Share：
Share this content in WeChat
X
[Chinese][PDF]89687
• Clinical Article •
Evaluation of 3D-TOF and 3D-FIESTA combined with MPR in microvascular decompression for trigeminal neuralgia by 3.0 T MRI system
JIN Jun  TANG Xiao-li  XIANG Hui  WANG Xiao-yi  CHEN Ling  LI Lian 

DOI:10.3969/j.issn.1674-8034.2015.04.007.


[Abstract] Objective: To investigate the value of 3D-TOF and 3D-FIESTA for preoperative assessment in microvascular decompression for trigeminal neuralgia.Materials and Methods: 187 cases of primary trigeminal neuralgia underwent microvascular decompression (MVD) of Xiangya Hospital were retrospectively analyzed, the 3D-TOF and 3D-FIESTA findings preoperative and the intraoperative exploration results were compared.Results: 3D-TOF and 3D-FIESTA identified surgically verified neuro-vascular compression in 173 of 187 (92.3%) symptomatic nerves. Neurovascular compression was observed in 29 of 187 (16%) of asymptomatic nerves, 179 cases (95.6%) which neurovascular compression (NVC) were observed during operation underwent MVD: 73 cases (40.8%) with SCA, 28 cases (15.4%) with AICA, 5 cases (3.2%) with PICA, 17 caces with BA (9.8%), 35 cases (20.2%) with compounding compression, 11 cases (6.2%) with vein. 3D-TOF and 3D-FIESTA were not identified in 14 cases (7.7%), of which NVC 10 cases (58.8%) weren't observed during operation underwent trigeminal rhizotomy. Before operations, the 187 cases findings of 3D-TOF combined with 3D FIESTA sequence demonstrated that 173 in 187 (92.3%) were neuro-vascular compression which were ipsolateral with the symoptoms. The procedures of microvascular decompression revealed that 179 in 187 (95.6%) were neuro-vascular compression, including that 73 (40.8%) cases with SCA, 35 (20.2%) cases with combined compression, 28 (15.4%) cases with AICA, 17 (9.8%) cases with BA, 11 (6.2%) cases with vein, 5 (3.2%) cases with PICA.Conclusions: 3D-TOF and 3D-FIESTA combined with 3-D MPR which can clearly display spatial relationship of trigeminal nerve and around vessels is an effective method for preoperative assessment in microvascular decompression for trigeminal neuralgia.
[Keywords] Trigeminal neuralgia；3D-TOF；3D-FIESTA；Magnetic resonance imaging

JIN Jun Department of Radiology, Shenzhen Shekou people's Hospital of Nanshan District, Shenzhen 518067, China

TANG Xiao-li* Department of Radiology, Shenzhen Shekou people's Hospital of Nanshan District, Shenzhen 518067, China

XIANG Hui Department of Radiology, Lanzhou Petrochemical General Hospital(West Area), Lanzhou 730060, China

WANG Xiao-yi Department of Radiology, Xiangya Hospital of Central South University, Changsha 410008, China

CHEN Ling Department of Clinical medicine discipline, Shenzhen Shekou people's Hospital of Nanshan District, Shenzhen 518067, China

LI Lian Hemodialysis Room, Shenzhen Shekou people's Hospital of Nanshan District, Shenzhen 518067, China

*Correspondence to: Tang XL, E-mail: 303175614@qq.com

Conflicts of interest   None.

Received  2014-11-19
Accepted  2015-01-04
DOI: 10.3969/j.issn.1674-8034.2015.04.007
DOI:10.3969/j.issn.1674-8034.2015.04.007.

