{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T09:41:17Z","timestamp":1789724477503,"version":"4.0.1"},"reference-count":26,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2015,12]]},"abstract":"\nOBJECT<\/jats:title>\nThe authors assessed whether the combined use of diffusion tensor tractography (DTT) and contrast-enhanced (CE) fast imaging employing steady-state acquisition (FIESTA) could improve the accuracy of predicting the courses of the facial and cochlear nerves before surgery.<\/jats:p><\/jats:sec>\n\nMETHODS<\/jats:title>\nThe population was composed of 22 patients with vestibular schwannoma in whom both the facial and cochlear nerves could be identified during surgery. According to DTT, depicted fibers running from the internal auditory canal to the brainstem were judged to represent the facial or vestibulocochlear nerve. With regard to imaging, the authors investigated multifused CE-FIESTA scans, in which all 3D vessel models were shown simultaneously, from various angles. The low-intensity areas running along the tumor from brainstem to the internal auditory canal were judged to represent the facial or vestibulocochlear nerve.<\/jats:p><\/jats:sec>\n\nRESULTS<\/jats:title>\nFor all 22 patients, the rate of fibers depicted by DTT coinciding with the facial nerve was 13.6% (3\/22), and that of fibers depicted by DTT coinciding with the cochlear nerve was 63.6% (14\/22). The rate of candidates for nerves predicted by multifused CE-FIESTA coinciding with the facial nerve was 59.1% (13\/22), and that of candidates for nerves predicted by multifused CE-FIESTA coinciding with the cochlear nerve was 4.5% (1\/22). The rate of candidates for nerves predicted by combined DTT and multifused CE-FIESTA coinciding with the facial nerve was 63.6% (14\/22), and that of candidates for nerves predicted by combined DTT and multifused CE-FIESTA coinciding with the cochlear nerve was 63.6% (14\/22). The rate of candidates predicted by DTT coinciding with both facial and cochlear nerves was 0.0% (0\/22), that of candidates predicted by multifused CE-FIESTA coinciding with both facial and cochlear nerves was 4.5% (1\/22), and that of candidates predicted by combined DTT and multifused CE-FIESTA coinciding with both the facial and cochlear nerves was 45.5% (10\/22).<\/jats:p><\/jats:sec>\n\nCONCLUSIONS<\/jats:title>\nBy using a combination of DTT and multifused CE-FIESTA, the authors were able to increase the number of vestibular schwannoma patients for whom predicted results corresponded with the courses of both the facial and cochlear nerves, a result that has been considered difficult to achieve by use of a single modality only. Although the 3D image including these prediction results helped with comprehension of the 3D operative anatomy, the reliability of prediction remains to be established.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2014.11.jns14988","type":"journal-article","created":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T17:26:06Z","timestamp":1433957166000},"page":"1480-1488","source":"Crossref","is-referenced-by-count":24,"title":["Combined use of diffusion tensor tractography and multifused contrast-enhanced FIESTA for predicting facial and cochlear nerve positions in relation to vestibular schwannoma"],"prefix":"10.3171","volume":"123","author":[{"given":"Masanori","family":"Yoshino","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichi","family":"Kin","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiro","family":"Ito","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toki","family":"Saito","sequence":"additional","affiliation":[{"name":"Clinical Information Engineering, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daichi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Ino","sequence":"additional","affiliation":[{"name":"Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyousuke","family":"Kamada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Asahikawa Medical University, Asahikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harushi","family":"Mori","sequence":"additional","affiliation":[{"name":"Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Kunimatsu","sequence":"additional","affiliation":[{"name":"Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Nakatomi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Oyama","sequence":"additional","affiliation":[{"name":"Clinical Information Engineering, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhito","family":"Saito","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns14988","series-title":"J Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1002\/jmri.10442","article-title":"Magnetic resonance portography using contrast-enhanced fat-saturated three-dimensional steady-state free precession imaging","volume":"19","author":"Amano","year":"2004"},{"key":"b2-jns14988","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1007\/s00234-009-0513-z","article-title":"Cranial nerve assessment in cavernous sinus tumors with contrast-enhanced 3D fastimaging employing steady-state acquisition MR imaging","volume":"51","author":"Amemiya","year":"2009"},{"key":"b3-jns14988","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1227\/NEU.0b013e31820c6cbe","article-title":"Three-dimensional in vivo modeling of vestibular schwannomas and surrounding cranial nerves with diffusion imaging tractography","volume":"68","author":"Chen","year":"2011"},{"key":"b4-jns14988","series-title":"Ann Otol Rhinol Laryngol","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1177\/000348948809700110","article-title":"Hearing preservation in unilateral acoustic neuroma surgery","volume":"97","author":"Gardner","year":"1988"},{"key":"b5-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1087","DOI":"10.3171\/2011.7.JNS11495","article-title":"Diffusion tensor imaging-based fiber tracking for prediction of the position of the facial nerve in relation to large vestibular schwannomas","volume":"115","author":"Gerganov","year":"2011"},{"key":"b6-jns14988","series-title":"Otolaryngol Head Neck Surg","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1177\/019459988509300202","article-title":"Facial nerve grading system","volume":"93","author":"House","year":"1985"},{"key":"b7-jns14988","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"2087","DOI":"10.1097\/MLG.0b013e3181453a07","article-title":"Nerve of origin, tumor size, hearing preservation, and facial nerve