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Research ArticleHEAD AND NECK IMAGING

Visualization of the Extracranial Branches of the Trigeminal Nerve Using Improved Motion-Sensitized Driven Equilibrium–Prepared 3D Inversion Recovery TSE Sequence

Dejun She, Hao Huang, Dongmei Jiang, Junhuan Hong, Peiying You, Lu Li, Xiance Zhao and Dairong Cao
American Journal of Neuroradiology July 2024, DOI: https://doi.org/10.3174/ajnr.A8273
Dejun She
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
cKey Laboratory of Radiation Biology of Fujian Higher Education Institutions (D.S., D.C.), the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
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Hao Huang
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
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Dongmei Jiang
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
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Junhuan Hong
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
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Peiying You
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
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Lu Li
dThe School of Medical Imaging (L.L.), Fujian Medical University, Fuzhou, Fujian, China
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Xiance Zhao
ePhilips Healthcare (X.Z.), Shanghai, P.R. China
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Dairong Cao
aFrom the Department of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C.), First Affiliated Hospital of Fujian Medical University, Fuzhou, China
bDepartment of Radiology (D.S., H.H., D.J., J.H., P.Y., D.C), National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, P.R. China
cKey Laboratory of Radiation Biology of Fujian Higher Education Institutions (D.S., D.C.), the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
fDepartment of Radiology (D.C.), Fujian Key Laboratory of Precision Medicine for Cancer, First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
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Article Figures & Data

Figures

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  • FIG 1.
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    FIG 1.

    A 32-year-old patient with no lesion in the head and neck. Curved planar reformation MIP (2-mm layer thickness) of the mandibular nerve (blue triangle), inferior alveolar nerve (red thin arrow), and lingual nerve (yellow arrowhead) at the oblique coronary position. Both iMSDE 3D IR-TSE and CE 3D IR-TSE significantly improved visualization in assessing the inferior alveolar nerve and lingual nerve. CE indicates contrast-enhanced.

  • FIG 2.
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    FIG 2.

    Comparisons of the visibility of 7 major peripheral branches of the trigeminal nerve and muscle/venous suppression among 3 sequences in 20 healthy subjects. The asterisk indicates P < .05; double asterisks, P < .01; triple asterisks, P < .001; CE, contrast-enhanced.

  • FIG 3.
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    FIG 3.

    Comparisons of SNR, CRnv, CNRnv, CRnm, and CNRnm among 3 sequences in 20 subjects. The asterisk indicates P < .05; double asterisks, P < .01; triple asterisks, P < .001; CE, contrast-enhanced.

  • FIG 4.
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    FIG 4.

    A 29-year-old patient with neurilemmoma. The sagittal image after MPR and MIP (3-mm layer thickness) shows that the neurilemmoma (blue triangle) compressed and moved the inferior alveolar nerve (red thin arrow) forward and the lingual nerve (yellow arrowhead) was not involved. Venous signals make nerves challenging to visualize on conventional 3D IR-TSE. CE indicates contrast-enhanced.

  • FIG 5.
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    FIG 5.

    A 46-year-old patient with a large pituitary adenoma. The transverse image after MPR and MIP (3-mm layer thickness) demonstrates a large pituitary adenoma (blue triangle) invasion of the ophthalmic nerve (red thin arrow). The involved nerve and tumor are shown as low signal, which is difficult to identify on contrast-enhanced 3D IR-TSE. CE indicates contrast-enhanced.

Tables

  • Figures
  • Parameters of MR imaging

    ParameterConventional 3D IR-TSEiMSDE 3D IR-TSECE 3D IR-TSE
    TR/TE (ms)2800/1812800/1812800/181
    Flip angle (degrees)Variable flip angleVariable flip angleVariable flip angle
    Field of view (mm)200 × 200200 × 200200 × 200
    Voxel size (mm)0.9 × 0.9 × 0.90.9 × 0.9 × 0.90.9 × 0.9 × 0.9
    No. of slices210210210
    Averages222
    Fat-suppressionSTIRSTIRSTIR
    iMSDE TEprep (ms)60/
    iMSDE VENC (cm/s)0.35
    Acquisition time (min/sec)8 min 27 sec8 min 27 sec8 min 27 sec
    • Note:—TEprep indicates magnetization preparation TE; VENC, velocity-encoded; CE, contrast-enhanced.

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Visualization of the Extracranial Branches of the Trigeminal Nerve Using Improved Motion-Sensitized Driven Equilibrium–Prepared 3D Inversion Recovery TSE Sequence
Dejun She, Hao Huang, Dongmei Jiang, Junhuan Hong, Peiying You, Lu Li, Xiance Zhao, Dairong Cao
American Journal of Neuroradiology Jul 2024, DOI: 10.3174/ajnr.A8273
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Cite this article
Dejun She, Hao Huang, Dongmei Jiang, Junhuan Hong, Peiying You, Lu Li, Xiance Zhao, Dairong Cao
Visualization of the Extracranial Branches of the Trigeminal Nerve Using Improved Motion-Sensitized Driven Equilibrium–Prepared 3D Inversion Recovery TSE Sequence
American Journal of Neuroradiology Jul 2024, DOI: 10.3174/ajnr.A8273

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