Diffusion-weighted magnetic resonance imaging for the diagnosis of patients with lumbar nerve root entrapment syndromes: results from a pilot study View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-10-09

AUTHORS

Maximilian Reinhold, Christian Ederer, Benjamin Henninger, Alexandra Eberwein, Christian Kremser

ABSTRACT

PurposeLumbar nerve root entrapment syndromes cause radicular signs and symptoms in the affected leg. The applicability of diffusion-weighted imaging (DWI) for the assessment of lower lumbar nerves (L4–S1) has been demonstrated. The purpose of this pilot study was to establish DWI reference data for the all lumbosacral nerve roots (L1–S1) in a healthy, asymptomatic study population and to determine its potential as a diagnostic tool for patients with lumbar radicular syndromes.Methods20 asymptomatic healthy volunteers were included (average age 39 years (24–59 years; n = 10 female, n = 10 male). The lumbosacral spine was scanned twice in a standardized fashion (1.5 T Magnetom Avanto and 3 T Magnetom Skyra, Siemens AG Healthcare, Erlangen, Germany). A spin-echo type echo-planar (SE-EPI) sequence was used to determine axial ADC maps and measurements (length, width, and angulation) of the dorsal root ganglion (DRG) and distal spinal nerves (DSN). Disc pathology, lumbar foraminal stenosis and nerve root compromise were classified.ResultsUsing 3 T images 218 (91 %) lumbar nerve roots had no pathologic finding [1.5 T: 226 (94 %)]. All DRG and DSN could be visualized and identified on axial apparent diffusion coefficient (ADC). On average we measured ADC values of 1,231 mm2/s (SD 308 mm2/s) at the DRG for the 1.5 T scanner and 1,756 mm2/s (SD 465 mm2/s) for the 3 T scanner. There were no statistically significant gender or side differences in the 1.5 and 3 T images (p > 0.05). We noted an increase of the ADC values starting from cranial (L1: 1,444 mm2/s) to caudal (S1: 1,918 mm2/s). The average ADC value at the DSN was 1,018 mm2/s for the 1.5 T scanner compared to 1,589 mm2/s for the 3 T scanner (p < 0.001).ConclusionsFor the first time, we have established data for the DRG and DSN in human lumbosacral spinal nerves (L1–S1), using diffusion-weighted magnetic resonance imaging techniques. 3 T ADC maps have a higher signal to noise ratio, thus offering better image quality. Results from this study suggest that DWI has added value as new diagnostic tools for patients with symptomatic lumbar nerve root entrapment syndromes as well. More... »

PAGES

319-326

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00586-014-3602-6

DOI

http://dx.doi.org/10.1007/s00586-014-3602-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1020241912

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25297703


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