OpticChiasm

Category: Nerve
Description: Optic chiasm

Model: HeadNeckBPlexus

CT

Model Information

Metrics

Average Volume (cc)

0.68
Average

Dice Coefficient

0.27
Average
0.26 (Median)

95th Percentile Hausdorff Distance (mm)

7.71
Average
6.18 (Median)

Median Distance to Conformity (mm)

5.33
Average
5.91 (Median)

Undercontouring MDC (mm)

2.46
Average
2.87 (Median)

Overcontouring MDC (mm)

2.87
Average
2.94 (Median)

Delineation Information

Guidelines

Taken from Eekers DBP, Di Perri D, Roelofs E, Postma A, Dijkstra J, Ajithkumar T, et al. Update of the EPTN atlas for CT- and MR-based contouring in Neuro-Oncology. Radiother Oncol 2021;160:259–65. https://doi.org/10.1016/j.radonc.2021.05.013.

Method

Manual The optic chiasm (14 mm transverse, 8 mm antero-posterior and 2–5 mm thick) is located 1 cm superior to the pituitary gland, which has high signal on T1 MRI, and just anterior to the pituitary stalk (located above the sella turcica). The lateral border is the internal carotid artery. The chiasm is superiorly located in the antero-inferior part of the third ventricle, below the supra-optic recess and above the infundibular recess of the third ventricle, with the optic nerves in front and the divergence of the optic tracts behind. The anterior cerebral arteries and the anterior communicating artery are located ventral to the chiasm.

Structure Boundaries

Cranial Boundary

supraoptic recess

Caudal Boundary

1 cm superior to the pituitary gland

Lateral Boundary

Internal carotid artery

Ventral Boundary

Optic nerves

Dorsal Boundary

Divergence of the optic tracts