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Doctoral Thesis
DOI
https://doi.org/10.11606/T.42.2012.tde-29012013-083644
Document
Author
Full name
Neysa Aparecida Tinoco Regattieri
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2012
Supervisor
Committee
Liberti, Edson Aparecido (President)
Azeredo, Rogerio Albuquerque
Cabral, Richard Halti
Furquim, Tânia Aparecida Correia
Haetinger, Rainer Guilherme
Title in Portuguese
Avaliação morfológica e angiográfica por tomografia computadorizada e ressonância magnética do círculo arterial do cérebro.
Keywords in Portuguese
Anatomia
Cérebro
Diagnóstico por imagem
Histologia
Morfologia (anatomia)
Abstract in Portuguese
O círculo arterial do cérebro (CAC) é objeto de estudo desde os princípios da anatomia moderna e ao longo dos séculos documentado e classificado de várias maneiras. Recentemente o desenvolvimento dos métodos diagnósticos por imagem e de ultraestrutura abriram um novo leque nas possibilidades de investigação. Neste trabalho o CAC foi avaliado por meio de exames por angiotomografia computadorizada, por angiorressonância magnética, fotografias de peças anatômicas, histologia, microscopia eletrônica por varredura e por transmissão. Verificou-se na amostra que o CAC possui tendência a simetria. Os achados foram similares na comparação entre os métodos de diagnóstico por imagem, porém não demonstraram todos os achados dos espécimes anatômicos. A metodologia utilizada permitiu verificar que as camadas das paredes das diferentes artérias podem explicar parcialmente as diferenças nos achados entre os métodos de imagem e as peças anatômicas. Os dados aqui apresentados revestem-se de grande importância clínica e cirúrgica uma vez que o CAC é um elemento chave na circulação cerebral.
Title in English
Morphologic and angiographic computer tomography and magnetic resonance imaging of arterial circle of the brain (Willis Polygon).
Keywords in English
Anatomy
Brain
Diagnostic imaging
Histology
Morphology (anatomy)
Abstract in English
The Willis Polygon (WP) has been studied since the beginning of modern anatomy and documented and classified over the centuries in various ways. Recently the development of diagnostic imaging methods and ultra structure opened a new range of possibilities in the investigation. In this work the WP was assessed by computer tomography angiography examinations by magnetic resonance angiography, photographs of anatomical specimens, histology, scanning and transmission electron microscopy. It was found that the sample has a tendency to the WP symmetry. The findings were similar when comparing the methods of diagnostic imaging, but did not show all findings of anatomical specimens. The methodology has shown that the different layers of the walls of arteries may partly explain the differences in findings between imaging and anatomical parts. The data presented here are of great clinical and surgical importance, once the WP is a key element in the cerebral circulation.
 
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Publishing Date
2013-03-14
 
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