Overcoming Challenges of Cranial Nerve Tractography: A Targeted Review

Neurosurgery
Timothée JacquessonFrancois Cotton

Abstract

Diffusion imaging tractography caught the attention of the scientific community by describing the white matter architecture in vivo and noninvasively, but its application to small structures such as cranial nerves remains difficult. The few attempts to track cranial nerves presented highly variable acquisition and tracking settings. To conduct and present a targeted review collecting all technical details and pointing out challenges and solutions in cranial nerve tractography. A "targeted" review of the scientific literature was carried out using the MEDLINE database. We selected studies that reported how to perform the tractography of cranial nerves, and extracted the following: clinical context; imaging acquisition settings; tractography parameters; regions of interest (ROIs) design; and filtering methods. Twenty-one published articles were included. These studied the optic nerves in suprasellar tumors, the trigeminal nerve in neurovascular conflicts, the facial nerve position around vestibular schwannomas, or all cranial nerves. Over time, the number of MRI diffusion gradient directions increased from 6 to 101. Nine tracking software packages were used which offered various types of tridimensional display. Tracking parameter...Continue Reading

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Citations

Dec 14, 2018·Neurotherapeutics : the Journal of the American Society for Experimental NeuroTherapeutics·Sandip S PanesarJuan Fernandez-Miranda
Mar 30, 2019·Surgical and Radiologic Anatomy : SRA·Florian BernardMarc Sindou
Jan 30, 2021·The British Journal of Radiology·Fréderic Van der CruyssenJan Casselman
Jun 3, 2021·Cancers·Tamara IusMassimo Robiony
Jun 4, 2020·Neuroendocrinology·Thomas GraillonMichael Buchfelder

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