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• Clinical Article •
Evaluation of the role of 3D-T2-DRIVE combining 3D TOF MRA in diagnosing microvascular compression for facial-acoustic nerves
PAN Xi-min  HU Mei-yu  PAN Bi-tao  JIANG Bo 

DOI:10.12015/issn.1674-8034.2016.11.007.


[Abstract] Objective: To evaluate the application value of 3D-T2-DRIVE combining 3D TOF MRA in detecting microvascular compression for facial-acoustic nerves.Materials and Methods: Thirty-six patients were enrolled in the study with clinically suspected vascular compression of facial-acoustic nerves, of which both 3D-T2-DRIVE and 3D TOFMRA sequences images were obtained of isotropy and identical voxel size. Source images and reformatted images were observed to evaluate the effects on demonstration of facial-acoustic nerves and culprit vessels, which was scored from 0 to 3 points in the order from poor to excellent. The differences were compared of effects on displaying both the facial-acoustic nerves and culprit vessels among the three approaches of 3D-T2-DRIVE, 3D TOFMRA, and 3D-T2-DRIVE+3D TOFMRA. The Kruskal-Wallis H test was employed in data processing, with P<0.01 for the statistically significant difference.Results: In displaying facial-acoustic nerves, 3D-T2-DRIVE+3D TOFMRA and T2-3D-DRIVE were superior to 3D TOFMRA (H=58.78, P=0.0000. H=53.18, P=0.0000. respectively), and no statistically significant difference existed between 3D-T2-DRIVE+3D TOFMRA and T2-3D-DRIVE (H=2.28, P=0.1313). In displaying culprit vessels, 3D-T2-DRIVE+3D TOFMRA was superior to T2-3D-DRIVE and 3D TOFMRA (H=54.12, P=0.0000. H=62.42, P=0.0000. respectively), and no statistically significant difference existed between 3D-T2-DRIVE and 3D TOFMRA (H=0.0083, P=0.9274). Of 36 patients, 32 were detected with arteriolar compression for facial-acoustic nerves by the approach of 3D-T2-DRIVE combining 3D TOFMRA, and 4 with no compression. The results were confirmed by surgical findings or clinical follow-up, respectively. The sensitivity and specificity was 100%, 100% of 3D-T2-DRIVE+3D TOFMRA in diagnosing microvascular compression for facial-acoustic nerves, respectively.Conclusions: The approach of 3D-T2-DRIVE combining 3D TOF MRA provides an precise and accurate diagnosis of micorvascular compression for facial-acoustic nerves.
[Keywords] Magnetic resonance imaging；Cranial nerves；Facial nerve；Microvascular decompression surgery

PAN Xi-min Department of Radiology, East Hospital, Sun Yat Sen University First Affiliated Hospital, Guangzhou 510700, China

HU Mei-yu Department of Radiology, East Hospital, Sun Yat Sen University First Affiliated Hospital, Guangzhou 510700, China

PAN Bi-tao Department of Clinical Diagnostic Radiology, Sun Yat Sen University First Affiliated Hospital, Guangzhou 510080, China

JIANG Bo* Department of Radiology, East Hospital, Sun Yat Sen University First Affiliated Hospital, Guangzhou 510700, China; Department of Clinical Diagnostic Radiology, Sun Yat Sen University First Affiliated Hospital, Guangzhou 510080, China

*Correspondence to: Jiang B, E-mail: csujbo@163.com

Conflicts of interest   None.

Received  2016-09-11
Accepted  2016-10-13
DOI: 10.12015/issn.1674-8034.2016.11.007
DOI:10.12015/issn.1674-8034.2016.11.007.

[1]
Lu AY, Yeung JT, Gerrard JL, et al. Hemifacial Spasm and Neurovascular Compression. Scien World J, 2014, 2014(5): 741-747.
[2]
Soriano-Baron H, Vales-Hidalgo O, Arvizu-Saldana E, et al. Hemifacial spasm: 20-year surgical experience, lesson learned. Surg Neurol Int, 2015, 6(1): 83-96.
[3]
Mikami T, Minamida Y, Akiyama Y, et al. Microvascular decompression for hemifacial spasm associated with the vertebral artery. Neurosurg Rev, 2013, 36(2): 303-308.
[4]
赵永宏，蔡其刚，翁维,等.面听神经根血管压迫综合症10例分析.临床耳鼻咽喉颅底外科杂志, 2014, 28(7): 440-442.
[5]
Cai J, Xin ZX, Zhang YQ, et al. Diagnostic value of 3D time-of-flight MRA in trigeminal neuralgia. J Clin Neurosci, 2015, 22(8): 1343-1348.
[6]
Ciftci E, Anik Y, Arslan A, et al. Driven equilibrium (drive) MR imaging of the cranial nerves Ⅴ-Ⅷ: comparison with the T2-weighted 3D TSE sequence. Eur J Radiol, 2004, 51(3): 234-240.
[7]
Leal PR, Hermier M, Souza MA, et al. Visualization of vascular compression of the trigeminal nerve with high-resolution 3T MRI: a prospective study comparing preoperative imaging analysis to surgical findings in 40 consecutive patients who underwent microvascular decompression for trigeminal neuralgia. Neurosurgery, 2011, 69(1): 15-25.
[8]
杨利霞，贾文霄，何乐,等. 3D-TSE序列结合DRIVE诊断面肌痉挛病因的价值.新疆医科大学学报, 2008, 31(4): 374-376.
[9]
李传东，朱先进，孙士龙,等. 3D-FIESTA和3D-TOF-MRA扫描对面肌痉挛的术前评估价值.中国医疗设备, 2015, 30(10): 67-69.
[10]
赵钊，陈立鹏，王秀河,等.磁共振3D FIESTA结合3D TOF MRA序列对诊断听神经血管压迫综合症的价值.中国临床医学影像杂志, 2012, 23(1): 67-69.
[11]
金军，汤小俐，香辉,等. 3.0 T MRI 3DTOF序列联合3D-FIESTA序列结合多平面重建在三叉神经微血管减压术术前评估中的应用价值.磁共振成像, 2015, 6(4): 277-282.
[12]
祁吉，夏爽.磁共振成像在耳部疾病应用及进展.磁共振成像, 2014, 5(增刊):15-19.
[13]
陈利军，陈士新，马宁,等. 3.0 T MRI仿真内窥镜重建技术在面肌痉挛中的应用研究.磁共振成像, 2014, 5(3): 189-192.
[14]
陈利军，陈士新，孙泽栋,等.双激发平衡式稳态自由进动序列曲面重建在血管压迫性三叉神经痛及面肌痉挛的应用价值.磁共振成像, 2015, 6(10): 744-749.
[15]
李春星，符益纲，周笑,等.磁共振序列在颅神经血管成像中的应用价值.磁共振成像, 2016, 7(3): 180-184.
[16]
Wang X, Thirumala PD, Shah A, et al. The role of vein in microvascular decompression for hemifacial spasm: a clinical analysis of 15 cases. Neurol Res, 2013, 35(4): 389-394.

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