[1]
姜晓峰，牛朝诗，范振，等．磁共振断层血管造影在三叉神经微血管减压术术前评估中的应用价值．立体定向和功能性神经外科杂志, 2012, 25(1): 1-4.
[2]
郑兆聪，陈自谦，王如密，等．磁共振断层血管成像在三叉神经痛及面肌痉挛术前评估中的应用价值．福州总医院学报, 2009, 16(1): 18-20.
[3]
Yoshino N, Akimoto H, Yamada I, et al. Trigeminal Neuralgia: Evaluation of Neuralgic Manifestation and Site of Neurovascular Compression with 3D CISS MR Imaging and MR Angiography. Radiology, 2003, 228(2): 539-545.
[4]
谭令，柴维敏，宋琦，等．血管压迫性三叉神经痛的MR研究．中华放射学杂志, 2006, 40(12): 1250-1253.
[5]
卢恒聪，谢伟，全伟，等．磁共振断层血管成像对三叉神经微血管减压术疗效的影响．广州医药, 2011, 42(6): 8-11.
[6]
黄璐，韩瑞，孙子燕，等．三维时间分辨对比动态增强MR血管成像的临床应用．磁共振成像, 2014, 5(2): 144-147.
[7]
凌至培，姜晓峰，夏养华，等．微血管减压术治疗原发性三叉神经痛．立体定向和功能神经外科杂志, 2004, 17(1): 19-21.
[8]
Brisman R，Mooij R. Cama knife, radiosurgery for primary managemenl for trigeminal meuralgia. Nevrosurg, 2000, 93(Suppl): 159-162.
[9]
Okumura Y, Suzuki M, Takemura A, et al. Visualization of the lower cranial nerves by 3D-FIESTA. Nippon Hoshasen Gijutsu Gakkai Zasshi, 2005, 61(2): 291-297.
[10]
姜晓峰，傅先明，汪业汉，等．经乙状窦后入路三叉神经微血管减压术125临床分析．中国临床神经外科杂志, 2007, 12(11): 648-651.
[11]
Anderson VC, Berryhill PC, Sandquist MA, et al. High-Resolution three-dimensional magnetic resonance angiogreaphy and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: a double blind pilot study. Neurosurgery, 2006, 58(4): 666-673.
[12]
Sekula RF, Frederickson AM, Jannetta PJ, et al. Microvascular decompression for elderly patients with trigeminal neuralgia: aprospective study and systematic review with meta-analysis. Neurosurg, 2011, 114(1): 172-179.
[13]
安靖，孙治国，张琼．无对比剂增强的磁共振血管成像技术．磁共振成像, 2011, 2(1): 65-68.
[14]
孟晓岩，汤浩，王秋霞，等．非对比剂增强MR血管成像联合多反转空间标记脉冲技术在肺动脉成像的可行性研究．磁共振成像, 2014, 5(5): 343-347.
[15]
贾飞鸽，孙希杰，许乙凯，等．磁共振3D FIESTA序列对三叉神经、面神经颅内段的显示．中国临床医学影像杂志, 2008, 19(5): 360-364.
[16]
Miller JP, Acar F, Hamilton BE, et al. Radiographic evaluation of trigeminal neurovascular compression in patients with and without trigeminal neuralgia. Neurosurg, 2009, 110(4): 627-632.
[17]
Peker S, Dincer A, Pamir MN. Vascular compression of the trigeminal nerve is a frequent finding in asymptomatic individuals: 3-T MR imaging of 200trigeminal nerves using 3DCISS sequences. Acta Neurochir, 2009, 151(9): 1081-1088.
[18]
Gaul C, Hastreiter P, Duncker A, et al. Diagnosis and neurosurgical treatment of glossopharyngeal neuralgia: clinical findings and 3-D visualization of neurovascular compression in 19consecutive patients. Headache Pain, 2011, 12(5): 527-534.
[19]
刘博，黄红星，邹舒驰，等．磁共振特殊序列扫描在三叉神经血管减压术中的应用．临床医学工程, 2013, 20(10): 1190-1194.
[20]
朱杏莉，张永军，庞亚卿．血管压迫性三叉神经痛的3D-TOF-MRA序列磁共振成像与手术结果对照．中国医学影像技术, 2008, 24(9): 1359-1363.

PREV Clinical application of DTI in mild traumatic brain injury and its significance
NEXT The diagnostic value of triple-negative breast cancer using 3.0 T MRI
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn