Magnetic Resonance Neurography for Evaluation of Peripheral Nerves

Peripheral nerve injuries (PNIs) continue to present both diagnostic and treatment challenges. While nerve transections are typically a straightforward diagnosis, other types of PNIs, such as chronic or traumatic nerve compression, may be more difficult to evaluate due to their varied presentation a...

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Main Authors: Vanessa Ku, Cameron Cox, Andrew Mikeska, Brendan MacKay
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2021-01-01
Series:Journal of Brachial Plexus and Peripheral Nerve Injury
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729176
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author Vanessa Ku
Cameron Cox
Andrew Mikeska
Brendan MacKay
author_facet Vanessa Ku
Cameron Cox
Andrew Mikeska
Brendan MacKay
author_sort Vanessa Ku
collection DOAJ
description Peripheral nerve injuries (PNIs) continue to present both diagnostic and treatment challenges. While nerve transections are typically a straightforward diagnosis, other types of PNIs, such as chronic or traumatic nerve compression, may be more difficult to evaluate due to their varied presentation and limitations of current diagnostic tools. As a result, diagnosis may be delayed, and these patients may go on to develop progressive symptoms, impeding normal activity. In the past, PNIs were diagnosed by history and clinical examination alone or techniques that raised concerns regarding accuracy, invasiveness, or operator dependency. Magnetic resonance neurography (MRN) has been increasingly utilized in clinical settings due to its ability to visualize complex nerve structures along their entire pathway and distinguish nerves from surrounding vasculature and tissue in a noninvasive manner. In this review, we discuss the clinical applications of MRN in the diagnosis, as well as pre- and postsurgical assessments of patients with peripheral neuropathies.
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spelling doaj.art-5b50368750fb47f1a4bc6abbad632d072022-12-21T19:06:51ZengGeorg Thieme Verlag KGJournal of Brachial Plexus and Peripheral Nerve Injury1749-72212021-01-011601e17e2310.1055/s-0041-1729176Magnetic Resonance Neurography for Evaluation of Peripheral NervesVanessa Ku0Cameron Cox1Andrew Mikeska2Brendan MacKay3Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United StatesDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United StatesDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United StatesDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, United StatesPeripheral nerve injuries (PNIs) continue to present both diagnostic and treatment challenges. While nerve transections are typically a straightforward diagnosis, other types of PNIs, such as chronic or traumatic nerve compression, may be more difficult to evaluate due to their varied presentation and limitations of current diagnostic tools. As a result, diagnosis may be delayed, and these patients may go on to develop progressive symptoms, impeding normal activity. In the past, PNIs were diagnosed by history and clinical examination alone or techniques that raised concerns regarding accuracy, invasiveness, or operator dependency. Magnetic resonance neurography (MRN) has been increasingly utilized in clinical settings due to its ability to visualize complex nerve structures along their entire pathway and distinguish nerves from surrounding vasculature and tissue in a noninvasive manner. In this review, we discuss the clinical applications of MRN in the diagnosis, as well as pre- and postsurgical assessments of patients with peripheral neuropathies.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729176magnetic resonance neurographymrnmriperipheral nerve imagingnerve evaluationperipheral nerve injury
spellingShingle Vanessa Ku
Cameron Cox
Andrew Mikeska
Brendan MacKay
Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
Journal of Brachial Plexus and Peripheral Nerve Injury
magnetic resonance neurography
mrn
mri
peripheral nerve imaging
nerve evaluation
peripheral nerve injury
title Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
title_full Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
title_fullStr Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
title_full_unstemmed Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
title_short Magnetic Resonance Neurography for Evaluation of Peripheral Nerves
title_sort magnetic resonance neurography for evaluation of peripheral nerves
topic magnetic resonance neurography
mrn
mri
peripheral nerve imaging
nerve evaluation
peripheral nerve injury
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729176
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AT andrewmikeska magneticresonanceneurographyforevaluationofperipheralnerves
AT brendanmackay magneticresonanceneurographyforevaluationofperipheralnerves