MRI在周围神经病变中的应用进展
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摘要
周围神经病变的诊治往往较为困难,神经传导检查和肌电图等临床检查方法虽能提示周围神经潜在病理生理学改变,但不能直观显示神经本身及其周围结构的细微变化。MR神经成像如DWI、DTI及纤维示踪技术等能够提高诊断周围神经病变的准确性。本文对MRI在周围神经疾病成像中的应用进展进行综述。
The diagnosis and treatment of peripheral neuropathies are often difficult.Common clinical examinations,such as nerve conduction studies and electromyography,can indicate the potential pathophysiological changes of peripheral nerve,but can not display the subtle changes of the nerve and surrounding structure.Magnetic resonance neurographic techniques,such as DWI,DTI and tractography,etc.,can improve the accuracy of diagnosis of peripheral neuropathies.The application progresses of MRI in peripheral neuropathies were reviewed in this article.
The diagnosis and treatment of peripheral neuropathies are often difficult.Common clinical examinations,such as nerve conduction studies and electromyography,can indicate the potential pathophysiological changes of peripheral nerve,but can not display the subtle changes of the nerve and surrounding structure.Magnetic resonance neurographic techniques,such as DWI,DTI and tractography,etc.,can improve the accuracy of diagnosis of peripheral neuropathies.The application progresses of MRI in peripheral neuropathies were reviewed in this article.
引文
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[18] Fan YL, Othman MI, Dubey N, et al. Magnetic resonance imaging of traumatic and non-traumatic brachial plexopathies. Singapore Med J, 2016,57(10):552-560.
[19] Neufeld EA, Shen PY, Nidecker AE, et al. MR imaging of the lumbosacral plexus: A review of techniques and pathologies. J Neuroimaging, 2015,25(5):691-703.
[20] Klauser AS, Abd Ellah M, Kremser C, et al. Carpal tunnel syndrome assessment with diffusion tensor imaging: Value of fractional anisotropy and apparent diffusion coefficient. Eur Radiol, 2018,28(3):1111-1117.
[21] Dilokhuttakarn T, Naito K, Kinoshita M, et al. Evaluation of thenar muscles by MRI in carpal tunnel syndrome. Exp Ther Med, 2017,14(3):2025-2030.
[22] Wada K, Hashimoto T, Miyagi R, et al. Diffusion tensor imaging and tractography of the sciatic nerve: Assessment of fractional anisotropy and apparent diffusion coefficient values relative to the piriformis muscle, a preliminary study. Skeletal Radiol, 2017,46(3):309-314.
[23] 崔婷婷,李松柏.腰椎间盘突出症患者受压神经根DTI与临床表现的相关性.中国医学影像技术,2017,33(12):1869-1873.
[24] 吴文骏.兔坐骨神经卡压伤的MR扩散张量成像定量评价与病理对照研究.武汉:华中科技大学,2016:44.
[25] Kim JH, Kim YJ, Koh SH, et al. Rhabdomyolysis revisited: Detailed analysis of magnetic resonance imaging findings and their correlation with peripheral neuropathy. Medicine (Baltimore), 2018,97(33):e11848.
[26] Polak JF, Jolesz FA, Adams DF. Magnetic resonance imaging of skeletal muscle. Prolongation of T1 and T2 subsequent to denervation. Invest Radiol, 1988,23(5):365-369.
[27] Ha DH, Choi S, Kang EJ, et al. Diffusion tensor imaging and T2 mapping in early denervated skeletal muscle in rats. J Magn Reson Imaging, 2015,42(3):617-623.
[2] Dhanda S, Thakur M, Kerkar R, et al. Diffusion-weighted imaging of gynecologic tumors: Diagnostic pearls and potential pitfalls. Radiographics, 2014,34(5):1393-1416.
[3] Martín Noguerol T, Barousse R, Socolovsky M, et al. Quantitative magnetic resonance (MR) neurography for evaluation of peripheral nerves and plexus injuries. Quant Imaging Med Surg, 2017,7(4):398-421.
[4] Chianca V, Albano D, Messina C, et al. Diffusion tensor imaging in the musculoskeletal and peripheral nerve systems: From experimental to clinical applications. Eur Radiol Exp, 2017,1(1):12.
[5] Chiou SY, Hellyer PJ, Sharp DJ, et al. Relationships between the integrity and function of lumbar nerve roots as assessed by diffusion tensor imaging and neurophysiology. Neuroradiology, 2017,59(9):893-903.
[6] Li HQ, Yin B, Quan C, et al. Evaluation of patients with relapsing-remitting multiple sclerosis using tract-based spatial statistics analysis: Diffusion kurtosis imaging. BMC Neurol, 2018,18(1):108.
