans and show evidence of co-evolution, a pattern of brain evolution that is convergent with primates. However, we also highlight several branches where cortico-cerebellar co-evolution may be partially decoupled, suggesting these structures can respond to independent selection pressures. Across cetaceans, we find no evidence of a simple linear relationship between either cerebrum and cerebellum size and the complexity of social ecology or acoustic communication, but do find evidence that their expansion may be associated with dietary breadth. In addition, our results suggest that major increases in both cerebrum and cerebellum size occurred early in cetacean evolution, prior to the origin of the major extant clades, and predate the evolution of echolocation.


Asunto(s)
Evolución Biológica , Cerebelo/anatomía & histología , Cerebro/anatomía & histología , Cetáceos/anatomía & histología , Adaptación Fisiológica , Animales , Encéfalo/anatomía & histología , Cerebelo/fisiología , Cerebro/fisiología , Cetáceos/fisiología , Tamaño de los Órganos , Vocalización Animal
10.
Br J Nutr ; 122(s1): S49-S58, 2019 09.
Artículo en Inglés | MEDLINE | ID: mdl-28345503

RESUMEN

A few studies have recently reported that higher cardiorespiratory fitness is associated with higher volumes of subcortical brain structures in children. It is, however, unknown how different fitness measures relate to shapes of subcortical brain nuclei. We aimed to examine the association of the main health-related physical fitness components with shapes of subcortical brain structures in a sample of forty-four Spanish children aged 9·7 (sd 0·2) years from the NUtraceuticals for a HEALthier life project. Cardiorespiratory fitness, muscular strength and speed agility were assessed using valid and reliable tests (ALPHA-fitness test battery). Shape of the subcortical brain structures was assessed by MRI, and its relationship with fitness was examined after controlling for a set of potential confounders using a partial correlation permutation approach. Our results showed that all physical fitness components studied were significantly related to the shapes of subcortical brain nuclei. These associations were both positive and negative, indicating that a higher level of fitness in childhood is related to both expansions and contractions in certain regions of the accumbens, amygdala, caudate, hippocampus, pallidum, putamen and thalamus. Cardiorespiratory fitness was mainly associated with expansions, whereas handgrip was mostly associated with contractions in the structures studied. Future randomised-controlled trials will confirm or contrast our findings, demonstrating whether changes in fitness modify the shapes of brain structures and the extent to which those changes influence cognitive function.


Asunto(s)
Encéfalo/anatomía & histología , Aptitud Física/fisiología , Capacidad Cardiovascular , Cerebro/anatomía & histología , Niño , Suplementos Dietéticos , Femenino , Fuerza de la Mano , Humanos , Imagen por Resonancia Magnética , Masculino , España
11.
Surg Radiol Anat ; 41(6): 639-655, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30955058

RESUMEN

INTRODUCTION: The knowledge acquired on the lateral fossa of the brain (LFB) is heterogeneous and incomplete. Our goal was to provide a morphological description of the LFB and analyze the impact of these descriptions on the surgical approach of the region. METHODS: The morphology of LFB was studied on 40 cerebral hemispheres of 20 right-handed subjects aged 18-55 years with an MRI of 1.5 T. The anatomo-radiological identification of the two section levels preceded the description of the shapes of the LFB. From these landmarks, the forms presented by the LFB were identified and described on each of the transverse, sagittal and frontal planes. The comparison of the proportion of shapes made it possible to identify the typical shapes at each section level and on each section plane. RESULTS: The average age of the subjects was 33 years with extremes of 19 and 54 years including 7 women and 13 right-handed men. According to the plane and the level of section, 6 typical morphologies of the LFB have been described, 2 of which were identical. The forms did not vary according to the cerebral hemisphere or the sex of the subject. The set of typical morphologies made it possible to determine a reference subject called NSK which presented the greatest number of typical morphological characteristics. CONCLUSION: Knowledge of LFB anatomical imaging is of paramount importance in the pre-surgical evaluation of pathologies in this region. The reference subject will be used for our future biometric and three-dimensional manual reconstruction work in this region.


