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The Jugular Foramen: Imaging Strategy and Detailed Anatomy at 3T

机译:颈椎孔:3T的成像策略和详细解剖

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BACKGROUND AND PURPOSE: The purpose of this study was to assess how well the anatomy of the jugular foramen (JF) could be displayed by 3T MR imaging by using a 3D contrast-enhanced fast imaging employing steady-state acquisition sequence (CE-FIESTA) and a 3D contrast-enhanced MR angiographic sequence (CE-MRA). MATERIALS AND METHODS: Twenty-five patients free of skull base lesions were imaged on a 3T MR imaging scanner using CE-FIESTA and CE-MRA. Two readers analyzed the images in collaboration, with the following objectives: 1) to score the success with which these sequences depicted the glossopharyngeal (CNIX) and vagus (CNX) nerves, their ganglia, and the spinal root of the accessory nerve (spCNXI) within the JF, and 2) to determine the value of anatomic landmarks for the in vivo identification of these structures. RESULTS: CE-FIESTA and CE-MRA displayed CNIX in 90% and 100% of cases, respectively, CNX in 94% and 100%, and spCNXI in 51% and 0% of cases. The superior ganglion of CNIX was discernible in 89.8% and 87.8%; the inferior ganglion of CNIX, in 73% and 100%; and the superior ganglion of CNX, in 98% and 100% of cases. Landmarks useful for identifying these structures were the inferior petrosal sinus and the external opening of the cochlear aqueduct. CONCLUSIONS: This study protocol is excellent for displaying the complex anatomy of the JF and related structures. It is expected to aid in detecting small pathologies affecting the JF and in planning the best surgical approach to lesions affecting the JF.
机译:背景与目的:本研究的目的是评估3D MR成像技术通过3T MR成像可以很好地显示颈椎孔(JF)的解剖结构。使用稳态获取序列(CE-FIESTA)和 3D增强对比MR血管造影序列(CE-MRA)的增强型快速成像 材料与方法:用CE-FIESTA 和CE-MRA在3T MR成像扫描仪上对25例无颅底 病变的患者进行成像。两位读者合作对图像进行了分析,目的如下:1)用 评分成功,这些序列描述了舌咽(CNIX)和 辅助神经(spCNXI)的脊根,以及2)确定 的解剖标志的价值结果:CE-FIESTA和CE-MRA分别在90%和100% 病例中显示CNIX。 ,CNX在94%和100%的案例中以及spCNXI在51% 和0%的案例中。 CNIX的上神经节分别可知 和89.8%; CNIX的下神经节,分别占73%和 100%;在98%和100%的病例中,以及CNX的上神经节。 用于识别这些结构的标志是下 颈椎窦和耳蜗导水管的外部开口。 结论:该研究方案非常适合显示 JF及其相关结构的复杂解剖结构。 旨在帮助发现影响 JF的小病理,并计划最佳的手术方法来治疗影响 JF的病变。 < / sup>

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  • 来源
    《American Journal of Neuroradiology》 |2009年第1期|34-41|共8页
  • 作者单位

    Department of Neuroradiology, University Hospital Munich, Munich, Germany;

    Department of Neuroradiology, University Hospital Munich, Munich, Germany;

    Institute of Anatomy, Histology, and Embryology, Medical University Innsbruck, Austria;

    Department of Radiology, Section of Neuroradiology, Mount Sinai Medical Center, New York, NY;

    Department of Neuroradiology, University Hospital Munich, Munich, Germany;

    Department of Neuroradiology, University Hospital Munich, Munich, Germany;

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