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利用计算机体层摄影静脉造影（computed tomographic venography，CTV）对大脑内静脉进行分型。
对36例（72侧）脑深静脉未有明显异常患者的CTV图像进行分析，利用最大密度投影和多平面重建技术，观察大脑内静脉3大属支（透明隔静脉、丘纹静脉和外直静脉）的组成情况，进行相应的分型并分析性别和侧别差异。
根据透明隔静脉汇入方式将大脑内静脉分为三型：注入静脉角附近（Ⅰ型，81.94%）、注入静脉角后方（Ⅱ型，12.50%）、透明隔静脉缺乏（Ⅲ型，5.56%）；根据丘纹静脉的变异情况将大脑内静脉分为三型：正常丘纹静脉（1型，77.78%），丘脑上外直静脉（2型，15.28%），丘脑后外直静脉（3型，6.94%）。其中右侧Ⅲ型大脑内静脉的出现率显著高于左侧，余无性别和侧别差异。
大脑内静脉属支的不同汇合模式变异大，术前CTV能够准确评价其分型，从而有利于神经外科经侧脑室和第三脑室手术入路的开展。
| 1 | Chen D， Liu B， Jin CB， et al. Basal vein in the posterior incisural space： An anatomical comparison based on autopsy， digital subtraction angiography and computed tomographic venography［J］. J Xray Sci Technol， 2016， 24（2）： 319. |
| 2 | Sobstyl M， Brzuszkiewicz-Ku?micka G， Aleksandrowicz M， et al. Large hemorrhagic cerebral venous infarction due to deep brain stimulation leads placement. report of 2 cases［J］. Turk Neurosurg， 2019， 29（4）： 611. |
| 3 | Ohara K， Inoue T， Ono H， et al. Technique for rerouting a bridging vein that hinders the anterior interhemispheric approach： a technical note［J］. Acta Neurochir （Wien）， 2017， 159（10）： 1913. |
| 4 | Iampreechakul P， Tanpun A， Lertbusayanukul P， et al. Contralateral extensive cerebral hemorrhagic venous infarction caused by retrograde venous reflux into the opposite basal vein of Rosenthal in posttraumatic carotid-cavernous fistula： a case report and literature review［J］. Interv Neuroradiol， 2018， 24（5）： 546. |
| 5 | Cai Q， Luo JN， Ge SN， et al. The characteristics of brain injury following cerebral venous infarction induced by surgical interruption of the cortical bridging vein in mice［J］. Brain Res， 2020， 1739： 146823. |
| 6 | 周律， 王斌， 程宏伟， 等. 神经内镜下手术切除侧脑室三角区肿瘤［J］. 中国临床神经外科杂志， 2019， 24（9）： 568. |
| 7 | 聂丁， 程建华， 李斌， 等. Neuro-Endoport技术辅助神经内镜治疗脑室内肿瘤的临床疗效［J］. 中华神经外科杂志， 2020， 36（12）： 1236. |
| 8 | 张鑫海， 王晓澍， 杨刚， 等. 神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用［J］. 第三军医大学学报， 2021， 43（5）： 376. |
| 9 | Gogia B， Kumar VA， Chavali LS， et al. MRI venous architecture of the thalamus［J］. J Neurol Sci， 2016， 370： 88. |
| 10 | Chen ZZ， Qiao HH， Guo Y， et al. Visualization of anatomic variation of the anterior septal vein on susceptibility-weighted imaging［J］. Plos One， 2016， 11（10）： e0164221. |
| 11 | Liu J， Xia S， Hanks R， et al. Susceptibility weighted imaging and mapping of micro-hemorrhages and major deep veins after traumatic brain injury［J］. J Neurotrauma， 2016， 33（1）： 10. |
| 12 | Shibao S， Toda M， Orii M， et al. Various patterns of the middle cerebral vein and preservation of venous drainage during the anterior transpetrosal approach［J］. J Neurosurg， 2016， 124（2）： 432. |
| 13 | 姚笑笑， 李昌盛， 陈黛茜， 等. 室间孔周围静脉的磁敏感加权成像［J］. 解剖学报， 2021， 52（1）： 91. |
| 14 | Jean WC， Tai AX， Hogan E， et al. An anatomical study of the foramen of Monro： implications in management of pineal tumors presenting with hydrocephalus［J］. Acta Neurochir （Wien）， 2019， 161（5）： 975. |
| 15 | Nagm A， Ogiwara T， Goto T， et al. Neuroendoscopy via an extremely narrow foramen of Monro： a case report［J］. NMC Case Rep J， 2017， 4（1）： 37. |
| 16 | Zhang XF， Li JC， Wen XD， et al. Susceptibility-weighted imaging of the anatomic variation of thalamostriate vein and its tributaries［J］. Plos One， 2015， 10（10）： e0141513. |
), 刘煜2, 王峰2, 朱友余2, 邓雪飞2()","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=260","title_cn":"计算机体层摄影静脉造影评价大脑内静脉的分型","doi":"10.3969/j.issn.2097-0005.2022.02.001","jieShuYe":"84","keywordList_en":["internal cerebral vein","classification","preoperative evaluation","computerized tomography venography"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=260","zhaiyao_en":"To classify the internal cerebral vein by computed tomographic venography （CTV）.
