Three-dimensional reconstruction of superior petrosal vein by multi-modal fusion technology

Wu Shiyuan, He Haoqiang, Chen Zhenghe, Mou Yonggao, Li Yanbing, Huang Wenhua, Zhong Shizhen

Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (3) : 270-276.

PDF(4080 KB)
PDF(4080 KB)
Chinese Journal of Clinical Anatomy ›› 2023, Vol. 41 ›› Issue (3) : 270-276. DOI: 10.13418/j.issn.1001-165x.2023.3.05

Three-dimensional reconstruction of superior petrosal vein by multi-modal fusion technology

  • Wu Shiyuan1, He Haoqiang2, Chen Zhenghe3, Mou Yonggao3, Li Yanbing1, Huang Wenhua1,4*, Zhong Shizhen1*
Author information +
History +

Abstract

 【Abstract】    Objective   To reflect the morphological characteristics of SPV and its adjacent bone structures objectively, contrast enhanced magnetic resonance angiography (CEMRA) and computer tomography (CT) were used by combining with multi-modal fusion technology to reconstruct the normal anatomical structure of the superior petrosal vein complex and its surrounding skull, which providing reference for anatomical research and clinical surgery.   Methods   By adjusting the concentration of the contrast agent, the injection speed of the contrast agent, the start time of scanning, the scanned 3D CEMRA  was judged to be developed successfully  by the MIP post-processing of image processing workstation. The original data of 3D CEMRA and 3D-CT were imported into 3Dslicer software together. After image registration, threshold segmentation, structure pruning and data package storage, the packaged data of these two modalities were imported together and 3D fusion was performed at the same time. The related anatomical parameters were measured by using the module of 3Dslicer software.    Results  ①The relevant angiographic parameters of the sigmoid sinus, superior petrosal sinus (SPS), SPV, and SPV tributary was obtained, but the success rate was not stable; ②Through the three-dimensional reconstruction of the DICOM data from the head CEMRA and  cranial CT, SPV and its branch, SPS, sigmoid sinus, transverse sinus and cavernous sinus, bone anatomical landmarks of skull base such as  internal auditory canal, petrosal sinus groove and transverse sinus groove near the petrosal area were obtained; ③ Three-dimensional fusion map of venous structure and osseous structure after multi-modal fusion was obtained; ④The measurement diagram was obtained by using the measurement module in the 3Dslicer software.   Conclusions    The combination of imaging  and 3Dslicer software can realistically display the anatomical structure of multi-modal fusion, providing a new possibility for the study of anatomical morphology, and also providing personalized reference for clinical surgery.

Key words

Superior petrosal vein;  /   / Anatomy;  /  Neurosurgery;  /   / Imaging;  /   / CEMRA;  /   / 3Dslicer / Three-dimensional reconstruction;  /   / Multimodal fusion

Cite this article

Download Citations
Wu Shiyuan, He Haoqiang, Chen Zhenghe, Mou Yonggao, Li Yanbing, Huang Wenhua, Zhong Shizhen. Three-dimensional reconstruction of superior petrosal vein by multi-modal fusion technology[J]. Chinese Journal of Clinical Anatomy. 2023, 41(3): 270-276 https://doi.org/10.13418/j.issn.1001-165x.2023.3.05

