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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Main Authors: Doria Mohammed Gad, Mostafa Thabet Hussein, Nagham Nabil Mahmoud Omar, Mohamed Mostafa Kotb, Mohamed Abdel-Tawab, Hazem Abu Zeid Yousef
Format: Article
Language:English
Published: SpringerOpen 2020-09-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
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.
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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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