Meralgia paresthetica: 3-Tesla magnetic resonance neurography

Avneesh Chhabra, Filippo Del Grande, Theodoros Soldatos, Majid Chalian, Allan J. Belzberg, Eric H. Williams, Farahani S. Jalali, Gaurav K. Thawait, John Eng, John A. Carrino

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To assess the diagnostic accuracy and observer performance of 3-Tesla magnetic resonance neurography (MRN) in the evaluation of meralgia paresthetica (MP). Materials and methods: Two independent readers were blinded to the clinical diagnosis and evaluated the MRN studies of the pelvis of 11 patients with MP and 28 control participants. In each study, the lateral femoral cutaneous nerves were assessed for signal alteration and/or neuroma formation, indicating lateral femoral cutaneous neuropathy, at various levels along their course. Intra- and inter-observer reliability was evaluated. Results: Both readers exhibited substantial intraobserver agreement in detecting signal alterations and neuroma formation of the lateral femoral cutaneous nerve (LFCN). The readers demonstrated moderate interobserver agreement in detecting signal alteration of the LFCN and poor interobserver agreement in diagnosing neuroma formation. Sensitivity, specificity, positive predictive value, and negative predictive value of LFCN neuropathy diagnosis were ≥71 % and ≥94 % for both readers respectively. The diagnostic test accuracy was ≥90 % for both readers. Conclusion: 3-Tesla MRN provides reliable and accurate diagnostic evaluation of meralgia paresthetica.

Original languageEnglish (US)
Pages (from-to)803-808
Number of pages6
JournalSkeletal Radiology
Volume42
Issue number6
DOIs
StatePublished - Jun 1 2013

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Femoral Nerve
Magnetic Resonance Spectroscopy
Neuroma
Skin
Femoral Neuropathy
Pelvis
Routine Diagnostic Tests
Meralgia paresthetica
Sensitivity and Specificity

Keywords

  • 3-Tesla
  • Magnetic resonance neurography
  • Meralgia paresthetica

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Chhabra, A., Del Grande, F., Soldatos, T., Chalian, M., Belzberg, A. J., Williams, E. H., ... Carrino, J. A. (2013). Meralgia paresthetica: 3-Tesla magnetic resonance neurography. Skeletal Radiology, 42(6), 803-808. https://doi.org/10.1007/s00256-012-1557-4

Meralgia paresthetica : 3-Tesla magnetic resonance neurography. / Chhabra, Avneesh; Del Grande, Filippo; Soldatos, Theodoros; Chalian, Majid; Belzberg, Allan J.; Williams, Eric H.; Jalali, Farahani S.; Thawait, Gaurav K.; Eng, John; Carrino, John A.

In: Skeletal Radiology, Vol. 42, No. 6, 01.06.2013, p. 803-808.

Research output: Contribution to journalArticle

Chhabra, A, Del Grande, F, Soldatos, T, Chalian, M, Belzberg, AJ, Williams, EH, Jalali, FS, Thawait, GK, Eng, J & Carrino, JA 2013, 'Meralgia paresthetica: 3-Tesla magnetic resonance neurography', Skeletal Radiology, vol. 42, no. 6, pp. 803-808. https://doi.org/10.1007/s00256-012-1557-4
Chhabra A, Del Grande F, Soldatos T, Chalian M, Belzberg AJ, Williams EH et al. Meralgia paresthetica: 3-Tesla magnetic resonance neurography. Skeletal Radiology. 2013 Jun 1;42(6):803-808. https://doi.org/10.1007/s00256-012-1557-4
Chhabra, Avneesh ; Del Grande, Filippo ; Soldatos, Theodoros ; Chalian, Majid ; Belzberg, Allan J. ; Williams, Eric H. ; Jalali, Farahani S. ; Thawait, Gaurav K. ; Eng, John ; Carrino, John A. / Meralgia paresthetica : 3-Tesla magnetic resonance neurography. In: Skeletal Radiology. 2013 ; Vol. 42, No. 6. pp. 803-808.
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abstract = "Objective: To assess the diagnostic accuracy and observer performance of 3-Tesla magnetic resonance neurography (MRN) in the evaluation of meralgia paresthetica (MP). Materials and methods: Two independent readers were blinded to the clinical diagnosis and evaluated the MRN studies of the pelvis of 11 patients with MP and 28 control participants. In each study, the lateral femoral cutaneous nerves were assessed for signal alteration and/or neuroma formation, indicating lateral femoral cutaneous neuropathy, at various levels along their course. Intra- and inter-observer reliability was evaluated. Results: Both readers exhibited substantial intraobserver agreement in detecting signal alterations and neuroma formation of the lateral femoral cutaneous nerve (LFCN). The readers demonstrated moderate interobserver agreement in detecting signal alteration of the LFCN and poor interobserver agreement in diagnosing neuroma formation. Sensitivity, specificity, positive predictive value, and negative predictive value of LFCN neuropathy diagnosis were ≥71 {\%} and ≥94 {\%} for both readers respectively. The diagnostic test accuracy was ≥90 {\%} for both readers. Conclusion: 3-Tesla MRN provides reliable and accurate diagnostic evaluation of meralgia paresthetica.",
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