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Czasopismo

2017 | 76 | 3 |

Tytuł artykułu

Circle of Willis variations and artery diameter measurements in the Turkish population

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: The aim of this study was to evaluate the frequency of circle of Willis (COW) variations and the measurements of the COW vessel diameters in the Turkish population. Materials and methods: The patient population for this single-centre, retrospective study was formed of patients who had brain magnetic resonance angiography (MRA). A total of 384 subjects were included in the study. The three-dimensional time-of-flight (TOF) technique was used for MRA imaging to evaluate the anatomy of the COW. Variations in the COW were recorded. The diameters of the critical arteries of the COW were measured. Results: Adult configuration of the COW was determined in 326 (85%) cases, foetal configuration in 50 (13%) cases and transitional configuration in 8 (2%) cases. The COW was normal in 328 (85.4%). In the remaining 56 (14.6%) cases, agenesis was determined in 62 vessels. The mean calibrations of the vessels were measured as 2.85 mm in the basilar artery, 4.24 mm in the right internal carotid artery (ICA), 4.32 mm in the left ICA, 1.58 mm in the right A1, 1.64 mm in the left A1, 2.13 mm in the right M1, 2.10 mm in the left M1, 1.80 mm in the right P1, 1.88 mm in the left P1, 1.12 mm in the right posterior communicating artery, and 1.12 mm in the left posterior communicating artery. Conclusions: Circle of Willis variations may show geographic and ethnic differences. Knowledge of the frequency and types of variation in the population is important for neurosurgeons and in radiological interventional procedures as a guide for entry and in respect of collateral which could develop later. (Folia Morphol 2017; 76, 3: 420–425)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

76

Numer

3

Opis fizyczny

p.420-425,fig.,ref.

Twórcy

  • Department of Radiology, Mugla Sıtkı Kocman University, Faculty of Medicine, Mugla, Turkey
autor
  • Department of Radiology, Mugla Sıtkı Kocman University, Faculty of Medicine, Mugla, Turkey
autor
  • Department of Radiology, Mugla Sıtkı Kocman University, Faculty of Medicine, Mugla, Turkey
  • Department of Family Medicine, Mugla Sıtkı Koçman University, Faculty of Medicine, Mugla, Turkey

Bibliografia

  • 1. El-Barhoun EN, Gledhill SR, Pitman AG. Circle of Willis artery diameters on MR angiography: an Australian reference database. J Med Imaging Radiat Oncol. 2009; 53(3): 248–260, doi: 10.1111/j.1754-9485.2009.02056.x, indexed in Pubmed: 19624291.
  • 2. Ghazali RM, Shuaib IL. Comparison Between 3D TOF Magnetic Resonance Angiography and Intraarterial Digital Subtraction Angiography in Imaging the Circle of Willis. Malays J Med Sci. 2003; 10(1): 37–42, indexed in Pubmed: 23365498.
  • 3. Gunnal SA, Farooqui MS, Wabale RN. Anatomical variations of the circulus arteriosus in cadaveric human brains. Neurol Res Int. 2014; 2014: 687281, doi: 10.1155/2014/687281, indexed in Pubmed: 24891951.
  • 4. Hoksbergen AWJ, Majoie CBL, Hulsmans FJH, et al. Assessment of the collateral function of the circle of Willis: three-dimensional time-of-flight MR angiography compared with transcranial color-coded duplex sonography. AJNR Am J Neuroradiol. 2003; 24(3): 456–462, indexed in Pubmed: 12637297.
  • 5. Karatas A, Coban G, Cinar C, et al. Assessment of the Circle of Willis with Cranial Tomography Angiography. Med Sci Monit. 2015; 21: 2647–2652, doi: 10.12659/MSM.894322, indexed in Pubmed: 26343887.
  • 6. Kominami M, Yamada N, Imakita S, et al. [MR angiography of steno-occlusive lesions of intracranial arteries: a comparative study between turbo MRA and conventional MRA]. Nihon Igaku Hoshasen Gakkai Zasshi. 1999; 59(11): 504–509, indexed in Pubmed: 10536445.
  • 7. Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, et al. Circle of Willis: morphologic variation on three-dimensional time-of-flight MR angiograms. Radiology. 1998; 207(1): 103–111, doi: 10.1148/radiology.207.1.9530305, indexed in Pubmed: 9530305.
  • 8. Li Qi, Li J, Lv F, et al. A multidetector CT angiography study of variations in the circle of Willis in a Chinese population. J Clin Neurosci. 2011; 18(3): 379–383, doi: 10.1016/j.jocn.2010.07.137, indexed in Pubmed: 21251838.
  • 9. Macchi C, Catini C, Federico C, et al. Magnetic resonance angiographic evaluation of circulus arteriosus cerebri (circle of Willis): a morphologic study in 100 human healthy subjects. Ital J Anat Embryol. 1996; 101(2): 115–123, indexed in Pubmed: 8997907.
  • 10. Nolte J. The Human Brain. An Introduction to its Functional Anatomy. 5th edn. Mosby, St. Louis 2002.

Typ dokumentu

Bibliografia

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