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Published in: Skeletal Radiology 10/2011

01-10-2011 | Review Article

3 Tesla MR neurography—technique, interpretation, and pitfalls

Authors: Avneesh Chhabra, Pearlene P. Lee, Cary Bizzell, Theodoros Soldatos

Published in: Skeletal Radiology | Issue 10/2011

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Abstract

MRI has been used for almost two decades for the evaluation of peripheral nerve disorders. This article highlights the relative advantages and disadvantages of 3T MR neurography in the evaluation of peripheral neuropathies. The authors also describe the high-resolution MR neurography technique on 3T MRI, along with the approach to its interpretation that has evolved at one institution.
Literature
1.
go back to reference Bendszus M, Koltzenburg M, Wessig C, Solymosi L. Sequential MR imaging of denervated muscle: experimental study. AJNR Am J Neuroradiol. 2002;23(8):1427–31.PubMedPubMedCentral Bendszus M, Koltzenburg M, Wessig C, Solymosi L. Sequential MR imaging of denervated muscle: experimental study. AJNR Am J Neuroradiol. 2002;23(8):1427–31.PubMedPubMedCentral
2.
go back to reference Chang KJ, Kamel IR, Macura KJ, Bluemke DA. 3.0-T MR imaging of the abdomen: comparison with 1.5 T. Radiographics. 2008;28(7):1983–98.CrossRefPubMed Chang KJ, Kamel IR, Macura KJ, Bluemke DA. 3.0-T MR imaging of the abdomen: comparison with 1.5 T. Radiographics. 2008;28(7):1983–98.CrossRefPubMed
3.
go back to reference Chappell KE, Robson MD, Stonebridge-Foster A, Glover A, Allsop JM, Williams AD, et al. Magic angle effects in MR neurography. AJNR Am J Neuroradiol. 2004;25(3):431–40.PubMedPubMedCentral Chappell KE, Robson MD, Stonebridge-Foster A, Glover A, Allsop JM, Williams AD, et al. Magic angle effects in MR neurography. AJNR Am J Neuroradiol. 2004;25(3):431–40.PubMedPubMedCentral
4.
5.
go back to reference Chhabra A, Williams EH, Subhawong TK, Hashemi S, Soldatos T, Wang KC, et al. MR neurography findings of soleal sling entrapment. AJR Am J Roentgenol. 2011;196(3):W290–7.CrossRefPubMed Chhabra A, Williams EH, Subhawong TK, Hashemi S, Soldatos T, Wang KC, et al. MR neurography findings of soleal sling entrapment. AJR Am J Roentgenol. 2011;196(3):W290–7.CrossRefPubMed
6.
go back to reference Chhabra A, Williams EH, Wang KC, Dellon AL, Carrino JA. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR Am J Neuroradiol. 2010;31(8):1363–8.CrossRefPubMedPubMedCentral Chhabra A, Williams EH, Wang KC, Dellon AL, Carrino JA. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR Am J Neuroradiol. 2010;31(8):1363–8.CrossRefPubMedPubMedCentral
7.
go back to reference Choi JY, Kim MJ, Chung YE, Kim JY, Jones AC, De Becker J, et al. Abdominal applications of 3.0-T MR imaging: comparative review versus a 1.5-T system. Radiographics. 2008;28(4):e30.CrossRefPubMed Choi JY, Kim MJ, Chung YE, Kim JY, Jones AC, De Becker J, et al. Abdominal applications of 3.0-T MR imaging: comparative review versus a 1.5-T system. Radiographics. 2008;28(4):e30.CrossRefPubMed
8.
go back to reference Dellon AL. Management of peripheral nerve problems in the upper and lower extremity using quantitative sensory testing. Hand Clin. 1999;15(4):697–715.PubMed Dellon AL. Management of peripheral nerve problems in the upper and lower extremity using quantitative sensory testing. Hand Clin. 1999;15(4):697–715.PubMed
