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Research ArticlePediatrics

Biometry of the Corpus Callosum in Children: MR Imaging Reference Data

C. Garel, I. Cont, C. Alberti, E. Josserand, M.L. Moutard and H. Ducou le Pointe
American Journal of Neuroradiology September 2011, 32 (8) 1436-1443; DOI: https://doi.org/10.3174/ajnr.A2542
C. Garel
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I. Cont
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C. Alberti
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E. Josserand
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M.L. Moutard
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H. Ducou le Pointe
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  • Fig 1.
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    Fig 1.

    Description of the different biometric parameters measured with MR imaging. A, Measurement of the APD of the CC, the distance between the anterior aspect of the genu and the posterior aspect of the splenium. B, Measurement of the true LCC, the curvilinear distance between the rostrum and the splenium at midthickness of the CC. C, Measurement of the thickness of the CC, at the level of the genu (GT), body (BT), isthmus (IT), and splenium (ST). D, measurement of the IT when the isthmus could not be identified because of insufficient CC modeling. IT was measured at the level where the fornix abuts the CC (CC-fornix junction). E, Measurement of the FOD, the distance between the extreme points of the frontal and occipital lobes. F, Evaluation of the position of the splenium. A line was drawn along the dorsal surface of the brain stem. Another line was drawn parallel to the first one and passing at the level of the most posterior point of the splenium. The S/T distance between those lines was measured at the level of the fastigium.

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    Fig 2.

    Reference intervals (3rd, 50th, 97th) for the different parameters: A = APD; B = LCC; C = GT; D = BT; E = IT; F = ST; G = FOD for males; H = FOD for females; I = S/T; J = IT/ST; and K= ADP/FOD.

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    Fig 3.

    Loess smoothing curves of the different parameters depending on age (years) and sex. A = APD; B = LCC; C = GT; D = BT; E = IT; F = ST; G = FOD; H = S/T; I = IT/ST; J = ADP/FOD..

Tables

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    Table 1:

    Different biometric parameters analyzed in the studya,b

    AbbreviationParameterDefinitionFig
    APDAnteroposterior diameter of the CCDistance between the anterior aspect of the genu and the posterior aspect of the splenium1A
    LCCTrue length of the CCCurvilinear distance between the rostrum and the splenium at midthickness of the CC1B
    GTThickness of the genu of the CCThickness of the CC, measured at the level of the genu1C
    BTThickness of the body of the CCThickness of the CC, measured at the level of the body1C
    ITThickness of the isthmus of the CCaThickness of the CC, measured at the level of the isthmus1C
    STThickness of the splenium of the CCThickness of the CC, measured at the level of the splenium1C
    FODFronto-occipital diameterbDistance between the extreme points of the frontal and occipital lobes1E
    S/TDistance splenium/tegmentumDistance at the level of the fastigium, between a line drawn along the dorsal surface of the brain stem and another line parallel to the first one and passing through the level of the most posterior point of the splenium1F
    • a When the isthmus could not be identified because of insufficient CC modeling, the IT was measured at the level where the fornix abuts the CC (CC-fornix junction) (Fig 1D).

    • b Sometimes the frontal and occipital lobes were not visible on the midsagittal section due to enlargement of the interhemispheric fissure. The FOD was then acquired on a slightly parasagittal section.

    • View popup
    Table 2:

    Distribution of the number of children as a function of age and sex

    Age Class in YearsMales (n = 320)Females (n = 302)All (N = 622)
    <16551116
    1–2263258
    2–3322759
    3–4392362
    4–5151227
    5–6151328
    6–7151429
    7–8151631
    8–9102232
    9–1091928
    10–11121830
    11–12181432
    12–13141529
    13–14161329
    14–15191332
    • View popup
    Table 3:

    Values of the median, 3rd, and 97th percentiles for the different parameters, as a function of age

