A comprehensive study of magnetic resonance angiography of circle of Willis in population of Western Uttar Pradesh

https://doi.org/10.53730/ijhs.v6nS6.11304

Authors

  • Nisha V. Kaul Professor and HOD, Department of Anatomy, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, India
  • V. D. Pandey Associate Professor, Department of Anatomy, LLRM Medical College Meerut, Uttar Pradesh, India
  • Vidit Pratap Dixit (Ph.D. Scholar), Batch-2018 Santosh Deemed to be University, Ghaziabad, NCR, Delhi, India
  • Vanita Gupta Professor and HOD, Department of Anatomy, Rama Medical College, Hapur, Uttar Pradesh, India
  • Rajul Rastogi Associate Professor, Department of Radiodiagnosis, TMU Medical College and Hospital, Moradabad, Uttar Pradesh, India
  • Sumita Shukla Assistant Professor, Department of Anatomy, Narayana Medical College, Kanpur, Uttar Pradesh, India

Keywords:

Circle of Willis, MRA, Anatomic variations, TOF

Abstract

Background: Circulus Arteriosus cerebrii, another name for Circle of Willis, establishes a polygonal anastomotic channel between two internal carotid arteries and two vertebral arteries. The arterial circle is located in the interpeduncular fossa, near the base of the brain. It has been established through anatomical and radiological studies that there are anatomical variations in healthy persons. Aim: To evaluate the anatomical variations in arteries of circle of Willis supplying brain through Magnetic Resonance Angiography (MRA) in population of western UP. Methods and Materials: This cross-sectional study included 264 patients who met inclusion criteria. Non-contrast Magnetic Resonance Angiography of Circle of Willis was carried out among the individuals after a written informed consent.  Angiography of brain (circle of Willis) scanning protocol consisted of 3-dimensional time of flight Trans axial acquisition. MRA of brain was performed on GE 1.5 TESLA Optima MRI machine. MRA Brain angiography images were viewed for normal pattern of arterial anatomy and their variations. Results: The complete variant in male was 58.9% (n=103) while in females it was 59.6% (n=53). The incomplete variant in male & females was 41.1% (n=72) and 40.4% (n=36) respectively. 

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References

Alpers BJ, Berry RG, Paddison RM. Anatomical studies of the circle of Willis in normal brain. AMA Arch Neurol Psychiatry 1959;81:409- 18.

Anzola GP, Gasparotti R, Magoni M, Prandini F. Transcranial Doppler sonography and magnetic resonance angiography in the assessment of collateral hemispheric flow in patients with carotid artery disease. Stroke 1995;26:214-7.

Barboriak DP, Provenzale JM. Pictorial review: Magnetic resonance angiography of arterial variants at the circle of Willis. Clin Radiol1997;52:429-36.

Baumgartner RW, Baumgartner I, Mattle HP, Schroth G. Transcranial color-coded duplex sonography in unilateral flow-restrictive extracranial carotid artery disease. AJNR Am J Neuroradiol1996;17:777-83.

Baumgartner RW, Baumgartner I, Mattle HP, Schroth G. Transcranial color-coded duplex sonography in the evaluation of collateral flow through the circle of Willis. AJNR Am J Neuroradiol1997;18:127-33

Cassot F, Vergeur V, Bossuet P, Hillen B, Zagzoule M, Marc-Vergnes JP. Effects of anterior communicating artery diameter on cerebral hemodynamics in internal carotid artery disease: A model study. Circulation 1995;92:3122-31.

Chen HW, Yen PS, Lee CC. Magnetic resonance angiographic evaluation of circle of Willis in general population: A morphologic study in 507 cases. Chin J Radiol2004;29:223-9.

Dickey PS, Kailasnath P, Bloomgarden G, Goodrich I, Chaloupka J. Computer modeling of cerebral blood flow following internal carotid artery occlusion. Neurol Res 1996;18:259-66.

Gunnal SA, Farooqui MS, Wabale RN. Anatomical variations of the circulusarteriosus in cadaveric human brains.Neurol Res Int 2014;2014:687281.

Hillen B, Drinkenburg BA, Hoogstraten HW, Post L. Analysis of flow and vascular resistance in a model of the circle of Willis. J Biomech1988;21:807-14.

Hillen B. The variability of the circle of Willis: Univariate and bivariate analysis. ActaMorpholNethScand 1986;24:87-101.

Hillen B. The variability of the circulusarteriosus (Willis): Order or anarchy. ActaAnat (Basel) 1987;129:74-80.

Iqbal S. A comprehensive study of the anatomical variations of the circle of Willis in adult human brains. J ClinDiagn Res 2013;7:2423-7.

Jongen JC, Franke CL, Soeterboek AA, Versteege CW, Ramos LM, van Gijn J. Blood supply of the posterior cerebral artery by the carotid system on angiograms. J Neurology 2002;249:455-60.

Kapoor K, Singh B, Dewan LI. Variations in the configuration of the circle of Willis. AnatSciInt 2008;83:96-106.

Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, de Groot JC, Algra A, Hillen B, et al. Circle of Willis: Morphological variation on MR angiograms. Radiology 1998;207:103-11.

Macchi C, Catini C, Federico C, Gulisano M, Pacini P, Cecchi F, et al. Magnetic resonance angiographic evaluation of circulusarteriosuscerebri (circle of Willis): A morphologic study in 100 human healthy subjects. Ital J Anat Embryol1996;101:115-23.

Miralles M, Dolz JL, Cotillas J, Aldoma J, Santiso MA, Gimenez A, et al. The role of the circle of Willis in carotid occlusion: Assessmentwith phase contrast MR angiography and transcranial duplex. Eur J VascEndovascSurg 1995;10:424-30.

Mull M, Schwarz M, Thron A. Cerebral hemispheric low-flow infarcts in arterial occlusive disease: Lesion patterns and angiomorphological conditions. Stroke 1997;28:118-23.

Ozaki T, Handa H, Tomimoto K, Hazama F. Anatomical variations of the arterial system of the base of the brain. Arch JpnChir1977;46:3-17.

Papantchev V, Hristov S, Todorova D, Naydenov E, Paloff A, Nikolov D, et al. Some variations of the circle of Willis, important for cerebral protection in aortic surgery — A study in Eastern Europeans.Eur J Cardiothoracic Surg 2007;31:982-9.

Schomer DF, Marks MP, Steinberg GK, Johnstone IM, Boothroyd DB, Ross MR, et al. The anatomy of the posterior communicating artery as a risk factor for ischemic cerebral infarction. N Engl J Med 1994;330:1565-70.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949

Widjaja, G. (2021). Impact of human resource management on health workers during pandemics COVID-19: systematic review. International Journal of Health & Medical Sciences, 4(1), 61-68. https://doi.org/10.31295/ijhms.v4n1.850

Published

30-07-2022

How to Cite

Kaul, N. V., Pandey, V. D., Dixit, V. P., Gupta, V., Rastogi, R., & Shukla, S. (2022). A comprehensive study of magnetic resonance angiography of circle of Willis in population of Western Uttar Pradesh. International Journal of Health Sciences, 6(S6), 6764–6774. https://doi.org/10.53730/ijhs.v6nS6.11304

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Section

Peer Review Articles