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Research ArticleHead and Neck Imaging

Visualization of the Peripheral Branches of the Mandibular Division of the Trigeminal Nerve on 3D Double-Echo Steady-State with Water Excitation Sequence

H. Fujii, A. Fujita, A. Yang, H. Kanazawa, K. Buch, O. Sakai and H. Sugimoto
American Journal of Neuroradiology July 2015, 36 (7) 1333-1337; DOI: https://doi.org/10.3174/ajnr.A4288
H. Fujii
aFrom the Department of Radiology (H.F., A.F., H.K., H.S.), Jichi Medical University School of Medicine, Tochigi, Japan
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A. Fujita
aFrom the Department of Radiology (H.F., A.F., H.K., H.S.), Jichi Medical University School of Medicine, Tochigi, Japan
bDepartments of Radiology (A.F., K.B., O.S.)
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A. Yang
eBoston University School of Medicine (A.Y.), Boston, Massachusetts.
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H. Kanazawa
aFrom the Department of Radiology (H.F., A.F., H.K., H.S.), Jichi Medical University School of Medicine, Tochigi, Japan
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K. Buch
bDepartments of Radiology (A.F., K.B., O.S.)
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O. Sakai
bDepartments of Radiology (A.F., K.B., O.S.)
cOtolaryngology–Head and Neck Surgery (O.S.)
dRadiation Oncology (O.S.), Boston Medical Center
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H. Sugimoto
aFrom the Department of Radiology (H.F., A.F., H.K., H.S.), Jichi Medical University School of Medicine, Tochigi, Japan
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    Fig 1.

    A and B, Axial source images of the 3D-DESS-WE sequence. C and D, Coronal reformatted images of the 3D-DESS-WE sequence. Axial image shows the masseteric nerve (A, arrow) and buccal nerve (A, solid arrowhead) arising from the V3 trunk. The intermediate point is established, where the masseteric nerve enters the deep surface of the masseter muscle (B, arrow), to divide the nerve into proximal and distal portions. The intermediate point for the buccal nerve is established as the anterolateral edge of the lateral pterygoid muscle (B, solid arrowhead). Reformatted coronal images show the course of the buccal nerve running inferiorly (C, arrows) and the auriculotemporal nerve running inferolaterally (D, arrows). The intermediate point is established where the auriculotemporal nerve enters the pterygoid venous plexus (B and D, open arrowheads).

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    Fig 2.

    A and B, Coronal reformatted image of the 3D-DESS-WE sequence. C, Axial source image of the 3D-DESS-WE sequence. Reformatted coronal images show the lingual nerve (A, arrows) and the inferior alveolar nerve (B, arrows). The intermediate points are established where the lingual nerve running laterally starts to change direction medially (A, arrowhead) and where the inferior alveolar nerve enters the mandibular foramen (B; arrowhead). Axial image shows that the mylohyoid nerve runs at the medial surface of the mandible (C, arrow). The intermediate point is established where the nerve enters the mylohyoid muscle (C, arrowhead).

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    Table 1:

    Average scores of the 3 readers evaluating the V3 nerves

    V3 NervesReader AReader BReader CAverage
    Masseteric3.34 ± 1.0833.36 ± 1.0153.24 ± 1.0163.31 ± 1.038
    Buccal2.64 ± 1.3082.75 ± 1.3322.63 ± 1.2812.67 ± 1.306
    Auriculotemporal3.13 ± 1.3763.07 ± 1.2203.13 ± 1.1853.11 ± 1.261
    Lingual3.77 ± 0.7813.88 ± 0.5443.75 ± 0.6823.80 ± 0.677
    Inferior alveolar4.00 ± 0.0004.00 ± 0.0003.97 ± 0.1573.99 ± 0.091
    Mylohyoid0.46 ± 0.7850.67 ± 0.9170.72 ± 0.7640.62 ± 0.831
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    Table 2:

    Interobserver variability of the 3 readers (A, B, and C) evaluating the V3 nerves

    V3 NervesA and BB and CC and AAverage
    Masseteric0.9600.9700.9610.96
    Buccal0.9540.9730.9360.95
    Auriculotemporal0.9420.9610.9550.95
    Lingual0.9740.9940.9770.98
    Inferior alveolar1.0000.9980.9981.00
    Mylohyoid0.9830.9670.9590.97
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American Journal of Neuroradiology: 36 (7)
American Journal of Neuroradiology
Vol. 36, Issue 7
1 Jul 2015
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Cite this article
H. Fujii, A. Fujita, A. Yang, H. Kanazawa, K. Buch, O. Sakai, H. Sugimoto
Visualization of the Peripheral Branches of the Mandibular Division of the Trigeminal Nerve on 3D Double-Echo Steady-State with Water Excitation Sequence
American Journal of Neuroradiology Jul 2015, 36 (7) 1333-1337; DOI: 10.3174/ajnr.A4288

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Visualization of the Peripheral Branches of the Mandibular Division of the Trigeminal Nerve on 3D Double-Echo Steady-State with Water Excitation Sequence
H. Fujii, A. Fujita, A. Yang, H. Kanazawa, K. Buch, O. Sakai, H. Sugimoto
American Journal of Neuroradiology Jul 2015, 36 (7) 1333-1337; DOI: 10.3174/ajnr.A4288
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