当前位置： SCI文献检索 > ACTA NEUROCHIRURGICA期刊下所有文献 > Feasibility of diffusion tensor tractography for preoperative prediction of the location of the facial and vestibulocochlear nerves in relation to vestibular schwannoma.

Feasibility of diffusion tensor tractography for preoperative prediction of the location of the facial and vestibulocochlear nerves in relation to vestibular schwannoma.

Abstract：

BACKGROUND:According to recent findings, diffusion tensor tractography (DTT) only allows prediction of facial nerve location in relation to vestibular schwannoma (VS) with high probability. However, previous studies have not mentioned why only the facial nerve was selectively visualized. Our previous report investigated the optimal conditions of DTT for normal facial and vestibulocochlear nerves. In the present study, we applied the optimal conditions of DTT to VS patients to assess the feasibility of DTT for the facial and vestibulocochlear nerves. METHODS:We investigated 11 patients with VS who underwent tumor resection. Visualized tracts were compared with locations of the facial and cochlear nerves as identified by intraoperative electrophysiological monitoring. RESULTS:With the proposed method, visualized tracts corresponded to pathway area of the facial or cochlear nerves in nine of 11 patients (81.8%); specifically, to the pathway area of the facial nerve in three of 11 patients (27.3%), and to the pathway area of the cochlear nerve in six of 11 patients (54.5%). CONCLUSIONS:We visualized facial or vestibulocochlear nerves in nine of 11 patients (81.8%). For the first time, DTT proved able to visualize not only the facial nerve but also the vestibulocochlear nerve in VS patients. Despite our findings, good methods for distinguishing whether a visualized nerve tract represents facial nerve, vestibulocochlear nerve, or only noise remain unavailable. Close attention should therefore be paid to the interpretation of visualized fibers.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Yoshino M,Kin T,Ito A,Saito T,Nakagawa D,Ino K,Kamada K,Mori H,Kunimatsu A,Nakatomi H,Oyama H,Saito N

doi

10.1007/s00701-015-2411-y

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

939-46; discussion 946

issue

6

eissn

0001-6268

issn

0942-0940

journal_volume

157

pub_type

杂志文章

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