Asunto(s)
Cerebro/anatomía & histología , Imagen por Resonancia Magnética , Procedimientos Neuroquirúrgicos , Adulto , Cerebro/diagnóstico por imagen , Cerebro/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Adulto Joven
12.
Cell Tissue Res ; 374(1): 39-62, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-29744590

RESUMEN

The desert locust Schistocerca gregaria is a major agricultural pest in North Africa and the Middle East. As such, it has been intensely studied, in particular with respect to population dynamics, sensory processing, feeding behavior flight and locomotor control, migratory behavior, and its neuroendocrine system. Being a long-range migratory species, neural mechanisms underlying sky compass orientation have been studied in detail. To further understand neuronal interactions in the brain of the locust, a deeper understanding of brain organization in this insect has become essential. As a follow-up of a previous study illustrating the layout of the locust brain (Kurylas et al. in J Comp Neurol 484:206-223, 2008), we analyze the cerebrum, the central brain minus gnathal ganglia, of the desert locust in more detail and provide a digital three-dimensional atlas of 48 distinguishable brain compartments and 7 major fiber tracts and commissures as a basis for future functional studies. Neuropils were three-dimensionally reconstructed from synapsin-immunostained whole mount brains. Neuropil composition and their internal organization were analyzed and compared to the neuropils of the fruit fly Drosophila melanogaster. Most brain areas have counterparts in Drosophila. Some neuropils recognized in the locust, however, have not been identified in the fly while certain areas in the fly could not be distinguished in the locust. This study paves the way for more detailed anatomical descriptions of neuronal connections and neuronal cell types in the locust brain, facilitates interspecies comparisons among insect brains and points out possible evolutionary differences in brain organization between hemi- and holometabolous insects.


Asunto(s)
Cerebro/anatomía & histología , Clima Desértico , Saltamontes/anatomía & histología , Animales , Femenino , Imagenología Tridimensional , Cuerpos Pedunculados/anatomía & histología , Neurópilo/metabolismo
13.
Clin Radiol ; 72(1): 94.e1-94.e6, 2017 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-27712906

RESUMEN

AIM: To compare intravoxel incoherent motion (IVIM) magnetic resonance imaging (MRI)-derived true diffusion (D) and perfusion fraction (f)-values of the two hemispheres to detect the presence of asymmetrical differences. MATERIALS AND METHODS: Forty-seven healthy right-handed volunteers were assessed using IVIM imaging. The interhemispheric D- and f-values were compared using paired t-tests and two related-samples Wilcoxon's test. RESULTS: Comparison of the interhemispheric D- and f-values of the grey matter revealed a significant difference in the D-value of the frontal lobe and the f-value of the temporal lobe (p=0.028, p=0.030, respectively). A significant difference in the D-values of the frontal, temporal, and occipital lobes (p=0.003, p=0.005, and p=0.001, respectively) was seen, whereas no significant difference in f-values was seen. CONCLUSIONS: The distribution of the IVIM-derived D- and f-values in the two hemispheres was not completely symmetrical. Radiologists should consider this difference when the contralateral region is used as internal reference to normalise the IVIM imaging results. Average values of the interhemispheric white matter within the same lobe as the lesion may be the best internal reference.


Asunto(s)
Cerebro/anatomía & histología , Cerebro/diagnóstico por imagen , Imagen de Difusión Tensora/métodos , Imagenología Tridimensional/métodos , Sustancia Blanca/anatomía & histología , Sustancia Blanca/diagnóstico por imagen , Adulto , Medicina Basada en la Evidencia , Humanos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Movimiento (Física) , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
14.
Neurocirugia (Astur) ; 28(3): 111-123, 2017.
Artículo en Español | MEDLINE | ID: mdl-27986388

