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Zare M, Faeghi F, Hosseini A, Ardekani M S, Heidari M H, Zarei E. Comparison Between Three-Dimensional Diffusion-Weighted PSIF Technique and Routine Imaging Sequences in Evaluation of Peripheral Nerves in Healthy People. BCN 2018; 9 (1) :65-71
URL: http://bcn.iums.ac.ir/article-1-812-en.html
Comparison Between Three-Dimensional Diffusion-Weighted PSIF Technique and Routine Imaging Sequences in Evaluation of Peripheral Nerves in Healthy People
Mahsa Zare1 , Fariborz Faeghi1 , Ashrafsadat Hosseini * 2, Mohammad Sobhan Ardekani2 , Mohammad Hossein Heidari3 , Ehsan Zarei4
1- Department of Radiology Technology, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Radiology, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
3- Department of Basic Sciences, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Department of Physical Education, School of Education & Psychology, Shiraz University, Shiraz, Iran.
Abstract:  

Introduction: The present study aims to evaluate the Three-Dimensional Diffusion-Weighted reversed fast imaging with steady state free precession (3D DW-PSIF) sequence with respect to imaging of the peripheral nerves; the tibial, medial, and lateral plantar nerves in the lower extremity, ulnar and median nerve in the upper extremity, sciatic nerve, brachial plexus, and lumbosacral plexus, and also to compare its usefulness with the current two-dimensional sequences on a 1.5 T MR scanner.
Methods: A total of 25 healthy subjects underwent MR imaging of peripheral nerves, 5 subjects in each area. In each imaging sequence, including T2W SPAIR and 3D DW-PSIF, images were evaluated for ability to identify the nerves in the related area using a 3-score scale (0-2). Then, by summing up the conspicuity scores, a total certainty score was recorded for each sequence.
Results: With combining the results of all studies, the conspicuity mean (SD) score was 1.57(0.67) on the 3D DW-PSIF images, and 0.74(0.76) on the T2-weighted images (P<0.001). Regarding the lumbosacral plexus, the corresponding certainty mean (SD) scores were 1.80(0.40) and 1.07(0.74) (P<0.001) and with regard to the brachial plexus, they were 1.23(0.83) and 0.75(0.84), (P<0.001). Regarding the ankle/hind foot they were 1.87(0.35) and 0.40(0.50) (P<0.001) and in the wrist/proximal hand, 1.70(0.48) and 0.50(0.52) (P<0.001). Regarding the sciatic nerve, they were 1.80(0.44) and 0.20(0.44) (P=0.003).
Conclusion: 3D DW PSIF provides better manifestation of nerves compared to routine imaging sequences particularly fat saturated T2W images. This novel imaging technique can be used in MR neurography examination protocol for exact localization of the nerve and evaluation of the nerve pathology.

Keywords: MR neurography, 3D DW PSIF, Peripheral nerves, Lumbosacral plexus, Brachial plexus
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Type of Study: Original | Subject: Clinical Neuroscience
Received: 2016/10/6 | Accepted: 2017/05/13 | Published: 2018/01/1
References
1. Baur, A., & Reiser, M. F. (2000). Diffusion-weighted imaging of the musculoskeletal system in humans. Skeletal Radiology, 29(10), 555–62. doi: 10.1007/s002560000243 [DOI:10.1007/s002560000243]
2. Bendszus, M., Wessig, C., Reiners, K., Bartsch, A. J., Solymosi, L., & Koltzenberg, M. (2003). MR imaging in the differential diagnosis of neurogenic foot drop. American Journal of Neuroradiology, 24(7), 1283-9. PMID: 12917113 [PMID]
3. Chavhan, G. B., Babyn, P. S., Jankharia, B. G., Cheng, H. L. M., & Shroff, M. M. (2008). Steady-state MR imaging sequences: Physics, classification, and clinical applications. RadioGraphics, 28(4), 1147–60. doi: 10.1148/rg.284075031 [DOI:10.1148/rg.284075031]
