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Semin Musculoskelet Radiol 2019; 23(04): 405-418
DOI: 10.1055/s-0039-1694753
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Top-Ten Tips for Imaging the Brachial Plexus with Ultrasound and MRI

James F. Griffith
1   Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong
,
Radhesh Krishna Lalam
2   Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry, United Kingdom
› Author Affiliations
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Publication History

Publication Date:
11 September 2019 (online)

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Abstract

When it comes to examining the brachial plexus, ultrasound (US) and magnetic resonance imaging (MRI) are complementary investigations. US is well placed for screening most extraforaminal pathologies, whereas MRI is more sensitive and accurate for specific clinical indications. For example, MRI is probably the preferred technique for assessment of trauma because it enables a thorough evaluation of both the intraspinal and extraspinal elements, although US can depict extraforaminal neural injury with a high level of accuracy. Conversely, US is probably the preferred technique for examination of neurologic amyotrophy because a more extensive involvement beyond the brachial plexus is the norm, although MRI is more sensitive than US for evaluating muscle denervation associated with this entity. With this synergy in mind, this review highlights the tips for examining the brachial plexus with US and MRI.

Keywords

brachial plexus - ultrasound - magnetic resonance imaging - inflammation - trauma
 

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