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Pediatrik Popülasyonda Korpus Kallozum Morfometrisinin Değerlendirilmesi, Cinsiyetler Arasında Fark Var Mı?

Yıl 2021, Cilt: 3 Sayı: 2, 80 - 86, 06.05.2021
https://doi.org/10.37990/medr.873475

Öz

Amaç: Korpus kallozum (CC) bir beyaz cevher yapısıdır ve beyin hemisferlerini birbirine bağlayan en büyük interhemisferik komissürdür. CC’nin morfolojisi doğuştan ve edinilmiş hastalıklardan, cinsiyetten, yaştan ve el seçiminden etkilenebilir. Bu çalışma CC’nin morfometrik özelliklerini yaşa ve cinsiyete göre incelemeyi amaçlamaktadır.
Materyal ve Metot: Sağlıklı pediatrik popülasyonun tüm korpus kallozum segmentlerinin kalınlığı ve CC’nin uzun ekseninin uzunluğu, septum pellusidum ve massa intermedia’nın izlenebildiği midsagittal hattan manyetik rezonans görüntüleme (MRI) ile ölçüldü. Toplam 240 katılımcı (120 erkek ve 120 kadın) dört yaş grubuna ayrıldı; 0-2 yaş grubu, 3-6 yaş grubu, 7-11 yaş grubu ve 12-17 yaş grubu ve CC’nin beş segmentinin kalınlığı (rostrum, genu, gövde, isthmus, splenium) ve CC’nin anterior-posterior uzunluğu ölçüldü.
Bulgular: Her iki cinsiyette de CC’nin uzun ekseninin uzunluğu ve CC segmentlerinin kalınlığı (rostrum hariç) yaşla birlikte anlamlı olarak artmaktaydı. Ancak cinsiyet ayrımı yapmadan tüm katılımcıları değerlendirdiğimizde CC’nin tüm segmentlerinin kalınlığının ve uzun eksen uzunluğunun yaşla birlikte istatistiksel olarak anlamlı şekilde arttığı görülmektedir.
Sonuç: Sağlıklı pediatrik popülasyondan elde edilen veriler, doğumsal ve edinsel hastalıklara bağlı olarak CC’nin anormal morfometrik değişikliklerini ayırt etmeye yardımcı olacaktır.

