High resolution imaging of tunnels by magnetic resonance neurography

Ty K. Subhawong, Kenneth C. Wang, Shrey K. Thawait, Eric H. Williams, Shahreyar Shar Hashemi, Antonio J. MacHado, John A. Carrino, Avneesh Chhabra

Research output: Contribution to journalReview articlepeer-review

50 Scopus citations

Abstract

Peripheral nerves often traverse confined fibroosseous and fibro-muscular tunnels in the extremities, where they are particularly vulnerable to entrapment and compressive neuropathy. This gives rise to various tunnel syndromes, characterized by distinct patterns of muscular weakness and sensory deficits. This article focuses on several upper and lower extremity tunnels, in which direct visualization of the normal and abnormal nerve in question is possible with high resolution 3T MR neurography (MRN). MRN can also serve as a useful adjunct to clinical and electrophysiologic exams by discriminating adhesive lesions (perineural scar) from compressive lesions (such as tumor, ganglion, hypertrophic callous, or anomalous muscles) responsible for symptoms, thereby guiding appropriate treatment.

Original languageEnglish (US)
Pages (from-to)15-31
Number of pages17
JournalSkeletal radiology
Volume41
Issue number1
DOIs
StatePublished - Jan 2012

Keywords

  • 3T
  • MR neurography
  • MRI
  • Peripheral nerve
  • Tunnels

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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