Amrami Kimberly K, Port John D
Division of Body MRI, Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hand Clin. 2005 Feb;21(1):25-37. doi: 10.1016/j.hcl.2004.09.005.
Imaging the brachial plexus is challenging because of the complex anatomy of the region and the wide variety of pathology that can affect it. For the purpose of imaging, it is helpful to divide traumatic and nontraumatic entities affect-ing the brachial plexus. Improvements in imaging technology, including multidetector CT for CT myelography and the availability of full-field-strength MRI systems with fast gradients and dedicated surface coils for optimal spatial resolution, have led to more accurate prospective diagnoses and improved aid for neurosurgical planning for traumatic and nontraumatic brachial plexopathies. CT myelography is the current gold standard for the diagnosis of nerve root avulsions affecting the brachial plexus. MRI is the preferred modality for nontraumatic brachial plexopathy. Other modalities, such as US and PET, have a limited role in the evaluation of brachial plexus pathology. High-quality, high-resolution CT and MRI remain the mainstays for imaging the brachial plexus.
由于臂丛神经所在区域解剖结构复杂,且可影响该区域的病理情况种类繁多,因此对臂丛神经进行成像具有挑战性。为了便于成像,将影响臂丛神经的创伤性和非创伤性病变进行区分是有帮助的。成像技术的进步,包括用于CT脊髓造影的多排CT以及具备快速梯度和专用表面线圈以实现最佳空间分辨率的全场强MRI系统的出现,使得对创伤性和非创伤性臂丛神经病变的前瞻性诊断更加准确,并为神经外科手术规划提供了更好的帮助。CT脊髓造影是诊断影响臂丛神经的神经根撕脱伤的当前金标准。MRI是评估非创伤性臂丛神经病变的首选检查方法。其他检查方法,如超声和PET,在臂丛神经病变评估中的作用有限。高质量、高分辨率的CT和MRI仍然是臂丛神经成像的主要手段。