CHEN Yu, FENG Guodong, SU Tong, MAO Mingyang, TIAN Xu, XU Zhentan, ZHOU Hailong, FANG Hongying, ZHANG Zhuhua, GAO Zhiqiang, JIN Zhengyu. Relationship between the Enhanced MRI Features of Preoperative Brain Volume Imaging and Surgical Methods of the Glomus Jugulare Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 952-957. DOI: 10.12290/xhyxzz.2021-0574
Citation: CHEN Yu, FENG Guodong, SU Tong, MAO Mingyang, TIAN Xu, XU Zhentan, ZHOU Hailong, FANG Hongying, ZHANG Zhuhua, GAO Zhiqiang, JIN Zhengyu. Relationship between the Enhanced MRI Features of Preoperative Brain Volume Imaging and Surgical Methods of the Glomus Jugulare Tumor[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(6): 952-957. DOI: 10.12290/xhyxzz.2021-0574

Relationship between the Enhanced MRI Features of Preoperative Brain Volume Imaging and Surgical Methods of the Glomus Jugulare Tumor

Funds: 

National Natural Science Foundation of China 82001814

National Multidisciplinary Cooperative Diagnosis and Treatment Capacity Building Project for Major Diseases 

More Information
  • Corresponding author:

    ZHANG Zhuhua Tel: 86-10-69159544, E-mail: 15010147685@163.com

    JIN Zhengyu Tel: 86-10-69155441, E-mail: jinzy@pumch.cn

  • Received Date: August 02, 2021
  • Accepted Date: October 14, 2021
  • Issue Publish Date: November 29, 2021
  •   Objective  To investigate the relationship between the enhanced MRI features of preopera-tive brain volume imaging (BRAVO) and surgical methods in patients with glomus jugulare tumor (GJT).
      Methods  The imaging data of enhanced BRAVO sequence and surgical methods of patients with GJT confirmed by surgery and pathology from February 2015 to March 2021 in Peking Union Medical College Hospital were analyzed retrospectively. According to the surgical mode, the patients were divided into the groups of single infra-temporal fossa approach (IFA) group and combined infratemporal fossa approach (CIFA) group. Both groups of patients underwent MRI examination before operation, and the Fisch classification of tumor was determined based on the characteristics of enhanced BRAVO sequential images, and the consistency was compared with the Fisch classification determined during the operation. The maximum diameter of the tumor in the transverse axis, the longest diameter in the coronal plane, the width diameter of meningeal invasion and the depth diameter of meningeal invasion were measured and compared between two groups.
      Results  A total of 25 patients were included. Among them, 16 cases were in the IFA group (surgical approach was infratemporal fossa type A), and 9 cases in the CIFA group (surgical approach was infratemporal fossa type A + type B). The classification of image C includes 1 case of C1 type, 10 cases of C2 type, 12 cases of C3 type, and 2 cases of C4 type. The classification of image D includes 8 cases of De1 type, 6 cases of Di1 type, and 5 cases of Di2 type. Except for one patient in the IFA group who was evaluated as C3 preoperatively based on imaging, and confirmed as C2 postoperatively, the image classification of C and D of the other patients were consistent with those of surgical classification of C and D (Kappa=0.934, P < 0.001;Kappa=1.000, P < 0.001). Image classification of C (P=0.029) and D (P=0.006) had significant differences between the two groups. The maximum diameter(P=0.013), depth(P=0.003) and width of meningeal invasion(P=0.011) in the CIFA group were greater than those in the IFA group. There was no significant difference in the longest diameter of the coronal plane (P=0.125) between the two groups.
      Conclusions  Enhanced BRAVO sequence can be used for preoperative evaluation of Fisch classification of GJT. The enhanced image features based on BRAVO sequence showed differences between the two different surgical approaches.
  • [1]
    夏寅, 严旭坤. 颈静脉球副神经节瘤治疗策略[J]. 中华耳科学杂志, 2019, 17: 339-342. DOI: 10.3969/j.issn.1672-2922.2019.03.012

    Xia Y, Yan XK. Treatment strategies for temporal bone paraganglioma[J]. Zhonghua Erkexue Zazhi, 2019, 17: 339-342. DOI: 10.3969/j.issn.1672-2922.2019.03.012
    [2]
    李铮, 梁熙虹, 鲜军舫. MR在颈静脉球体瘤诊断及分型中的价值[J]. 中华耳科学杂志, 2018, 16: 593-597.

