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Research ArticleHead & Neck
Open Access

Visualization of the Trochlear Nerve in the Cistern with Use of High-Resolution Turbo Spin-Echo Multisection Motion-Sensitized Driven Equilibrium

M. Kanoto, Y. Toyoguchi, T. Hosoya, A. Oda and Y. Sugai
American Journal of Neuroradiology July 2013, 34 (7) 1434-1437; DOI: https://doi.org/10.3174/ajnr.A3403
M. Kanoto
aFrom the Department of Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan.
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Y. Toyoguchi
aFrom the Department of Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan.
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T. Hosoya
aFrom the Department of Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan.
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A. Oda
aFrom the Department of Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan.
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Y. Sugai
aFrom the Department of Diagnostic Radiology, Yamagata University Faculty of Medicine, Yamagata, Japan.
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    Fig 1.

    Segmentation of the trochlear nerve. The trochlear nerve in the cistern was divided into 2 segments: the perimesencephalic segment and the tentorial segment, by use of the line that links the mesencephalic tegmentum-cerebral peduncle junction to the cerebellar anterior border in the same section. 1. Perimesencephalic segment. 2. Tentorial segment.

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    Fig 2.

    MR images of each sequence. A, HR-MRC: Perimesencephalic segment of the right trochlear nerve is observed (white arrowhead). Marked CSF flow-related artifacts in the cistern are apparent. The basilar artery (black arrowhead), midbrain (*), and cerebral aqueduct (white arrow) are noted. B, BS-MRC: Bilateral trochlear nerves are apparent in the cistern (arrowheads). The bilateral posterior cerebral artery is observed around the trochlear nerve (gray arrowheads). Band artifacts are also evident (white arrows). C, HR-MSDE: Trochlear nerves are visualized as curvilinear structures in full length (arrowheads). The line for segmentation (*) and the carotid artery (white arrows) are observed.

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    Table 1:

    Visibility of 20 trochlear nerves in full length

    VisibilityHR-MRCBS-MRCHR-MSDE
    Excellent61318
    Good521
    Fair941
    Not010
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    Table 2:

    Visibility of 20 trochlear nerves in each segment between 2 neuroradiologists

    Segment of the Trochlear NerveHR-MRCBS-MRCHR-MSDE
    ABABAB
    Perimesencephalic191419182020
    Tentorial*7213141918
    • A indicates neuroradiologist A; B, neuroradiologist B.

    • ↵* Significant differences among 3 MRI sequences by the χ2 test (P < .01).

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    Table 3:

    Concordance in each MR imaging sequence between 2 neuroradiologists

    Segment of the Trochlear Nerveκ Coefficient
    HR-MRCBS-MRCHR-MSDE
    Perimesencephalic0.2860.643−*
    Tentorial0.2190.6590.643
    • ↵* The κ coefficient could not be calculated because both neuroradiologists evaluated the trochlear nerve as “visible” in all cases.

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American Journal of Neuroradiology: 34 (7)
American Journal of Neuroradiology
Vol. 34, Issue 7
1 Jul 2013
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Cite this article
M. Kanoto, Y. Toyoguchi, T. Hosoya, A. Oda, Y. Sugai
Visualization of the Trochlear Nerve in the Cistern with Use of High-Resolution Turbo Spin-Echo Multisection Motion-Sensitized Driven Equilibrium
American Journal of Neuroradiology Jul 2013, 34 (7) 1434-1437; DOI: 10.3174/ajnr.A3403

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Visualization of the Trochlear Nerve in the Cistern with Use of High-Resolution Turbo Spin-Echo Multisection Motion-Sensitized Driven Equilibrium
M. Kanoto, Y. Toyoguchi, T. Hosoya, A. Oda, Y. Sugai
American Journal of Neuroradiology Jul 2013, 34 (7) 1434-1437; DOI: 10.3174/ajnr.A3403
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