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[臂丛神经的磁共振成像]

[MRI of the brachial plexus].

作者信息

Petit-Lacour M C, Ducreux D, Adams D

机构信息

Service de Neuroradiologie du Pr P. Lasjaunias.

出版信息

J Neuroradiol. 2004 Jun;31(3):198-206. doi: 10.1016/s0150-9861(04)96992-1.

Abstract

Magnetic resonance imaging is the method of choice for the evaluation of brachial plexopathy. Knowledge of the anatomy and normal imaging appearance is required. High-resolution imaging technique is necessary with the use of adequate coils. Evaluation of the brachial plexus requires T1 weighted sequences in three plans, T2 weighted sequences with fat suppression and if necessary the study is completed with gadolinium injection sequences with fat suppression. A CISS sequence is used if a nerve root avulsion is suspected. The spatial resolution must be optimized with the use of adapted parameters. We illustrate a variety of pathologies that can involve the brachial plexus. The pathology includes trauma, primary (neurogenic tumors, lymphomatosis) or secondary tumors, radiation plexopathy or inflammatory polyneuropathy.

摘要

磁共振成像(MRI)是评估臂丛神经病变的首选方法。需要了解其解剖结构和正常影像学表现。使用适当的线圈时,高分辨率成像技术是必要的。评估臂丛神经需要在三个平面进行T1加权序列成像、脂肪抑制的T2加权序列成像,如有必要,还需进行脂肪抑制的钆注射序列成像以完成检查。如果怀疑神经根撕脱,则使用CISS序列。必须通过使用合适的参数来优化空间分辨率。我们展示了多种可能累及臂丛神经的病变。这些病变包括创伤、原发性(神经源性肿瘤、淋巴瘤)或继发性肿瘤、放射性臂丛神经病变或炎性多发性神经病。

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