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Published in: European Radiology 2/2018

01-02-2018 | Magnetic Resonance

Magnetic resonance neurography: current perspectives and literature review

Authors: Avneesh Chhabra, Ananth J. Madhuranthakam, Gustav Andreisek

Published in: European Radiology | Issue 2/2018

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Abstract

Magnetic resonance neurography (also called MRN or MR neurography) refers to MR imaging dedicated to the peripheral nerves. It is a technique that enhances selective multiplanar visualisation of the peripheral nerve and pathology by encompassing a combination of two-dimensional, three-dimensional and diffusion imaging pulse sequences. Referring physicians who seek imaging techniques that can depict and diagnose peripheral nerve pathologies superior to conventional MR imaging are driving the demand for MRN. This article reviews the pathophysiology of peripheral nerves in common practice scenarios, technical considerations of MRN, current indications of MRN, normal and abnormal neuromuscular appearances, and imaging pitfalls. Finally, the emerging utility of diffusion-weighted and diffusion tensor imaging is discussed and future directions are highlighted.

Key points

Lesion relationship to neural architecture is more conspicuous on MRN than MRI.
3D multiplanar imaging technique is essential for pre-surgical planning.
Nerve injuries can be classified on MRN using Sunderlands classification.
DTI provides quantitative information and insight into intraneural integrity and pathophysiology.
Appendix
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Metadata
Title
Magnetic resonance neurography: current perspectives and literature review
Authors
Avneesh Chhabra
Ananth J. Madhuranthakam
Gustav Andreisek
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 2/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-017-4976-8

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