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Research ArticleBrain

The U Sign: Tenth Landmark to the Central Region on Brain Surface Reformatted MR Imaging

M. Wagner, A. Jurcoane and E. Hattingen
American Journal of Neuroradiology February 2013, 34 (2) 323-326; DOI: https://doi.org/10.3174/ajnr.A3205
M. Wagner
aFrom the Institute of Neuroradiology, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
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A. Jurcoane
aFrom the Institute of Neuroradiology, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
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E. Hattingen
aFrom the Institute of Neuroradiology, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
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  • Fig 1.
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    Fig 1.

    Example of the thin post cg sign, and the midline sulcus sign. The precentral gyrus has a thicker anteroposterior diameter (large white arrow) compared with the postcentral gyrus (small white arrow). The longest sulcus running horizontally and entering the interhemispheric fissure (black arrow) is the central sulcus.

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    Fig 2.

    Variants of the handknob. In our study, we only considered the inverted Ω shape (white arrow) because other variants, such as inverted ε (continuous black arrows), and multiple bulgings (dotted black arrows) were not assessed.

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    Fig 3.

    The U sign. Right hemisphere. Absence of the subcentral gyrus as a rare variant, the central sulcus (asterisk) terminates into the Sylvian fissure (white arrow). Gray arrows mark the precentral (continuous arrow) and postcentral (dotted arrow) gyri. Left hemisphere: The subcentral gyrus connects the pre- and postcentral gyri (U sign).

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    Fig 4.

    Examples of all 10 landmarks in 1 single section: 1 indicates the upper T sign; 2, the L sign (duplicated as a variant); 3, the lower T sign; 4, the M sign; 5, the bracket sign; 6, the bifid post cg sign; 7, the thin post cg sign (fenestrated post cg as a variant); 8, the midline sulcus sign; 9, the subcentral gyrus sign; 10, the handknob. Only 1 hemisphere is depicted and was mirrored for better visualization.

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    Fig 5.

    Barplots representing the frequency of landmark identification as a percentage of all (blue), right (purple), and left (yellow) hemispheres.

Tables

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  • Frequency of all landmarks

    All Hemispheres (n = 178)Right (n = 88)Left (n = 90)
    Upper T sign109 (61.2%)51 (58%)58 (64.4%)
    L sign107 (60.1%)55 (62.5%)52 (57.8%)
    Lower T sign138 (77.5%)69 (78.4%)69 (76.7%)
    M sign157 (88.2%)77 (87.5%)80 (88.9%)
    Bifid pc sign157 (88.2%)76 (86.4%)81 (90%)
    Midline sulcus sign159 (87.5%)77 (87.5%)82 (91.1%)
    Bracket sign82% (of 78 patients)
    Thin post cg sign170 (95.5%)85 (96.6%)85 (94.4%)
    Handknob sign97 (54.5%)49 (55.7%)48 (53.3%)
    Subcentral gyrus sign176 (98.9%)84 (95.5%)88 (97.8%)
    • Note:—Bifid pc sign indicates the bifid post cg sign.

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American Journal of Neuroradiology: 34 (2)
American Journal of Neuroradiology
Vol. 34, Issue 2
1 Feb 2013
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Cite this article
M. Wagner, A. Jurcoane, E. Hattingen
The U Sign: Tenth Landmark to the Central Region on Brain Surface Reformatted MR Imaging
American Journal of Neuroradiology Feb 2013, 34 (2) 323-326; DOI: 10.3174/ajnr.A3205

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The U Sign: Tenth Landmark to the Central Region on Brain Surface Reformatted MR Imaging
M. Wagner, A. Jurcoane, E. Hattingen
American Journal of Neuroradiology Feb 2013, 34 (2) 323-326; DOI: 10.3174/ajnr.A3205
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