RESUMEN

OBJECTIVE: To perform an anatomical and radiological study, using fibre microdissection and diffusion tensor tractography (DTT), to demonstrate the three-dimensionality of the superior, middle and inferior cerebellar peduncles. MATERIAL AND METHODS: A total of 15 brain-stem, 15 cerebellar hemispheres, and 5 brain hemispheres were dissected in the laboratory under the operating microscope with microsurgical instruments between July 2014 and July 2015. Brain magnetic resonance imaging was obtained from 15 healthy subjects between July and December of 2015, using diffusion-weighted images, in order to reproduce the cerebellar peduncles on DTT. RESULTS: The main bundles of the cerebellar peduncles were demonstrated and delineated along most of their trajectory in the cerebellum and brain-stem, noticing their overall anatomical relationship to one another and with other white matter tracts and the grey matter nuclei the surround them, with their corresponding representations on DTT. CONCLUSIONS: The arrangement, architecture, and general topography of the cerebellar peduncles were able to be distinguished using the fibre microdissection technique. This knowledge has given a unique and profound anatomical perspective, supporting the correct representation and interpretation of DTT images. This information should be incorporated in the clinical scenario in order to assist surgeons in the detailed and critical analysis of lesions that may be located near these main bundles in the cerebellum and/or brain-stem, and therefore, improve the surgical planning and achieve a safer and more precise microsurgical technique.


Asunto(s)
Cerebelo/anatomía & histología , Imagen de Difusión Tensora , Imagenología Tridimensional/métodos , Microdisección , Tronco Encefálico/anatomía & histología , Cerebro/anatomía & histología , Historia del Siglo XVI , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Fibras Nerviosas/ultraestructura , Neuroanatomía/historia , Especificidad de Órganos , Valores de Referencia
15.
Clin Invest Med ; 39(6): 27495, 2016 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-27917786

RESUMEN

PURPOSE: The purpose of this study was to demonstrate the relationship among the cerebrum, cerebellum and corpus callosum in migraine patients. METHODS: This work was conducted with cooperation of the Turgut Özal Medical Faculty, Department of Anatomy and Neurology. Migraine patients were divided into four groups: new patients; 1-5 years; 5-10 years; and, more than 10 years. All patients (n=75) and control subjects (n=20) underwent Magnetic Resonance Imaging (MRI) and brain images were processed by ONIS and Image J. Data were analyzed using the planimetric method. RESULTS: Cerebrum, cerebellum and corpus callosum volume were calculated for all subjects. The footprints of the callosum were as follows: healthy control subjects, new patients and 1-year patients: 12.8%, 5 years: 11.7% and more than 10 years: 10.7%. The cerebrum volume was as follows: healthy control subjects: 1152 cm3, 5-10 years: 1102 cm3 and more than 10 years: 1002 cm3. DISCUSSION: The results of our study showed atrophy in the cerebrum, cerebellum and corpus callosum of chronic migraine patients. This atrophy was greater in the patients with aura migraines. CONCLUSION: Our study confirmed that a migraine is an episodic disease that seriously affects the CNS.


Asunto(s)
Cerebelo/anatomía & histología , Cerebro/anatomía & histología , Cuerpo Calloso/anatomía & histología , Trastornos Migrañosos/fisiopatología , Adolescente , Adulto , Atrofia , Estudios de Casos y Controles , Cerebelo/diagnóstico por imagen , Cerebro/diagnóstico por imagen , Cuerpo Calloso/diagnóstico por imagen , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Trastornos Migrañosos/diagnóstico por imagen , Estudios Prospectivos , Factores de Tiempo , Adulto Joven
16.
J Craniofac Surg ; 27(1): 177-80, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26674919

