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SUMMARY: To establish an unprovable diagnostic indicative index reference for ultrasound examination of the fetal cerebral ventricles, based on the morphological characteristics throughout fetal nervous system development. Key ultrasonic morphological indicators of fetal ventricular development, which includes frontal horn width (FHW), occipital horn width (OHW), width of 3rd ventricle, cavity of septum pellucidum (CSP), width and length of 4th ventricle and thalamo-occipital distance (TOD) had been measured and analyzed collectively. All data of the indicators was collected on singleton pregnant woman between 16-39 weeks of gestational age (GA), between November 2017 and June 2021 at the Second Hospital of Dalian Medical University. A total of 235 pregnant women were enrolled in the cross section study; another 36 pregnant women voluntarily joined a timeline-tracking follow-up study (cohort study) under the same examining criteria. A decrease of FHW and OHW of the lateral ventricles was observed as GA increased; while dimensional values of TOD, 3rd ventricle, CSP, as well as 4th ventricle increased with GA. Most of these indicators showed an enhanced variation tendency within a certain period of GA. Moreover, values of FHW and TOD showed asymmetry of the two hemispheres within the whole GA. Our findings revealed the morphological regularity of fetal ventricular development, which would instructively enhance the relative clinical ultrasound diagnosis; moreover, TOD also showed regularly changes as GA increased, suggesting that TOD should be considered as an additional routine ultrasonic indicator for fetal ventricular development.
RESUMEN: El objetivo del estudio fue establecer un índice de referencia indicativo diagnóstico no demostrable para el examen ecográfico de los ventrículos cerebrales fetales, basado en las características morfológicas a lo largo del desarrollo del sistema nervioso fetal. Indicadores morfológicos ultrasónicos clave del desarrollo ventricular fetal, que incluyen el ancho del cuerno frontal (FHW), el ancho del cuerno occipital (OHW), el ancho del tercer ventrículo, la cavidad del septo pelúcido (CSP), el ancho y el largo del cuarto ventrículo y la distancia tálamo-occipital (TOD) fueron medidos y analizados conjuntamente. Todos los datos de los indicadores se recopilaron en mujeres embarazadas de un solo feto entre 16 y 39 semanas de edad gestacional (EG), entre noviembre de 2017 y junio de 2021 en el Segundo Hospital de la Universidad Médica de Dalian. Un total de 235 mujeres embarazadas se inscribieron en el estudio transversal; otras 36 mujeres embarazadas se unieron voluntariamente a un estudio de seguimiento de línea de tiempo (estudio de cohorte) bajo los mismos criterios de examen. Se observó una disminución de FHW y OHW de los ventrículos laterales a medida que aumentaba la GA; mientras que los valores dimensionales de TOD, tercer ventrículo, CSP y cuarto ventrículo aumentaron con GA. La mayoría de estos indicadores mostraron una tendencia de variación mejorada dentro de un cierto período de GA. Además, los valores de FHW y TOD mostraron asimetría de los dos hemisferios dentro de toda la AG. Nuestros hallazgos revelaron la regularidad morfológica del desarrollo ventricular fetal, lo que mejoraría de manera instructiva el diagnóstico clínico de ultrasonido relativo; además, TOD también mostró cambios regulares a medida que aumentaba la GA, lo que sugiere que TOD debe considerarse como un indicador ultrasónico de rutina adicional para el desarrollo ventricular fetal.
