Anatomic study and application of the cerebra venous sinus in adult CT angiography
SHENG Bo, Lü Fu-rong, LI Jia, LI Kang, Lü Fa-jin, LI Qian, XIAO Zhi-bo
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (6) : 618-622.
Anatomic study and application of the cerebra venous sinus in adult CT angiography
Objective The purpose of this study was to determine the anatomical features of venous sinus in clinic using subtraction computed tomography angiography (CTA) technique. Methods A total of 105 images of venous sinus were obtained by three-dimensional reconstruction after CT angiography of head, to determine the anatomical information of the venous sinus. Results The superior sagittal sinus is below the coronal suture. The posterior segment of the superior sagittal sinus is most prominent in the partial right compared with the line lambda to the occipital protuberance. The deviation of the center of the sinus confluence is consistent with the deviation of the posterior segment superior sagittal sinus. The right side of transverse sinus, transverse-sigmoid sinuses transition and sigmoid sinus are larger than the left. With the increase of transverse-sigmoid sinuses transition and sigmoid sinus, the distance between venous sinus and skull or mastoid surface and external auditory canal is smaller. Conclusions Subtraction CTA and merged images provide a feasible method to identify the anatomical relation between venous sinus and surface landmarks of cranium. Subtraction CT angiography is a reliable method in the anatomical features of the venous sinus for surgical craniotomies.
Superior sagittal sinus; Transverse sinus / sigmoid sinus; Cranial venous sinus; / Anatomy; / CT
[1] 李世清, 王守森. 颅内静脉窦与相关静脉的解剖及影像学意义[J]. 中国临床解剖学杂志, 2013, 31(2): 229-231.
[2] Samadian M, Nazparvar B, Haddadian K, et al. The anatomical relation between the superior sagittal sinus and the sagittal suture with surgical considerations[J]. Clin Neurol Neurosurg, 2011, 113(2): 89-91.
[3] Ulug T, Basaran B, Minareci O, et al. An unusual complication of stapes surgery: profuse bleeding from the anteriorly located sigmoid sinus[J]. Eur Arch Otorhinolaryngol, 2004, 261(7): 397-399.
[4] Lenck S, Bresson D, Bernat AL, et al. 3D digital subtracted CT angiography to evaluate the venous anatomy in extra-axial tumors invading the major dural venous sinuses[J]. Interv Neuroradiol, 2017, 23(4): 346-349.
[5] 程道宾, 李宁虎, 黄炜超, 等. 数字减影血管造影对窦汇区结构的研究[J]. 中国临床解剖学杂志, 2013, 31(4): 417-421.
[6] 康晓雨, 黄理金. 上矢状窦及其静脉属支的解剖学研究进展[J]. 中国临床解剖学杂志, 2015, 33(4): 491-493.
[7] Sheng B, Lv F, Xiao Z, et al. Anatomical relationship between cranial surface landmarks and venous sinus in posterior cranial fossa using CT angiography[J]. Surg Radiol Anat, 2012, 34(8): 701-708.
[8] 盛波, 吕富荣, 肖智博, 等. 成人CT血管成像横窦体表定位研究及其意义[J]. 中国临床解剖学杂志, 2011, 29(2): 184-187.
[9] 盛波, 吕富荣, 肖智博, 等. CT血管成像对星点与静脉窦关系的研究[J]. 临床放射学杂志, 2011, 30(4): 469-472.
[10] 盛波, 陈松, 吕发金, 等. 颅内动脉瘤夹闭术后瘤夹对CTA图像质量的影响研究[J]. 重庆医科大学学报, 2016, 41(8): 854-858.
[11] 吕培培, 穆学涛, 王宏. 脑静脉窦MRI研究进展[J]. 磁共振成像, 2016, 7(8): 621-624.
[12] Schuchardt F, Hennemuth A, Schroeder L, et al. Acute cerebral venous thrombosis: three-dimensional visualization and quantification of hemodynamic alterations using 4-dimensional flow Magnetic resonance imaging[J]. Stroke, 2017, 48(3):671-677.
[13] 陈立坚, 陈科光, 黄盈盈, 等. 上矢状窦旁脑膜瘤切除术前3D CE-MRV特征分析[J]. 中国临床新医学, 2016, 9(3): 234-236.
[14] 张国平, 李德炯, 钟平, 等. MRV与SWI在静脉窦旁脑膜瘤侵犯静脉窦术前评估的临床应用价值[J]. 贵州医药, 2016, 40(5): 540-542.
[15] 张丽娟, 吕发金, 吕富荣, 等. 上矢状窦及属支静脉解剖形态的容积CT数字减影血管造影研究[J]. 第三军医大学学报, 2010, 32(10): 1095-1098.
[16]Bruno-Mascarenhas MA, Ramesh VG, Venkatraman S, et al. Microsurgical anatomy of the superior sagittal sinus and draining veins[J]. Neurol India, 2017, 65(4): 794-800.
[17] 杨德林, 顾士欣, 孙兵, 等. 颞叶基底桥静脉解剖的三维虚拟现实技术研究及临床应用[J]. 中国临床解剖学杂志, 2013, 31(6): 668-672.
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