Three-Dimensional Anatomy of the White Matter Fibers of the Temporal Lobe: Surgical Implications

Pescatori, Lorenzo; Tropeano, Maria Pia; Manfreda, Andrea; Delfini, Roberto; Santoro, Antonio

doi:10.1016/j.wneu.2016.12.120

Cited by 23 publications

(9 citation statements)

References 12 publications

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“…Details of the technique, including fixation, freezing and thawing, are described in detail in Table 2, which summarizes our results (Baran et al 2019;Bozkurt et al 2017;Burks et al 2017;Capilla-Guasch et al 2019;Costa et al 2018;De Benedictis et al 2014;de Castro et al 2005;Di Carlo et al 2019;Dini et al 2013;Fernandez-Miranda et al 2008;Flores-Justa et al 2019;Goryainov et al 2017;Gungor et al 2018;Ludwig and Klingler 1956;Kadri et al 2017;Koutsarnakis et al 2015;Latini 2015;Latini et al 2015;Mandonnet et al 2017;Martino et al 2010;Panesar et al 2019;Pescatori et al 2017;Peuskens et al 2004;Rigoard et al 2011;Sarubbo et al 2016;Serra et al 2017;Shah et al 2012;Silva and Andrade 2016;Silva et al 2017;Sincoff Ture et al 2000;Vergani et al 2014;Verhaeghe et al 2018;Wang et al 2013;Wu et al 2016a, b;Yakar et al 2018).…”

Section: Resultsmentioning

confidence: 78%

“…Before the second step begins, Klingler recommended washing out the formalin from the brain under running water, which should take "several hours" (Kadri et al 2017;Koutsarnakis et al 2015;Silva and Andrade 2016;Ture et al 2000;Wu et al 2016a). The aim of this step is to remove the formalin solution, which is irritating to the observer during the next step, which includes removing the arachnoid and vessels (Baran et al 2019;Capilla-Guasch et al 2019;Costa et al 2018;Di Carlo et al 2019;Goryainov et al 2017;Kadri et al 2017;Koutsarnakis et al 2015;Latini 2015;Latini et al 2015;Martino et al 2010;Panesar et al 2019;Pescatori et al 2017;Serra et al 2017;Silva and Andrade 2016;Silva et al 2017;Vergani et al 2014;Wu et al 2016a, b). Most authors removed the arachnoid before freezing except for a few who did it after this process is done or between episodes (Burks et al 2017;De Benedictis et al 2014;Gungor et al 2018;Peuskens et al 2004;Rigoard et al 2011;Sarubbo et al 2016;Shah et al 2012;Sincoff et al 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Instruments initially used for dissection were Swiss watchmaker forceps and wooden spatulas, which are 2-4 mm wide, while metal spatulas were not recommended (Ludwig and Klingler 1956;Klingler and Gloor 1960). Most laboratories currently use wooden spatulas (Capilla-Guasch et al 2019;Costa et al 2018;De Benedictis et al 2014;de Castro et al 2005;Di Carlo et al 2019;Dini et al 2013;Flores-Justa et al 2019;Latini et al 2015;Panesar et al 2019;Pescatori et al 2017;Sarubbo et al 2016;Serra et al 2017;Shah et al 2012;Silva and Andrade 2016;Sincoff et al 2004;Ture et al 2000;Vergani et al 2014), but microsurgical metallic instruments (Capilla-Guasch et al 2019;Costa et al 2018;de Castro et al 2005;Flores-Justa et al 2019;Gungor et al 2018;Koutsarnakis et al 2015;Latini 2015;Latini et al 2015;Martino et al 2010;Peltier et al 2006;Peuskens et al 2004;Serra et al 2017;Silva and Andrade 2016;Vergani et al 2014;Wang et al 2013;Wu et al 2016b) have also been found to be useful for precise dissections. For a delicate dissection of low volume tracts, Klingler used snipe feathers, wet hair pencils or wet pieces of cotton wool (Klingler and Gl...…”

Section: Discussionmentioning

confidence: 99%

“…To document the results of dissection, Klingler used an analog camera with four-lamp illumination. Recently, this process has been performed with digital cameras that can potentially improve the quality of images with software dedicated for postprocessing (Bozkurt et al 2017;Capilla-Guasch et al 2019;Flores-Justa et al 2019;Gungor et al 2018;Kadri et al 2017;Latini 2015;Martino et al 2010;Pescatori et al 2017;Sarubbo et al 2016;Shah et al 2012;Vergani et al 2014;Wu et al 2016b). Some authors believe that only photographs without any postprocessing are able to present realistic dissection results (Koutsarnakis et al 2015).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

