• Clinical Article •
Evaluation of the relationship between pituitary macroadenomas and cranial nerves in the cavernous
Cite this article as: Li YJ, Kong X, Li W, et al. Evaluation of the relationship between pituitary macroadenomas and cranial nerves in the cavernous. Chin J Magn Reson Imaging, 2020, 11(6): 401-405. DOI:10.12015/issn.1674-8034.2020.06.001.
| [Abstract] Objective: To evaluate the relationship between pituitary macroadenomas and cranial nerves in the cavernous sinuses by contrast-enhanced three-dimensional fast imaging employing steady-state acquisition with phase cycling (CE 3D-FIESTA-C).Materials and Methods: Forty patients with pituitary macroadenomas were prospectively collected, all of whom scanned the CE 3D-FIESTA-C and contrast-enhanced brain volume (CE BRAVO) sequence, and the display rate of cranial nerves in bilateral cavernous sinus was calculated for each patient.Results: On CE 3D-FIESTA-C sequence, the display rate of cranial nerves in the cavernous sinuses was 75.0%, 25.0%, 71.3%, 71.3%, 41.3%, respectively, which was higher than CE BRAVO sequence (P<0.01). On the CE 3D-FIESTA-C sequence, the cranial nerves at the tumor site was interrupted or not shown due to the influence of the tumor to determine the invasion of the ipsilateral cavernous sinus, and the sensitivity and specificity of diagnosis were 41.7% and 95.8%, respectively.Conclusions: The CE 3D-FIESTA-C sequence can better display the cranial nerves in the cavernous sinuses in patients with pituitary adenoma. By observing whether the cranial nerve in the cavernous sinuses is interrupted or not displayed due to the influence of tumor, it can assist the diagnosis of whether the ipsilateral cavernous sinus is invaded. |
| [Keywords] fast-imaging employing steady-state acquisition；cranial nerves；cavernous sinus；cavernous sinus invasion；pituitary macroadenomas；magnetic resonance imaging |
LI Yuanjun Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
KONG Xin Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
LI Wei Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
WU Chunxue Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
MENG Ming Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
MA Jun* Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
*Correspondence to: Ma J, E-mail: dr_ma@sina.com
Conflicts of interest None.
| ACKNOWLEDGMENTS This work was part of National Natural Science Foundation of China No.61771325 |
| Received 2020-03-08 |
| Accepted 2020-04-12 |
| DOI: 10.12015/issn.1674-8034.2020.06.001 |
| Cite this article as: Li YJ, Kong X, Li W, et al. Evaluation of the relationship between pituitary macroadenomas and cranial nerves in the cavernous. Chin J Magn Reson Imaging, 2020, 11(6): 401-405. DOI:10.12015/issn.1674-8034.2020.06.001. |
[1]
魏伟，陈欣，于军,等．神经导航辅助内镜经鼻蝶手术治疗侵袭性垂体腺瘤的疗效分析．中华神经外科杂志, 2019, 35(9): 919-922.
[2]
Niu J, Zhang S, Ma S, et al. Preoperative prediction of cavernous sinus invasion by pituitary adenomas using a radiomics method based on magnetic resonance images. Eur Radiol, 2019, 29(3): 1625-1634.
[3]
邓光策，何海勇，李文胜,等．经鼻蝶神经内镜与显微镜切除垂体腺瘤的临床研究．中国微侵袭神经外科杂志, 2019, 24(8): 372-373.
[4]
Xiao D, Wang S, Zhao L, et al. Guidance value of MRI for transsphenoidal surgery of pituitary adenomas with cystic degeneration. Int J Clin Exp Med, 2015, 8(4): 5370-5378.
[5]
李深誉，阳永东，韦开亮,等．经鼻蝶入路神经内镜治疗垂体腺瘤的现状及进展．中国临床研究, 2018, 31(1): 134-136.
[6]
肖凯，刘庆．侵袭海绵窦垂体腺瘤的治疗进展．中国耳鼻咽喉颅底外科杂志, 2018, 24(4): 391-396.
[7]
耿鹏飞，朱洪章，杨智云．多参数MRI对垂体腺瘤评估的研究进展．国际医学放射学杂志, 2019, 42(2): 163-167.
[8]
惠毅毅，王庆征，李传亭，等. 3T MR三维稳态进动快速成像序列显示脑池段颅神经及其与周围病变的关系．医学影像学杂志, 2012, 22(3): 340-344.
[9]
朱传清，于泽峰，郭春锋. 3D-TOF-MRA 3D-FIESTA-C及3D-CE-MRA序列在静脉压迫性三叉神经痛诊断中的价值．实用医学影像杂志, 2018, 19(1): 54-56.
[10]
曾一，刘月．海绵窦段颈内动脉与颅神经关系的显微解剖研究．临床医药文献电子杂志, 2017, 4(96): 18829.
[11]
陈建，刘振生，罗志刚，等．磁共振3D FIESTA和3D FRFSE T2WI显示颅神经的对比研究．临床放射学杂志, 2008, 27(11): 1449-1453.
[12]
Amemiya S, Aoki S, Ohtomo K. Cranial nerve assessment in cavernous sinus tumors with contrast-enhanced 3D fast-imaging employing steady-state acquisition MR imaging. Neuroradiology, 2009, 51(7): 467-470.
[13]
Yagi A, Sato N, Taketomi A, et al. Normal cranial nerves in the cavernous sinuses: contrast-enhanced three-dimensional constructive interference in the steady state MR imaging. AJNR Am J Neuroradiol, 2005, 26(4): 946-950.
[14]
Held P, Nitz W, Seitz J, et al. Comparison of 2D and 3D MRI of the optic and oculomotor nerve anatomy. Clin Imaging, 2000, 24(6): 337- 343.
[15]
Hatipoglu HG, Durakoglugil T, Ciliz D, et al. Comparison of FSE T2W and 3D FIESTA sequences in the evaluation of posterior fossa cranial nerves with MR cisternography. Diagn Interv Radiol, 2007, 13(2): 56-60.
[16]
Watanabe K, Kakeda S, Yamamoto J, et al. Delineation of optic nerves and chiasm in close proximity to large suprasellar tumors with contrast-enhanced FIESTA MR imaging. Radiology, 2012, 264(3): 852-858.