The CTV images from 36 patients （72 sides） with no obvious abnormality of deep cerebral vein were analyzed. The composition of three main branches of internal cerebral vein （septal vein， thalamostriate vein and lateral direct vein） were observed by maximum density projection and multiplanar reconstruction technology. The corresponding classification and their gender or side differences were analyzed.
The internal cerebral veins were divided into three types according to the junction of septal vein： near vein angle （type Ⅰ， 81.94%）， behind vein angle （type Ⅱ， 12.50%）， and absence of septal vein （type Ⅲ， 5.56%）. According to the variation of thalamostriate vein， the internal cerebral veins were divided into three types： normal thalamostriate vein （type 1， 77.78%）， suprathalamic lateral direct vein （type 2， 15.28%）， and retrothalamic lateral direct vein （type 3， 6.94%）. Among them， the occurrence of type Ⅲ internal cerebral vein on the right side was significantly higher than that on the left side， and there was no gender or side difference in the rest type.
The different confluence patterns of branches of internal cerebral vein vary greatly， and CTV can classify the internal cerebral vein accurately before operation， which is beneficial in planning approaches to lateral ventricle and third ventricle.
), Yu LIU2, Fen WANG2, Youyu ZHU2, Xuefei DENG2()","risUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=Ris&id=260","title_en":"Classification of internal cerebral veins by computerized tomography venography","hasPdf":"true"},"authorNotes_cn":["张子轩，硕士，副教授，主要从事断层影像解剖研究，E-mail：zzx8465@qq.com。","邓雪飞，博士，副教授，主要从事临床应用解剖学研究，E-mail：dengxf@ahmu.edu.cn。
计算机体层摄影静脉造影评价大脑内静脉的分型
张子轩, 刘煜, 王峰, 朱友余, 邓雪飞
betway必威登陆网址 (betway.com )学报››2022, Vol. 43››Issue (2): 81-84.
PDF(1585 KB)
PDF(1585 KB)
计算机体层摄影静脉造影评价大脑内静脉的分型
Classification of internal cerebral veins by computerized tomography venography
利用计算机体层摄影静脉造影（computed tomographic venography，CTV）对大脑内静脉进行分型。
对36例（72侧）脑深静脉未有明显异常患者的CTV图像进行分析，利用最大密度投影和多平面重建技术，观察大脑内静脉3大属支（透明隔静脉、丘纹静脉和外直静脉）的组成情况，进行相应的分型并分析性别和侧别差异。
根据透明隔静脉汇入方式将大脑内静脉分为三型：注入静脉角附近（Ⅰ型，81.94%）、注入静脉角后方（Ⅱ型，12.50%）、透明隔静脉缺乏（Ⅲ型，5.56%）；根据丘纹静脉的变异情况将大脑内静脉分为三型：正常丘纹静脉（1型，77.78%），丘脑上外直静脉（2型，15.28%），丘脑后外直静脉（3型，6.94%）。其中右侧Ⅲ型大脑内静脉的出现率显著高于左侧，余无性别和侧别差异。
大脑内静脉属支的不同汇合模式变异大，术前CTV能够准确评价其分型，从而有利于神经外科经侧脑室和第三脑室手术入路的开展。
To classify the internal cerebral vein by computed tomographic venography （CTV）.
The CTV images from 36 patients （72 sides） with no obvious abnormality of deep cerebral vein were analyzed. The composition of three main branches of internal cerebral vein （septal vein， thalamostriate vein and lateral direct vein） were observed by maximum density projection and multiplanar reconstruction technology. The corresponding classification and their gender or side differences were analyzed.
