Falx cerebri Calcifications and Ossifications in CT Scans – A Data Collection on Frequency, Position and Size

Abstract

Background: The aim of this study is the acquisition of data regarding the frequency, position, size, sex- and age distribution of falx cerebri calcifications (FCC, including ossifications) using CT scans. Methods: An explorative-retrospective data collection using skull CT scans of all CT devices (in use for patient examinations) at the University Hospital Graz. From August 20 to August 31, 2015, 365 cases of undisturbed and non-contrast brain images were determined. FCC with a density threshold value of > = 100 HU was recorded, analysed according to certain target parameters and evaluated using descriptive statistics. Additionally, lateral views of three-dimensional image reconstructions of certain FCC were produced and measured. Also, superior sagittal sinus calcifications were examined. Results: The occurrence of FCC accounted for 34% in general and was slightly more frequent in older men. Among all FCC 95% were located in anterior and medial falx area. The Spearman’s rank correlation between age and occurrence of FCC was r = .96, p < .001. Considering a sagittal dimension (max. length x max. height x sin (90°-Gantry Tilt) computed in axial layers) of > = 2cm² , FCC incidences still amounted to 9, 8%. Conclusions: The FCC frequency of 10% with a size of > = 2 cm² (sagittal dimension computed in axial layers) corresponded to values of previous x-ray studies. However, the dimension or diameter was never mentioned. FCC of the size mentioned above is relevant to an osteopath’s work since they might influence the craniosacral palpation and treatment of the falx cerebri. Therefore, there is further need for investigation concerning the possible effects of FCC on craniosacral palpation of the falx cerebri, precise measurements of size, as well as a histological comparison alongside CT-imaging. Keywords: Falx cerebri, calcification, ossification, computed tomography