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1 Basic Anatomy Chris Rorden Coordinates Cortex Brodmann Areas Common Names Talairach Coordinates Best web site: www.anatomy.usyd.edu.au/glossary/ www.mricro.com

1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Page 1: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Basic Anatomy

Chris Rorden– Coordinates– Cortex

Brodmann Areas Common Names Talairach Coordinates

– Best web site: www.anatomy.usyd.edu.au/glossary/

www.mricro.com

Page 2: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Relative Coordinates

On the globe we talk about North, South, East and West.

Lets explore the coordinates for the brain.

Page 3: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Multiple Choice

Which arrow points dorsally?A. Red

B. Green

C. Blue

D. Red and Green

E. None of above

Page 4: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Multiple Choice

Which arrow points dorsally?A. Red

B. Green

C. Blue

D. Red and Green

E. None of above

Page 5: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Orientation

Human anatomy described as if person is standing

If person is lying down, we would still say the head is superior to feet.

Page 6: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Orientation - animals

Cranialhead

Rostralbeak Caudal

tail

Dorsalback

Ventralbelly

Page 7: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Coordinates – Human

Human dorsal/ventral and rostral/caudal differ for brain and spine.– Head/Foot, Superior/Inferior, Anterior/Posterior not ambiguous.

DorsalVentral

Dorsal

Ventral

Page 8: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Anatomy – Relative Directions

Posterior <> Anterior

Pos

teri

or <

> A

nte

rior

Ven

tral

<>

Dor

sal

lateral < medial > lateral

Anterior/Posterioraka Rostral/Caudal

Ventral/Dorsalaka Inferior/Superioraka Foot/Head

Page 9: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Coordinates - Anatomy

3 Common Views of Brain:– Coronal (head on)– Sagittal (profile)– Axial (bird’s eye), aka

Transverse. The book calls this ‘Horizontal’ but it is not horizontal when we are lying in a scanner.

sagittalcoronal

axial

Page 10: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Coronal

Corona: ‘crown’ a coronal plane is parallel to crown that passes from ear to ear– Coronal cut creates anterior, posterior portions

Page 11: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Sagittal

Sagittal – ‘arrow like’– Sagittal cut divides object into left

and right– sagittal suture looks like an arrow.

top view

Page 12: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Transverse

Transverse: perpendicular to the long axis– These cuts are also referred to as Axial.

Example: cucumber slices are transverse to long axis.

Page 13: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Oblique Slices

Slices that are not cut parallel to an orthogonal plane are called ‘oblique’.

The oblique blue slice is neither Coronal nor Axial.

Ax

Cor

Oblique

Page 14: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Anatomy

Brain Planes Axis of left/right plane easy to defineWhat is the axis for axial plane?

?

?

?

Page 15: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Bicommissural plane

Axis for axial plane is defined by anterior commissure (AC) and posterior commissure (PC).

Both are small regions that are clear to see on most scans.

AC

PC

Page 16: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Distance from midline

– Medial – near sagittal midlineOptic chiasm C medial of eyes

– Lateral – far from sag. MidlineEyes are lateral of optic chiasm

– Ipsilateral – same sideDamage to A will cause blindness in ipsilateral eye

– Contralateral –different sideDamage to D will lead to a contralateral field cut.

– Note: after brain injury (lesions) we talk about contralesional and ipsilesionalDamage to visual cortex G leads to problems with contralesional vision.

Page 17: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Relative positions

Distance From Body– Proximal, Central: near center of body

Think ‘proximity’ Shoulders are proximal parts of arms

– Distal,peripheral: away from body Think distant Fingers are distal parts of the arms

Distance from Surface– Superficial, external: near surface

The bump bruised superficial tissue.

– Profound, deep: far from surface The car crash injured deep organs.

Page 18: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Neuron: Cell which is responsible for receiving, transmitting and synthesizing information– cell body: contains organelles for metabolism and

a nucleusGlial Cells: Support cells for Neurons

Page 19: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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The cortex

Cortex – ‘Bark’ shell of brain~80% of human brain

~20% of squirrel brain

Page 20: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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The big folds

The folds of your brain are like a fingerprint – there are a few general patterns, with individual variability.

Two main folds– Central Sulcus

Fissure of RolandoRolandic sulcus

– Lateral sulcusSylvian fissure

Page 21: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Describing cortex location

Brodmann Areas (BAs, 1909)Appearance of cortex under microscopeNot necessarily function

Arbitrary numbers are hard to remember

Page 22: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Brodmann Areas

Function does not necessarily follow appearance.

Some key areas:44: Broca’s Area

22: Wernicke’s Area

17: V1 Primary Visual

Page 23: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Brodmann Areas (medial slice)

Note that gray matter is located in the longitudinal fissure (between the two hemispheres)

Page 24: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Squirrels vs humans

squirrel brain– Surface of human brain

is grooved.– Surface of brain from

many animals is flat.– If we completely flattened

a squirrel brain, it would be the size of a stamp.

Page 25: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Cortical folding

Cortical folding increases surface area.Ridges are called Gyri (singular = Gyrus)

– Greek gyros = circle, hence a coil of brain cortexValleys are called Sulci (singular = Sulcus).

– Latin = a groove.

Gyri

Sulci

Page 26: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Anatomy

Surface of human cortex and cerebellum is very folded– Flattened, each hemisphere 1100cm2

– Cerebellum is also 1100cm2

Crumpled shape hides size of cortex– Compare Folded/Unfolded (from Marty Sereno)

HumanChimpanzeeMonkey

Page 27: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Cortical Names

Much of cortex referred to by combination of coordinate+lobe+gyrus

E.G. Superior Temporal Gyrus (STG)

Middle Temporal Gyrus(MTG)

Lateral Occipital Gyrus (LOG)

Page 28: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Cortical names

Tip of an object called a ‘pole’Frontal PoleTemporal Pole

Page 29: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Sulci names

Many of sulci referred to by combination of coordinate+lobe+sulcus– Superior temporal sulcus (STS)– Inferior frontal sulcus (IFS)

– Precentral and postcentral sulciare just anterior and posterior to the central sulcus.

Page 30: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Brain function

Anatomy is interested with the structure of an organism.

Physiology is interested in the function of the structure.

We are still learning about brain function

Modern maps of brain function are primitive…

Page 31: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Brain function

Much of the primate cortex devoted to vision.

In some monkeys, up to 50% of neocortex is devoted to vision.

Page 32: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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Brain function

Two striking features of human brain

1. Lots of cortex ‘left over’ (yellow)not devoted to specific task – we are flexible

2. Not much of the cortex is solely devoted to language.

Page 33: 1 Basic Anatomy Chris Rorden –Coordinates –Cortex Brodmann Areas Common Names Talairach Coordinates –Best web site:

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12

3

4

A B

C D