Giordano Carolina, Sciarrone Maria Ausilia, Vitali Francesca, Romano Angela, Guerri Giulia, Perlangeli Valentina, Gaudino Simona, Luigetti Marco
Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico "A. Gemelli" IRCCS, 00168 Rome, Italy.
Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
J Clin Med. 2023 Jul 30;12(15):5009. doi: 10.3390/jcm12155009.
In the present study, through a case series, we highlighted the role of magnetic resonance (MR) in the identification and diagnosis of peripheral neuropathies. MR neurography allows the evaluation of the course of nerves through 2D and 3D STIR sequences with an isotropic voxel, whereas the relationship between nerves, vessels, osteo-ligamentous and muscular structures can be appraised with T1 sequences. Currently, DTI and tractography are mainly used for experimental purposes. MR neurography can be useful in detecting subtle nerve alterations, even before the onset of symptoms. However, despite being sensitive, MR neurography is not specific in detecting nerve injury and requires careful interpretation. For this reason, MR information should always be supported by instrumental clinical tests.
在本研究中，通过一系列病例，我们强调了磁共振（MR）在外周神经病变识别与诊断中的作用。磁共振神经成像可通过具有各向同性体素的二维和三维短TI反转恢复（STIR）序列评估神经走行，而通过T1序列可评估神经、血管、骨韧带和肌肉结构之间的关系。目前，扩散张量成像（DTI）和纤维束成像主要用于实验目的。磁共振神经成像在检测细微的神经改变方面可能有用，甚至在症状出现之前。然而，尽管磁共振神经成像很敏感，但在检测神经损伤方面并不具有特异性，需要仔细解读。因此，磁共振信息应始终得到临床仪器检查的支持。
