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자기공명영상을 이용한 건강한 한국인 청년 조가비핵과 꼬리핵의 부피

The Putamen and Caudate Nucleus Volume in Korean Youth by MRI Volumetry

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참고문헌

키워드

주제분류해부학

초록

줄무늬체는 꼬리핵과 조가비핵으로 구성된 바닥핵으로 운동기능 조절에 관여하는 것으로 알려져 있다. 줄무늬체의 이상과 관련된 질환으로 헌팅톤 무도병, 뚜렛 증후군, 강박장애 및 정신분열증이 보고되고 있으나, 건강한 정상인에 초점을 맞춘 줄무늬체 부피에 관한 보고는 아직까지 찾을 수 없어, 이 연구에서 건강한 20대 한국인 청년을대상으로 줄무늬체 부피를 측정하였다. 남자 28명, 여자 29명의 자원자를 대상으로 간단한 문진과 신경학적 검사를거친 후, 뇌의 자기공명영상을 얻었다. 얻어진 자료는 DICOM형식으로 저장한 후 V-Works Program으로 불러내어머리뼈안 부피, 꼬리핵 부피, 조가비핵 부피를 모델링하고 측정하였다. 꼬리핵의 경우 남자는 7.23±1.18 cm3, 여자는6.23±0.96 cm3였고, 조가비핵의 경우 남자는 7.19±1.25 cm3, 여자는 6.38±0.86 cm3로 전체 머리뼈안 부피로 보정한각각의 뇌부피는 남녀 간의 차이를 보이지 않았다. 하지만 오른쪽 꼬리핵이 남녀 모두에서 왼쪽보다 오른쪽이 크게관찰되었으며, 조가비핵은 양쪽의 크기 차이가 없었다. 이 연구결과는 향후 줄무늬체와 관련 뇌기능과 질환연구의 중요한 기초자료로 활용될 것이다.

Abstract

Corpus striatum is subcortical nuclei composed of caudate nucleus and putamen. It has been considered to be associated with motor control and learning. Dysfunction of the striatum is related to Huntington’s disease, Tourette’s syndrome, obsessive-compulsive disorder and schizophrenia. Nevertheless, standard Korean striatum volume was not set yet. Here, we report the striatum volume in healthy Korean youths. The subjects were composed of 57 youths (male, 28; female, 29). The MRI study was undertaken after a brief history taking and neurological examination. The DICOM files were imported into V-Works program. Volume models of the intracranial cavity, whole brain, caudate nucleus, and putamen were made and their volumes were calculated by the program. The average caudate volume was 7.23±1.18 cm3 in male group and 6.23±0.96 cm3 in female group. The average volume of putamen was 7.19±1.25 cm3 in male group and 6.38±0.86 cm3 in female group. Interestingly the right caudate volume is significantly larger in both group, although there is no difference in putamen volume. This study reports Korean corpus striatum volume in healthy volunteers. These results would provide an important standard reference for further study.

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