Analysis of posterior circulation diameters depending on age, sex and side by computed tomography angiography
Abstract
Background: Posterior circulation of brain is important because of vital organs’ blood supply provided by them. In this study, we evaluate the relationship of posterior circulation measurements with age, gender and side by using computed tomography angiography (CTA) images.
Materials and methods: A total 199 brain CTA examinations were retrospectively analysed for all posterior circulation arteries (vertebral artery, basilar artery, posterior cerebral artery [PCA], superior cerebellar artery [SCA], anterior inferior cerebellar artery, and posterior inferior cerebellar artery [PICA]) to compare the difference based on age, gender and side.
Results: There is no correlation between age and the mean diameters of all vessels (p > 0.05). The mean diameter of left vertebral artery was higher than right vertebral artery in all genders (p = 0.004 for males and p < 0.001 for females). The mean diameter of left SCA and PICA were higher than right SCA and PICA in females (p = 0.032 and p = 0.027, respectively). The mean diameters of basilar, left PCA, left SCA, left vertebral, right PCA, right SCA, right PICA and right vertebral artery were higher in males and that differences were statistically significant (p < 0.001, p = 0.002, p = 0.006, p = 0.004, p = 0.001, p = 0.003, p = 0.002, and p = 0.006, respectively).
Conclusions: The posterior circulation vessel diameter is not affected by aging. The mean diameters of basilar artery, both PCAs, both SCAs, right PICA, both vertebral arteries were higher in males. The mean diameter of left vertebral artery is higher than that of right vertebral artery in all genders.
Keywords: cerebral arteriescerebellar arteriesposterior circulationmorphometric measurementscomputed tomography
References
- Garcia-Gonzalez U, Cavalcanti DD, Agrawal A, et al. Anatomical study on the "perforator-free zone": reconsidering the proximal superior cerebellar artery and basilar artery perforators. Neurosurgery. 2012; 70(3): 764–772.
- Han A, Yoon DY, Chang SKi, et al. Accuracy of CT angiography in the assessment of the circle of Willis: comparison of volume-rendered images and digital subtraction angiography. Acta Radiol. 2011; 52(8): 889–893.
- Ichikawa H, Mukai M, Takahashi N, et al. Dilative arterial remodeling of the brain with different effects on the anterior and posterior circulation: an MRI study. J Neurol Sci. 2009; 287(1-2): 236–240.
- Karatas A, Yilmaz H, Coban G, et al. The anatomy of circulus arteriosus cerebri (circle of willis): a study in turkish population. Turk Neurosurg. 2016; 26(1): 54–61.
- Krzyżewski RM, Stachura MK, Stachura AM, et al. Variations and morphometric analysis of the proximal segment of the superior cerebellar artery. Neurol Neurochir Pol. 2014; 48(4): 229–235.
- 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.
- Pai BS, Varma RG, Kulkarni RN, et al. Microsurgical anatomy of the posterior circulation. Neurol India. 2007; 55(1): 31–41.
- Rai AT, Rodgers D, Williams EA, et al. Dimensions of the posterior cerebral circulation: an analysis based on advanced non-invasive imaging. J Neurointerv Surg. 2013; 5(6): 597–600.
- Sahni D, Jit I, Lal V. Variations and anomalies of the posterior communicating artery in Northwest Indian brains. Surg Neurol. 2007; 68(4): 449–453.
- Shrontz C, Dujovny M, Ausman JI, et al. Surgical anatomy of the arteries of the posterior fossa. J Neurosurg. 1986; 65(4): 540–544.
- van der Lugt A, Buter TC, Govaere F, et al. Accuracy of CT angiography in the assessment of a fetal origin of the posterior cerebral artery. Eur Radiol. 2004; 14(9): 1627–1633.
- Vitosevic F, Rasulic L, Medenica SM. Morphological characteristics of the posterior cerebral circulation: an analysis based on non-invasive imaging. Turk Neurosurg. 2019; 29(5): 625–630.
- Wijesinghe P, Steinbusch HWM, Shankar SK, et al. Circle of Willis abnormalities and their clinical importance in ageing brains: A cadaveric anatomical and pathological study. J Chem Neuroanat. 2020; 106: 101772.