RESUMEN

In this research, 83 patients were measured by magnetic resonance imaging volume rendering technique. The authors acquired the curve length of the superior temporal sulcus and the lateral fissure on the cerebral hemisphere, the shortest distance from the superior temporal sulcus and the lateral fissure to the center of amygdaloid body separately, the vertical diameter, the transversal diameter, and the anteroposterior diameter of the amygdaloid body and the 2 approach angles between the median sagittal plane and the shortest segment from the superior temporal sulcus to the center of amygdaloid body and the shortest segment from lateral fissure to the center of the amygdaloid body. At the same time, we preliminarily oriented the 2 points of the superior temporal sulcus and the lateral fissure, which are closest to the center of amygdaloid body, aimed at finding out the best entrance points of surgical approach through the superior temporal sulcus and the lateral fissure to the amygdaloid body and reducing the damage to the nerve fibers or blood vessels during the operation. The results indicate that the point at the front side 1/4 of the superior temporal sulcus may be the ideal surgical approach entrance point and the point at the front side 1/3 of the lateral fissure. There is no difference between 2 cerebral hemispheres (P < 0.05).


Asunto(s)
Amígdala del Cerebelo/anatomía & histología , Imagen por Resonancia Magnética/métodos , Lóbulo Temporal/anatomía & histología , Adolescente , Adulto , Anciano , Amígdala del Cerebelo/cirugía , Cerebro/anatomía & histología , Cerebro/cirugía , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Masculino , Persona de Mediana Edad , Lóbulo Temporal/cirugía , Adulto Joven
17.
Zh Vyssh Nerv Deiat Im I P Pavlova ; 66(5): 565-578, 2016 09.
Artículo en Ruso | MEDLINE | ID: mdl-30695402

RESUMEN

This study investigated the energy-onset and motion-onset responses (N1, P2, cN 1 and cP2 components of the auditory evoked potential) elicited by moving sound stimuli in the passive and active listening conditions. In the passive conditions the subjects were distracted from auditory information; in active conditions they lo- calized the starting and final points of the stimulus trajectory. The sound movement to the left/right from the head midline was produced by linear-changes of the interaural time delay (ITD). The onset of motion was preceded by stationary sound located near the head midline. In the active conditions, the NI component was higher and the P2 component was higher and peaked later as compared to the passive listening. The early and later parts of the motion-onset response (cN 1 and cP2) also were larger in magnitude and peaked later during active listening. Both in active and passive conditions, cNI and cP2 amplitude exhibited increase and latency showed decrease when the stimulus velocity increased. Contralateral asymmetry was found only in the mo- tion-onset responses recorded from the left hemisphere.


Asunto(s)
Atención/fisiología , Percepción Auditiva/fisiología , Cerebro/fisiología , Potenciales Evocados Auditivos/fisiología , Localización de Sonidos/fisiología , Estimulación Acústica , Adolescente , Adulto , Mapeo Encefálico , Cerebro/anatomía & histología , Cerebro/diagnóstico por imagen , Electroencefalografía , Femenino , Humanos , Masculino , Movimiento (Física) , Tiempo de Reacción , Sonido
18.
Neuroimage ; 105: 248-56, 2015 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-25462799

RESUMEN

Feelings of guilt are associated with widespread self and social cognitions, e.g., empathy, moral reasoning, and punishment. Neural correlates directly related to the degree of feelings of guilt have not been detected, probably due to the small numbers of subjects, whereas there are growing numbers of neuroimaging studies of feelings of guilt. We hypothesized that the neural networks for guilty feelings are widespread and include the insula, inferior parietal lobule (IPL), amygdala, subgenual cingulate cortex (SCC), and ventromedial prefrontal cortex (vmPFC), which are essential for cognitions of guilt. We investigated the association between regional gray matter density (rGMD) and feelings of guilt in 764 healthy young students (422 males, 342 females; 20.7 ± 1.8 years) using magnetic resonance imaging and the guilty feeling scale (GFS) for the younger generation which comprises interpersonal situation (IPS) and rule-breaking situation (RBS) scores. Both the IPS and RBS were negatively related to the rGMD in the right posterior insula (PI). The IPS scores were negatively correlated with rGMD in the left anterior insula (AI), right IPL, and vmPFC using small volume correction. A post hoc analysis performed on the significant clusters identified through these analyses revealed that rGMD activity in the right IPL showed a significant negative association with the empathy quotient. These findings at the whole-brain level are the widespread comprehensive neural network regions for guilty feelings. Interestingly, the novel finding in this study is that the PI was implicated as a common region for feelings of guilt with interaction between the IPS and RBS. Additionally, the neural networks including the IPL were associated with empathy and with regions implicated in moral reasoning (AI and vmPFC), and punishment (AI).