4. Chhabra, A., Soldatos, T., Flammang, A., Gilson, W., Padua, A., & Carrino, J. A. (2010). 3T MR imaging of peripheral nerves using 3D diffusion-weighted PSIF technique. Retrieved from: http://clinical-mri.com/wp-content/uploads/new_technologies/Carrino.pdf
5. Chhabra, A., Andreisek, G., Soldatos, T., Wang, K. C., Flammang, A. J., Belzberg, A. J., et al. (2011a). MR neurography: Past, present, and future. American Journal of Roentgenology, 197(3), 583–91. doi: 10.2214/ajr.10.6012 [DOI:10.2214/AJR.10.6012]
6. Chhabra, A., Lee, P. P., Bizzell, C., & Soldatos, T. (2011b). 3 Tesla MR neurography—technique, interpretation, and pitfalls. Skeletal Radiology, 40(10), 1249–60. doi: 10.1007/s00256-011-1183-6 [DOI:10.1007/s00256-011-1183-6]
7. Chhabra, A., Soldatos, T., Subhawong, T. K., Machado, A. J., Thawait, S. K., Wang, K. C., et al. (2011c). The application of three-dimensional diffusion-weighted PSIF technique in peripheral nerve imaging of the distal extremities. Journal of Magnetic Resonance Imaging, 34(4), 962–7. doi: 10.1002/jmri.22684 [DOI:10.1002/jmri.22684]
8. Chhabra, A., Subhawong, T. K., Bizzell, C., Flammang, A., & Soldatos, T. (2011d). 3T MR neurography using three-dimensional diffusion-weighted PSIF: Technical issues and advantages. Skeletal Radiology, 40(10), 1355–60. doi: 10.1007/s00256-011-1162-y [DOI:10.1007/s00256-011-1162-y]
9. Chhabra, A., Zhao, L., Carrino, J. A., Trueblood, E., Koceski, S., Shteriev, F., et al. (2013). MR neurography: Advances. Radiology Research and Practice, 1–14. doi: 10.1155/2013/809568 [DOI:10.1155/2013/809568]
10. Chhabra, A., Flammang, A., Padua, A., Carrino, J. A., & Andreisek, G. (2014). Magnetic resonance neurography: technical considerations. Neuroimaging Clinics, 24(1), 67-78. [DOI:10.1016/j.nic.2013.03.032] [PMID]
11. Hoffmann, K. T., Hosten, N., Meyer, B. U., Röricht, S., Sprung, C., Oellinger, J., et al. (2000). CSF flow studies of intracranial cysts and cyst-like lesions achieved using reversed fast imaging with steady-state precession MR sequences. American Journal of Neuroradiology, 21(3), 493-502. PMID: 10730641 [PMID]
12. Howe, F. A., Filler, A. G., Bell, B. A., & Griffiths, J. R. (1992). Magnetic resonance neurography. Magnetic Resonance in Medicine, 28(2), 328–38. doi: 10.1002/mrm.1910280215 [DOI:10.1002/mrm.1910280215]
13. Khachi, G., Skirgaudes, M., Lee, W. P. A., & Wollstein, R. (2007). The clinical applications of peripheral nerve imaging in the upper extremity. The Journal of Hand Surgery, 32(10), 1600–4. doi: 10.1016/j.jhsa.2007.09.017 [DOI:10.1016/j.jhsa.2007.09.017]
14. Reimer, P., Parizel, P. M., Meaney, J. F. M., & Stichnoth, F. A. (2010). Clinical MR imaging. New York: Springer. doi: 10.1007/978-3-540-74504-4 [DOI:10.1007/978-3-540-74504-4]
15. Taupitz, M., Speidel, A., Hamm, B., Deimling, M., Reichel, M., Bock, A., et al. (1995). T2-weighted breath-hold MR imaging of the liver at 1.5 T: Results with a three-dimensional steady-state free precession sequence in 87 patients. Radiology, 194(2), 439–46. doi: 10.1148/radiology.194.2.7824724 [DOI:10.1148/radiology.194.2.7824724]
16. Zhang, Z. W., Song, L. J., Meng, Q. F., Li, Z. P., Luo, B. N., Yang, Y. H., et al. (2008a). High-resolution diffusion-weighted MR imaging of the human lumbosacral plexus and its branches based on a steady-state free precession imaging technique at 3T. American Journal of Neuroradiology, 29(6), 1092–4. doi: 10.3174/ajnr.a0994 [DOI:10.3174/ajnr.A0994]
17. Zhang, Z., Meng, Q., Chen, Y., Li, Z., Luo, B., Yang, Z., et al. (2008b). 3-T imaging of the cranial nerves using three-dimensional reversed FISP with diffusion-weighted MR sequence. Journal of Magnetic Resonance Imaging, 27(3), 454–8. doi: 10.1002/jmri.21009 [DOI:10.1002/jmri.21009]
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