3D-Visualization of Neurovascular Compression at the Ventrolateral Medulla in Patients with Arterial Hypertension.
Cranial nerves
Image fusion
Image processing
MRI
Posterior fossa
Vascular compression disorders
Journal
Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
received:
05
02
2020
accepted:
12
05
2020
pubmed:
29
5
2020
medline:
3
11
2021
entrez:
29
5
2020
Statut:
ppublish
Résumé
Controversy exists on the association of arterial hypertension (HTN) and neurovascular compression (NVC) at the ventrolateral medulla (VLM). No standardized and reproducible technique has been introduced yet for detection of NVC in HTN. This study aimed to generate, analyze and compare different results of exact reproducible anatomical 3D-representations of the VLM in patients with HTN, based on magnetic resonance imaging (MRI). A 3T scanner provided MRI (T2-constructive interference in steady state (CISS) high resolution imaging and three-dimensional Time-of-flight (3D-TOF) angiography) from the posterior fossa of 44 patients with clinical treatment-resistant HTN. Image processing consists of segmentation of the CISS data, registration and fusion of the CISS and TOF data and visualization. For each patient two 3D-visualizations (before and after fusion) were obtained. The reproduction quality of the vessels, flow-related signal variability and pulsation artifacts were analyzed and compared, using a ranking score. Integrating vascular information from TOF into CISS data reduced artifacts in 3D-visualizations of exclusively processed CISS data. The quality of 3D-visualization of the vessels near the brain stem was significantly improved (p = 0.004). The results were reproducible and reliable. The quality of the 3D-presentations of neurovascular relationships at the VLM improved significantly (p < 0.001). The 3D-visualization of fused image data provides an excellent overview of the relationship between cranial nerves and vessels at the VLM and simplifies the detection of NVC in HTN. It provides a powerful tool for future clinical and scientific research. Although microvascular decompression (MVD) in treatment resistant HTN is not a standard procedure, it can be discussed in selected patients with intractable severe HTN.
Identifiants
pubmed: 32462236
doi: 10.1007/s00062-020-00916-z
pii: 10.1007/s00062-020-00916-z
pmc: PMC8211615
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
335-345Références
Jannetta PJ, Segal R, Wolfson SK Jr. Neurogenic hypertension: etiology and surgical treatment. I. Observations in 53 patients. Ann Surg. 1985;201:391–8.
doi: 10.1097/00000658-198503000-00023
Naraghi R, Gaab MR, Walter GF, Kleineberg B. Arterial hypertension and neurovascular compression at the ventrolateral medulla. A comparative microanatomical and patholgical study. J Neurosurg. 1992;77:103–12.
doi: 10.3171/jns.1992.77.1.0103
Hohenbleicher H, Schmitz SA, Koennecke HC, Offermann R, Offermann J, Zeytountchian H, Wolf KJ, Distler A, Sharma AM. Neurovascular contact of cranial nerve IX and X root-entry zone in hypertensive patients. Hypertension. 2001;37:176–81.
doi: 10.1161/01.HYP.37.1.176
Johnson D, Coley SC, Brown J, Moseley IF. The role of MRI in screening for neurogenic hypertension. Neuroradiology. 2000;42:99–103.
doi: 10.1007/s002340050023
Legrady P, Voros E, Bajcsi D, Sonkodi S, Barzo P, Abraham G. Neurovascular pulsatile compression and neurosurgical decompression of the rostral ventrolateral medulla in medically resistant hypertensive patients. Kidney Blood Press Res. 2008;31:433–7.
doi: 10.1159/000195696
Naraghi R, Geiger H, Crnac J, Huk W, Fahlbusch R, Engels G, Luft FC. Posterior fossa neurovascular anomalies in essential hypertension. Lancet. 1994;344:1466–70.
doi: 10.1016/S0140-6736(94)90289-5
Naraghi R, Hastreiter P, Tomandl B, Bonk A, Huk W, Fahlbusch R. Three dimensional visualization of neurovascular relationship in the posterior fossa—technique and clinical application. J Neurosurg. 2004;100:1025–35.
