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Published in: Surgical and Radiologic Anatomy 6/2008

01-08-2008 | Original Article

Main anatomical features of the M1 segment of the middle cerebral artery: a 3D time-of-flight magnetic resonance angiography at 3 T study

Authors: Fabrice Vuillier, Elisabeth Medeiros, Thierry Moulin, Francoise Cattin, Jean-Francois Bonneville, Laurent Tatu

Published in: Surgical and Radiologic Anatomy | Issue 6/2008

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Abstract

The purpose of our study was to determine the main anatomical features of the M1 segment of middle cerebral artery (MRA) using a 3D TOF-MRA at 3 T. Reconstructed and post-processed MRA images were independently analysed by two anatomists in order to determine the course patterns, the division patterns and the early cortical branches patterns of the M1 segments. The division patterns were defined as bipode, tripode or other. The ECB were studied according to their number and their distance from the origin of the M1 segment. The interobserver agreement, to determine the division patterns of the M1 segment, was calculated. The division of the M1 segment was bipode in 73% of the MCAs, monopode in 17%, tripode in 9%, and fan-shaped in 1. In 46% of the cases no ECB was found. In the other cases, only 1 ECB was found and it arose from the medium part of the M1 segment. Our results confirm post-mortem microdissection studies and show that strict anatomical criteria may be applied to 3D TOF MRA at 3 T.
Literature
1.
go back to reference Blackburn IW (1908) Anomalies of the encephalic arteries among the insane: a study of the arteries at the base of the encephalon in two hundred and twenty consecutive cases of mental disease, with special reference to anomalies of the circle of Willis. J Comp Neurol Psychol 17:493–517CrossRef Blackburn IW (1908) Anomalies of the encephalic arteries among the insane: a study of the arteries at the base of the encephalon in two hundred and twenty consecutive cases of mental disease, with special reference to anomalies of the circle of Willis. J Comp Neurol Psychol 17:493–517CrossRef
2.
go back to reference Choi CG, Lee DH, Lee JH, Pyun HW, Kang DW, Kwon SU, Kim JK, Kim SJ, Suh DC (2007) Detection of intracranial atherosclerotic steno-occlusive disease with 3D time of flight magnetic resonance angiography with sensitivity encoding at 3T. AJNR Am J Neuroradiol 28:439–446PubMedCrossRef Choi CG, Lee DH, Lee JH, Pyun HW, Kang DW, Kwon SU, Kim JK, Kim SJ, Suh DC (2007) Detection of intracranial atherosclerotic steno-occlusive disease with 3D time of flight magnetic resonance angiography with sensitivity encoding at 3T. AJNR Am J Neuroradiol 28:439–446PubMedCrossRef
3.
go back to reference Ciszek B, Aleksandrowicz R, Zabek M et al (1996) Classification, topography and morphometry of the early branches of the middle cerebral artery. Folia Morphol 55:229–230 Ciszek B, Aleksandrowicz R, Zabek M et al (1996) Classification, topography and morphometry of the early branches of the middle cerebral artery. Folia Morphol 55:229–230
4.
go back to reference Crompton MR (1962) The pathology of ruptured middle cerebral aneurysms with special reference to differences between the sexes. Lancet 2:421–425PubMedCrossRef Crompton MR (1962) The pathology of ruptured middle cerebral aneurysms with special reference to differences between the sexes. Lancet 2:421–425PubMedCrossRef
5.
go back to reference Duret H (1874) Recherches anatomiques sur la circulation de l’encéphale. Arch Physiol Norm Pathol 6:60–91 Duret H (1874) Recherches anatomiques sur la circulation de l’encéphale. Arch Physiol Norm Pathol 6:60–91
6.
go back to reference Foix C, Lévy M (1927) Les ramollissements sylviens. Syndromes des lesions en foyer du territoire de l’artère sylvienne et de ses branches. Rev Neurol 43:1–51 Foix C, Lévy M (1927) Les ramollissements sylviens. Syndromes des lesions en foyer du territoire de l’artère sylvienne et de ses branches. Rev Neurol 43:1–51
7.
go back to reference Gibo H, Carver CC, Rhoton AL, Lenkey C, Mitchell RJ (1981) Microsurgical anatomy of the middle cerebral artery. J Neurosurg 54:151–169PubMed Gibo H, Carver CC, Rhoton AL, Lenkey C, Mitchell RJ (1981) Microsurgical anatomy of the middle cerebral artery. J Neurosurg 54:151–169PubMed
8.
go back to reference Herman LH, Ostrowski AZ, Gurdjian ES (1963) Perforating branches of the middle cerebral artery; an anatomical study. Arch Neurol (chic) 8:32–34 Herman LH, Ostrowski AZ, Gurdjian ES (1963) Perforating branches of the middle cerebral artery; an anatomical study. Arch Neurol (chic) 8:32–34
