3D SHINKEI MR neurography in evaluation of traumatic brachial plexus
Abstract 3D SHINKEI neurography is a new sequence for imaging the peripheral nerves. The study aims at assessing traumatic brachial plexus injury using this sequence. Fifty-eight patients with suspected trauma induced brachial plexus injury underwent MR neurography (MRN) imaging in 3D SHINKEI sequen...
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| Format: | Article |
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Nature Portfolio
2024-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-57022-0 |
| _version_ | 1797259329071480832 |
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| author | Yizhe Zhang Xiaona Li Ying Liu Yingcai Sun Luyao Duan Yingshuai Zhang Ruiqing Shi Xiaoman Yu Zhigang Peng |
| author_facet | Yizhe Zhang Xiaona Li Ying Liu Yingcai Sun Luyao Duan Yingshuai Zhang Ruiqing Shi Xiaoman Yu Zhigang Peng |
| author_sort | Yizhe Zhang |
| collection | DOAJ |
| description | Abstract 3D SHINKEI neurography is a new sequence for imaging the peripheral nerves. The study aims at assessing traumatic brachial plexus injury using this sequence. Fifty-eight patients with suspected trauma induced brachial plexus injury underwent MR neurography (MRN) imaging in 3D SHINKEI sequence at 3 T. Surgery and intraoperative somatosensory evoked potentials or clinical follow-up results were used as the reference standard. MRN, surgery and electromyography (EMG) findings were recorded at four levels of the brachial plexus-roots, trunks, cords and branches. Fifty-eight patients had pre- or postganglionic injury. The C5–C6 nerve postganglionic segment was the most common (average 42%) among the postganglionic injuries detected by 3D SHINKEI MRN. The diagnostic accuracy (83.75%) and the specificity (90.30%) of MRN higher than that of EMG (p < 0.001). There was no significant difference in the diagnostic sensitivity of MRN compared with EMG (p > 0.05). Eighteen patients with brachial plexus injury underwent surgical exploration after MRN examination and the correlation between MRN and surgery was 66.7%. Due to the high diagnostic accuracy and specificity, 3D SHINKEI MRN can comprehensively display the traumatic brachial plexus injury. This sequence has great potential in the accurate diagnosis of traumatic brachial plexus injury. |
| first_indexed | 2024-04-24T23:07:42Z |
| format | Article |
| id | doaj.art-111411eef4a44cea9732e34a8efb5090 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T23:07:42Z |
| publishDate | 2024-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-111411eef4a44cea9732e34a8efb50902024-03-17T12:22:59ZengNature PortfolioScientific Reports2045-23222024-03-0114111010.1038/s41598-024-57022-03D SHINKEI MR neurography in evaluation of traumatic brachial plexusYizhe Zhang0Xiaona Li1Ying Liu2Yingcai Sun3Luyao Duan4Yingshuai Zhang5Ruiqing Shi6Xiaoman Yu7Zhigang Peng8Department of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityDepartment of Radiology, The Third Hospital of Hebei Medical UniversityAbstract 3D SHINKEI neurography is a new sequence for imaging the peripheral nerves. The study aims at assessing traumatic brachial plexus injury using this sequence. Fifty-eight patients with suspected trauma induced brachial plexus injury underwent MR neurography (MRN) imaging in 3D SHINKEI sequence at 3 T. Surgery and intraoperative somatosensory evoked potentials or clinical follow-up results were used as the reference standard. MRN, surgery and electromyography (EMG) findings were recorded at four levels of the brachial plexus-roots, trunks, cords and branches. Fifty-eight patients had pre- or postganglionic injury. The C5–C6 nerve postganglionic segment was the most common (average 42%) among the postganglionic injuries detected by 3D SHINKEI MRN. The diagnostic accuracy (83.75%) and the specificity (90.30%) of MRN higher than that of EMG (p < 0.001). There was no significant difference in the diagnostic sensitivity of MRN compared with EMG (p > 0.05). Eighteen patients with brachial plexus injury underwent surgical exploration after MRN examination and the correlation between MRN and surgery was 66.7%. Due to the high diagnostic accuracy and specificity, 3D SHINKEI MRN can comprehensively display the traumatic brachial plexus injury. This sequence has great potential in the accurate diagnosis of traumatic brachial plexus injury.https://doi.org/10.1038/s41598-024-57022-0 |
| spellingShingle | Yizhe Zhang Xiaona Li Ying Liu Yingcai Sun Luyao Duan Yingshuai Zhang Ruiqing Shi Xiaoman Yu Zhigang Peng 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus Scientific Reports |
| title | 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus |
| title_full | 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus |
| title_fullStr | 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus |
| title_full_unstemmed | 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus |
| title_short | 3D SHINKEI MR neurography in evaluation of traumatic brachial plexus |
| title_sort | 3d shinkei mr neurography in evaluation of traumatic brachial plexus |
| url | https://doi.org/10.1038/s41598-024-57022-0 |
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