Yamamoto A, Miki Y, Urayama S, Fushimi Y, Okada T, Hanakawa T, Fukuyama H, Togashi K
Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University, Kyoto, Japan.
AJNR Am J Neuroradiol. 2007 Jan;28(1):92-6.
Knowing the exact location of the optic radiation preoperatively is important for surgery of the temporal lobe. We hypothesized that a greater number of motion-probing gradients (MPGs) would provide better results of diffusion tensor (DT) fiber tractography of the optic radiation. To test this hypothesis, this study evaluated differences in DT fiber tractography of the optic radiation under different MPG settings.
DT images were obtained in 12 healthy volunteers (7 men, 5 women) with a mean age of 32 years (range, 22-45 years) by using a 3T MR imaging scanner with single-shot echo-planar imaging with parallel acquisition (reduction factor = 2). MPG was applied in 6, 12, 40, and 81 independent directions. The first region of interest (ROI) was placed in the occipital lobe, and the second ROI was placed in the lateral geniculate body. Fibers penetrating both ROIs were considered as the optic radiation. Anteroposterior distance between the tip of the Meyer loop and the lateral geniculate body on an axial section was defined as a loop index. Numbers of fibers and loop indices in both cerebral hemispheres were evaluated statistically.
The optic radiation was well visualized in full length by DT fiber tractography in 20 of 24 hemispheres (83%). No significant differences were noted in number of fibers and loop indices among different MPG settings.
DT fiber tractography can frequently depict almost the entire optic radiation. MPG number does not exert any significant effect on visualization of the optic radiation, and 6-directional MPG is thus sufficient for this purpose.
术前明确视辐射的精确位置对于颞叶手术至关重要。我们推测,更多的运动探测梯度(MPG)将为视辐射的扩散张量(DT)纤维束成像提供更好的结果。为验证这一假设,本研究评估了不同MPG设置下视辐射DT纤维束成像的差异。
使用3T磁共振成像扫描仪,采用单次激发回波平面成像并行采集(缩减因子=2),对12名健康志愿者(7名男性,5名女性)进行DT图像采集,平均年龄32岁(范围22 - 45岁)。MPG应用于6、12、40和81个独立方向。第一个感兴趣区(ROI)置于枕叶,第二个ROI置于外侧膝状体。穿过两个ROI的纤维被视为视辐射。轴位上迈耶袢尖端与外侧膝状体之间的前后距离定义为袢指数。对两侧大脑半球的纤维数量和袢指数进行统计学评估。
24个半球中的20个(83%)通过DT纤维束成像清晰显示了视辐射的全长。不同MPG设置下纤维数量和袢指数无显著差异。
DT纤维束成像通常能清晰显示几乎整个视辐射。MPG数量对视辐射的显示没有显著影响,因此6方向MPG足以满足此目的。