دورية أكاديمية
3D-Visualization of Neurovascular Compression at the Ventrolateral Medulla in Patients with Arterial Hypertension.
العنوان: | 3D-Visualization of Neurovascular Compression at the Ventrolateral Medulla in Patients with Arterial Hypertension. |
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المؤلفون: | Manava P; Department of Neurosurgery, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany. Panagiota.Manava@klinikum-nuernberg.de.; Department of Radiology and Nuclear Medicine, Paracelsus Medical University, Nuremberg, Germany. Panagiota.Manava@klinikum-nuernberg.de., Naraghi R; Department of Neurosurgery, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany.; Department of Neurosurgery, German Armed Forces Central Hospital Koblenz, Koblenz, Germany., Schmieder R; Department of Nephrology and Hypertension, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany., Fahlbusch R; Department of Neurosurgery, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany.; International Neuroscience Institute, Hannover, Germany., Doerfler A; Division of Neuroradiology, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany., Lell MM; Department of Radiology and Nuclear Medicine, Paracelsus Medical University, Nuremberg, Germany., Buchfelder M; Department of Neurosurgery, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany., Hastreiter P; Department of Neurosurgery, Friedrich-Alexander University, Erlangen-Nuremberg (FAU), Erlangen, Germany. |
المصدر: | Clinical neuroradiology [Clin Neuroradiol] 2021 Jun; Vol. 31 (2), pp. 335-345. Date of Electronic Publication: 2020 May 27. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Heidelberg Country of Publication: Germany NLM ID: 101526693 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1869-1447 (Electronic) Linking ISSN: 18691439 NLM ISO Abbreviation: Clin Neuroradiol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2011- : Heidelberg : Springer Heidelberg Original Publication: 2010 : Munich : Springer Medizin |
مواضيع طبية MeSH: | Hypertension*/diagnostic imaging , Nerve Compression Syndromes* , Trigeminal Neuralgia*, Humans ; Imaging, Three-Dimensional ; Magnetic Resonance Imaging ; Medulla Oblongata/diagnostic imaging |
مستخلص: | Purpose: Controversy exists on the association of arterial hypertension (HTN) and neurovascular compression (NVC) at the ventrolateral medulla (VLM). No standardized and reproducible technique has been introduced yet for detection of NVC in HTN. This study aimed to generate, analyze and compare different results of exact reproducible anatomical 3D-representations of the VLM in patients with HTN, based on magnetic resonance imaging (MRI). Methods: A 3T scanner provided MRI (T2-constructive interference in steady state (CISS) high resolution imaging and three-dimensional Time-of-flight (3D-TOF) angiography) from the posterior fossa of 44 patients with clinical treatment-resistant HTN. Image processing consists of segmentation of the CISS data, registration and fusion of the CISS and TOF data and visualization. For each patient two 3D-visualizations (before and after fusion) were obtained. The reproduction quality of the vessels, flow-related signal variability and pulsation artifacts were analyzed and compared, using a ranking score. Results: Integrating vascular information from TOF into CISS data reduced artifacts in 3D-visualizations of exclusively processed CISS data. The quality of 3D-visualization of the vessels near the brain stem was significantly improved (p = 0.004). The results were reproducible and reliable. The quality of the 3D-presentations of neurovascular relationships at the VLM improved significantly (p < 0.001). Conclusion: The 3D-visualization of fused image data provides an excellent overview of the relationship between cranial nerves and vessels at the VLM and simplifies the detection of NVC in HTN. It provides a powerful tool for future clinical and scientific research. Although microvascular decompression (MVD) in treatment resistant HTN is not a standard procedure, it can be discussed in selected patients with intractable severe HTN. |
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فهرسة مساهمة: | Keywords: Cranial nerves; Image fusion; Image processing; MRI; Posterior fossa; Vascular compression disorders |
تواريخ الأحداث: | Date Created: 20200529 Date Completed: 20211101 Latest Revision: 20211101 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC8211615 |
DOI: | 10.1007/s00062-020-00916-z |
PMID: | 32462236 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1869-1447 |
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DOI: | 10.1007/s00062-020-00916-z |