9.
go back to reference Ito J, Maeda H, Inoue K, Onishi Y (1977) Fenestration of the middle cerebral artery. Neuroradiology 13:37–39PubMedCrossRef Ito J, Maeda H, Inoue K, Onishi Y (1977) Fenestration of the middle cerebral artery. Neuroradiology 13:37–39PubMedCrossRef
10.
go back to reference Komiyama M, Nishikawa M, Yasui T (1997) The role of the accessory middle cerebral artery as a collateral blood supply. AJNR Am J Neuroradiol 18:587–590PubMed Komiyama M, Nishikawa M, Yasui T (1997) The role of the accessory middle cerebral artery as a collateral blood supply. AJNR Am J Neuroradiol 18:587–590PubMed
11.
go back to reference Krayenbuhl HA, Yasargil MG (1968) Cerebral angiography. Butterworth, London, pp 58–60 Krayenbuhl HA, Yasargil MG (1968) Cerebral angiography. Butterworth, London, pp 58–60
12.
go back to reference Kruuse C, Thomsen LL, Birk S, Olesen J (2003) Migraine can be induced by sildenafil without changes in middle cerebral artery diameter. Brain 126:214–217CrossRef Kruuse C, Thomsen LL, Birk S, Olesen J (2003) Migraine can be induced by sildenafil without changes in middle cerebral artery diameter. Brain 126:214–217CrossRef
13.
go back to reference Lazorthes G, Gouazé A, Salamon G (1976) Vascularisation et circulation de l’encéphale. Tome I. Anatomie descriptive et fonctionnelle. Masson, Paris Lazorthes G, Gouazé A, Salamon G (1976) Vascularisation et circulation de l’encéphale. Tome I. Anatomie descriptive et fonctionnelle. Masson, Paris
14.
go back to reference Lee TH, Kim DH, Lee BH, Kim HJ, Choi CH et al (2005) Preliminary results of endovascular stent-assisted angioplasty for symptomatic middle cerebral artery stenosis. Am J Neuroradiol 26:166–174PubMed Lee TH, Kim DH, Lee BH, Kim HJ, Choi CH et al (2005) Preliminary results of endovascular stent-assisted angioplasty for symptomatic middle cerebral artery stenosis. Am J Neuroradiol 26:166–174PubMed
15.
go back to reference Newton TH, Potts DG (1974) Radiology of the skull and brain. Angiography.. The C V Mosby Company, Saint-Louis Newton TH, Potts DG (1974) Radiology of the skull and brain. Angiography.. The C V Mosby Company, Saint-Louis
16.
go back to reference Nomura T (1970) Atlas of cerebral angiography. Springer, Tokyo Nomura T (1970) Atlas of cerebral angiography. Springer, Tokyo
17.
go back to reference Rosner SS, Rhoton AL, Ono M, Barry M (1984) Microsurgical anatomy of the anterior perforating arteries. Journal of Neurosurg 61:468–485 Rosner SS, Rhoton AL, Ono M, Barry M (1984) Microsurgical anatomy of the anterior perforating arteries. Journal of Neurosurg 61:468–485
18.
go back to reference Serrador JM, Picot PA, Rutt BK, Shoemaker JK, Bondar RL (2000) MRI measures of middle cerebral artery diameter in conscious humans during simulated orthostasis. Stroke 31:1672–1678PubMed Serrador JM, Picot PA, Rutt BK, Shoemaker JK, Bondar RL (2000) MRI measures of middle cerebral artery diameter in conscious humans during simulated orthostasis. Stroke 31:1672–1678PubMed
19.
go back to reference Tanriover N, Kawashima M, Rhoton AL, Ulm AJ, Mericle RA (2003) Microsurgical anatomy of the early branches of the middle cerebral artery: morphometric analysis and classification with angiographic correlation. J Neurosurg 98:1277–1290PubMedCrossRef Tanriover N, Kawashima M, Rhoton AL, Ulm AJ, Mericle RA (2003) Microsurgical anatomy of the early branches of the middle cerebral artery: morphometric analysis and classification with angiographic correlation. J Neurosurg 98:1277–1290PubMedCrossRef
20.
go back to reference Umansky F, Juarez SM, Dujovny M et al (1984) Microsurgical anatomy of the proximal segments of the middle cerebral artery. J Neurosurg 61:458–467PubMed Umansky F, Juarez SM, Dujovny M et al (1984) Microsurgical anatomy of the proximal segments of the middle cerebral artery. J Neurosurg 61:458–467PubMed
21.
go back to reference Yasargil MG (1984) Middle cerebral artery, Microneurosurgery, vol 1. Georg Thieme Verlag, Stuttgart, pp 72–91 Yasargil MG (1984) Middle cerebral artery, Microneurosurgery, vol 1. Georg Thieme Verlag, Stuttgart, pp 72–91
Metadata
Title
Main anatomical features of the M1 segment of the middle cerebral artery: a 3D time-of-flight magnetic resonance angiography at 3 T study
Authors
Fabrice Vuillier
Elisabeth Medeiros
Thierry Moulin
Francoise Cattin
Jean-Francois Bonneville
Laurent Tatu
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Surgical and Radiologic Anatomy / Issue 6/2008
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-008-0360-3

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