AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on January 22, 2009
doi: 10.3174/ajnr.A1424

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The Frequency and Extent of Mammillary Body Atrophy Associated with Surgical Removal of a Colloid Cyst

C.E. Denbya, S.D. Vannb, D. Tsivilisa, J.P. Aggletonb, D. Montaldia, N. Robertsc and A.R. Mayesa

a School of Psychological Sciences, Manchester, England
b School of Psychology, Cardiff University, Cardiff, Wales
c Magnetic Resonance and Image Analysis Research Centre, Liverpool, England


Figure 1
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Fig 1. The stereologic procedure for measuring the mammillary bodies. A and B, Mammillary body location and detailed structure. C, Placement of the stereologic grid. D, Method of stereologic point counting. The mammillary body volume estimate is contained within the area indicated by the white arrows.


Figure 2
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Fig 2. Comparison of the resolution of the 1 x 1 x 1 mm isotropic volume scan (A) with the 0.8-mm thin-section volume scan (B) in a patient with relatively normal mammillary body volumes. The 2 sections are taken from neighboring sections around the central region of the patient's mammillary bodies and show the higher resolution of the 0.8-mm scan and the resultant benefit for the identification of the mammillary body landmarks.


Figure 3
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Fig 3. Distribution of intracranial normalized control and patient mammillary body volumes.


Figure 4
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Fig 4. Cumulative classification of intracranial normalized patient mammillary body volumes according to the percentage of cases with atrophy below the control mean by using z-scores (1-sample t tests, 1-tailed).


Figure 5
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Fig 5. The range of atrophy across our study population. A, Healthy mammillary bodies from a control subject. B, Mild asymmetry in a patient with a colloid cyst. C and D, Severe mammillary body atrophy in the patient group. R indicates right; L, left.