outcomes in 359 vestibular schwannoma resections at a tertiary care academic center","volume":"117","author":"Jacob","year":"2007"},{"key":"b8-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"78","DOI":"10.3171\/2012.3.JNS111541","article-title":"A new strategic neurosurgical planning tool for brainstem cavernous malformations using interactive computer graphics with multimodal fusion images","volume":"117","author":"Kin","year":"2012"},{"key":"b9-jns14988","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1227\/01.NEU.0000347890.19718.0A","article-title":"Prediction of surgical view of neurovascular decompression using interactive computer graphics","volume":"65","author":"Kin","year":"2009"},{"issue":"1 Suppl Operative","key":"b10-jns14988","series-title":"Neurosurgery","first-page":"ons40","article-title":"Impact of multiorgan fusion imaging and interactive 3-dimensional visualization for intraventricular neuroendoscopic surgery","volume":"69","author":"Kin","year":"2011"},{"key":"b11-jns14988","series-title":"Eur J Radiol","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/S0720-048X(02)00328-5","article-title":"MR diffusion tensor imaging: recent advance and new techniques for diffusion tensor visualization","volume":"46","author":"Masutani","year":"2003"},{"key":"b12-jns14988","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1007\/s10143-005-0394-5","article-title":"Cranial nerve assessment in posterior fossa tumors with fast imaging employing steady-state acquisition (FIESTA)","volume":"28","author":"Mikami","year":"2005"},{"key":"b13-jns14988","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1097\/00006123-199903000-00069","article-title":"Microanatomy of the cerebellopontine angle and internal auditory canal: study with new magnetic resonance imaging technique using three-dimensional fast spin echo","volume":"44","author":"Mitsuoka","year":"1999"},{"key":"b14-jns14988","series-title":"AJNR Am J Neuroradiol","first-page":"1179","article-title":"MR cisternography of the cerebellopontine angle: comparison of three-dimensional fast asymmetrical spin-echo and three-dimensional constructive interference in the steady-state sequences","volume":"22","author":"Naganawa","year":"2001"},{"key":"b15-jns14988","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1007\/s00234-013-1156-7","article-title":"Preoperative detection of the facial nerve by high-field magnetic resonance imaging in patients with vestibular schwannoma","volume":"55","author":"Nakai","year":"2013"},{"key":"b16-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"24","DOI":"10.3171\/2014.8.JNS132525","article-title":"Improving functional preservation in acoustic neuroma surgery","volume":"122","author":"Nakatomi","year":"2015"},{"key":"b17-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"697","DOI":"10.3171\/2011.12.JNS111404","article-title":"Preoperative identification of the facial nerve in patients with large cerebellopontine angle tumors using high-density diffusion tensor imaging","volume":"116","author":"Roundy","year":"2012"},{"key":"b18-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"624","DOI":"10.3171\/jns.1999.90.4.0624","article-title":"Magnetic resonance cisternography used to determine precise topography of the facial nerve and three components of the eighth cranial nerve in the internal auditory canal and cerebellopontine cistern","volume":"90","author":"Ryu","year":"1999"},{"key":"b19-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"527","DOI":"10.3171\/jns.2006.105.4.527","article-title":"Improved preservation of hearing and facial nerve function in vestibular schwannoma surgery via the retrosigmoid approach in a series of 200 patients","volume":"105","author":"Samii","year":"2006"},{"key":"b20-jns14988","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"70","DOI":"10.3171\/jns.2000.92.1.0070","article-title":"Microanatomical variations in the cerebellopontine angle associated with vestibular schwannomas (acoustic neuromas): a retrospective study of 1006 consecutive cases","volume":"92","author":"Sampath","year":"2000"},{"key":"b21-jns14988","series-title":"J Comput Assist Tomogr","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1097\/00004728-199903000-00010","article-title":"Contrast-enhanced CISS MRI of vestibular schwannomas: phantom and clinical studies","volume":"23","author":"Shigematsu","year":"1999"},{"key":"b22-jns14988","series-title":"J Magn Reson Imaging","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1002\/jmri.20725","article-title":"Displacement of the facial nerve course by vestibular schwannoma: preoperative visualization using diffusion tensor tractography","volume":"24","author":"Taoka","year":"2006"},{"key":"b23-jns14988","series-title":"Acta Neurochir (Wien)","article-title":"Feasibility of diffusion tensor tractography for preoperative prediction of the location of the facial and vestibulocochlear nerves in relation to vestibular schwannoma","author":"Yoshino","year":"2015"},{"key":"b24-jns14988","series-title":"Int J Comput Assist Radiol Surg","first-page":"383","article-title":"Diffusion tensor tractography of normal facial and vestibulocochlear nerves","volume":"10","author":"Yoshino","year":"2014"},{"key":"b25-jns14988","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1007\/s00701-013-1761-6","article-title":"Presurgical planning of feeder resection with realistic three-dimensional virtual operation field in patient with cerebellopontine angle meningioma","volume":"155","author":"Yoshino","year":"2013"},{"key":"b26-jns14988","series-title":"Int J Comput Assist Radiol Surg","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s11548-013-0934-3","article-title":"Optimal setting of image bounding box can improve registration accuracy of diffusion tensor tractography","volume":"9","author":"Yoshino","year":"2014"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/123\/6\/article-p1480.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/123\/6\/article-p1480.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/123\/6\/article-p1480.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T21:53:32Z","timestamp":1658699612000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/123\/6\/article-p1480.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12]]},"references-count":26,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2014.11.jns14988","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12]]}}}