Current MR Neurography Techniques and Whole-Body MR Neurography

Abstract

MR neurography (MRN) techniques continue to evolve, leading to a better demonstration of peripheral nerve anatomy and pathology. This article discusses various technical perspectives and provides recommendations to obtain the best possible high-resolution imaging of the peripheral nerves in various areas of the body. We also discuss technical perspectives of whole-body MRN and its potential utility.

Keywords

MR neurography - technique - whole body - nerves

• References

• 1 Du R, Auguste KI, Chin CT, Engstrom JW, Weinstein PR. Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders. J Neurosurg 2010; 112 (2) 362-371
• 2 Filler AG, Maravilla KR, Tsuruda JS. MR neurography and muscle MR imaging for image diagnosis of disorders affecting the peripheral nerves and musculature. Neurol Clin 2004; 22 (3) 643-682 , vi–vii
• 3 Chhabra A, Lee PP, Bizzell C, Soldatos T. 3 Tesla MR neurography—technique, interpretation, and pitfalls. Skeletal Radiol 2011; 40 (10) 1249-1260
• 4 Bäumer P, Pham M, Ruetters M , et al. Peripheral neuropathy: detection with diffusion-tensor imaging. Radiology 2014; 273 (1) 185-193
• 5 Chhabra A, Andreisek G, Soldatos T , et al. MR neurography: past, present, and future. AJR Am J Roentgenol 2011; 197 (3) 583-591
• 6 Zhang H, Xiao B, Zou T. Clinical application of magnetic resonance neurography in peripheral nerve disorders. Neurosci Bull 2006; 22 (6) 361-367
• 7 Chhabra A, Flammang A, Padua Jr A, Carrino JA, Andreisek G. Magnetic resonance neurography: technical considerations. Neuroimaging Clin N Am 2014; 24 (1) 67-78
• 8 Anderson ML, Skinner JA, Felmlee JP, Berger RA, Amrami KK. Diagnostic comparison of 1.5 Tesla and 3.0 Tesla preoperative MRI of the wrist in patients with ulnar-sided wrist pain. J Hand Surg Am 2008; 33 (7) 1153-1159
• 9 Soher BJ, Dale BM, Merkle EM. A review of MR physics: 3T versus 1.5T. Magn Reson Imaging Clin N Am 2007; 15 (3) 277-290, v v
• 10 Thawait SK, Wang K, Subhawong TK , et al. Peripheral nerve surgery: the role of high-resolution MR neurography. AJNR Am J Neuroradiol 2012; 33 (2) 203-210
• 11 Chhabra A, Williams EH, Wang KC, Dellon AL, Carrino JA. MR neurography of neuromas related to nerve injury and entrapment with surgical correlation. AJNR Am J Neuroradiol 2010; 31 (8) 1363-1368
• 12 Zhao L, Wang G, Yang L, Wu L, Lin X, Chhabra A. Diffusion-weighted MR neurography of extremity nerves with unidirectional motion-probing gradients at 3 T: feasibility study. AJR Am J Roentgenol 2013; 200 (5) 1106-1114
• 13 Gasparotti R, Lodoli G, Meoded A, Carletti F, Garozzo D, Ferraresi S. Feasibility of diffusion tensor tractography of brachial plexus injuries at 1.5 T. Invest Radiol 2013; 48 (2) 104-112
• 14 Guggenberger R, Eppenberger P, Markovic D , et al. MR neurography of the median nerve at 3.0T: optimization of diffusion tensor imaging and fiber tractography. Eur J Radiol 2012; 81 (7) e775-e782
• 15 Eguchi Y, Ohtori S, Yamashita M , et al. Diffusion-weighted magnetic resonance imaging of symptomatic nerve root of patients with lumbar disk herniation. Neuroradiology 2011; 53 (9) 633-641
• 16 Vargas MI, Viallon M, Nguyen D, Beaulieu JY, Delavelle J, Becker M. New approaches in imaging of the brachial plexus. Eur J Radiol 2010; 74 (2) 403-410
• 17 Chhabra A, Subhawong TK, Bizzell C, Flammang A, Soldatos T. 3T MR neurography using three-dimensional diffusion-weighted PSIF: technical issues and advantages. Skeletal Radiol 2011; 40 (10) 1355-1360
• 18 Zhang Z, Meng Q, Chen Y , et al. 3-T imaging of the cranial nerves using three-dimensional reversed FISP with diffusion-weighted MR sequence. J Magn Reson Imaging 2008; 27 (3) 454-458
• 19 Yoneyama M, Takahara T, Kwee TC, Nakamura M, Tabuchi T. Rapid high resolution MR neurography with a diffusion-weighted pre-pulse. Magn Reson Med Sci 2013; 12 (2) 111-119
• 20 Kanoto M, Toyoguchi Y, Hosoya T, Oda A, Sugai Y. Visualization of the trochlear nerve in the cistern with use of high-resolution turbo spin-echo multisection motion-sensitized driven equilibrium. AJNR Am J Neuroradiol 2013; 34 (7) 1434-1437
• 21 Blitz AM, Macedo LL, Chonka ZD , et al. High-resolution CISS MR imaging with and without contrast for evaluation of the upper cranial nerves: segmental anatomy and selected pathologic conditions of the cisternal through extraforaminal segments. Neuroimaging Clin N Am 2014; 24 (1) 17-34
• 22 Yamashita T, Kwee TC, Takahara T. Whole-body magnetic resonance neurography. N Engl J Med 2009; 361 (5) 538-539
• 23 Chhabra A, Zhao L, Carrino JA , et al. MR neurography: advances. Radiol Res Pract 2013; 2013: 809568