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Review
Progress of three-dimensional high resolution MRI technology in the diagnosis of trigeminal neuralgia
WANG Zairan  LU Pengchao  LIU Xiuying  ZHAO Zongmao 

Cite this article as: Wang ZR, Lu PC, Liu XY, et al. Progress of three-dimensional high resolution MRI technology in the diagnosis of trigeminal neuralgia[J]. Chin J Magn Reson Imaging, 2022, 13(7): 152-155. DOI:10.12015/issn.1674-8034.2022.07.030.


[Abstract] Trigeminal neuralgia (TN) is a common disease in the elderly. It is a unique form of neuropathic pain, seriously affect the life and work of patient. Neurovascular compression/contact (NVC) is the main cause of TN. Preoperative identification of NVC has an impact on the determination of appropriate treatment for TN. Currently, microvascular decompression (MVD) is considered the most effective treatment for patients with TN. The key to the success of MVD is closely related to the accuracy of responsibility vessel determination. The conventional MRI sequences can not clearly depict the relationship between the trigeminal nerve and adjacent vessels. However, with the rapid development and the popularity of high resolution (HR) MRI technology, HR MRI sequences, such as three-dimensional (3D) steady-state sequences, can be used to assess most of the characteristics of NVC in TN patients. At the same time, multimodal imaging combined with HR MRI sequences, hemodynamic assessment and diffusion tensor imaging can improve the accuracy of diagnosis, which provides a powerful guarantee for the clinical development of MVD. This paper reviews the progress of 3D HR MRI technology in TN diagnosis.
[Keywords] trigeminal neuralgia;neurovascular compression;microvascular decompression;magnetic resonance imaging;three-dimensional high resolution magnetic resonance imaging

WANG Zairan1   LU Pengchao2   LIU Xiuying2   ZHAO Zongmao1*  

1 Department of Neurosurgery, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China

2 Department of Medical Imaging, the Second Hospital of Hebei Medical University, Shijiazhuang 050000, China

Zhao ZM, E-mail: zzm69@163.com

Conflicts of interest   None.

Received  2021-12-13
Accepted  2022-06-22
DOI: 10.12015/issn.1674-8034.2022.07.030
Cite this article as: Wang ZR, Lu PC, Liu XY, et al. Progress of three-dimensional high resolution MRI technology in the diagnosis of trigeminal neuralgia[J]. Chin J Magn Reson Imaging, 2022, 13(7): 152-155.DOI:10.12015/issn.1674-8034.2022.07.030

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