9.
go back to reference Filler A. Magnetic resonance neurography and diffusion tensor imaging: origins, history, and clinical impact of the first 50,000 cases with an assessment of efficacy and utility in a prospective 5000-patient study group. Neurosurgery. 2009;65(4 Suppl):A29–43.CrossRefPubMed Filler A. Magnetic resonance neurography and diffusion tensor imaging: origins, history, and clinical impact of the first 50,000 cases with an assessment of efficacy and utility in a prospective 5000-patient study group. Neurosurgery. 2009;65(4 Suppl):A29–43.CrossRefPubMed
10.
go back to reference Filler AG, Kliot M, Howe FA, Hayes CE, Saunders DE, Goodkin R, et al. Application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology. J Neurosurg. 1996;85(2):299–309.CrossRefPubMed Filler AG, Kliot M, Howe FA, Hayes CE, Saunders DE, Goodkin R, et al. Application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology. J Neurosurg. 1996;85(2):299–309.CrossRefPubMed
11.
go back to reference Hof JJ, Kliot M, Slimp J, Haynor DR. What's new in MRI of peripheral nerve entrapment? Neurosurg Clin N Am. 2008;19(4):583–95. vi.CrossRefPubMed Hof JJ, Kliot M, Slimp J, Haynor DR. What's new in MRI of peripheral nerve entrapment? Neurosurg Clin N Am. 2008;19(4):583–95. vi.CrossRefPubMed
12.
go back to reference Iba K, Wada T, Tamakawa M, Aoki M, Yamashita T. Diffusion-weighted magnetic resonance imaging of the ulnar nerve in cubital tunnel syndrome. Hand Surg. 2010;15(1):11–5.CrossRefPubMed Iba K, Wada T, Tamakawa M, Aoki M, Yamashita T. Diffusion-weighted magnetic resonance imaging of the ulnar nerve in cubital tunnel syndrome. Hand Surg. 2010;15(1):11–5.CrossRefPubMed
13.
go back to reference Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve. 1993;16:1392–414.CrossRefPubMed Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. AAEM Quality Assurance Committee. Muscle Nerve. 1993;16:1392–414.CrossRefPubMed
14.
go back to reference Jambawalikar S, Baum J, Button T, Li H, Geronimo V, Gould ES. Diffusion tensor imaging of peripheral nerves. Skeletal Radiol. 2010;39(11):1073–9.CrossRefPubMed Jambawalikar S, Baum J, Button T, Li H, Geronimo V, Gould ES. Diffusion tensor imaging of peripheral nerves. Skeletal Radiol. 2010;39(11):1073–9.CrossRefPubMed
15.
go back to reference Koltzenburg M, Bendszus M. Imaging of peripheral nerve lesions. Curr Opin Neurol. 2004;17(5):621–6.CrossRefPubMed Koltzenburg M, Bendszus M. Imaging of peripheral nerve lesions. Curr Opin Neurol. 2004;17(5):621–6.CrossRefPubMed
16.
go back to reference Kuntz CT, Blake L, Britz G, Filler A, Hayes CE, Goodkin R, et al. Magnetic resonance neurography of peripheral nerve lesions in the lower extremity. Neurosurgery. 1996;39(4):750–6. discussion 756–757.CrossRefPubMed Kuntz CT, Blake L, Britz G, Filler A, Hayes CE, Goodkin R, et al. Magnetic resonance neurography of peripheral nerve lesions in the lower extremity. Neurosurgery. 1996;39(4):750–6. discussion 756–757.CrossRefPubMed
17.
go back to reference Kuwabara S, Nakajima M, Matsuda S, Hattori T. Magnetic resonance imaging at the demyelinative foci in chronic inflammatory demyelinating polyneuropathy. Neurology. 1997;48(4):874–7.CrossRefPubMed Kuwabara S, Nakajima M, Matsuda S, Hattori T. Magnetic resonance imaging at the demyelinative foci in chronic inflammatory demyelinating polyneuropathy. Neurology. 1997;48(4):874–7.CrossRefPubMed