Kaynakça

  • Aralasmak A, Ulmer JL, Kocak M, et al. Association, commissural, and projection pathways and their functional deficit reported in literature. J Comput Assist Tomogr 2006;30(5):695-715. DOI: 10.1097/01.rct.0000226397.43235.8b
  • Goldstein A, Covington BP, Mesfin FB. Neuroanatomy, Corpus Callosum. StatPearls [Internet]: StatPearls Publishing. 2019.
  • Tzourio-Mazoyer N. Intra- and Inter-hemispheric Connectivity Supporting Hemispheric Specialization. In: Kennedy H., Van Essen D., Christen Y. (eds) Micro-, Meso- and Macro-Connectomics of the Brain. Research and Perspectives in Neurosciences. Springer, Cham. 2016. p. 129-46. https://doi.org/10.1007/978-3-319-27777-6_9
  • Musiek FE. Neuroanatomy, neurophysiology, and central auditory assessment. Part III: Corpus callosum and efferent pathways. Ear Hear 1986;7(6):349-58. doi:10.1097/00003446-198612000-00001
  • Snell RS (2000) Clinical Neuroanatomy for Medical Students. George Washington University Washington-USA, Fourth Turkish Edition. Lıppıncott-Wılkıns / Nobel İstanbul, 2000; p. 265-6,268-70.
  • Gbedd JN, Blumenthal J, Jeffries NO et al. Development of the human corpus callosum during childhood and adolescence: a longitudinal MRI study. Prog Neuropsychopharmacol Biol Psychiatry 1999;23(4):571-88. DOI: 10.1016/s0278-5846(99)00017-2
  • Hinkley LB, Marco EJ, Findlay AM et al. The role of corpus callosum development in functional connectivity and cognitive processing. PLoS One 2012;7(8):e39804. DOI: 10.1371/journal.pone.0039804
  • Andronikou S, Pillay T, Gabuza L et al. Corpus callosum thickness in children: an MR pattern-recognition approach on the midsagittal image. Pediatr Radiol 2015;45(2):258-72. DOI: 10.1007/s00247-014-2998-9
  • Edwards TJ, Sherr EH, Barkovich AJ et al. Clinical, genetic and imaging findings identify new causes for corpus callosum development syndromes. Brain 2014;137(6):1579-613. DOI: 10.1093/brain/awt358
  • Tanaka-Arakawa MM, Matsui M, Tanaka C et al. Developmental changes in the corpus callosum from infancy to early adulthood: a structural magnetic resonance imaging study. PloS one 2015;10(3):e0118760. https://doi.org/10.1371/journal.pone.0118760
  • Roy E, Hague C, Forster B et al. The corpus callosum: imaging the middle of the road. Can Assoc Radiol J 2014;65(2):141-7. DOI: 10.1016/j.carj.2013.02.004
  • Giedd JN, Rumsey JM, Castellanos FX et al. A quantitative MRI study of the corpus callosum in children and adolescents. Dev Brain Res 1996;91(2):274-80. DOI: 10.1016/0165-3806(95)00193-x
  • Keshavan MS, Diwadkar VA, DeBellis M et al. Development of the corpus callosum in childhood, adolescence and early adulthood. Life sci 2002;70(16):1909-22. DOI: 10.1016/s0024-3205(02)01492-3
  • Pujol J, Vendrell P, Junqué C et al. When does human brain development end? Evidence of corpus callosum growth up to adulthood. Ann Neurol 1993;34(1):71-5. DOI: 10.1002/ana.410340113
  • Guz W, Pazdan D, Stachyra S et al. Analysis of corpus callosum size depending on age and sex. Folia morphol 2019;78(1):24-32. DOI: 10.5603/FM.a2018.0061
  • DeLacoste-Utamsing C, Holloway RL. Sexual dimorphism in the human corpus callosum. Science 1982;216(4553):1431-1432. DOI: 10.1126/science.7089533
  • Rajapakse JC, Giedd JN, Rumsey JM et al. Regional MRI measurements of the corpus callosum: a methodological and developmental study. Brain and dev 1996;18(5):379-88. DOI: 10.1016/0387-7604(96)00034-4
  • Junle Y, Youmin G, Yanjun G et al. A MRI quantitative study of corpus callosum in normal adults. Journal of Medical Colleges of PLA 2008;23(6):346-51. https://doi.org/10.1016/S1000-1948(09)60005-8
  • Witelson SF. The brain connection: the corpus callosum is larger in left-handers. Science 1985;229(4714):665-8. DOI: 10.1126/science.4023705
  • Erdogan N, Ülger H, Tuna İ et al. A novel index to estimate the corpus callosum morphometry in adults: callosal/supratentorialsupracallosal area ratio. Diagn Interv Radiol 2015;11(4):179.
  • Aydınlıoğlu A, Diyarbakırlı S, Yüceer N et al. The relationship of sex differences to the anatomy of the corpus callosum in the living human being. Turk Neurosurg 1996;6(1-2).
  • Eser O, Haktanır A, Boyacı MG et al. Korpus Kallozumun Morfometrik Ölçümleri. Türk Nöroşir Derg 2011;21(1):14-7.
  • Akin ME, Kurt AN. Corpus callosum morphology of healthy children: a structural magnetic resonance imaging study from Turkey. Eur J Anat 2020;24(6), 467-73.
  • Achiron R, Lipitz S, Achiron A. Sex‐related differences in the development of the human fetal corpus callosum: in utero ultrasonographic study. Prenat Diagn 2001;21(2):116-20.

Evaluation of Corpus Callosum Morphometry in Pediatric Population, is there any Difference Between Genders ?