Asunto(s)
Cerebro/anatomía & histología , Empatía/fisiología , Culpa , Relaciones Interpersonales , Red Nerviosa/anatomía & histología , Conducta Social , Adulto , Cerebro/fisiología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Red Nerviosa/fisiología , Adulto Joven
19.
Neuroimage ; 120: 254-65, 2015 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-26143205

RESUMEN

A cortical visuomotor network, comprising the medial intraparietal sulcus (mIPS) and the dorsal premotor area (PMd), encodes the sensorimotor transformations required for the on-line control of reaching movements. How information is transmitted between these two regions and which pathways are involved, are less clear. Here, we use a multimodal approach combining repetitive transcranial magnetic stimulation (rTMS) and diffusion tensor imaging (DTI) to investigate whether structural connectivity in the 'reaching' circuit is associated to variations in the ability to control and update a movement. We induced a transient disruption of the neural processes underlying on-line motor adjustments by applying 1Hz rTMS over the mIPS. After the stimulation protocol, participants globally showed a reduction of the number of corrective trajectories during a reaching task that included unexpected visual perturbations. A voxel-based analysis revealed that participants exhibiting higher fractional anisotropy (FA) in the second branch of the superior longitudinal fasciculus (SLF II) suffered less rTMS-induced behavioral impact. These results indicate that the microstructural features of the white matter bundles within the parieto-frontal 'reaching' circuit play a prominent role when action reprogramming is interfered. Moreover, our study suggests that the structural alignment and cohesion of the white matter tracts might be used as a predictor to characterize the extent of motor impairments.


Asunto(s)
Cerebro/fisiología , Imagen de Difusión Tensora/métodos , Función Ejecutiva/fisiología , Actividad Motora/fisiología , Desempeño Psicomotor/fisiología , Estimulación Magnética Transcraneal/métodos , Adulto , Cerebro/anatomía & histología , Femenino , Dedos , Humanos , Masculino , Vías Nerviosas/anatomía & histología , Adulto Joven
20.
Neuroimage ; 117: 327-42, 2015 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-25998956

RESUMEN

The cerebellum historically has been thought to mediate motor and sensory signals between the body and cerebral cortex, yet cerebellar lesions are also associated with altered cognitive behavioral performance. Neuroimaging evidence indicates that the cerebellum contributes to a wide range of cognitive, perceptual, and motor functions. Here, we used the BrainMap database to investigate whole-brainco-activation patterns between cerebellar structures and regions of the cerebral cortex, as well as associations with behavioral tasks. Hierarchical clustering was performed to meta-analytically identify cerebellar structures with similar cortical co-activation, and independently, with similar correlations to specific behavioral tasks. Strong correspondences were observed in these separate but parallel analyses of meta-analytic connectivity and behavioral metadata. We recovered differential zones of cerebellar co-activation that are reflected across the literature. Furthermore, the behaviors and tasks associated with the different cerebellar zones provide insight into the specialized function of the cerebellum, relating to high-order cognition, emotion, perception, interoception, and action. Taken together, these task-basedmeta-analytic results implicate distinct zones of the cerebellum as critically involved in the monitoring and mediation of psychological responses to internal and external stimuli.


Asunto(s)
Mapeo Encefálico/métodos , Cerebelo/fisiología , Cerebro/fisiología , Procesos Mentales/fisiología , Red Nerviosa/fisiología , Cerebelo/anatomía & histología , Cerebro/anatomía & histología , Humanos , Red Nerviosa/anatomía & histología
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