Recent advances in the technology of magnetic resonance （MR） imaging （MRI） have made the diagnostic evaluations for peripheral nerve disorders shift from the clinical and physiological examination to the anatomica...Recent advances in the technology of magnetic resonance （MR） imaging （MRI） have made the diagnostic evaluations for peripheral nerve disorders shift from the clinical and physiological examination to the anatomical study. As a sensitive noninvasive tool, MR neurography could directly display high-resolution longitudinal and cross-sectional images of peripheral nerves, including nerve compression, nerve inflammation, nerve trauma, nerve recovery, and systemic neuropathies, thereby the morphology of intraneural and extraneural lesions can be visualized. Thus neurologists, as well as specialist radiologists, should be highly familiar with the various new types of image findings in this steadily advancing field. The purpose of this review is to overview how to evaluate peripheral nerve problems with MR neurogra- phy and its current limitations and advances in experimental MR research. The techniques for peripheral nerve MR neurography will also be discussed.展开更多
目的:比较周围神经背景信号抑制弥散加权成像(diffusion-weighted neuroimag ing with background signal suppression,DWIBS)、选择性激励技术(principle of selective excitation technique,PROSET)及三维短时反转恢复(3D Short Term ...目的:比较周围神经背景信号抑制弥散加权成像(diffusion-weighted neuroimag ing with background signal suppression,DWIBS)、选择性激励技术(principle of selective excitation technique,PROSET)及三维短时反转恢复(3D Short Term Inversion Recovery,3D STIR)序列在腰骶部脊神经成像中的不同表现,探讨其对腰骶部病变的临床应用价值。方法:对29名正常志愿者及42例腰骶丛病变损伤患者行磁共振腰骶丛神经成像,包括DWIBS序列,PROSET及3D STIR序列。对DWIBS及3D STIR原始图像行最大信号强度投影(MIP)后处理重建,对志愿者组及病变组所得图像质量分级并分别进行统计分析,评价三种高场强磁共振腰骶丛神经成像序列在正常组及病变组的显示效果。结果:在正常志愿者组中,三种高场强磁共振腰骶丛神经成像序列均可显示脊神经根、神经节等解剖细节,对于腰4、5脊神经的显示,三者的图像分级差异不具有统计学意义。在腰2、3脊神经成像中,三者图像质量分级的差异具有统计学意义(P<0.05)。在病例组中,经秩和检验三组组间显示效果不完全相同,P<0.05,差异有统计学意义。进行两两比较,DWIBS与3D SITR序列,其差异具有统计学意义(P<0.01)。PROSET与3D STIR序列,差异具有统计学意义(P<0.01)。而DWIBS与PROSET图像质量分级差异无明显统计学差异。结论:DWIBS、PROSET、3DSTIR序列作为常规序列的补充,均可完整的显示腰骶神经的解剖细节,而DWIBS及PROSET序列对背景组织的抑制更加充分,更利于观察神经的走行变化、判断神经受损部位及范围。DWIBS序列MIP后处理图像实现了对腰骶神经的多方位多角度旋转观察,为术前制定手术方案提供可靠的影像学依据,弥补了常规磁共振序列的不足。展开更多
文摘Recent advances in the technology of magnetic resonance （MR） imaging （MRI） have made the diagnostic evaluations for peripheral nerve disorders shift from the clinical and physiological examination to the anatomical study. As a sensitive noninvasive tool, MR neurography could directly display high-resolution longitudinal and cross-sectional images of peripheral nerves, including nerve compression, nerve inflammation, nerve trauma, nerve recovery, and systemic neuropathies, thereby the morphology of intraneural and extraneural lesions can be visualized. Thus neurologists, as well as specialist radiologists, should be highly familiar with the various new types of image findings in this steadily advancing field. The purpose of this review is to overview how to evaluate peripheral nerve problems with MR neurogra- phy and its current limitations and advances in experimental MR research. The techniques for peripheral nerve MR neurography will also be discussed.
文摘目的:比较周围神经背景信号抑制弥散加权成像(diffusion-weighted neuroimag ing with background signal suppression,DWIBS)、选择性激励技术(principle of selective excitation technique,PROSET)及三维短时反转恢复(3D Short Term Inversion Recovery,3D STIR)序列在腰骶部脊神经成像中的不同表现,探讨其对腰骶部病变的临床应用价值。方法:对29名正常志愿者及42例腰骶丛病变损伤患者行磁共振腰骶丛神经成像,包括DWIBS序列,PROSET及3D STIR序列。对DWIBS及3D STIR原始图像行最大信号强度投影(MIP)后处理重建,对志愿者组及病变组所得图像质量分级并分别进行统计分析,评价三种高场强磁共振腰骶丛神经成像序列在正常组及病变组的显示效果。结果:在正常志愿者组中,三种高场强磁共振腰骶丛神经成像序列均可显示脊神经根、神经节等解剖细节,对于腰4、5脊神经的显示,三者的图像分级差异不具有统计学意义。在腰2、3脊神经成像中,三者图像质量分级的差异具有统计学意义(P<0.05)。在病例组中,经秩和检验三组组间显示效果不完全相同,P<0.05,差异有统计学意义。进行两两比较,DWIBS与3D SITR序列,其差异具有统计学意义(P<0.01)。PROSET与3D STIR序列,差异具有统计学意义(P<0.01)。而DWIBS与PROSET图像质量分级差异无明显统计学差异。结论:DWIBS、PROSET、3DSTIR序列作为常规序列的补充,均可完整的显示腰骶神经的解剖细节,而DWIBS及PROSET序列对背景组织的抑制更加充分,更利于观察神经的走行变化、判断神经受损部位及范围。DWIBS序列MIP后处理图像实现了对腰骶神经的多方位多角度旋转观察,为术前制定手术方案提供可靠的影像学依据,弥补了常规磁共振序列的不足。
