Magnetic Resonance Imaging (MRI) methods has a primary use in medicine, especially in diagnosis and image-guided surgery. In neuroscience, attention is mainly focused on the brain, and vessels are not always a target of the imaging procedures. The crucial aspect of using imaging during surgery concerns the correspondence with the real physical structures. This correspondence is affected by a displacement of the brain during surgery called brain shift, which can result in 5 – 10 mm difference from the MRI data. Several technical procedures are used in order to avoid this mismatch. Since intraoperative MRI devices are not always available, using local markers for orientation and navigation could be a plausible alternative. In a recent paper, Grabner and colleagues suggest to use the system of veins on the surface of the cerebral cortex as reference landmarks. These veins are well visible during the surgery, and can potentially improve navigation. The study is focused on developing a non-invasive MRI technique for the visualization of the superficial cortical veins and validation of that method by comparing MR images with high resolution photographs of human cadavers.
Considering Magnetic Resonance Angiography (MRA), the main concern of using this method is the use of a contrast agent, and the possibility of overlooking the superficial cortical veins because of the slow blood flow. Alternatively, the authors suggest to use Susceptibility-Weighted Imaging (SWI), which is a blood-oxygen-level dependent technique of MRI with an ability to image vessels smaller than a voxel. Gradient-echo based T2∗-weighted imaging was performed in this study using a 7 Tesla MRI scanner. Image processing relied on automated vessel segmentation and overlaid on anatomical MRI. The results showed high correlation between segmented veins in MRI and actual venous anatomy of the sample, and therefore surface venograms could serve as alternative navigation system for neurosurgery.
Reliable methods of imaging and segmentation of vessels are valuable also in theoretical fields, where those methods could contribute to the investigation of the function of the endocranial venous system. The importance of the veins is usually estimated according to their size, although functional information on these vessels is still scanty, and methodological research to improve craniovascular studies can be beneficial in both anthropology and medicine.