PMID- 31288239 OWN - NLM STAT- MEDLINE DCOM- 20200211 LR - 20200211 IS - 1423-0372 (Electronic) IS - 1011-6125 (Linking) VI - 97 IP - 2 DP - 2019 TI - The Value of Three-Dimensional Brain Volume Combined with Time-of-Flight MRA in Microvascular Decompression. PG - 120-126 LID - 10.1159/000500995 [doi] AB - OBJECTIVES: To explore the guidance value of preoperative 3-dimensional brain volume (3D-BRAVO) and 3-dimensional time-of-flight (3D-TOF) MRA scanning for microvascular decompression. METHODS: One hundred thirteen patients treated with microvascular decompression from February 2016 to February 2018 in the First Affiliated Hospital of Dalian Medical University were retrospectively analyzed. All patients received 3D-BRAVO combined with 3D-TOF MRA sequence reconstruction before the operation. The anatomical relationship of neurovascular tissues was analyzed and compared with the results of intraoperative exploration. RESULTS: The results of MVD showed that the number of positive cases was 108 (95.6%) on the diseased side. 3D-BRAVO combined with 3D-TOF sequence reconstruction resulted in 106 positive cases (93.8%), with a 98.1% positive coincidence rate and a 13.2% false positive rate (p < 0.05). 3D-BRAVO-TOF sequence reconstruction of trigeminal neuralgia showed a positive coincidence in 78 cases (92.8%) and for hemifacial spasm a positive coincidence was found in 27 cases (93.1%). CONCLUSION: 3D-BRAVO combined with 3D-TOF sequence reconstruction before microvascular decompression can fully evaluate the morphology, location, and anatomical relationship of lesions, which is of guidance value for clinical diagnosis and treatment. CI - (c) 2019 S. Karger AG, Basel. FAU - Li, Jun AU - Li J AD - Department of Neurosurgery, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Wang, Ying AU - Wang Y AD - Department of Neurology, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Lian, Zhigang AU - Lian Z AD - Department of Neurosurgery, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Liu, Rongyao AU - Liu R AD - Department of Neurosurgery, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Liang, Zhanhua AU - Liang Z AD - Department of Neurology, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Song, Chunli AU - Song C AD - Department of Neurology, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Song, Qingwei AU - Song Q AD - Department of Radiology, First Affiliated Hospital of Dalian Medical University, Dalian, China. FAU - Wei, Zhenqing AU - Wei Z AD - Department of Neurosurgery, First Affiliated Hospital of Dalian Medical University, Dalian, China, weizhqdl@126.com. LA - eng PT - Journal Article DEP - 20190709 PL - Switzerland TA - Stereotact Funct Neurosurg JT - Stereotactic and functional neurosurgery JID - 8902881 SB - IM MH - Adult MH - Aged MH - Brain/diagnostic imaging/surgery MH - Female MH - Hemifacial Spasm/diagnostic imaging/surgery MH - Humans MH - Imaging, Three-Dimensional/*methods MH - Magnetic Resonance Angiography/*methods MH - Male MH - Microvascular Decompression Surgery/*methods MH - Middle Aged MH - Retrospective Studies MH - Trigeminal Neuralgia/*diagnostic imaging/*surgery OTO - NOTNLM OT - Magnetic resonance OT - Microvascular decompression OT - Three-dimensional brain volume OT - Three-dimensional time of flight EDAT- 2019/07/10 06:00 MHDA- 2020/02/12 06:00 CRDT- 2019/07/10 06:00 PHST- 2018/12/18 00:00 [received] PHST- 2019/05/08 00:00 [accepted] PHST- 2019/07/10 06:00 [pubmed] PHST- 2020/02/12 06:00 [medline] PHST- 2019/07/10 06:00 [entrez] AID - 000500995 [pii] AID - 10.1159/000500995 [doi] PST - ppublish SO - Stereotact Funct Neurosurg. 2019;97(2):120-126. doi: 10.1159/000500995. Epub 2019 Jul 9.