Ha Dong-Ho
Taehan Yongsang Uihakhoe Chi. 2020 Jan;81(1):81-100. doi: 10.3348/jksr.2020.81.1.81. Epub 2020 Jan 31.
Magnetic resonance neurography (MRN) has been increasingly used in recent years for the assessment of peripheral neuropathies. Fat suppression T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI) have typically been used to provide high contrast MRN. Isotropic 3-dimensional (3D) sequences with fast spin echo, post-processing imaging techniques, and fast imaging methods, among others, allow good visualization of peripheral nerves that have a small diameter, complex anatomy, and oblique course within a reasonable scan time. However, there are still several issues when performing high contrast and high resolution MRN including standard sequence; fat saturation techniques; balance between resolution, field of view, and slice thickness; post-processing techniques; 2D vs. 3D image acquisition; different T2 contrasts between proximal and distal nerves; high T2 signal intensity of adjacent veins or joint fluid; geometric distortion; and appropriate -values on DWI. The proper understanding of these issues will help novice radiologists evaluate peripheral neuropathies using MRN.
近年来,磁共振神经成像(MRN)越来越多地用于评估周围神经病变。脂肪抑制T2加权成像(T2WI)和扩散加权成像(DWI)通常用于提供高对比度的MRN。具有快速自旋回波的各向同性三维(3D)序列、后处理成像技术和快速成像方法等,能够在合理的扫描时间内很好地显示直径小、解剖结构复杂且走行倾斜的周围神经。然而,在进行高对比度和高分辨率MRN时仍存在几个问题,包括标准序列;脂肪饱和技术;分辨率、视野和层厚之间的平衡;后处理技术;二维与三维图像采集;近端和远端神经之间不同的T2对比度;相邻静脉或关节液的高T2信号强度;几何变形;以及DWI上的合适值。正确理解这些问题将有助于放射科新手使用MRN评估周围神经病变。