High-Resolution Imaging of Upper Limb Neuropathies

Benjamin Matthew Howe; Robert J. Spinner; Joel P. Felmlee; Kimberly K. Amrami

doi:10.1055/s-0035-1545078

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2015; 19(02): 160-167
DOI: 10.1055/s-0035-1545078

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

High-Resolution Imaging of Upper Limb Neuropathies

Benjamin Matthew Howe

¹Department of Radiology, Mayo Clinic, Rochester, Minnesota

,

Robert J. Spinner

²Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota

,

Joel P. Felmlee

¹Department of Radiology, Mayo Clinic, Rochester, Minnesota

,

Kimberly K. Amrami

¹Department of Radiology, Mayo Clinic, Rochester, Minnesota

› Author Affiliations

Abstract

MRI of the peripheral nerves continues to grow technologically and in clinical use. This article reviews the technological aspects and basic interpretation of high-resolution MR imaging of the upper extremity nerves. These techniques work with 1.5-, or preferably 3-T, scanners regardless of vendors. The article also includes selected pitfalls in the interpretation of upper extremity nerve MRI.

Keywords

neurography - peripheral nerve MRI - upper extremity neuropathy - upper extremity entrapments

Full Text

References

References
1 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
2 Chhabra A, Soldatos T, Subhawong TK , et al. The application of three-dimensional diffusion-weighted PSIF technique in peripheral nerve imaging of the distal extremities. J Magn Reson Imaging 2011; 34 (4) 962-967
3 Chhabra A, Andreisek G, Soldatos T , et al. MR neurography: past, present, and future. AJR Am J Roentgenol 2011; 197 (3) 583-591
4 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
5 Shahid KR, Spinner RJ, Skinner JA , et al. Evaluation of intraneural ganglion cysts using three-dimensional fast spin echo-cube. J Magn Reson Imaging 2010; 32 (3) 714-718
6 Freund W, Brinkmann A, Wagner F , et al. MR neurography with multiplanar reconstruction of 3D MRI datasets: an anatomical study and clinical applications. Neuroradiology 2007; 49 (4) 335-341
7 Zhou Y, Narayana PA, Kumaravel M, Athar P, Patel VS, Sheikh KA. High resolution diffusion tensor imaging of human nerves in forearm. J Magn Reson Imaging 2014; 39 (6) 1374-1383
8 Yamasaki T, Fujiwara H, Oda R , et al. In vivo evaluation of rabbit sciatic nerve regeneration with diffusion tensor imaging (DTI): correlations with histology and behavior. Magn Reson Imaging 2015; 33 (1) 95-101
9 Pham M, Bäumer T, Bendszus M. Peripheral nerves and plexus: imaging by MR-neurography and high-resolution ultrasound. Curr Opin Neurol 2014; 27 (4) 370-379
10 Ohana M, Moser T, Moussaouï A , et al. Current and future imaging of the peripheral nervous system. Diagn Interv Imaging 2014; 95 (1) 17-26
11 Li X, Chen J, Hong G , et al. In vivo DTI longitudinal measurements of acute sciatic nerve traction injury and the association with pathological and functional changes. Eur J Radiol 2013; 82 (11) e707-e714
12 Guggenberger R, Nanz D, Bussmann L , et al. Diffusion tensor imaging of the median nerve at 3.0 T using different MR scanners: agreement of FA and ADC measurements. Eur J Radiol 2013; 82 (10) e590-e596
13 Chhabra A, Lee PP, Bizzell C, Soldatos T. 3 Tesla MR neurography—technique, interpretation, and pitfalls. Skeletal Radiol 2011; 40 (10) 1249-1260
14 Chhabra A, Zhao L, Carrino JA , et al. MR neurography: advances. Radiol Res Pract 2013; 2013: 809568
15 Fowler JR, Munsch M, Tosti R, Hagberg WC, Imbriglia JE. Comparison of ultrasound and electrodiagnostic testing for diagnosis of carpal tunnel syndrome: study using a validated clinical tool as the reference standard. J Bone Joint Surg Am 2014; 96 (17) e148
16 Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve 2011; 44 (4) 597-607
17 Sohn MW, Whittle J, Pezzin LE, Miao H, Dillingham TR. Electrodiagnostic consultation and identification of neuromuscular conditions in persons with diabetes. Muscle Nerve 2011; 43 (6) 812-817
18 Concannon MJ, Gainor B, Petroski GF, Puckett CL. The predictive value of electrodiagnostic studies in carpal tunnel syndrome. Plast Reconstr Surg 1997; 100 (6) 1452-1458
19 Dyck PJ. Invited review: limitations in predicting pathologic abnormality of nerves from the EMG examination. Muscle Nerve 1990; 13 (5) 371-375
