{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:41Z","timestamp":1787028641576,"version":"build-2736575974"},"reference-count":22,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T00:00:00Z","timestamp":1702598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>To identify the characteristics of feeding arteries in skull base meningioma including location and prevalence, we evaluated the distributions and types of feeding arteries in skull base meningioma by cerebral angiography and assessed relationships to tumor attachment. We enrolled patients with skull base meningioma who underwent MRI and cerebral digital subtraction angiography (DSA), from September 2015 to October 2022. Subjects comprised 115 patients (32 males, 83 females; mean age, 52.7) with 117 meningiomas, showing tumor attachments around the \u201ccavernous sinus to the upper part of the clivus\u201d (Area 1), \u201clower part of the clivus to foramen magnum\u201d (Area 2), and \u201ctentorium around the petrous bone\u201d (Area 3). Frequent arteries, such as the dorsal meningeal artery (DMA), the ascending pharyngeal artery (APA), the tentorial artery (TA), and the petrosal branch (PB) of the middle meningeal artery (MMA) were analyzed in terms of their associations with tumor attachment to Areas 1\u20133. Meningiomas with the DMA as a feeding artery correlated with tumor attachment to Area 1 (p &lt; 0.001). Meningiomas with the APA correlated with tumor attachment to Area 2 (p &lt; 0.001). Meningiomas with the TA correlated with tumor attachment to Area 3 (p &lt; 0.001). The PB correlated with Area 3 (p &lt; 0.05). Our study founded that visualization of these arteries correlated well with specific areas. These arteries were also the main feeders in each type of skull base meningioma.<\/jats:p>","DOI":"10.3390\/jcm12247717","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T11:26:52Z","timestamp":1702639612000},"page":"7717","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Angiographic Evaluation of the Feeding Artery in Skull Base Meningioma"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3097-4140","authenticated-orcid":false,"given":"Hironori","family":"Arima","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Tanoue","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Morisako","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichiro","family":"Kawakami","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukazaki Hospital, Himeji 671-1227, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsutomu","family":"Ichinose","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka Metropolitan University, Osaka 545-8585, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3171\/2013.8.JNS13535","article-title":"True petroclival meningiomas: Results of surgical management","volume":"120","author":"Almefty","year":"2014","journal-title":"J. Neurosurg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e611","DOI":"10.1016\/j.wneu.2018.05.052","article-title":"Surgical Strategy for and Anatomic Locations of Petroapex and Petroclival Meningiomas Based on Evaluation of the Feeding Artery","volume":"116","author":"Adachi","year":"2018","journal-title":"World Neurosurg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.3171\/2020.8.JNS202060","article-title":"Minimal anterior and posterior combined transpetrosal approach for large petroclival meningiomas","volume":"135","author":"Morisako","year":"2021","journal-title":"J. Neurosurg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1007\/s10143-020-01313-3","article-title":"Prediction of trigeminal nerve position based on the main feeding artery in petroclival meningioma","volume":"44","author":"Adachi","year":"2021","journal-title":"Neurosurg. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/S0090-3019(98)00100-1","article-title":"Tcherekajev: Petroclival meningioma. An attempt to define the role of skull base approaches in their surgical management","volume":"51","author":"Spallone","year":"1999","journal-title":"Surg. Neurol."},{"key":"ref_6","first-page":"211","article-title":"Microsurgical anatomy of the dural arteries","volume":"56","author":"Martins","year":"2005","journal-title":"Neurosurgery"},{"key":"ref_7","first-page":"179","article-title":"Dural arteries of the dorsoclival area","volume":"42","author":"Ploteau","year":"2019","journal-title":"Surg. Radiol. Anat."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"S328","DOI":"10.1055\/s-0038-1667043","article-title":"Safety and Efficacy of Preoperative Embolization in Patients with Meningioma","volume":"79","author":"Manaka","year":"2018","journal-title":"J. Neurol. Surg. B Skull Base"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1136\/neurintsurg-2020-017116","article-title":"Efficacy of endovascular intratumoral embolization for meningioma: Assessment using dynamic susceptibility contrast-enhanced perfusion-weighted imaging","volume":"13","author":"Asai","year":"2021","journal-title":"J. Neurointerv. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"693","DOI":"10.3171\/2020.1.JNS19788","article-title":"Preoperative embolization versus no embolization for WHO grade I intracranial meningioma: A retrospective matched cohort study","volume":"134","author":"Przybylowski","year":"2020","journal-title":"J. Neurosurg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1055\/s-0037-1598195","article-title":"Preoperative Embolization for Skull Base Meningiomas","volume":"78","author":"Suzuki","year":"2017","journal-title":"J. Neurol. Surg. B Skull Base"},{"key":"ref_12","first-page":"139","article-title":"Petroclival Meningiomas: Predictive Parameters for Transpetrosal Approaches","volume":"47","author":"Aziz","year":"2000","journal-title":"Neurosurgery"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"E11","DOI":"10.3171\/2018.1.FOCUS17703","article-title":"Safe maximal resection of primary cavernous sinus meningiomas via a minimal anterior and posterior combined transpetrosal approach","volume":"44","author":"Morisako","year":"2021","journal-title":"Neurosurg. Focus."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"3151","DOI":"10.1007\/s10143-021-01519-z","article-title":"Does preoperative embolization improve outcomes of meningioma resection? A systematic review and meta-analysis","volume":"44","author":"Jumah","year":"2021","journal-title":"Neurosurg. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.3171\/2018.1.FOCUS17686","article-title":"Preoperative embolization of skull base meningiomas: Current indications, techniques, and pearls for complication avoidance","volume":"44","author":"Yoon","year":"2018","journal-title":"Neurosurg. Focus."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1002\/ca.22415","article-title":"Arterial supply of the upper cranial nerves: A comprehensive review","volume":"27","author":"Hendrix","year":"2014","journal-title":"Clin. Anat."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1055\/s-0030-1253577","article-title":"Anatomical relationships of intracavernous internal carotid artery to intracavernous neural structures","volume":"20","author":"Jittapiromsak","year":"2010","journal-title":"Skull Base"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1007\/s00701-015-2509-2","article-title":"Stereotactic Gamma Knife surgery safety and efficacy in the management of symptomatic benign confined cavernous sinus meningioma","volume":"157","author":"Hafez","year":"2015","journal-title":"Acta Neurochir."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"148","DOI":"10.3171\/jns.2006.105.1.148","article-title":"Decompression of cavernous sinus meningioma for preservation and improvement of cranial nerve function","volume":"105","author":"William","year":"2006","journal-title":"J. Neurosurg."},{"key":"ref_20","unstructured":"Masaki, K. (2013). Functional Anatomy of the Brain and Spinal Vessels, MEDICUS SHUPPAN. [2nd ed.]."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s00276-010-0655-z","article-title":"Microsurgical anatomy of the medial tentorial artery of Bernasconi-Cassinari","volume":"32","author":"Peltier","year":"2010","journal-title":"Surg. Radiol. Anat."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1007\/s00701-011-1195-y","article-title":"The medial tentorial artery of Bernasconi-Cassinari: A comprehensive review of its anatomy and neurosurgical importance","volume":"153","author":"Tubbs","year":"2011","journal-title":"Acta Neurochir."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/24\/7717\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:39:29Z","timestamp":1760132369000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/24\/7717"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,15]]},"references-count":22,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["jcm12247717"],"URL":"https:\/\/doi.org\/10.3390\/jcm12247717","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,15]]}}}