Subject(s)
Humans , Female , Pregnancy , Cerebral Ventricles/growth & development , Cerebral Ventricles/diagnostic imaging , Ultrasonography, PrenatalABSTRACT
The purpose of this study was to examine the effects of walking exercise on the mental activity of 44 elderly patients with slight, long-term cerebral infarction. Walking exercise, mental activity and brain morphology were determined by the number of steps taken per day, modified Hasegawa's dementia scales-R and computed tomography, respectively.<BR>The results are as follows : The average number of steps taken per day for the group of normal mental activity was 3489±1692, for subnormal 2073±980, pre-dementia 1458±1241, and dementia 570±1132. Sylvian fissures enlargement ratio in the normal group was 4.3±1.7%, subnormal was 4.1±0.8%, predementia 6.0±2.3%, dementia 6.3±1.8%.<BR>The difference between the right and left sylvian fissure enlargement ratio in the normal group was 1.8±0.9% (right) vs. 2.5±1.3% (left), subnormal: 1.7±0.4% (right) vs. 2.5±0.5% (left), predementia : 2.6±0.9% (right) vs. 3.4±1.5% (left), dementia: 3.0±1.2% (right) vs. 3.2±0.9% (left) . Cerebrum-cranial cavity ratio in the normal group was 80.6±5.0%, subnormal 78.6±5.0%, predementia 74.6±4.8%, dementia 72.7±3.4%.<BR>The lateral ventricles-cranial cavity ratio for normal was 14.3±4.5%, subnormal 14.7±3.1%, predementia 17.3±3.6%, dementia 16.8±4.7%. The difference between good walking patients (over 1000steps/day) and poor walking patients (less than 1000steps/day) concerning the sylvian fissures-cranial cavity ratio (A), cerebrum-cranial cavity ratio (B) and lateral ventricles-cranial cavity ratio (C) was as follows: (A) 4.4±1.5% vs. 6.4±1.9% (p<0.001), (B) 78.4±6.7% vs. 74.0±3.4% (p<0.05), (C) 15.2±3.9% vs. 16.5±4.5% (ns) .<BR>The above data indicates that there is an interrelationship among walking exercise, mental activity and brain morphology.
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Understanding of brain morphology and magnetic resonance image(MRI) is essential for accurate diagnosis and treatment of the brain diseases. As education tools, the cadaver dissection, plastic models, and neuroanatomy books have been used for understanding brain morphology; and the MRI films and radiology books have been used for understanding brain MRI. Recently, due to the popularization of powerful personal computers, computer programs compensating the conventional education tools have been used. But these computer programs have a disadvantage that it is not possible to visualize the details of brain morphology or to compare the corresponding sectioned specimens and MRI. Therefore, we attempted to make a computer program which could visualize not only the details of brain morphology but also the corresponding sectioned specimens and MRI by using the brains removed from Korean cadavers. Three brains were removed from Korean cadavers. With a brain, 122 MRI and 122 serially-sectioned specimens with an 1.4mm interval were acquired and inputted into the computer. Ten brain structures were segmented, and 83 fine structures were designated on the images. With two brains, 27 dissected specimens were acquired and inputted into the computer. One-hundred two fine structures were designated on the images. Based on these images, a computer program for understanding brain morphology and MRI was made. The computer program, which was made in this study, visualized the corresponding sectioned specimens, MRI, and segmented images after sectioning a brain horizontally or at any angles. In addition, the computer program visualized the images of dissected brain. This computer program is helpful to understand brain morphology and MRI. This computer program is expected to be used through CD-title or Internet as an educational tool for medical students and doctors.
Subject(s)
Humans , Brain Diseases , Brain , Cadaver , Diagnosis , Education , Internet , Magnetic Resonance Imaging , Microcomputers , Neuroanatomy , Plastics , Students, MedicalABSTRACT
Objective To explore the effect of curcumine on rat cerebral ischemia model of blood stasis.Methods The blood-stasis rat model was established by injection of dexamethasone,then was given gastric infusion curcumine suspension for 10 continuous days.One hour after administration on the 11th day,we made ligation of the bilatory common carotid arteries of rats for 30 min to induce cerebral ischemia rat model.The rat blood sample was used for the detection of whole blood viscosity,and the brain was taken out for the observation of cerebral homogenate ATP and the pathological changes of brain tissue.Results The blood-stasis rats model was established successfully by intramuscular injection of dexamethasone,and cerebral ischemia rats model was established successfully by ligation of bilateral common carotid artery.Compared with the model group,curcumine could significantly reduce the whole blood viscosity of blood-stasis rats model of cerebral ischemia,and significantly increase the activity of Na+-K+-ATP,Mg2+ATP,Ca2+-ATP and Ca2+-Mg2+-ATP in brain homogenate,significant relieve the atrophy of nerve cells and glial cells of the model rats.Conclusion Curcumine can significantly improve the whole blood viscosity,ATP activity in the brain homogenate and morphological changes of brain tissue in rats model of blood stasis.
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0.01). The equation of regression is: =12.13—0.011X_1—0.07X_2+0.09X_3+0.21X_4. (——length of the brain, X_1 and X_2——the areas of left and right angular gyri, X_3 and X_4——the areas of left and right supramarginal gyri) There are three to four temporal transverse gyri found in 80?4％ of all the. specimens, The thickness of cortex here is 2.2-3.3 mm. In sections it shows the characteristicts of the granular cortex.