Share：
Share this content in WeChat
X
[Chinese][PDF]70580
• Clinical Article •
Application value of doubly excited Balance-SSFP sequence curvature plane reconstruction in vascular compressive trigeminal neuralgia and hemifacial spasm
CHEN Li-jun  CHEN Shi-xin  SUN Ze-dong  MA Ning  XU Lin 

DOI:10.3969/j.issn.1674-8034.2015.10.006.


[Abstract] Objective: To evaluate the application value of doubly excited Balance-SSFP sequence Curvature Plane Reconstruction (CPR) in vascular compressive Trigeminal Neuralgia (TN) and Hemifacial Spasm (HFS).Materials and Methods: Forty-eight cases with Trigeminal Neuralgia (TN) and thirty-three cases with Hemifacial Spasm (HFS) were accepted 3D-FIESTA-C scanning. The origin images were post-processed with Curvature Plane Reconstruction (CPR) on workstation. Relationship between vessels and nerves was analyzed in symptomatic side. Sixty-five out of 81 cases were compared with surgery result, and 2 magnetic resonance physicians evaluated consistency test of result through Kappa analysis.Results: Eighty-one cases through Curvature Plane Reconstruction (CPR) show that contactless of vessels and nerves were found in 8 patients, contact of vessels and nerves were found in 25 patients and oppression were found in 48 patients. In the cases of contact and oppression, 33 cases indicated that the spacing of side cistern was narrow compared with contralateral ones, and 12 cases of brain stem showed deformation. The Kappa consistency test result between CPR result and post-operation of MVD result for 65 cases done by 2 physicians was that (K values were 0.837 and 0.787 respectively), 3D-FIESTA-C combined with CPR showed source of responsible vessels, oppression position and level of nerve oppression. The sensitivity was 96.92%, specificity was 75%, PPV was 94.02% and NPV was 85.71%.Conclusion: Doubly excited Balance-SSFP sequence CPR can provide a more comprehensive and accurate viewing angle for vessels and nerves anatomy relations, and offer important evidence for pre-surgery evaluation and etiological diagnosis.
[Keywords] Doubly excited balance SSFP sequence；Curvature plane reconstruction；Trigeminal neuralgia；Hemifacial spasm

CHEN Li-jun Department of Imaging, Hanzhoung 3201 Hospital of Shaanxi Province, Hanzhoung 723000, China

CHEN Shi-xin* Department of Imaging, Hanzhoung 3201 Hospital of Shaanxi Province, Hanzhoung 723000, China

SUN Ze-dong Department of Imaging, Hanzhoung 3201 Hospital of Shaanxi Province, Hanzhoung 723000, China

MA Ning Department of Imaging, Hanzhoung 3201 Hospital of Shaanxi Province, Hanzhoung 723000, China

XU Lin Department of Imaging, Hanzhoung 3201 Hospital of Shaanxi Province, Hanzhoung 723000, China

*Correspondence to: Chen SX, E-mail: csx13700260619@163.com

Conflicts of interest   None.

Received  2015-08-11
Accepted  2015-09-18
DOI: 10.3969/j.issn.1674-8034.2015.10.006
DOI:10.3969/j.issn.1674-8034.2015.10.006.

[1]
金军，汤小莉，香辉,等. 3.0 T MRI 3D-TOF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): 277-280.
[2]
Lijima K, Horiguchi K, Yoshimoto Y. Microvascular decompression of the root emerging zone for hemifacial spasm：evaluation by fusion magnetic resonance imaging and technical considerations. Acta Neurochir(Wien), 2013, 155(5): 855-862.
[3]
Granata F, Vinic SL, Longo M, et al. Advanced virtual magnetic imaging(MRI) techniques in neurovascular conflict：bidimensional image fusion and virtual cisternography. Radiol Med, 2013, 118(6): 1045-1054.
[4]
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(2): 185-188.
[5]
Zakrzewska JM, McMillan R. Trigeminal neuralgia neuralgia the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J, 2011, 87(1028): 410-416.
[6]
Miller JP, Acar F, Hanmiltion BE, et al. Radiographic evalution of trigeminal neurovascular compression in patients with and without trigeminal neuralgia. J Neurosurg, 2009, 110(4): 627-632.
[7]
Xia L, Zhong J, Zhu J, et al. Effectiveness and safety of microvascular decompression surgery for treatment of trigeminal neuralgia：a systematic review. J Craniofac Surg, 2014, 25(4): 1413-1417.
[8]
Miller LE, Miller VM. Safety and effectiveness of microvascular decompression for treatment of hemifacial spasm：a systematic review. Br J Neurosurg, 2012, 26(4): 438-444.
[9]
Hyuan SJ, Kong DS, Park K. Microvascular decompression for treating hemifacial spasm：lessons learned from a prospective study of 1,174 operations. Neurosurg Rev, 2010, 33(3): 325-334.
[10]
EL Refaee E, Langner S, Baldauf J, et al. Value of 3-dimensional high-resolution magnetic resonance imaging in detecting the offending vessel in hemifacial spasm：comparison with intraoperative high definition endoscopic visualization. Neurosurgery, 2013, 73(1): 58-67.
[11]
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．
[12]
Wu GQ, Wang L, Yin WN, et al. Guiding values of facial nerve 3D-TOF-MRA and 3D-FIESTA scan for primary hemifacial spasm operation. National Medical Journal of China, 2013, 93(45): 3614-3616.
[13]
Xia L, Zhong J, Zhu J, et al. Effectiveness and safety of microvascular decompression surgery for treatment of trigeminal neuralgia：a systematic review. J Craniofac Surg, 2014, 25(4): 1413-1417.
[14]
Hyuan SJ, Kong DS, Park K. Microvascular decompression for treating hemifacial spasm：lessons learned from a prospective study of 1174 operations. Neurosurg Rev, 2010, 33(3): 325-334.
[15]
Hong W, Zheng X, Wu Z, et al. Clinical features and surgical treatment of trigeminal neuralgia caused solely by venous compression. Acta Neurochir(Wien), 2011, 153(5): 1037-1042.
[16]
Li GW, Zhang WC, Yang M, et al. Clinical characteristics and surgical of trigeminal neuralgia caused simply by venous compression. J Craniofac Surg, 2014, 25(2): 481-484.
[17]
陈利军，陈士新，马宁,等. 3.0 T磁共振成像在血管压迫性三叉神经痛中的应用.中国医学影像技术, 2014, 30(2): 89-93.
[18]
Park SH, Hwang SK, Park J, et al. Nerve atrophy and a small cerebellopontine angle cistern in patients with trigeminal neuralgia. J Neurosurg, 2009, 110(4): 633-637.
[19]
Garcia M, Naraghi R, Zumbrunn T, et al. High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression：a comparision between 3 T and 1.5 T. AJNR Am J Neuroradiol, 2012, 33(7): 1256.

PREV Application value of DTI tracing the optic tract and optic radiation for the selection of postoperative radiotherapy plan of cerebral gliomas
NEXT MRI of sacral plexus: three-dimensional sampling perfection with application optimized contrasts using different flip angle evolutions versus three-dimensional double-echo steady state
  


LINK


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