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Three-dimensional double-echo steady-state with water excitation magnetic resonance imaging to localize the intraparotid facial nerve in patients with deep-seated parotid tumors

  • Head-Neck-ENT Radiology
  • Published:
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Abstract

Purpose

To assess the utility of three-dimensional double-echo steady-state with water excitation (3D-DESS-WE) imaging for localizing deep-seated parotid tumors in relation to the facial nerve.

Methods

A prospective study comparing the surgical outcomes of parotidectomy with or without 3D-DESS-WE sequence is currently enrolling the patients. Magnetic resonance imaging data from the first 25 patients with 3D-DESS-WE sequence were reviewed. Visibility of the intraparotid facial nerve was independently assessed by two neuroradiologists. The diagnostic performance of the 3D-DESS-WE sequence for prediction of deep lobe involvement was compared with that of two conventional methods based on the retromandibular vein line (RMVL) and facial nerve line (FNL). The relationship between the tumor and the main trunk of the facial nerve was also evaluated on the 3D-DESS-WE sequence.

Results

On 3D-DESS-WE images, the main trunk, temporofacial division, and cervicofacial division of the intraparotid facial nerve were visualized in 100% (25/25), 48% (12/25), and 36% (9/25) of patients, respectively. The diagnostic accuracy of the 3D-DESS-WE sequence for prediction of deep lobe involvement was 92% (23/25), which was significantly superior to that of the RMVL (68% [17/25]; p = 0.008) and FNL (64% [16/25]; p = 0.004) methods. The relationship between the tumor and the main trunk of the facial nerve was correctly predicted in 92% (23/25) of 3D-DESS-WE images.

Conclusion

By direct visualization of the facial nerve, the 3D-DESS-WE sequence improved the preoperative localization of the intraparotid facial nerve in deep-seated parotid tumors. This information may help better surgical planning for deep-seated parotid tumors.

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Data Availability

The data that support the findings of this study are available on request from the corresponding author, Hyung-Jin Kim.

Code availability

Not applicable

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Funding

This work was supported by a grant of the National Research Foundation of Korea (NRF) funded by the Korean government (MEST) (no. 2018R1A2B6002920).

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Author notes

  1. Yikyung Kim and Han-Sin Jeong contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea

    Yikyung Kim, Hyung-Jin Kim, Minjung Seong, Yoonha Kim & Sung Tae Kim

  2. Department of Otorhinolaryngology and Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Han-Sin Jeong

Authors
  1. Yikyung Kim
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  2. Han-Sin Jeong
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Corresponding author

Correspondence to Hyung-Jin Kim.

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Ethics approval

The present study was approved by the Institutional Review Board, Samsung Medical Center, Seoul, South Korea, IRB File No. 2017-07-084-003 (Approved).

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Informed consent was obtained from all participants.

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Kim, Y., Jeong, HS., Kim, HJ. et al. Three-dimensional double-echo steady-state with water excitation magnetic resonance imaging to localize the intraparotid facial nerve in patients with deep-seated parotid tumors. Neuroradiology 63, 731–739 (2021). https://doi.org/10.1007/s00234-021-02673-3

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  • DOI: https://doi.org/10.1007/s00234-021-02673-3

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