Multimodal magnetic resonance imaging of peripheral nerves : Establishment and validation of brachial and lumbosacral plexi measurements in 163 healthy subjects

Copyright © 2019 Elsevier B.V. All rights reserved..

PURPOSE: This study aims to provide normal reference values for quantitative parameters for brachial and lumbosacral plexi on multimodal MRI. In addition, the parameter variations between the left and right sides, the individual nerve groups, genders and age groups were also evaluated.

MATERIALS AND METHODS: Multimodal MRI was evaluated in 163 healthy subjects, who were randomly divided into three groups: brachial plexus, lumbosacral plexus and diffusion tensor imaging groups. Nerve diameters, contrast ratios, T2 nerve-muscle signal ratios (nT2), fractional anisotropy (FA) values and apparent diffusion coefficients (ADC) were measured in both plexi. Parametric tests and Pearson correlation for normally distributed data, and non-parametric tests and Spearman correlation for non-normally distributed data were used.

RESULTS: There were no significant differences in parameters between the left and right sides. The diameters of the C7, L4-S1, sciatic, and femoral nerve roots were larger in men than in women (P < 0.05). The nT2 in the brachial and lumbosacral plexi and the contrast ratio in the lumbosacral plexus were significantly higher in the elderly. The diameter of the S1 nerve root was smaller in the elderly. There were no significant differences between the individual nerve groups in contrast ratios and in brachial plexus nT2. A gradual increase in the nT2 from the top to the bottom was observed in the L4-S1 nerve roots (P < 0.05).

CONCLUSION: This study provides multi-parameter normative data for the brachial and lumbosacral plexi while considering differences between the two sides, the individual nerves, genders, and the ages.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:117

Enthalten in:

European journal of radiology - 117(2019) vom: 16. Aug., Seite 41-48

Sprache:

Englisch

Beteiligte Personen:

Su, Xiaoyun [VerfasserIn]
Kong, Xiangquan [VerfasserIn]
Liu, Dingxi [VerfasserIn]
Kong, Xiangchuang [VerfasserIn]
Alwalid, Osamah [VerfasserIn]
Wang, Jing [VerfasserIn]
Shu, Shenglei [VerfasserIn]
Zheng, Chuansheng [VerfasserIn]

Links:

Volltext

Themen:

Brachial plexus
Contrast-enhanced
Diffusion tensor imaging
Journal Article
Lumbosacral plexus
Magnetic resonance neurography
Validation Study

Anmerkungen:

Date Completed 06.12.2019

Date Revised 17.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejrad.2019.05.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM299206033