18.
go back to reference Lehmann HC, Zhang J, Mori S, Sheikh KA. Diffusion tensor imaging to assess axonal regeneration in peripheral nerves. Exp Neurol. 2010;223(1):238–44.CrossRefPubMed Lehmann HC, Zhang J, Mori S, Sheikh KA. Diffusion tensor imaging to assess axonal regeneration in peripheral nerves. Exp Neurol. 2010;223(1):238–44.CrossRefPubMed
19.
go back to reference Moore KR, Tsuruda JS, Dailey AT. The value of MR neurography for evaluating extraspinal neuropathic leg pain: a pictorial essay. AJNR Am J Neuroradiol. 2001;22(4):786–94.PubMedPubMedCentral Moore KR, Tsuruda JS, Dailey AT. The value of MR neurography for evaluating extraspinal neuropathic leg pain: a pictorial essay. AJNR Am J Neuroradiol. 2001;22(4):786–94.PubMedPubMedCentral
20.
go back to reference Mukherjee P, Chung SW, Berman JI, Hess CP, Henry RG. Diffusion tensor MR imaging and fiber tractography: technical considerations. AJNR Am J Neuroradiol. 2008;29(5):843–52.CrossRefPubMedPubMedCentral Mukherjee P, Chung SW, Berman JI, Hess CP, Henry RG. Diffusion tensor MR imaging and fiber tractography: technical considerations. AJNR Am J Neuroradiol. 2008;29(5):843–52.CrossRefPubMedPubMedCentral
21.
go back to reference Naganawa S, Ishihara S, Satake H, Kawai H, Sone M, Nakashima T. Simultaneous three-dimensional visualization of the intra-parotid facial nerve and parotid duct using a three-dimensional reversed FISP sequence with diffusion weighting. Magn Reson Med Sci. 2010;9(3):153–8.CrossRefPubMed Naganawa S, Ishihara S, Satake H, Kawai H, Sone M, Nakashima T. Simultaneous three-dimensional visualization of the intra-parotid facial nerve and parotid duct using a three-dimensional reversed FISP sequence with diffusion weighting. Magn Reson Med Sci. 2010;9(3):153–8.CrossRefPubMed
22.
go back to reference Nanko S, Oshima H, Watanabe T, Sasaki S, Hara M, Shibamoto Y. Usefulness of the application of the BLADE technique to reduce motion artifacts on navigation-triggered prospective acquisition correction (PACE) T2-weighted MRI (T2WI) of the liver. J Magn Reson Imaging. 2009;30(2):321–6.CrossRefPubMed Nanko S, Oshima H, Watanabe T, Sasaki S, Hara M, Shibamoto Y. Usefulness of the application of the BLADE technique to reduce motion artifacts on navigation-triggered prospective acquisition correction (PACE) T2-weighted MRI (T2WI) of the liver. J Magn Reson Imaging. 2009;30(2):321–6.CrossRefPubMed
23.
go back to reference Peer S, Bodner G, Meirer R, Willeit J, Piza-Katzer H. Examination of postoperative peripheral nerve lesions with high-resolution sonography. AJR Am J Roentgenol. 2001;177(2):415–9.CrossRefPubMed Peer S, Bodner G, Meirer R, Willeit J, Piza-Katzer H. Examination of postoperative peripheral nerve lesions with high-resolution sonography. AJR Am J Roentgenol. 2001;177(2):415–9.CrossRefPubMed
24.
go back to reference Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. MR imaging of entrapment neuropathies of the lower extremity. Part 1. The pelvis and hip. Radiographics. 2010;30(4):983–1000.CrossRefPubMed Petchprapa CN, Rosenberg ZS, Sconfienza LM, Cavalcanti CF, Vieira RL, Zember JS. MR imaging of entrapment neuropathies of the lower extremity. Part 1. The pelvis and hip. Radiographics. 2010;30(4):983–1000.CrossRefPubMed
25.
