Garwood Elisabeth R, Duarte Alejandra, Bencardino Jenny T
Department of Radiology, NYU Langone - Orthopedic Hospital, 301 East 17th Street 6th Floor, Room 600, New York, NY 10003, USA.
Department of Radiology, NYU Langone Medical Center, 660 First Avenue, New York, NY 10016, USA.
Radiol Clin North Am. 2018 Nov;56(6):997-1012. doi: 10.1016/j.rcl.2018.06.012. Epub 2018 Jul 13.
Entrapment neuropathies of the lower extremity are commonly encountered and present a diagnostic challenge. Historical diagnostic workhorses-the physical examination combined with electrodiagnostic studies-are now frequently supplemented by MR neurography. MR neurography is a high-resolution, noninvasive, and operator-independent imaging modality that has proven useful in diagnosis, disease severity assessment, and informing treatment decisions in the management of lower extremity entrapment neuropathies. Currently, the assessment of the peripheral nerves relies heavily on reader identification of morphologic nerve changes; however, emerging innovative MR sequences and PET/MR imaging hold the potential to provide noninvasive means of functional assessment.
下肢的神经卡压性病变很常见,并且带来诊断挑战。以往的诊断主要手段——体格检查结合电诊断研究——现在常常通过磁共振神经成像进行补充。磁共振神经成像是一种高分辨率、非侵入性且不依赖操作者的成像方式,已证明在下肢神经卡压性病变的管理中对诊断、疾病严重程度评估及指导治疗决策有用。目前,对周围神经的评估严重依赖于读者对神经形态学改变的识别;然而,新兴的创新磁共振序列和正电子发射断层显像/磁共振成像有潜力提供功能评估的非侵入性手段。