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Utility of High-Resolution 3 T MR Neurography in Peripheral Nerve Pathologies.

Devinderpal Singh Dhanota1, Didar Singh1, Kavita Saggar1

  • 1Department of Radiology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Annals of Indian Academy of Neurology
|May 20, 2025
PubMed
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Magnetic resonance neurography (MRN) is a sensitive tool for diagnosing peripheral nerve injuries, showing high correlation with nerve conduction studies (NCS). This imaging modality aids in treatment planning and prognosis assessment for nerve disorders.

Area of Science:

  • Radiology
  • Neurology
  • Medical Imaging

Background:

  • Peripheral nerve disorders require accurate diagnostic tools.
  • Magnetic resonance neurography (MRN) offers direct visualization of nerves.
  • Comparing MRN with nerve conduction studies (NCS) is crucial for evaluating focal nerve pathologies.

Purpose of the Study:

  • To assess the diagnostic utility of MRN in peripheral nerve injuries.
  • To compare MRN findings with NCS and other diagnostic methods.
  • To evaluate MRN's role in characterizing and localizing nerve disorders.

Main Methods:

  • Prospective study of 58 patients with diagnosed focal peripheral nerve pathologies.
  • MRN findings were correlated with NCS, electromyography, surgical, and histopathological results.
Keywords:
MRN (magnetic resonance neurography)NCS-EMG (nerve conduction studies–electromyography)brachial plexusperipheral nerve pathologies

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  • Statistical analysis included Chi-squared and Fisher's exact tests to compare MRN and NCS outcomes.
  • Main Results:

    • MRN detected abnormalities in 89.6% of subjects.
    • 86.3% of patients showed abnormalities on both MRN and NCS.
    • MRN identified brachial plexus involvement in 25 out of 58 examinations.

    Conclusions:

    • MRN is a highly sensitive imaging modality for peripheral nerve pathologies.
    • Correlation with NCS and surgical findings confirms MRN's clinical utility.
    • 3 T MRN is essential for diagnosing, guiding treatment, and assessing prognosis of nerve disorders.