[1]胡潇尹,李蕾.原发性三叉神经痛及面肌痉挛MR序列价值探讨[J].徐州医科大学学报,2020,40(07):502-504.
 The Value of MR Sequences of Primary Trigeminal Neuralgia and Hemifacial Spasm[J].Journal of Xuzhou Medical University,2020,40(07):502-504.
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原发性三叉神经痛及面肌痉挛MR序列价值探讨()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
40
期数:
2020年07期
页码:
502-504
栏目:
出版日期:
2020-07-30

文章信息/Info

Title:
The Value of MR Sequences of Primary Trigeminal Neuralgia and Hemifacial Spasm
作者:
胡潇尹李蕾
文献标志码:
A
摘要:
目的:探讨三叉神经MRTA检查中3D-TOF与3D-FIESTA序列二维图像及经单模配准及后重建所得的三维融合图像对于三叉神经痛(TN)及面肌痉挛(HFS)的诊断价值。方法:回顾性分析73例行三叉神经MRTA检查的患者(其中TN48例、HFS25例)的二维图像组与三维图像组两组图像,分别对三叉神经、面神经邻近血管位置关系做出诊断,以手术结果为金标准,计算两组图像对症状侧神经与血管关系诊断的敏感性。结果:48例血管性TN患者中,二维图像及3D-TOF与3D-FIESTA序列融合三维图像诊断的敏感性分别为87.5%(42例)及93.8%(45例),P<0.05;25例血管性HFS患者中,二维图像及3D-TOF与3D-FIESTA序列融合三维图像诊断的敏感性分别为84.0%(21例)及92.0%(23例),P<0.05。结论:3D-TOF与3D-FIESTA序列融合后的三维图像能更清楚的显示神经与血管的位置关系,对血管性三叉神经痛及面肌痉挛有较高的诊断价值。
Abstract:
Objective: To investigate the diagnostic value of two-dimensional and three-dimensional fused images in trigeminal nerve MRTA examination for trigeminal neuralgia (TN) and Hemifacial spasm(HFS). Methods: Imaging data of 73 patients with MRTA, including 48 patients with TN and 25 patients with HFS, were retrospectively analyzed. The consistency of the location relationship between the trigeminal nerve and facial nerve adjacent to blood vessels in the two groups of images was analyzed by 2 physicians, and the difference between the results of the two-dimensional image group and the three-dimensional image group was compared. Based on the gold standard of surgical results, the diagnostic efficacy of each image group on the relationship between symptomatic nerves and vessels was calculated. Results: The sensitivity of 2D images and 3D images to diagnose the relationship between trigeminal nerve and blood vessel were 87.5% and 93.8%.The sensitivity of diagnosing the relationship between facial nerve and blood vessel were?84.0% and 92.0%.. The accuracy rate of diagnosing the relationship between facial nerve and blood vessel is 92%. Conclusion: The fused 3D images can more clearly show the relationship between nerve and blood vessel, which has a higher diagnostic value for vascular trigeminal neuralgia and facial spasm.
更新日期/Last Update: 2020-07-29