References

[1]  Liebelt BD, Barber SM, Desai VR, et al. Superior petrosal vein sacrifice during microvascular decompression: perioperative complication rates and comparison with venous preservation[J]. World Neurosurg, 2017, 104: 788-794. DOI: 10.1016/j.wneu.2017.05.098.
[2]  Rhoton A , Matsushima K , Carvalhal Ribas E , et al. Absence of the superior petrosal veins and sinus: surgical considerations[J]. Surg Neurol Int, 2015, 6(1):34. DOI: 10.4103/2152-7806.152147.
[3]  Masuoka J, Matsushima T, Hikita T, et al. Cerebellar swelling after sacrifice of the superior petrosal vein during microvascular decompression for trigeminal neuralgia[J]. J Clin Neurosci, 2009, 16(10):1342-1344. DOI:10.1016/j.jocn.2008.12.024.
[4]   Broggi G, Broggi M, Ferroli P, et al. Surgical technique for trigeminal microvascular decompression[J]. Acta Neurochir (Wien), 2012, 154(6): 1089-1095. DOI: 10.1007/s00701-012-1324-2.
[5]   Patel SV,Parish DC,Patel RM,et al.Resolution of MRI findings in central pontine myelinosis associated with hypokalemia [J].Am J Med Sci,2007,334(6):490-492.DOI:10.1097/MAJ.0b013e318068b224.
[6]   Ichikawa H, Murakami H, Katoh H, et al. Central pontine lesions observed with MRI in four diabetic patients.[J]. Intern Med, 2008, 47(15): 1425-1430. DOI: 10.2169/internalmedicine.47.0868.
[7]   Bender B, Hauser TK, Korn A, et al. Depiction of the superior petrosal vein complex by 3D contrast-enhanced MR angiography[J]. AJNR Am J Neuroradiol, 2018, 39(12): 2249-2255. DOI: 10.3174/ajnr.A5864.
[8]   邱宇, 李军, 陈鹏, 等.多模态影像融合技术在复杂颅底肿瘤手术中的应用[J].精准医学杂志, 2020, 35(5): 437-440. DOI:10.13362/j.jpmed. 202005013.
[9] Haq IBI, Susilo RI, Goto T, et al. Dural incision in the petrosal approach with preservation of the superior petrosal vein[J]. J Neurosurg, 2016, 124(4):1074-1078. DOI: 10.3171/2015.3.JNS141618.
[10] Matsushima K, Matsushima T, Kuga Y, et al. Classification of the superior petrosal veins and sinus based on drainage pattern[J]. Neurosurgery, 2014,10(2):357-367. DOI:10.1227/NEU. 000000000000 0323.
[11]Inoue T, Hirai H, Shima A, et al. Diagnosis and management for trigeminal neuralgia caused solely by venous compression[J]. Acta Neurochir (Wien), 2017, 159(4): 681-688. DOI:10.1007/s00701-017-3085-4.
[12]Xia L, Liu MX, Zhong J, et al. Fatal complications following microvasculardecompression: could it be avoided and salvaged?[J]. Neurosurg Rev, 2017, 40(3): 389-396. DOI:10.1007/s10143-016-0791-y.
[13]Liebelt BD,  Barber SM,  Desai VR, et al. Superior petrosal vein sacrifice during microvascular decompression: perioperative complication rates and comparison to venous preservation[J]. World Neurosurg, 2017, 104: 788-794. DOI:10.1016/j.wneu.2017.05.098.
[14]Lee MH, Jee TK, Lee JA, et al. Postoperative complications of microvascular decompression for hemifacial spasm: lessons from experience of 2040 cases[J]. Neurosurg Rev, 2016, 39(1):151-158. DOI: 10.1007/s10143-015-0666-7.
[15]Hiroki T,  Koichi I,  Naoya Y, et al. Bridging veins and veins of the brainstem in microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm[J]. Neurosurg Focus, 2018, 45(1): E2. DOI:10.3171/2018.4.FOCUS18122.
[16]Tanriover N, Abe H, Rhoton AL, et al. Microsurgical anatomy of the superior petrosal venous complex: new classifications and implications for subtemporal transtentorial and retrosigmoid suprameatal approaches[J]. J Neurosurg,2007, 106(6):1041-1050. DOI:10.3171/jns. 2007. 106.6.1041.
[17]Xiong NX, Zhou X, Yang B, et al. Preoperative MRI evaluation of relationship between trigeminal nerve and superior petrosal vein: its role in treating trigeminal neuralgia[J]. J Neurol Surg A Cent Eur Neurosurg, 2019, 80 (3): 213-219. DOI:10.1055/s-0038-1669399.
[18]Kuhnt D, Bauer MHA, Nimsky C. Brain shift compensation and neurosurgical image fusion using intraoperative MRI: current status and future challenges[J]. Crit Rev Biomed Eng, 2012, 40(3): 175-185. DOI: 10.1615/critrevbiomedeng.v40.i3.20.
[19] 陈忠仪, 洪文瑶, 廖正俭, 等.多模态影像融合技术联合3D打印技术在经蝶垂体腺瘤切除术中的应用[J].实用临床医学,2018,19(08):42-44. DOI: 10.13764/j.cnki.lcsy.2018.08.011.
[20] 冯素银, 黄进, 程超, 等.多模态神经导航影像融合功能在复发垂体腺瘤手术中的应用[J].江苏医药, 2014, 40( 20) : 2442-2444. DOI: 10.19460/j.cnki.0253-3685.2014.20.023.
[21] 吴东东,卜博, 陈晓雷, 等. 融合MRI与CT图像的多模态神经导航技术在颅底显微外科手术中的应用[J].解放军医学院学报, 2015, 36( 5) : 441-444. DOI: 10.3969/j.issn.2095-5227.2015.05.002.
[22] 陈争珍, 乔会煌, 郭玉, 等. 脑深髓静脉的磁敏感加权成像[J].解剖学报, 2016, 47(6):796-801. DOI:10. 16098/j. issn. 0529-1356. 2016. 06. 013.
[23] Matsushima T, Rhoton AL, Oliveira ED, et al. Microsurgical anatomy of the veins of the posterior fossa[J]. J Neurosurg, 1983, 59(1):63-105. DOI: 10.3171/jns.1983.59.1.0063.
PDF(4080 KB)

Accesses

Citation

Detail

Sections
Recommended

/