Yıl 2021, Cilt: 3 Sayı: 2, 80 - 86, 06.05.2021
https://doi.org/10.37990/medr.873475

Öz

Aim: Corpus callosum (CC) is a white matter structure and it is the largest interhemispheric commissure that connects the brain hemispheres. The morphology of CC can be affected by congenital and acquired diseases, sex, age, and hand selection. This study aims to investigate morphometric features of CC by age and gender.
Material and Methods: Thickness of all corpus callosum segments and length of the long axis of the CC of the healthy pediatric population were measured via magnetic resonance imaging (MRI) from the midsagittal line where the septum pellucidum and massa intermedia can be monitored. A total of 240 participants (120 males and 120 females) were divided into four age groups; 0-2 age group, 3-6 age group, 7-11 age group, and 12-17 age group and thickness of the five segments of the CC (rostrum, genu, body, isthmus, splenium) and anterior-posterior length of the CC were measured.
Results: Thicknesses of four segments that included genu, body, isthmus, and splenium (except the rostrum) and length of the long axis of CC increased significantly with age in both genders. However, when we evaluated all participants without gender discrimination, the thickness of all segments of CC and length of the long axis are observed to increase significantly.
Conclusion: The obtained data from the healthy pediatric population will help differentiate the abnormal morphometric changes of CC due to congenital and acquired diseases.

