Advanced and standardized evaluation of neurovascular compression syndromes

Peter Hastreiter; Fernando Vega Higuera; Bernd Tomandl M.D.; Rudolf Fahlbusch M.D.; Ramin Naraghi M.D.

doi:10.1117/12.535511

5 May 2004 Advanced and standardized evaluation of neurovascular compression syndromes

Peter Hastreiter, Fernando Vega Higuera, Bernd Tomandl M.D., Rudolf Fahlbusch M.D., Ramin Naraghi M.D.

Proceedings Volume 5367, Medical Imaging 2004: Visualization, Image-Guided Procedures, and Display; (2004) https://doi.org/10.1117/12.535511
Event: Medical Imaging 2004, 2004, San Diego, California, United States

Abstract

Caused by a contact between vascular structures and the root entry or exit zone of cranial nerves neurovascular compression syndromes are combined with different neurological diseases (trigeminal neurolagia, hemifacial spasm, vertigo, glossopharyngeal neuralgia) and show a relation with essential arterial hypertension. As presented previously, the semi-automatic segmentation and 3D visualization of strongly T2 weighted MR volumes has proven to be an effective strategy for a better spatial understanding prior to operative microvascular decompression. After explicit segmentation of coarse structures, the tiny target nerves and vessels contained in the area of cerebrospinal fluid are segmented implicitly using direct volume rendering. However, based on this strategy the delineation of vessels in the vicinity of the brainstem and those at the border of the segmented CSF subvolume are critical. Therefore, we suggest registration with MR angiography and introduce consecutive fusion after semi-automatic labeling of the vascular information. Additionally, we present an approach of automatic 3D visualization and video generation based on predefined flight paths. Thereby, a standardized evaluation of the fused image data is supported and the visualization results are optimally prepared for intraoperative application. Overall, our new strategy contributes to a significantly improved 3D representation and evaluation of vascular compression syndromes. Its value for diagnosis and surgery is demonstrated with various clinical examples.

Citation Download Citation

Peter Hastreiter, Fernando Vega Higuera, Bernd Tomandl M.D., Rudolf Fahlbusch M.D., and Ramin Naraghi M.D. "Advanced and standardized evaluation of neurovascular compression syndromes", Proc. SPIE 5367, Medical Imaging 2004: Visualization, Image-Guided Procedures, and Display, (5 May 2004); https://doi.org/10.1117/12.535511

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