    Li Z, Liang XH, Xian JF. Value of MR imaging in the diagnosis and classfication of glomus jugulare tumors[J]. Zhonghua Erkexue Zazhi, 2018, 16: 593-597.
    [3]
    van den Berg R. Imaging and management of head and neck paragangliomas[J]. Eur Radiol, 2005, 15: 1310-1318. DOI: 10.1007/s00330-005-2743-8
    [4]
    Fisch U. Infratemporal fossa approach for glomus tumors of the temporal bone[J]. Ann Otol Rhinol Laryngol, 1982, 91: 474-479. DOI: 10.1177/000348948209100502
    [5]
    魏兴梅, 高志强, 许志勤, 等. 不同颞下窝进路联合技术切除侧颅底病变[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55: 814-821. DOI: 10.3760/cma.j.cn115330-20191015-00627

    Wei XM, Gao ZQ, Xu ZQ, et al. Surgery technique of combined different infratemporal fossa approaches for lesions in lateral skull base[J]. Zhonghua Er Bi Yanhou Toujing Waike Zazhi, 2020, 55: 814-821. DOI: 10.3760/cma.j.cn115330-20191015-00627
    [6]
    殷慧康, 耿承军, 叶黛西, 等. MR三维颅脑容积成像增强扫描序列在静脉窦血栓中的应用[J]. 医学影像学杂志, 2021, 31: 550-555.

    Yin HK, Geng CJ, Ye DX, et al. The clinical value of 3D-bravo volume imaging in diagnosing cerebral venous and sinus thrombosis[J]. Yixue Yingxiangxue Zazhi, 2021, 31: 550-555.
    [7]
    何浩强, 黄子林, 谢传淼, 等. 三维颅脑容积磁共振成像技术在颅脑磁共振增强检查的价值[J]. 中华生物医学工程杂志, 2011, 17: 79-82. DOI: 10.3760/cma.j.issn.1674-1927.2011.01.018

    He HQ, Huang ZL, Xie CM, et al. Application of three-dimensional BRAVO techniques in enhanced MRI of the brain[J]. Zhonghua Shengwu Yixue Gongcheng Zazhi, 2011, 17: 79-82. DOI: 10.3760/cma.j.issn.1674-1927.2011.01.018
    [8]
    Prasad SC, Mimoune HA, Khardaly M, et al. Strategies and long-term outcomes in the surgical management of tympanojugular paragangliomas[J]. Head Neck, 2016, 38: 871-885. DOI: 10.1002/hed.24177
    [9]
    夏寅. 颞骨切除术与岩骨次全切除术-House与Fisch比较[J]. 中华耳科学杂志, 2017, 15: 20-23. DOI: 10.3969/j.issn.1672-2922.2017.01.005

    Xia Y. Temporal bone resection and subtotal petrosectomy: House versus Fish techniques[J]. Zhonghua Erkexue Zazhi, 2017, 15: 20-23. DOI: 10.3969/j.issn.1672-2922.2017.01.005
    [10]
    Moe KS, Li D, Linder TE, et al. An update on the surgical treatment of temporal bone paraganglioma[J]. Skull Base Surg, 1999, 9: 185-194. DOI: 10.1055/s-2008-1058145
    [11]
    Ishak C, Danda V. Jugular foramen paragangliomas: preoperative transcatheter particle embolization[J]. J Cerebrovasc Endovasc Neurosurg, 2020, 22: 273-281. DOI: 10.7461/jcen.2020.E2019.09.033
    [12]
    Cass ND, Schopper MA, Lubin JA, et al. The Changing Paradigm of Head and Neck Paragangliomas: What Every Otolaryngologist Needs to Know[J]. Ann Otol Rhinol Laryngol, 2020, 129: 1135-1143. DOI: 10.1177/0003489420931540
    [13]
    宣璐璐, 耿承军, 夏云宝, 等. MR三维颅脑容积成像增强扫描诊断内听道区病变[J]. 中国介入影像与治疗学, 2020, 17: 177-180.

    Xuan LL, Geng CJ, Xia YB, et al. MR three-dimension brain volume imaging enhanced scanning in diagnosis of internal auditory canal lesions[J]. Zhongguo Jieru Yingxiang Yu Zhiliaoxue, 2020, 17: 177-180.
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