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Evalution on the visualization of the extracranial branch of trigeminal nerve using the 3.0 T MR CE 3D-STIR TSE sequence
LIU Ming  DUAN Qinghong  LI Dejiong  ZHANG Guoping  TANG Xiuzhu 

Cite this article as: Liu M, Duan QH, Li DJ, et al. Evalution on the visualization of the extracranial branch of trigeminal nerve using the 3.0 T MR CE 3D-STIR TSE sequence[J]. Chin J Magn Reson Imaging, 2021, 12(9): 49-52. DOI:10.12015/issn.1674-8034.2021.09.011.


[Abstract] Objective To investigate the clinical value of contrast-enhanced, three-dimensional spin echo with a short time inversion recovery (CE 3D-STIR-TSE) sequence in the visualization of the anatomical structure of the extracranial branch of the trigeminal nerve. Materials andMethods Magnetic resonance imaging (MRI) data was collected from a total of 21 healthy individuals (10 male, 11 female), with an average age of (40.78±8.34) years, between July and December 2020. To image the extracranial trigeminal nerve, we utilized the PHILIPS Ingenia 3.0 T MR (CE 3D-STIR-TSE sequence), using gadolinium-diethylenetriamine pentaacetic acid (Gd-DTPA) at a dose of 0.12 mmol/kg as a contrast agent. The original image data was analyzed and evaluated independently by two radiologists, who assigned a score based on how much of the nerve trunk was clearly visible: 4 points for clear display of the complete course of the nerve; 3 points for 50% to 66% of the nerve trunk; 2 points for 33% to 50% of the nerve trunk; 1 point for less than 33% of the nerve trunk; and 0 point if the nerve trunk was not seen. Paired t-test was used to compare the clarity between the left and right branches of the trigeminal nerve for each patient, and a P value＜0.05 was considered a significant difference, in terms of the trigeminal nerve branch clear display rate (4 points cases/total number of cases) and the majority display rate (greater than or equal 3 points cases/total number of cases).Results The Kappa scores of each branch of the trigeminal nerve in the two groups were＞0.75, with good consistency. Paired t-test comparing the left and right sides of each branch of the trigeminal nerve showed P values＞0.05, with no statistical difference in clarity. The clear and complete display of the ophthalmic meridian, maxillary nerve, auriculotemporal nerve, lingual nerve and inferior alveolar nerve was seen in 80.9%, 76.2%, 80.9%, 90.4%, and 100% of images, respectively. Clear display of 50% to 66% of the same nerves was evident in 90.4%, 85.7%, 90.4%, 95.2%, and 100%, respectively.Conclusions Our study shows that it is possible to image the anatomy of the extracranial branches of the trigeminal nerve with high accuracy, using the 3.0 T MR CE 3D-STIR TSE sequence.
[Keywords] three-dimensional spin echo with short time inversion recovery；extracranial branch of trigeminal nerve；magnetic resonance imaging

LIU Ming1, 2   DUAN Qinghong3, 4*   LI Dejiong2   ZHANG Guoping2   TANG Xiuzhu2  

1 Academy of Medical Imaging, Guizhou Medical University, Guiyang 550004, China

2 Department of Imagine, Guiyang Second People's Hospital, Guiyang 550081, China

3 Department of Imaging, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China

4 Department of Imaging, Affiliated Cancer Hospital of Guizhou Medical University, Guiyang 550004, China

Duan QH, E-mail: duanqinghong2002@163.com

Conflicts of interest   None.

Received  2021-04-12
Accepted  2021-06-03
DOI: 10.12015/issn.1674-8034.2021.09.011
Cite this article as: Liu M, Duan QH, Li DJ, et al. Evalution on the visualization of the extracranial branch of trigeminal nerve using the 3.0 T MR CE 3D-STIR TSE sequence[J]. Chin J Magn Reson Imaging, 2021, 12(9): 49-52. DOI:10.12015/issn.1674-8034.2021.09.011.

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