Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings
Abstract Background Brachial plexus injury occurs following birth trauma or adult trauma as well, surgical repair is important to regain upper limb function, and preoperative evaluation with MRI is important and considered the accurate and safe imaging modality. Thirty-seven patients with clinically...
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Format: | Article |
Language: | English |
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SpringerOpen
2020-09-01
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Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
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Online Access: | http://link.springer.com/article/10.1186/s43055-020-00310-2 |
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author | Doria Mohammed Gad Mostafa Thabet Hussein Nagham Nabil Mahmoud Omar Mohamed Mostafa Kotb Mohamed Abdel-Tawab Hazem Abu Zeid Yousef |
author_facet | Doria Mohammed Gad Mostafa Thabet Hussein Nagham Nabil Mahmoud Omar Mohamed Mostafa Kotb Mohamed Abdel-Tawab Hazem Abu Zeid Yousef |
author_sort | Doria Mohammed Gad |
collection | DOAJ |
description | Abstract Background Brachial plexus injury occurs following birth trauma or adult trauma as well, surgical repair is important to regain upper limb function, and preoperative evaluation with MRI is important and considered the accurate and safe imaging modality. Thirty-seven patients with clinically suspected obstetric (15 patients) or adult traumatic (22 patients) brachial plexus injury were included in our study; all of them underwent MRI examination including T1WI, T2WI, STIR, DWIBS, 3D STIR SPACE, and MR myelography sequences. Results In obstetric cases, MRI sensitivity, specificity, and accuracy for preganglionic injury were 63%, 89%, and 82%, respectively, while for postganglionic lesions, MRI sensitivity, specificity, and accuracy were 60%, 99%, and 95%, respectively. In adult cases, MRI sensitivity, specificity, and accuracy for preganglionic injury were 96%, 95%, and 95% respectively, while for postganglionic injury, MRI sensitivity, specificity, and accuracy were 60%, 100%, and 99%, respectively. Conclusion MRI represents a safe, non-invasive, diagnostic modality having the multiplanar capability and better soft tissue characterization. |
first_indexed | 2024-12-20T05:03:29Z |
format | Article |
id | doaj.art-b1b6d57cbf1e49ab866970d076732c9f |
institution | Directory Open Access Journal |
issn | 2090-4762 |
language | English |
last_indexed | 2024-12-20T05:03:29Z |
publishDate | 2020-09-01 |
publisher | SpringerOpen |
record_format | Article |
series | The Egyptian Journal of Radiology and Nuclear Medicine |
spelling | doaj.art-b1b6d57cbf1e49ab866970d076732c9f2022-12-21T19:52:30ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622020-09-015111710.1186/s43055-020-00310-2Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findingsDoria Mohammed Gad0Mostafa Thabet Hussein1Nagham Nabil Mahmoud Omar2Mohamed Mostafa Kotb3Mohamed Abdel-Tawab4Hazem Abu Zeid Yousef5Department of Radiology, Assiut UniversityDepartment of Radiology, Assiut UniversityDepartment of Radiology, Assiut UniversityDepartment of Orthopedic Surgery and Traumatology, Assiut UniversityDepartment of Radiology, Assiut UniversityDepartment of Radiology, Assiut UniversityAbstract Background Brachial plexus injury occurs following birth trauma or adult trauma as well, surgical repair is important to regain upper limb function, and preoperative evaluation with MRI is important and considered the accurate and safe imaging modality. Thirty-seven patients with clinically suspected obstetric (15 patients) or adult traumatic (22 patients) brachial plexus injury were included in our study; all of them underwent MRI examination including T1WI, T2WI, STIR, DWIBS, 3D STIR SPACE, and MR myelography sequences. Results In obstetric cases, MRI sensitivity, specificity, and accuracy for preganglionic injury were 63%, 89%, and 82%, respectively, while for postganglionic lesions, MRI sensitivity, specificity, and accuracy were 60%, 99%, and 95%, respectively. In adult cases, MRI sensitivity, specificity, and accuracy for preganglionic injury were 96%, 95%, and 95% respectively, while for postganglionic injury, MRI sensitivity, specificity, and accuracy were 60%, 100%, and 99%, respectively. Conclusion MRI represents a safe, non-invasive, diagnostic modality having the multiplanar capability and better soft tissue characterization.http://link.springer.com/article/10.1186/s43055-020-00310-2Brachial plexus injuryAdult traumaticObstetricMRI |
spellingShingle | Doria Mohammed Gad Mostafa Thabet Hussein Nagham Nabil Mahmoud Omar Mohamed Mostafa Kotb Mohamed Abdel-Tawab Hazem Abu Zeid Yousef Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings The Egyptian Journal of Radiology and Nuclear Medicine Brachial plexus injury Adult traumatic Obstetric MRI |
title | Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
title_full | Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
title_fullStr | Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
title_full_unstemmed | Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
title_short | Role of MRI in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
title_sort | role of mri in the diagnosis of adult traumatic and obstetric brachial plexus injury compared to intraoperative findings |
topic | Brachial plexus injury Adult traumatic Obstetric MRI |
url | http://link.springer.com/article/10.1186/s43055-020-00310-2 |
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