doi: 10.4261/1305-3825.DIR.2744-09.3

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EVALUATION OF JUGULAR FORAMEN NERVES, BY USING b-FFE,T2W DRIVE,T2W TSE AND POST CONTRAST T1W MR IMAGING SEQUENCES.
Hasan Aydın1, Elif Altın1, Alper Dilli1, Serdar Sipahioğlu1, Baki Hekimoğlu1
1Dışkapı Tıldırım Beyazıt Eğitim ve Araştırma Hospital, Radiology, Ankara, Turkey

Purpose: To assess the best effective MRI sequence for the visualization of the 9th-10th-11th cranial nerves (glossopharyngeal-vagus-accessory nerves) in their intraforaminal\canalicular courses. Materials and Methods: Balanced fast-field echo(b-FFE),3D-T2W DRIVE,T2W 2D TSE and Post-contrast T1W sequences were all applied and we tried to get the best sequence for the exact assessment of the 9th-10th-11th cranial nerves. 600 nerves of 100 patients without the symptoms of neurovascular compression were examined using the above sequences. Imaging analysis is graded as; Nerves analyzed by certainty(score of 2),nerves analyzed partially(score of 1) , nerves not identified(score of 0). Results: In all three nerves, the best sequence for the visualization of the cisternal and intraforaminal course is b-FFE among others, with %58-73-62 all together 64.3%success in showing the fascicles of 9th-11th nerves. This sequence with very short time of repetition (TR),symmetrical and balanced gradient around the echo time(TE),allows very fast imaging and a high signal to noise ratio(SNR).T2W TSE sequence is superior to the DRIVE T2W sequence in assessing the cisternal and intraforaminal part of all three nerves. Post-contrast T1W sequence is probably the worst sequence in showing all three nerves. Conclusion: B-FFE; Gradient echo sequence with high spatial resolution, is the optimal sequence for determining the courses of 9th-11th cranial nerves.

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