go back to reference Stuart RM, Koh ES, Breidahl WH. Sonography of peripheral nerve pathology. AJR Am J Roentgenol. 2004;182(1):123–9.CrossRefPubMed Stuart RM, Koh ES, Breidahl WH. Sonography of peripheral nerve pathology. AJR Am J Roentgenol. 2004;182(1):123–9.CrossRefPubMed
26.
go back to reference Tagliafico A, Succio G, Emanuele Neumaier C, Serafini G, Ghidara M, Calabrese M, Martinoli C. MR imaging of the brachial plexus: comparison between 1.5-T and 3-T MR imaging: preliminary experience. Skeletal Radiol. 2010;40(6):717–24.CrossRefPubMed Tagliafico A, Succio G, Emanuele Neumaier C, Serafini G, Ghidara M, Calabrese M, Martinoli C. MR imaging of the brachial plexus: comparison between 1.5-T and 3-T MR imaging: preliminary experience. Skeletal Radiol. 2010;40(6):717–24.CrossRefPubMed
27.
go back to reference Tagliafico A, Succio G, Neumaier CE, Baio G, Serafini G, Ghidara M, Calabrese M, Martinoli C. Brachial plexus assessment with three-dimensional isotropic resolution fast spin echo MRI: comparison with conventional MRI at 3.0 T. Br J Radiol. 2011 Feb 22. [Epub ahead of print]. Tagliafico A, Succio G, Neumaier CE, Baio G, Serafini G, Ghidara M, Calabrese M, Martinoli C. Brachial plexus assessment with three-dimensional isotropic resolution fast spin echo MRI: comparison with conventional MRI at 3.0 T. Br J Radiol. 2011 Feb 22. [Epub ahead of print].
28.
29.
go back to reference Toros T, Karabay N, Ozaksar K, Sugun TS, Kayalar M, Bal E. Evaluation of peripheral nerves of the upper limb with ultrasonography: a comparison of ultrasonographic examination and the intra-operative findings. J Bone Joint Surg Br. 2009;91(6):762–5.CrossRefPubMed Toros T, Karabay N, Ozaksar K, Sugun TS, Kayalar M, Bal E. Evaluation of peripheral nerves of the upper limb with ultrasonography: a comparison of ultrasonographic examination and the intra-operative findings. J Bone Joint Surg Br. 2009;91(6):762–5.CrossRefPubMed
30.
go back to reference Viallon M, Vargas MI, Jlassi H, Lovblad KO, Delavelle J. High-resolution and functional magnetic resonance imaging of the brachial plexus using an isotropic 3D T2 STIR (short term inversion recovery) SPACE sequence and diffusion tensor imaging. Eur Radiol. 2008;18:1018–23.CrossRefPubMed Viallon M, Vargas MI, Jlassi H, Lovblad KO, Delavelle J. High-resolution and functional magnetic resonance imaging of the brachial plexus using an isotropic 3D T2 STIR (short term inversion recovery) SPACE sequence and diffusion tensor imaging. Eur Radiol. 2008;18:1018–23.CrossRefPubMed
31.
go back to reference Yamabe E, Nakamura T, Oshio K, Kikuchi Y, Ikegami H, Toyama Y. Peripheral nerve injury: diagnosis with MR imaging of denervated skeletal muscle–experimental study in rats. Radiology. 2008;247(2):409–17.CrossRefPubMed Yamabe E, Nakamura T, Oshio K, Kikuchi Y, Ikegami H, Toyama Y. Peripheral nerve injury: diagnosis with MR imaging of denervated skeletal muscle–experimental study in rats. Radiology. 2008;247(2):409–17.CrossRefPubMed
Metadata
Title
3 Tesla MR neurography—technique, interpretation, and pitfalls
Authors
Avneesh Chhabra
Pearlene P. Lee
Cary Bizzell
Theodoros Soldatos
Publication date
01-10-2011
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 10/2011
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-011-1183-6

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