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Presurgical visualization of the neurovascular relationship in trigeminal neuralgia with 3D modeling using free Slicer software

  • Clinical Article - Neurosurgical Anatomy
  • Published:
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Abstract

Objective

To explore whether segmentation and 3D modeling are more accurate in the preoperative detection of the neurovascular relationship (NVR) in patients with trigeminal neuralgia (TN) compared to MRI fast imaging employing steady-state acquisition (FIESTA).

Method

Segmentation and 3D modeling using 3D Slicer were conducted for 40 patients undergoing MRI FIESTA and microsurgical vascular decompression (MVD). The NVR, as well as the offending vessel determined by MRI FIESTA and 3D Slicer, was reviewed and compared with intraoperative manifestations using SPSS.

Results

The k agreement between the MRI FIESTA and operation in determining the NVR was 0.232 and that between the 3D modeling and operation was 0.6333. There was no significant difference between these two procedures (χ2 = 8.09, P = 0.088). The k agreement between the MRI FIESTA and operation in determining the offending vessel was 0.373, and that between the 3D modeling and operation was 0.922. There were significant differences between two of them (χ2 = 82.01, P = 0.000). The sensitivity and specificity for MRI FIESTA in determining the NVR were 87.2 % and 100 %, respectively, and for 3D modeling were both 100 %.

Conclusion

The segmentation and 3D modeling were more accurate than MRI FIESTA in preoperative verification of the NVR and offending vessel. This was consistent with surgical manifestations and was more helpful for the preoperative decision and surgical plan.

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Author notes

    Authors and Affiliations

    1. Department of Neurosurgery, Shanghai neurosurgical institute, Changzheng Hospital, Shanghai, China

      Kai-wei Han, Dan-feng Zhang, Ji-gang Chen & Li-jun Hou

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    1. Kai-wei Han
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    2. Dan-feng Zhang
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    3. Ji-gang Chen
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    4. Li-jun Hou
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    Correspondence to Li-jun Hou.

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    Conflict of interest statement

    All authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

    Ethical approval

    All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

    Informed consent

    Informed consent was obtained from all individual participants included in the study.

    Additional information

    Kai-wei Han, Dan-feng Zhang and Ji-gang Chen contributed equally to this work and should be considered co-first authors.

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    Cite this article

    Han, Kw., Zhang, Df., Chen, Jg. et al. Presurgical visualization of the neurovascular relationship in trigeminal neuralgia with 3D modeling using free Slicer software. Acta Neurochir 158, 2195–2201 (2016). https://doi.org/10.1007/s00701-016-2936-8

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    • DOI: https://doi.org/10.1007/s00701-016-2936-8

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