CAJ | 학술논문

目的:探讨MR扫描三叉神经与周围血管的最佳序列.方法:对16例三叉神经痛患者行三叉神经3D BTFE和3D TOF MRA扫描.测量双侧三叉神经与桥前池的CNR、椎-基底动脉与桥前池CNR、三叉神经与桥前池对比度.根据三叉神经图像质量、周围血管显示、神经与血管的关系进行评分.结果:3D BTFE组三叉神经与桥前池CNR、对比度较3D TOF MRA组高[22.94±4.18(左) and 21.68±5.51(右) vs 5.92±3.01 (左) and 6.37±3.86 (右)]、[1834±294 (左) and 1968±351 (右) vs 572±42 (左) and 468±55 (右)].3D BTFE组椎-基底动脉与桥前池CNR较3D TOF MRA低[2.47±1 17 vs 6.21±2.87](P<0.01).3D BTFE组三叉神经图像质量较好.3D TOF MRA组血管显示较好、血管与神经关系较清晰(P<0.05,Kappa>0.75).结论:3D BTFE和3D TOF MRA序列联合应用,可以清晰观察到三叉神经解剖学改变及神经与周围血管关系,对设计和优化MVD具有重要意义.
목적:탐토MR소묘삼차신경여주위혈관적최가서렬.방법:대16례삼차신경통환자행삼차신경3D BTFE화3D TOF MRA소묘.측량쌍측삼차신경여교전지적CNR、추-기저동맥여교전지CNR、삼차신경여교전지대비도.근거삼차신경도상질량、주위혈관현시、신경여혈관적관계진행평분.결과:3D BTFE조삼차신경여교전지CNR、대비도교3D TOF MRA조고[22.94±4.18(좌) and 21.68±5.51(우) vs 5.92±3.01 (좌) and 6.37±3.86 (우)]、[1834±294 (좌) and 1968±351 (우) vs 572±42 (좌) and 468±55 (우)].3D BTFE조추-기저동맥여교전지CNR교3D TOF MRA저[2.47±1 17 vs 6.21±2.87](P<0.01).3D BTFE조삼차신경도상질량교호.3D TOF MRA조혈관현시교호、혈관여신경관계교청석(P<0.05,Kappa>0.75).결론:3D BTFE화3D TOF MRA서렬연합응용,가이청석관찰도삼차신경해부학개변급신경여주위혈관관계,대설계화우화MVD구유중요의의.