JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (11): 72-75.doi: 10.6040/j.issn.1671-7554.0.2015.1087

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Diffusion-weighted MR neurography of the median nerve in carpal tunnel syndrome: a preliminary study

BAO Hongjing1, WANG Guangbin2, WANG Shanshan2, WU Chao2   

  1. 1. Department of Ultrasound, Peoples Hospital of Xingan League, Ulan Hot 137400, Inner Mongolia, China;
    2. Shandong Medical Imaging Research Institute, Jinan 250021, Shandong, China
  • Received:2015-11-09 Online:2016-11-10 Published:2016-11-10

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Abstract: Objective To compare the diagnostic value of diffusion-weighted MR neurography(DW-MRN)and ultrasonography of median nerve(MN)lesion in carpal tunnel syndrome(CTS). Methods A total of 13 healthy volunteers(19 wrists, control group)and 14 CTS patients(17 wrists, patient group)were included. The ultrasound(US)and DW-MRN were used to detect the MN at the level of pisiform bone. The cross-sectional area(CSA)and apparent diffusion coefficient(ADC)were calculated by two independent inspectors. Receiver operating characteristic(ROC)curve was drawn to assess the diagnostic efficiency. Results There were significant differences on the CSA and ADC between control group and patient group(both P<0.001). The area under curve(AUC)of CSA was higher than that of ADC in the diagnosis of CTS(AUC>0.8). No significant difference of diagnostic value was found between DW-MRN and US(P>0.05). Conclusion DW-MRN has good diagnostic efficiency for the MN in carpal tunnel syndrome, and has equal efficiency as US.

Key words: Magnetic resonance imaging, Carpal tunnel syndrome, Diffusion-weighted, Ultrasonography

CLC Number: 

  • R445
[1] 田东, 韩峰. 电生理检查在正中神经返支卡压征诊断的应用[J]. 现代电生理学杂志, 2013, 20(3): 157-159.
[2] 刘慧,郭徐林,陈定章, 等. 超声扫查正常成人臂丛神经根[J].中国医学影像技术, 2011, 27(5): 1021-1024. LIU Hui, GUO Xulin, CHEN Dingzhang, et al. Ultrasonography in observing the root level brachial plexus in normal adults[J]. Chin J Med Imaging Technol, 2011, 27(5): 1021-1024.
[3] 傅强, 崔立刚, 李志强, 等. 腕管内正中神经变异的声像图表现及其临床意义[J]. 中华超声影像学杂志, 2012, 21(10): 884-887. FU Qiang, CUI Ligang, LI Zhiqiang, et al. Sonographic appearance and clinical significance of anatomic variation of carpal tunnel median nerve[J]. Chin J Ultrasonogr, 2012, 21(10): 884-887.
[4] 王姗姗, 陈立光, 王光彬, 等. MR扩散加权神经成像显示腕掌部正中神经和尺神经及分支的价值[J]. 中华放射学杂志, 2014, 48(8): 686-689. WANG Shanshan, CHEN Liguang, WANG Guangbin, et al. Value of MR diffusion weighted neurography in median nerve and ulnar nerve[J]. Chin J Radiol, 2014, 48(8): 686-689.
[5] 王姗姗, 石红岭, 赵连新, 等. MR扩散加权神经成像技术在非创伤性上肢神经扭转中的应用[J].中华放射学杂志, 2015, 49(3): 209-212. WANG Shanshan, SHI Hongling, ZHAO Lianxin, et al. Application of diffusion-weighted MR neurography in nontraumatic upper limb nerve torsion[J]. Chin J Radiol, 2015, 49(3): 209-212.
[6] Ding WQ, Zhou XJ, Tang JB, et al. Three-dimensional display of peripheral nerves in the wrist region based on MR diffusion tensor imaging and maximum intensity projection post-processing[J]. Eur J Radiol, 2015, 84(6): 1116-1127.
[7] 赵连新, 王光彬, 刘玉波, 等. 不同扩散敏感梯度方向扩散加权MR神经成像序列胫神经与腓总神经成像质量的比较[J]. 中华放射学杂志, 2014, 48(3): 227-231. ZHAO Lianxin, WANG Guangbin, Liu Yubo, et al. Diffusion-weighted MR neurography of the tibial nerve and the common peroneal nerve with different motion probing gradients[J]. Chin J Radiol, 2014, 48(3): 227-231.
[8] Reinhold M, Ederer C, Henninger B, et al. Diffusion-weighted magnetic resonance imaging for the diagnosis of patients with lumbar nerve root entrapment syndromes: results from a pilot study[J]. Eur Spine J, 2015, 24(2): 319-326.
[9] Filler AG, Kliot M, Howe FA, et al. Application of magnetic resonance neurography in the evaluation of patients with peripheral nerve pathology[J]. J of Neurosugery, 1996, 85(2): 299-309.
[10] Mannelli L, Nougaret S, Vargas HA, et al. Advances in diffusion-weighted imaging[J]. Radiol Clin North Am, 2015, 53(3): 569-581.
[11] Lindberg PG, Feydy A, Le Viet D, et al. Diffusion tensor imaging of the median nerve in recurrent carpal tunnel syndrome-initial experience[J]. Eur Radiol, 2013, 23(11): 3115-3123.
[12] Eguchi Y,Ohtori S, Yamashita M, et al. Diffusion-weighted magnetic resonance imaging of symptomatic nerve root of patients with lumbar diskherniation[J]. Neuroradiology, 2011, 53(9): 633-641.
[13] Miyamoto H, Halpern EJ, Kastlunger M, et al. Carpal tunnel syndrome: diagnosis by means of median nerve elasticity improved diagnostic accuracy of US with sonoelastography[J]. Radiology, 2014, 270(2): 481-486.
[14] Fowler JR, Gaughan JP, Ilyas AM. The sensitivity and specificity of ultrasound for the diagnosis of carpal tunnel syndrome: a meta-analysis[J]. Clin Orthop Relat Res, 2011, 469(4): 1089-1094.
[15] Koh DM, Collins DJ, Orton MR. Intravoxel incoherent motion in body diffusion-weighted MRI: reality and challenges[J]. AJR Am J Roentgenol, 2011,196(6): 1351-1361.
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