[7] Anderssond G, Or?dd G, Sultan F, et al. In vivo Diffusion tensor imaging, diffusion kurtosis imaging, and tractography of a sciatic nerve injury model in rat at 9.4T. Sci Rep, 2018,8(1):12911.
[8] Glenn GR, Kuo LW, Chao YP, et al. Mapping the orientation of white matter fiber bundles: A comparative study of diffusion tensor imaging, diffusional kurtosis imaging, and diffusion spectrum imaging. AJNR Am J Neuroradiol, 2016,37(7):1216-1222.
[9] Stoll G, Wilder-Smith E, Bendszus M. Imaging of the peripheral nervous system. Handb Clin Neurol, 2013,115:137-153.
[10] Chhabra A, Andreisek G, Soldatos T, et al. MR neurography: Past, present, and future. AJR Am J Roentgenol, 2011,197(3):583-591.
[11] Weise G, Stoll G. Magnetic resonance imaging of blood brain/nerve barrier dysfunction and leukocyte infiltration: Closely related or discordant? Front Neurol, 2012,3:178.
[12] Li HJ, Zhang X, Zhang F, et al. Enhanced repair effect of toll-like receptor 4 activation on neurotmesis: Assessment using MR neurography. AJNR Am J Neuroradiol, 2014,35(8):1608-1614.
[13] Shin SH, Park SH, Kim SW, et al. Fluorine MR imaging monitoring of tumor inflammation after high-intensity focused ultrasound ablation. Radiology, 2018,287(2):476-484.
[14] Jin K, Luo Z, Zhang B, et al. Biomimetic nanoparticles for inflammation targeting. Acta Pharm Sin B, 2018,8(1):23-33.
[15] Radojkovic M, Mihailovic D, Stojanovic M, et al. Large retroperitoneal schwannoma: A rare cause of chronic back pain. J Int Med Res, 2018,46(8):3404-3410.
[16] Eppenberger P, Andreisek G, Chhabra A. Magnetic resonance neurography: Diffusion tensor imaging and future directions. Neuroimaging Clin N Am, 2014,24(1):245-256.
[17] Chhabra A, Thakkar RS, Andreisek G, et al. Anatomic MR imaging and functional diffusion tensor imaging of peripheral nerve tumors and tumorlike conditions. AJNR Am J Neuroradiol, 2013,34(4):802-807.
[18] Fan YL, Othman MI, Dubey N, et al. Magnetic resonance imaging of traumatic and non-traumatic brachial plexopathies. Singapore Med J, 2016,57(10):552-560.
[19] Neufeld EA, Shen PY, Nidecker AE, et al. MR imaging of the lumbosacral plexus: A review of techniques and pathologies. J Neuroimaging, 2015,25(5):691-703.
[20] Klauser AS, Abd Ellah M, Kremser C, et al. Carpal tunnel syndrome assessment with diffusion tensor imaging: Value of fractional anisotropy and apparent diffusion coefficient. Eur Radiol, 2018,28(3):1111-1117.
[21] Dilokhuttakarn T, Naito K, Kinoshita M, et al. Evaluation of thenar muscles by MRI in carpal tunnel syndrome. Exp Ther Med, 2017,14(3):2025-2030.
[22] Wada K, Hashimoto T, Miyagi R, et al. Diffusion tensor imaging and tractography of the sciatic nerve: Assessment of fractional anisotropy and apparent diffusion coefficient values relative to the piriformis muscle, a preliminary study. Skeletal Radiol, 2017,46(3):309-314.
[23] 崔婷婷,李松柏.腰椎间盘突出症患者受压神经根DTI与临床表现的相关性.中国医学影像技术,2017,33(12):1869-1873.
[24] 吴文骏.兔坐骨神经卡压伤的MR扩散张量成像定量评价与病理对照研究.武汉:华中科技大学,2016:44.
[25] Kim JH, Kim YJ, Koh SH, et al. Rhabdomyolysis revisited: Detailed analysis of magnetic resonance imaging findings and their correlation with peripheral neuropathy. Medicine (Baltimore), 2018,97(33):e11848.
[26] Polak JF, Jolesz FA, Adams DF. Magnetic resonance imaging of skeletal muscle. Prolongation of T1 and T2 subsequent to denervation. Invest Radiol, 1988,23(5):365-369.
[27] Ha DH, Choi S, Kang EJ, et al. Diffusion tensor imaging and T2 mapping in early denervated skeletal muscle in rats. J Magn Reson Imaging, 2015,42(3):617-623.