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Preoperative diffusion tensor imaging: Fiber-trajectory-distribution-based tractography to identify facial nerve in vestibular schwannoma

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机构: [1]Zhejiang Univ Technol, Inst Informat Proc & Automat, Coll Informat Engn, Liuxia St, Hangzhou 310023, Peoples R China [2]Zhejiang Prov United Key Lab Embedded Syst, Hangzhou, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China [4]Cent South Univ, Xiangya Hosp, Dept Neurosurg, Changsha, Peoples R China
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关键词: diffusion MRI facial nerve fiber trajectory distribution function tractography vestibular schwannoma

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Purpose Tractography of the facial nerve based on diffusion MRI is instrumental before surgery for the resection of vestibular schwannoma, but no excellent methods usable for the suppression of motion and image noise have been proposed. The aim of this study was to effectively suppress noise and provide accurate facial nerve reconstruction by extend a fiber trajectory distribution function based on the fourth-order streamline differential equations. Methods Preoperative MRI from 33 patients with vestibular schwannoma who underwent surgical resection were utilized in this study. First, T1WI and T2WI were used to obtain mask images and regions of interest. Second, probabilistic tractography was employed to obtain the fibers representing the approximate facial nerve pathway, and these fibers were subsequently translated into orientation information for each voxel. Last, the voxel orientation information and the peaks of the fiber orientation distribution were combined to generate a fiber trajectory distribution function, which was used to parameterize the anatomical information. The parameters were determined by minimizing the cost between the trajectory of fibers and the estimated directions. Results Qualitative and visual analyses were used to compare facial nerve reconstruction with intraoperative recordings. Compared with other methods (SD_Stream, iFOD1, iFOD2, unscented Kalman filter, parallel transport tractography), the fiber-trajectory-distribution-based tractography provided the most accurate facial nerve reconstructions. Conclusion The fiber-trajectory-distribution-based tractography can effectively suppress the effect of noise. It is a more valuable aid for surgeons before vestibular schwannoma resection, which may ultimately improve the postsurgical patient's outcome.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 核医学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 核医学
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出版当年[2022]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

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第一作者机构: [1]Zhejiang Univ Technol, Inst Informat Proc & Automat, Coll Informat Engn, Liuxia St, Hangzhou 310023, Peoples R China [2]Zhejiang Prov United Key Lab Embedded Syst, Hangzhou, Peoples R China
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通讯机构: [1]Zhejiang Univ Technol, Inst Informat Proc & Automat, Coll Informat Engn, Liuxia St, Hangzhou 310023, Peoples R China [2]Zhejiang Prov United Key Lab Embedded Syst, Hangzhou, Peoples R China
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