Kaynakça

  • Aralasmak A, Ulmer JL, Kocak M, et al. Association, commissural, and projection pathways and their functional deficit reported in literature. J Comput Assist Tomogr 2006;30(5):695-715. DOI: 10.1097/01.rct.0000226397.43235.8b
  • Goldstein A, Covington BP, Mesfin FB. Neuroanatomy, Corpus Callosum. StatPearls [Internet]: StatPearls Publishing. 2019.
  • Tzourio-Mazoyer N. Intra- and Inter-hemispheric Connectivity Supporting Hemispheric Specialization. In: Kennedy H., Van Essen D., Christen Y. (eds) Micro-, Meso- and Macro-Connectomics of the Brain. Research and Perspectives in Neurosciences. Springer, Cham. 2016. p. 129-46. https://doi.org/10.1007/978-3-319-27777-6_9
  • Musiek FE. Neuroanatomy, neurophysiology, and central auditory assessment. Part III: Corpus callosum and efferent pathways. Ear Hear 1986;7(6):349-58. doi:10.1097/00003446-198612000-00001
  • Snell RS (2000) Clinical Neuroanatomy for Medical Students. George Washington University Washington-USA, Fourth Turkish Edition. Lıppıncott-Wılkıns / Nobel İstanbul, 2000; p. 265-6,268-70.
  • Gbedd JN, Blumenthal J, Jeffries NO et al. Development of the human corpus callosum during childhood and adolescence: a longitudinal MRI study. Prog Neuropsychopharmacol Biol Psychiatry 1999;23(4):571-88. DOI: 10.1016/s0278-5846(99)00017-2
  • Hinkley LB, Marco EJ, Findlay AM et al. The role of corpus callosum development in functional connectivity and cognitive processing. PLoS One 2012;7(8):e39804. DOI: 10.1371/journal.pone.0039804
  • Andronikou S, Pillay T, Gabuza L et al. Corpus callosum thickness in children: an MR pattern-recognition approach on the midsagittal image. Pediatr Radiol 2015;45(2):258-72. DOI: 10.1007/s00247-014-2998-9
  • Edwards TJ, Sherr EH, Barkovich AJ et al. Clinical, genetic and imaging findings identify new causes for corpus callosum development syndromes. Brain 2014;137(6):1579-613. DOI: 10.1093/brain/awt358
  • Tanaka-Arakawa MM, Matsui M, Tanaka C et al. Developmental changes in the corpus callosum from infancy to early adulthood: a structural magnetic resonance imaging study. PloS one 2015;10(3):e0118760. https://doi.org/10.1371/journal.pone.0118760
  • Roy E, Hague C, Forster B et al. The corpus callosum: imaging the middle of the road. Can Assoc Radiol J 2014;65(2):141-7. DOI: 10.1016/j.carj.2013.02.004
  • Giedd JN, Rumsey JM, Castellanos FX et al. A quantitative MRI study of the corpus callosum in children and adolescents. Dev Brain Res 1996;91(2):274-80. DOI: 10.1016/0165-3806(95)00193-x
  • Keshavan MS, Diwadkar VA, DeBellis M et al. Development of the corpus callosum in childhood, adolescence and early adulthood. Life sci 2002;70(16):1909-22. DOI: 10.1016/s0024-3205(02)01492-3
  • Pujol J, Vendrell P, Junqué C et al. When does human brain development end? Evidence of corpus callosum growth up to adulthood. Ann Neurol 1993;34(1):71-5. DOI: 10.1002/ana.410340113
  • Guz W, Pazdan D, Stachyra S et al. Analysis of corpus callosum size depending on age and sex. Folia morphol 2019;78(1):24-32. DOI: 10.5603/FM.a2018.0061
  • DeLacoste-Utamsing C, Holloway RL. Sexual dimorphism in the human corpus callosum. Science 1982;216(4553):1431-1432. DOI: 10.1126/science.7089533
  • Rajapakse JC, Giedd JN, Rumsey JM et al. Regional MRI measurements of the corpus callosum: a methodological and developmental study. Brain and dev 1996;18(5):379-88. DOI: 10.1016/0387-7604(96)00034-4
  • Junle Y, Youmin G, Yanjun G et al. A MRI quantitative study of corpus callosum in normal adults. Journal of Medical Colleges of PLA 2008;23(6):346-51. https://doi.org/10.1016/S1000-1948(09)60005-8
  • Witelson SF. The brain connection: the corpus callosum is larger in left-handers. Science 1985;229(4714):665-8. DOI: 10.1126/science.4023705
  • Erdogan N, Ülger H, Tuna İ et al. A novel index to estimate the corpus callosum morphometry in adults: callosal/supratentorialsupracallosal area ratio. Diagn Interv Radiol 2015;11(4):179.
  • Aydınlıoğlu A, Diyarbakırlı S, Yüceer N et al. The relationship of sex differences to the anatomy of the corpus callosum in the living human being. Turk Neurosurg 1996;6(1-2).
  • Eser O, Haktanır A, Boyacı MG et al. Korpus Kallozumun Morfometrik Ölçümleri. Türk Nöroşir Derg 2011;21(1):14-7.
  • Akin ME, Kurt AN. Corpus callosum morphology of healthy children: a structural magnetic resonance imaging study from Turkey. Eur J Anat 2020;24(6), 467-73.
  • Achiron R, Lipitz S, Achiron A. Sex‐related differences in the development of the human fetal corpus callosum: in utero ultrasonographic study. Prenat Diagn 2001;21(2):116-20.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Özgün Makaleler
Yazarlar

Olga Bayar 0000-0003-0863-9127

Ali Baykan 0000-0002-9281-652X

Yayımlanma Tarihi 6 Mayıs 2021
Kabul Tarihi 30 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 3 Sayı: 2

Kaynak Göster

AMA Bayar O, Baykan A. Evaluation of Corpus Callosum Morphometry in Pediatric Population, is there any Difference Between Genders ?. Med Records. Mayıs 2021;3(2):80-86. doi:10.37990/medr.873475

         

Chief Editors
Assoc. Prof. Zülal Öner
Address: İzmir Bakırçay University, Department of Anatomy, İzmir, Turkey

Assoc. Prof. Deniz Şenol
Address: Düzce University, Department of Anatomy, Düzce, Turkey

E-mail: medrecsjournal@gmail.com

Publisher:
Medical Records Association (Tıbbi Kayıtlar Derneği)
Address: Düzce / Türkiye


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