doi: 10.3171/jns.2004.100.6.1025
Säglitz SA, Gaab MR. Investigations using magnetic resonance imaging: is neurovascular compression present in patients with essential hypertension? J Neurosurg. 2002;96:1006–12.
doi: 10.3171/jns.2002.96.6.1006
Thuerl C, Rump LC, Otto M, Winterer JT, Schneider B, Funk L, Laubenberger J. Neurovascular contact of the brain stem in hypertensive and normotensive subjects: MR findings and clinical significance. AJNR Am J Neuroradiol. 2001;22:476–80.
pubmed: 11237969
pmcid: 7976818
Zizka J, Ceral J, Elias P, Tintera J, Klzo L, Solar M, Straka L. Vascular compression of rostral medulla oblongata: prospective MR imaging study in hypertensive and normotensive subjects. Radiology. 2004;230:65–9.
doi: 10.1148/radiol.2301021285
Stobo DB, Lindsay RS, Connell JM, Dunn L, Forbes KP. Initial experience of 3 Tesla versus conventional field strength magnetic resonance imaging of small functioning pituitary tumours. Clin Endocrinol (Oxf). 2011;75:673–7.
doi: 10.1111/j.1365-2265.2011.04098.x
Ross JS. The high-field-strength curmudgeon. AJNR Am J Neuroradiol. 2004;25:168–9.
pubmed: 14970013
pmcid: 7974604
Leal PR, Hermier M, Froment JC, Souza MA, Cristino-Filho G, Sindou M. Preoperative demonstration of the neurovascular compression characteristics with special emphasis on the degree of compression, using high-resolution magnetic resonance imaging: a prospective study, with comparison to surgical findings, in 100 consecutive patients who underwent microvascular decompression for trigeminal neuralgia. Acta Neurochir (Wien). 2010;152:817–25.
doi: 10.1007/s00701-009-0588-7
Tanrikulu L, Hastreiter P, Richter G, Doerfler A, Naraghi R. Virtual neuroendoscopy: MRI-based three-dimensional visualization of the cranial nerves in the posterior cranial fossa. Br J Neurosurg. 2008;22:207–12.
doi: 10.1080/02688690701632807
Hastreiter P, Naraghi R, Tomandl B, Bauer M, Fahlbusch R, editors. 3D-visualization and registration for neurovascular compression syndrome analysis. MICCAI 02, (Proc of 5th Int Conf on Med Img Comput and Comp-Assis Interv). Heidelberg, Berlin, New York: Springer; 2002.
Garcia M, Naraghi R, Zumbrunn T, Rösch J, Hastreiter P, Dörfler A. High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression: a comparison between 3T and 1.5T. AJNR Am J Neuroradiol. 2012;33:1251–6.
doi: 10.3174/ajnr.A2974
Hastreiter P. Registrierung und Visualisierung medizinischer Bilddaten unterschiedlicher Modalitäten. Erlangen: University of Erlangen-Nuremberg; 1999.
Mancia G, Fagard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M, Christiaens T, Cifkova R, De Backer G, Dominiczak A, Galderisi M, Grobbee DE, Jaarsma T, Kirchhof P, Kjeldsen SE, Laurent S, Manolis AJ, Nilsson PM, Ruilope LM, Schmieder RE, Sirnes PA, Sleight P, Viigimaa M, Waeber B, Zannad F; Task Force Members. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31:1281–357.
doi: 10.1097/01.hjh.0000431740.32696.cc
Pandey S, Hakky M, Kwak E, Jara H, Geyer CA, Erbay SH. Application of basic principles of physics to head and neck MR angiography: troubleshooting for artifacts. Radiographics. 2013;33:E113–23.