20 Kamath S, Venkatanarasimha N, Walsh MA, Hughes PM. MRI appearance of muscle denervation. Skeletal Radiol 2008; 37 (5) 397-404
21 Amrami KK, Felmlee JP. 3-Tesla imaging of the wrist and hand: techniques and applications. Semin Musculoskelet Radiol 2008; 12 (3) 223-237
22 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
23 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
24 Thawait SK, Chaudhry V, Thawait GK , et al. High-resolution MR neurography of diffuse peripheral nerve lesions. AJNR Am J Neuroradiol 2011; 32 (8) 1365-1372
25 Engström M, Thuomas KA, Naeser P, Stålberg E, Jonsson L. Facial nerve enhancement in Bell's palsy demonstrated by different gadolinium-enhanced magnetic resonance imaging techniques. Arch Otolaryngol Head Neck Surg 1993; 119 (2) 221-225
26 Filler AG, Kliot M, Howe FA , et al. Application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology. J Neurosurg 1996; 85 (2) 299-309
27 Tien R, Dillon WP, Jackler RK. Contrast-enhanced MR imaging of the facial nerve in 11 patients with Bell's palsy. AJR Am J Roentgenol 1990; 155 (3) 573-579
28 Wasa J, Nishida Y, Tsukushi S , et al. MRI features in the differentiation of malignant peripheral nerve sheath tumors and neurofibromas. AJR Am J Roentgenol 2010; 194 (6) 1568-1574
29 Li CS, Huang GS, Wu HD , et al. Differentiation of soft tissue benign and malignant peripheral nerve sheath tumors with magnetic resonance imaging. Clin Imaging 2008; 32 (2) 121-127
30 Chappell KE, Robson MD, Stonebridge-Foster A , et al. Magic angle effects in MR neurography. AJNR Am J Neuroradiol 2004; 25 (3) 431-440
31 Bäumer P, Dombert T, Staub F , et al. Ulnar neuropathy at the elbow: MR neurography—nerve T2 signal increase and caliber. Radiology 2011; 260 (1) 199-206
32 Keen NN, Chin CT, Engstrom JW, Saloner D, Steinbach LS. Diagnosing ulnar neuropathy at the elbow using magnetic resonance neurography. Skeletal Radiol 2012; 41 (4) 401-407
33 Husarik DB, Saupe N, Pfirrmann CW, Jost B, Hodler J, Zanetti M. Elbow nerves: MR findings in 60 asymptomatic subjects—normal anatomy, variants, and pitfalls. Radiology 2009; 252 (1) 148-156
34 Jarvik JG, Yuen E, Haynor DR , et al. MR nerve imaging in a prospective cohort of patients with suspected carpal tunnel syndrome. Neurology 2002; 58 (11) 1597-1602
35 Yao L, Gai N. Median nerve cross-sectional area and MRI diffusion characteristics: normative values at the carpal tunnel. Skeletal Radiol 2009; 38 (4) 355-361
36 Tsujii M, Hirata H, Morita A, Uchida A. Palmar bowing of the flexor retinaculum on wrist MRI correlates with subjective reports of pain in carpal tunnel syndrome. J Magn Reson Imaging 2009; 29 (5) 1102-1105
37 Bower JA, Stanisz GJ, Keir PJ. An MRI evaluation of carpal tunnel dimensions in healthy wrists: implications for carpal tunnel syndrome. Clin Biomech (Bristol, Avon) 2006; 21 (8) 816-825
38 Steinbach LS, Smith DK. MRI of the wrist. Clin Imaging 2000; 24 (5) 298-322
39 Viddeleer AR, Sijens PE, van Ooyen PM, Kuypers PD, Hovius SE, Oudkerk M. Sequential MR imaging of denervated and reinnervated skeletal muscle as correlated to functional outcome. Radiology 2012; 264 (2) 522-530
40 Koltzenburg M, Bendszus M. Imaging of peripheral nerve lesions. Curr Opin Neurol 2004; 17 (5) 621-626
41 Bendszus M, Koltzenburg M, Wessig C, Solymosi L. Sequential MR imaging of denervated muscle: experimental study. AJNR Am J Neuroradiol 2002; 23 (8) 1427-1431
42 Kikuchi Y, Nakamura T, Takayama S, Horiuchi Y, Toyama Y. MR imaging in the diagnosis of denervated and reinnervated skeletal muscles: experimental study in rats. Radiology 2003; 229 (3) 861-867
43 Aagaard BD, Lazar DA, Lankerovich L , et al. High-resolution magnetic resonance imaging is a noninvasive method of observing injury and recovery in the peripheral nervous system. Neurosurgery 2003; 53 (1) 199-203 ; discussion 203–204
44 Gyftopoulos S, Rosenberg ZS, Petchprapa C. Increased MR signal intensity in the pronator quadratus muscle: does it always indicate anterior interosseous neuropathy?. AJR Am J Roentgenol 2010; 194 (2) 490-493
45 Gessini L, Jandolo B, Pietrangeli A. Entrapment neuropathies of the median nerve at and above the elbow. Surg Neurol 1983; 19 (2) 112-116
46 Gessini L, Jandolo B, Pietrangeli A. The pronator teres syndrome. Clinical and electrophysiological features in six surgically verified cases. J Neurosurg Sci 1987; 31 (1) 1-5