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Peripheral nerve magnetic resonance imaging.

Yongsheng Chen1, E Mark Haacke2, Jun Li1,3,4,5

  • 1Department of Neurology, Wayne State University School of Medicine, Detroit, MI, 48201, USA.

F1000Research
|November 9, 2019
PubMed
Summary

Magnetic resonance imaging (MRI) shows promise for evaluating the peripheral nervous system (PNS). This review highlights advancements and proposes a protocol for high-resolution peripheral nerve MRI to aid in diagnosing neuropathies.

Keywords:
Charcot-Marie-Tooth DiseaseMagnetic Resonance ImagingPeripheral NervesPeripheral Nervous SystemPeripheral NeuropathySciatic Nerve

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Area of Science:

  • Neuroimaging
  • Peripheral Nervous System (PNS) Evaluation
  • Medical Diagnostics

Background:

  • Magnetic resonance imaging (MRI) is underutilized for peripheral nervous system (PNS) assessment due to resolution and normative data limitations.
  • Current PNS imaging techniques often focus on distal nerves, which may be severely degenerated by the time of clinical evaluation.
  • Proximal nerves, deeply embedded, are also challenging to access with existing methods.

Purpose of the Study:

  • To review the current capabilities of in vivo MRI for human peripheral nerves.
  • To identify areas of progress and areas needing further development in peripheral nerve MRI.
  • To explore MRI's potential as a non-invasive biomarker for peripheral neuropathies, especially with emerging therapies.

Main Methods:

  • Review of current state-of-the-art in vivo MRI techniques for human peripheral nerves.
  • Analysis of limitations in current MRI for PNS evaluation, including resolution and normative data.
  • Development of a clinical protocol for high-resolution, quantitative MRI of proximal peripheral nerves at 3T.

Main Results:

  • Significant advancements have been made in MRI technology for peripheral nerve imaging.
  • Challenges remain in achieving sufficient resolution and establishing normative data for reliable PNS MRI interpretation.
  • Peripheral nerve MRI offers a potential alternative to overcome limitations of current distal and proximal nerve imaging techniques.

Conclusions:

  • Peripheral nerve MRI is a developing field with the potential to significantly improve the evaluation of peripheral neuropathies.
  • Further research and technological advancements are needed to overcome current limitations.
  • A proposed 3T clinical protocol aims to provide high-resolution, quantitative imaging of proximal peripheral nerves to meet clinical needs.