doi: 10.1148/rg.333125148
Naraghi R, Tanrikulu L, Troescher-Weber R, Bischoff B, Hecht M, Buchfelder M, Hastreiter P. Classification of neurovascular compression in typical hemifacial spasm: three-dimensional visualization of the facial and the vestibulocochlear nerves. J Neurosurg. 2007;107:1154–63.
doi: 10.3171/JNS-07/12/1154
Tanrikulu L, Hastreiter P, Dörfler A, Buchfelder M, Naraghi R. Classification of neurovascular compression in glossopharyngeal neuralgia: three-dimensional visualization of the glossopharyngeal nerve. Surg Neurol Int. 2015;6:189.
doi: 10.4103/2152-7806.172534
Teßmann M, Eisenacher C, Enders F, Stamminger M, Hastreiter P. GPU Accelerated Normalized Mutual Information and B‑Spline Transformation. VCMB. 2008. pp. 117–24.
Hastreiter P, Dodenhoeft N, Troescher-Weber R, Hastreiter L, Buchfelder M, Naraghi R. Modern strategies of image processing for neurovascular compression in arterial hypertension. 16th European Meeting on Hypertension. 2006.
Geiger H, Naraghi R, Schobel HP, Frank H, Sterzel RB, Fahlbusch R. Decrease of blood pressure by ventrolateral medullary decompression in essential hypertension. Lancet. 1998;352:446–9.
doi: 10.1016/S0140-6736(97)11343-5
Sindou M, Mahmoudi M, Brînzeu A. Hypertension of neurogenic origin: effect of microvascular decompression of the CN IX‑X root entry/exit zone and ventrolateral medulla on blood pressure in a prospective series of 48 patients with hemifacial spasm associated with essential hypertension. J Neurosurg. 2015;123:1405–13.
doi: 10.3171/2014.12.JNS141775
Boogaarts HD, Menovsky T, de Vries J, Verbeek AL, Lenders JW, Grotenhuis JA. Primary hypertension and neurovascular compression: a meta-analysis of magnetic resonance imaging studies. JNS. 2012;116:147–56.
doi: 10.3171/2011.7.JNS101378
Ceral J, Zizka J, Eliás P, Solar M, Klzo L, Reissigová J. Neurovascular compression in essential hypertension: cause, consequence or unrelated finding? J Hum Hypertens. 2007;21:179–81.
doi: 10.1038/sj.jhh.1002124
Tomandl BF, Hastreiter P, Rezk-Salama C, Engel K, Ertl T, Huk WJ, Naraghi R, Ganslandt O, Nimsky C, Eberhardt KE. Local and remote visualization techniques for interactive direct volume rendering in neuroradiology. Radiographics. 2001;21:1561–72.
doi: 10.1148/radiographics.21.6.g01nv241561
Tanrikulu L, Hastreiter P, Troescher-Weber R, Buchfelder M, Naraghi R. Intraoperative three-dimensional visualization in microvascular decompression. J Neurosurg. 2007;107:1137–43.
doi: 10.3171/JNS-07/12/1137
Hastreiter P, Naraghi R, Tomandl B, Bonk A, Fahlbusch R. Analysis and 3‑dimensional visualization of neurovascular compression syndromes. Acad Radiol. 2003;10:1369–79.
doi: 10.1016/S1076-6332(03)00505-1
Akimoto H, Nagaoka T, Nariai T, Takada Y, Ohno K, Yoshino N. Preoperative evaluation of neurovascular compression in patients with trigeminal neuralgia by use of three-dimensional reconstruction from two types of high-resolution magnetic resonance imaging. Neurosurgery. 2002;51:956–61.
pubmed: 12234403
Haller S, Etienne L, Kövari E, Varoquaux AD, Urbach H, Becker M. Imaging of neurovascular compression syndromes: trigeminal neuralgia, hemifacial spasm, vestibular paroxysmia, and Glossopharyngeal neuralgia. AJNR Am J Neuroradiol. 2016;37:1384–92.
doi: 10.3174/ajnr.A4683