White matter dissection with the Klingler technique: a literature review

Dziedzic¹,

Balasa²,

Jeżewski³

et al. 2020

Brain Struct Funct

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The aim of this literature review is to present a summary of the published literature relating the details of the different modifications of specimen preparation for white matter dissection with the Klingler technique. For this review, 3 independent investigators performed an electronic literature search that was carried out in the Pubmed, Scopus and Web of Science databses up to December 2019. Furthermore, we performed citation tracking for the articles missed in the initial search. Studies were eligible for inclusion when they reported details of at least the first 2 main steps of Klingler’s technique: fixation and freezing. A total of 37 full-text articles were included in the analysis. We included original anatomical studies in which human white matter dissection was performed for study purposes. The main three steps of preparation are the same in each laboratory, but the details of each vary between studies. Ten percent formalin is the most commonly used (34 studies) solution for fixation. The freezing time varied between 8 h and a month, and the temperature varied from − 5 to − 80 °C. After thawing and during dissections, the specimens were most often kept in formalin solution (13), and the concentration varied from 4 to 10%. Klingler’s preparation technique involves three main steps: fixation, freezing and thawing. Even though the details of the technique are different in most of the studies, all provide subjectively good quality specimens for anatomical dissections and studies.

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Section: Resultsmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

White matter dissection with the Klingler technique: a literature review

Dziedzic¹,

Balasa²,

Jeżewski³

et al. 2020

Brain Struct Funct

View full text Add to dashboard Cite

show abstract

“…6,8,9 In humans, the AC lies rostral to the putamen and globus pallidus and the columns of the fornix and superior-anterior to the temporal horn of the lateral ventricle. 10 The AC of humans consists of two limbs: a small anterior limbs (ACa) and a larger posterior (ACp) limb. The association of the ACa with olfaction is well-known.…”

Section: Introductionmentioning

confidence: 99%

The Complex Structure of the Anterior White Commissure of the Human Brain: Fiber Dissection and Tractography Study

et al. 2021

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Preoperative planning for jugular‐foramen tumors: Preparation of a three‐dimensional surgical drawing

Yang

Zhang

2021

Int J Imaging Syst Tech

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The goal of the article shows a new technique to provide three‐dimensional (3D) atlas to be used for a preoperative planning for safe resection of jugular‐foramen tumor. A surgical‐planning drawing was created based on the test results to provide precise guidance to neurosurgeons. Using magnetic resonance imaging and computed tomography scans of the head as guide images, we generated a 3D surgical atlas. We first read the MRI and CT data into Mimics 10.0 (Materialize, Leuven, Belgium) and matched the orientation of the imaging with the actual head position. Anatomical structures captured on the scans were segmented into target areas, and then reconstructed using segmentation and model‐building tools. All 3D models were imported into 3ds Max11.0 (Autodesk, Inc., The United States) to generate a surgical atlas. We used the 3D atlas for surgical simulation to identify the optimal surgical approach, and then prepared a surgical drawing for surgery. The atlas was created using scans of one patient. We generated a 3D digital atlas of anatomical structures of the jugular‐foramen region for visualization, manipulation, and interaction in a virtual 3D environment and prepared a surgical drawing for jugular‐foramen tumors. The 3D atlas contained MRI information. In 3D atlas, a mouse can be used to actively interact with the model by manipulating viewer orientation, changing model transparency, matching 2D image with 3D reconstructions, removing or adding structures sequentially to show complex anatomical pathways or relationships. The atlas could be subjected to surgical simulation. We create a 3D atlas and surgical planning drawing of a jugular foramen tumor. The 3D surgical‐planning atlas may provide precise guidance for surgical operations.

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Three-Dimensional Anatomy of the White Matter Fibers of the Temporal Lobe: Surgical Implications

Cited by 23 publications

References 12 publications

White matter dissection with the Klingler technique: a literature review

White matter dissection with the Klingler technique: a literature review

The Complex Structure of the Anterior White Commissure of the Human Brain: Fiber Dissection and Tractography Study

Preoperative planning for jugular‐foramen tumors: Preparation of a three‐dimensional surgical drawing

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