MR neurography unravels mystery of cold abscess

2021 ◽  
Vol 429 ◽  
pp. 118118
Author(s):  
Alisha Saxena ◽  
Birinder Paul
Keyword(s):  
1996 ◽  
Vol 85 (2) ◽  
pp. 299-309 ◽  
Author(s):  
Aaron G. Filler ◽  
Michel Kliot ◽  
Franklyn A. Howe ◽  
Cecil E. Hayes ◽  
Dawn E. Saunders ◽  
...  

✓ Currently, diagnosis and management of disorders involving nerves are generally undertaken without images of the nerves themselves. The authors evaluated whether direct nerve images obtained using the new technique of magnetic resonance (MR) neurography could be used to make clinically important diagnostic distinctions that cannot be readily accomplished using existing methods. The authors obtained T2-weighted fast spin—echo fat-suppressed (chemical shift selection or inversion recovery) and T1-weighted images with planes parallel or transverse to the long axis of nerves using standard or phased-array coils in healthy volunteers and referred patients in 242 sessions. Longitudinal and cross-sectional fascicular images readily distinguished perineural from intraneural masses, thus predicting both resectability and requirement for intraoperative electrophysiological monitoring. Fascicle pattern and longitudinal anatomy firmly identified nerves and thus improved the safety of image-guided procedures. In severe trauma, MR neurography identified nerve discontinuity at the fascicular level preoperatively, thus verifying the need for surgical repair. Direct images readily demonstrated increased diameter in injured nerves and showed the linear extent and time course of image hyperintensity associated with nerve injury. These findings confirm and precisely localize focal nerve compressions, thus avoiding some exploratory surgery and allowing for smaller targeted exposures when surgery is indicated. Direct nerve imaging can demonstrate nerve continuity, distinguish intraneural from perineural masses, and localize nerve compressions prior to surgical exploration. Magnetic resonance neurography can add clinically useful diagnostic information in many situations in which physical examinations, electrodiagnostic tests, and existing image techniques are inconclusive.


2017 ◽  
Vol 264 (7) ◽  
pp. 1434-1443 ◽  
Author(s):  
Moritz Kronlage ◽  
Philipp Bäumer ◽  
Kalliopi Pitarokoili ◽  
Daniel Schwarz ◽  
Véronique Schwehr ◽  
...  

2012 ◽  
Vol 198 (4) ◽  
pp. W357-W364 ◽  
Author(s):  
Avneesh Chhabra ◽  
Majid Chalian ◽  
Theodoros Soldatos ◽  
Gustav Andreisek ◽  
Neda Faridian-Aragh ◽  
...  

2021 ◽  
Vol 25 (03) ◽  
pp. 409-417
Author(s):  
Omid Khalilzadeh ◽  
Laura M. Fayad ◽  
Shivani Ahlawat

AbstractHigh-resolution isotropic volumetric three-dimensional (3D) magnetic resonance neurography (MRN) techniques enable multiplanar depiction of peripheral nerves. In addition, 3D MRN provides anatomical and functional tissue characterization of different disease conditions affecting the peripheral nerves. In this review article, we summarize clinically relevant technical considerations of 3D MRN image acquisition and review clinical applications of 3D MRN to assess peripheral nerve diseases, such as entrapments, trauma, inflammatory or infectious neuropathies, and neoplasms.


2006 ◽  
Author(s):  
David T. Raphael ◽  
Diane McIntee ◽  
Jay S. Tsuruda ◽  
Patrick Colletti ◽  
Raymond Tatevossian ◽  
...  

2012 ◽  
Vol 81 (7) ◽  
pp. e775-e782 ◽  
Author(s):  
Roman Guggenberger ◽  
Patrick Eppenberger ◽  
Daniel Markovic ◽  
Daniel Nanz ◽  
Avneesh Chhabra ◽  
...  

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