    PercentileAge (yr)
    00.511.522.53456789101112131415
    APD
        3rd36.843.747.950.652.453.654.455.556.256.857.457.958.559.159.760.46161.762.5
        Median43.650.955.658.660.661.962.964.164.865.56666.667.267.968.669.370.17172
        97th6263.966.869.170.671.772.573.574.274.875.47676.677.378.17979.981.182.3
    LCC
        3rd47.66066.970.772.773.874.47575.375.67676.577.177.778.479.280.18182
        Median56.370.278.382.985.58787.988.789.289.790.290.891.592.393.394.495.797.299
        97th81.789.195.399.1101.3102.6103.3104.1104.5105105.6106.3107.1108.2109.4110.9112.7114.8117.5
    GT
        3rd2.53.74.65.25.766.36.76.977.17.27.37.37.47.57.57.67.6
        Median4.35.86.97.78.38.89.19.69.910.110.210.310.410.510.610.610.710.810.8
        97th8.38.99.710.41111.411.812.312.612.91313.113.213.313.413.513.513.613.7
    BT
        3rd1.31.82.22.62.93.13.33.53.73.83.93.944443.93.93.7
        Median2.333.64.14.54.855.35.55.75.85.85.85.95.95.95.95.95.9
        97th55.35.76.16.56.877.47.67.77.87.97.98888.18.28.4
    IT
        3rd1.21.41.51.61.71.71.81.922.12.22.22.32.42.42.42.52.52.5
        Median1.92.22.52.72.833.13.23.43.53.63.73.83.83.94444.1
        97th3.94.14.34.54.64.84.95.15.35.55.65.75.85.9666.16.26.2
    ST
        3rd1.93.44.45.15.666.26.76.97.27.47.57.67.77.77.77.57.16.3
        Median3.95.66.77.58.18.58.89.29.59.81010.110.310.410.510.510.610.610.5
        97th99.29.910.510.911.311.511.912.212.512.712.81313.113.313.513.714.114.8
    FOD boys
        3rd69.8105.2119.5127.4132.3135.4137.6140.5142.3143.8145.1146.3147.5148.6149.7150.8151.9153154
        Median116.3133.9143.3148.9152.5154.9156.6158.8160.3161.5162.5163.4164.4165.3166.2167.1168168.9169.7
        97th141153.7161.1165.6168.5170.5171.9173.7175175.9176.8177.6178.4179.2180180.7181.5182.2183
    FOD girls
        3rd98.1115.9124.7129.8132.9134.9136.3138.2139.5140.6141.5142.4143.3144.2145145.8146.7147.5148.3
        Median109128.5138.7144.8148.7151.2152.9155156.3157.3158.1158.9159.6160.4161.1161.8162.5163.2163.9
        97th132.5146.5155.2160.5163.8166.1167.6169.5170.6171.5172.2172.9173.5174.2174.8175.5176.1176.8177.4
    S/T
        3rd1422.926.628.629.830.430.931.431.832.232.432.632.832.93333333333.1
        Median22.628.93233.834.835.435.836.436.837.137.437.637.837.93838.138.138.138.1
        97th34.737.3394040.741.141.441.842.242.542.843.143.343.443.543.643.743.743.7
    Ratio IT/ST
        3rd0.270.230.210.20.20.20.20.20.210.210.210.220.220.220.230.230.230.230.23
        Median0.490.420.380.360.350.350.350.350.350.360.360.370.370.370.380.380.380.380.38
        97th0.890.760.690.650.630.610.610.60.60.610.610.610.620.620.620.630.630.630.63
    Ratio APD/FOD
        3rd0.340.340.350.350.350.350.360.360.360.370.370.370.370.370.370.370.380.380.38
        Median0.40.40.40.40.40.410.410.410.410.410.420.420.420.420.420.420.420.430.43
        97th0.450.450.450.450.450.460.460.460.460.460.460.470.470.470.470.470.470.480.48
    • View popup
    Table 4:

    Agreement of cerebral biometric MR imaging parameters

    Interobserver AgreementIntraobserver Agreement
    Agreement/ParameterMean Bias95% LOAICC (95% CI)Mean Bias95% LOAICC (95% CI)
    APD−0.08(−1.70–1.53)0.995 (0.991–0.997)0.12(−1.11; 1.35)0.997 (0.995–0.998)
    LCC4.40(−1.62–10.32)0.88 (0.80–0.)−0.22(−4.49; 4.06)0.98 (0.96–0.99)
    GT0.07(−1.46–1.61)0.95 (0.91–0.97)0.42(−0.98–1.82)0.94 (0.90–0.97)
    BT0.02(−1.67–1.71)0.83 (0.73–0.90)0.03(−1.20–1.27)0.91 (0.85–0.95)
    IT0.14(−1.44–1.72)0.72 (0.56–0.83)−0.02(−1.09–1.06)0.87 (0.78–0.92)
    ST−0.15(−1.16–1.99)0.92 (0.87–0.96)0.36(−2.57–3.28)0.80 (0.67–0.88)
    FOD2.90(−6.23–12.11)0.93 (0.89–0.96)0.64(−6.64–7.92)0.97 (0.95–0.98)
    S/T−0.03(−3.06–3.00)0.89 (0.82–0.94)0.16(−1.98–2.30)0.93 (0.88–0.96)
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    Table 5:

    Equations for estimating reference values for the different parameters of the CCa–d

    Aμ = 145.6716 + 1.695221 X−0.5 − 3.059521ln(X) − 55.04029 X3Bμ = 86.22472 + 1.378669 X−0.5 − 31.29894 X3 − 27.07181 X3 ln(X)
    σ = 14.22583 + 0.0235383 X−1 − 1.237668 X3μ = 7.679148 + 0.0202749 X−1 − 1.347937 X3
    γ = −0.0593074 − 0.381785 X3γ = −0.0442746 − 0.3954789 X3
    θ = 1.26317
    Cμ = 9.896679 − 0.2111402 ln(X) − 5.590998 X2Dμ = 3.403339 − 0.5878885 X − 1.706435 X2
    σ = 1.596243 − 0.346624 Xσ = 0.5801882 + 0.0000132 X−2
    γ = 0.0632866 − 0.4274138 X3γ = 0.0081176 − 0.3621435 X3
    θ = 0.6632529
    Eμ = 1.703424 − 0.6519961 X0.5 − 0.3350363 X3Fμ = 11.11401 − 0.0000336 X−2 − 3.188784 X0.5 − 4.048755 X3
    σ = 0.3169457 + 0.0246416 X0.5σ = 1.40096 + 0.0001188 X−2
    γ = 0.0197081 − 0.253855 X3γ = −0.0102384 − 0.4045783 X3
    θ = 0.2095135
    Gμ = 1218829 − 80972.3 ln(X) − 710209.9 X3Hμ = 471589.4 − 23025.27 ln(X) − 288840.5 X3
    σ = 211807.3σ = 73751.38 + 165.8814 X−0.5 − 40108.09 X3
    θ = 2.993395γ = −0.0057655 − 0.430995 X3
    θ = 2.802485
    Iμ = 5.331432 + 0.003554 X−1 − 1.174509 X3 − 1.438436 X3 ln(X)Jμ = −0.9268794 − 0.2575655 X0.5 + 0.46828822 X3
    σ = 0.8882193σ = 0.2561955 + 0.0638789 X0.5
    θ = 0.4664711
    Kμ = 0.4266512 + 0.000001123 X−2 − 0.0313357 X0.5
    σ = 0.0255449 + 0.0059902 X2
    • a A = APD; B = LCC; C = GT; D = BT; E = IT; F = ST; G = FOD for males; H = FOD for females; I = S/T; J = IT/ST; K = APD/FOD.

    • b With Formula where T1 = 0 and Tn = 15.53 denote minimum and maximum ages respectively and ρ, a preselected constant equal to 0.01.

    • c Six measurements need prior Box-Cox transformation: A, D, E, G, H, I; 1 measurement needs natural logarithmic transformation.

    • d Seven models are EN: A, B, C, D, E, F, H; all others are normal.

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C. Garel, I. Cont, C. Alberti, E. Josserand, M.L. Moutard, H. Ducou le Pointe
Biometry of the Corpus Callosum in Children: MR Imaging Reference Data
American Journal of Neuroradiology Sep 2011, 32 (8) 1436-1443; DOI: 10.3174/ajnr.A2542

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Biometry of the Corpus Callosum in Children: MR Imaging Reference Data
C. Garel, I. Cont, C. Alberti, E. Josserand, M.L. Moutard, H. Ducou le Pointe
American Journal of Neuroradiology Sep 2011, 32 (8) 1436-1443; DOI: 10.3174/ajnr.A2542
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