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Berg, I; Palmowski-Wolfe, A; Schwenzer-Zimmerer, K; Kober, C; Radue, EW; Zeilhofer, HF; Scheffler, K; Kunz, C; Buitrago-Tellez, C.
Near-real time oculodynamic MRI: a feasibility study for evaluation of diplopia in comparison with clinical testing.
Eur Radiol. 2012; 22(2): 358-363.
Doi: 10.1007/s00330-011-2232-1
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Schwenzer-Zimmerer Katja Christine
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- Abstract:
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To demonstrate feasibility of near-real-time oculodynamic magnetic resonance imaging (od-MRI) in depicting extraocular muscles and correlate quantitatively the motion degree in comparison with clinical testing in patients with diplopia.
In 30 od-MRIs eye movements were tracked in the horizontal and sagittal plane using a a TrueFISP sequence with high temporal resolution. Three physicians graded the visibility of extraocular muscles by a qualitative scale. In 12 cases, the maximal monocular excursions in the horizontal and vertical direction of both eyes were measured in od-MRIs and a clinical test and correlated by the Pearson test.
The medial and lateral rectus muscles were visible in the axial plane in 93% of the cases. The oblique, superior and inferior rectus muscles were overall only in 14% visible. Horizontal (p = 0,015) and vertical (p = 0,029) movements of the right eye and vertical movement of the left eye (p = 0,026) measured by od-MRI correlated positively to the clinical measurements.
Od-MRI is a feasible technique. Visualization of the horizontal/vertical rectus muscles is better than for the superior/inferior oblique muscle. Od-MRI correlates well with clinical testing and may reproduce the extent of eye bulb motility and extraocular muscle structural or functional deteriorations. Key Points • Oculodynamic MRI technique helps clinicians to assess eye bulb motility disorders • MRI evaluation of eye movement provides functional information in cases of diplopia • Oculodynamic MRI reproduces excursion of extraocular muscles with good correlation with clinical testing • Dynamic MRI sequence supplements static orbital protocol for evaluation of motility disorders.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Diplopia - diagnosis
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Diplopia - pathology
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Eye Movements -
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Feasibility Studies -
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Humans -
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Magnetic Resonance Imaging - methods
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Magnetic Resonance Imaging, Cine - methods
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Middle Aged -
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Models, Statistical -
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Movement -
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Ocular Motility Disorders - diagnosis
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Ocular Motility Disorders - pathology
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Oculomotor Muscles - pathology
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Orbit - pathology
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Reproducibility of Results -
- Find related publications in this database (Keywords)
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Diplopia
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Magnetic resonance imaging
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Orbital trauma
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Extraocular muscles
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Orbit