Predictive value of preoperative magnetic resonance imaging structural and diffusion indices for the results of trigeminal neuralgia microvascular decompression surgery

Purpose To explore the predictive value of preoperative magnetic resonance imaging structural and diffusion indices of the spinal trigeminal tract (SpTV) on the results of microvascular decompression (MVD) in patients with trigeminal neuralgia (TN). Methods This retrospective study included patients...

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Bibliographic Details
Published in:Neuroradiology 2023-08, Vol.65 (8), p.1255-1261
Main Authors: Zhang, Yang, Sun, Dengbin, Xie, Yunjie, Li, Rui, Zhao, Hang, Wang, Zhaoping, Feng, Lei
Format: Article
Language:English
Subjects:
Anisotropy
Breath tests
Decompression
Head-Neck-ENT Radiology
Humans
Imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical diagnosis
Medicine
Medicine & Public Health
Microvascular Decompression Surgery - adverse effects
Microvascular Decompression Surgery - methods
Microvasculature
Multivariate analysis
Neuralgia
Neurology
Neuroradiology
Neurosciences
Neurosurgery
Patients
Radiology
Regression analysis
Retrospective Studies
Risk factors
Surgery
Treatment Outcome
Trigeminal nerve
Trigeminal Neuralgia - diagnostic imaging
Trigeminal Neuralgia - surgery
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Summary:Purpose To explore the predictive value of preoperative magnetic resonance imaging structural and diffusion indices of the spinal trigeminal tract (SpTV) on the results of microvascular decompression (MVD) in patients with trigeminal neuralgia (TN). Methods This retrospective study included patients diagnosed with TN and treated with MVD in the Jining First People’s Hospital between January 2020 and January 2021. The patients were divided into good and poor results groups according to postoperative pain relief. Logistic regression analysis was performed to explore independent risk factors for poor results of MVD, and their predictive value was examined using receiver operating characteristic (ROC) curves. Results A total of 97 TN cases were included, 24 cases with a poor result and 73 with a good result. They were comparable in demographic characteristics. Fractional anisotropy (FA) was lower ( P  
ISSN:0028-3940
1432-1920
DOI:10.1007/s00234-023-03155-4