中国医疗设备2017，Vol.32Issue(12)：20-24,5.DOI:10.3969/j.issn.1674-1633.2017.12.005
运用Slicer 3D重建技术实现三叉神经痛神经血管关系术前可视化(译文)
Presurgical Visualization of the Neurovascular Relationship in Trigeminal Neuralgia with 3D Modeling Using Free Slicer Software
摘要
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). Methods Segmentation and 3D modeling using 3D Slicer were conducted for 40 patients undergoing MRI FIESTA and microsurgical vascular decompression (MVD). Results The NVR, as well as the offending vessel determined by MRI FIESTA and 3D Slicer, was reviewed and compared with intraoperative manifestations using SPSS. 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 in consistent with surgical manifestations and was more helpful for preoperative decision and surgical plan.关键词
三叉神经痛/三维重建/稳态捕获快速MRI成像/3DSlicer/神经血管关系/责任血管Key words
3D modeling/3D slicer/MRI fast imaging employing steady-state acquisition/neurovascular relationship/offending vessel/trigeminal neuralgia分类
医药卫生引用本文复制引用
张丹枫,陈吉钢,韩凯伟,侯立军..运用Slicer 3D重建技术实现三叉神经痛神经血管关系术前可视化(译文)[J].中国医疗设备,2017,32(12):20-24,5.基金项目
国家自然科学基金(81371382) （81371382）
国家自然科学基金(81671206). （81671206）