The internal cerebral veins were divided into three types according to the junction of septal vein： near vein angle （type Ⅰ， 81.94%）， behind vein angle （type Ⅱ， 12.50%）， and absence of septal vein （type Ⅲ， 5.56%）. According to the variation of thalamostriate vein， the internal cerebral veins were divided into three types： normal thalamostriate vein （type 1， 77.78%）， suprathalamic lateral direct vein （type 2， 15.28%）， and retrothalamic lateral direct vein （type 3， 6.94%）. Among them， the occurrence of type Ⅲ internal cerebral vein on the right side was significantly higher than that on the left side， and there was no gender or side difference in the rest type.
The different confluence patterns of branches of internal cerebral vein vary greatly， and CTV can classify the internal cerebral vein accurately before operation， which is beneficial in planning approaches to lateral ventricle and third ventricle.
internal cerebral vein/classification/preoperative evaluation/computerized tomography venography
| 1 | Chen D， Liu B， Jin CB， et al. Basal vein in the posterior incisural space： An anatomical comparison based on autopsy， digital subtraction angiography and computed tomographic venography［J］. J Xray Sci Technol， 2016， 24（2）： 319. |
| 2 | Sobstyl M， Brzuszkiewicz-Ku?micka G， Aleksandrowicz M， et al. Large hemorrhagic cerebral venous infarction due to deep brain stimulation leads placement. report of 2 cases［J］. Turk Neurosurg， 2019， 29（4）： 611. |
| 3 | Ohara K， Inoue T， Ono H， et al. Technique for rerouting a bridging vein that hinders the anterior interhemispheric approach： a technical note［J］. Acta Neurochir （Wien）， 2017， 159（10）： 1913. |
| 4 | Iampreechakul P， Tanpun A， Lertbusayanukul P， et al. Contralateral extensive cerebral hemorrhagic venous infarction caused by retrograde venous reflux into the opposite basal vein of Rosenthal in posttraumatic carotid-cavernous fistula： a case report and literature review［J］. Interv Neuroradiol， 2018， 24（5）： 546. |
| 5 | Cai Q， Luo JN， Ge SN， et al. The characteristics of brain injury following cerebral venous infarction induced by surgical interruption of the cortical bridging vein in mice［J］. Brain Res， 2020， 1739： 146823. |
| 6 | 周律， 王斌， 程宏伟， 等. 神经内镜下手术切除侧脑室三角区肿瘤［J］. 中国临床神经外科杂志， 2019， 24（9）： 568. |
| 7 | 聂丁， 程建华， 李斌， 等. Neuro-Endoport技术辅助神经内镜治疗脑室内肿瘤的临床疗效［J］. 中华神经外科杂志， 2020， 36（12）： 1236. |
| 8 | 张鑫海， 王晓澍， 杨刚， 等. 神经内镜在经颅治疗脑室相关深部肿瘤手术中的应用［J］. 第三军医大学学报， 2021， 43（5）： 376. |
| 9 | Gogia B， Kumar VA， Chavali LS， et al. MRI venous architecture of the thalamus［J］. J Neurol Sci， 2016， 370： 88. |
| 10 | Chen ZZ， Qiao HH， Guo Y， et al. Visualization of anatomic variation of the anterior septal vein on susceptibility-weighted imaging［J］. Plos One， 2016， 11（10）： e0164221. |
| 11 | Liu J， Xia S， Hanks R， et al. Susceptibility weighted imaging and mapping of micro-hemorrhages and major deep veins after traumatic brain injury［J］. J Neurotrauma， 2016， 33（1）： 10. |
| 12 | Shibao S， Toda M， Orii M， et al. Various patterns of the middle cerebral vein and preservation of venous drainage during the anterior transpetrosal approach［J］. J Neurosurg， 2016， 124（2）： 432. |
| 13 | 姚笑笑， 李昌盛， 陈黛茜， 等. 室间孔周围静脉的磁敏感加权成像［J］. 解剖学报， 2021， 52（1）： 91. |
| 14 | Jean WC， Tai AX， Hogan E， et al. An anatomical study of the foramen of Monro： implications in management of pineal tumors presenting with hydrocephalus［J］. Acta Neurochir （Wien）， 2019， 161（5）： 975. |
| 15 | Nagm A， Ogiwara T， Goto T， et al. Neuroendoscopy via an extremely narrow foramen of Monro： a case report［J］. NMC Case Rep J， 2017， 4（1）： 37. |
| 16 | Zhang XF， Li JC， Wen XD， et al. Susceptibility-weighted imaging of the anatomic variation of thalamostriate vein and its tributaries［J］. Plos One， 2015， 10（10）： e0141513. |
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