Thoracic outlet syndrome in 3T MR neurography—fibrous bands causing discernible lesions of the lower brachial plexus

Bäumer, Philipp; Kele, Heinrich; Kretschmer, Thomas; Koenig, Ralph Werner; Pedro, Maria Teresa; Bendszus, Martin; Pham, Mirko

doi:10.1007/s00330-013-3060-2

Cited by 96 publications

(56 citation statements)

References 14 publications

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“…18 Diagnostic accuracy of MRN has been widely reported in literature. 8,[19][20][21] However, studies demonstrating the impact on clinical management and patient outcomes are limited. Andreisek et al 22 found moderate to major impact in the evaluation of the majority of upper extremity neuropathies (84%) with MRI.…”

Section: Discussionmentioning

confidence: 99%

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

Fisher¹,

Wadhwa²,

Manthuruthil³

et al. 2016

BJR

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Objective: To study the impact of brachial plexus MR neurography (MRN) in the diagnostic thinking and therapeutic management of patients with suspected plexopathy. Methods: MRN examinations of adult brachial plexuses over a period of 18 months were reviewed. Relevant data collection included-patient demographics, clinical history, pre-imaging diagnostic impression, pre-imaging treatment plan, post-imaging diagnosis, post-imaging treatment plan, surgical notes and electrodiagnostic (ED) results. Impact of imaging on the pre-imaging clinical diagnosis and therapeutic management were classified as no change, mild change or substantial change.

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Section: Discussionmentioning

confidence: 99%

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

Fisher¹,

Wadhwa²,

Manthuruthil³

et al. 2016

BJR

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“…По данным ряда авторов, посттравматические причины составля-ют до 2 / 3 случаев TOS [23,24]. К развитию TOS могут привести переломы ключицы, однократные или по-вторные травмы плеча, повреждения шейного отдела позвоночника.…”

Section: том 7 Volunclassified

“…В России рутинная МР-визуализация нервных стволов в целях диагности-ки и дифференциальной диагностики по-прежнему используется недостаточно. Однако правильная поста-новка задачи и методически адекватно проведенное МР-исследование могут значительно помочь клини-цисту, особенно при отсутствии электрофизиологиче-ских изменений [23,46,47]. Информативность МРТ в диагностике TOS возрастает при ее выполнении с позиционными пробами и провокационными теста-ми [47][48][49].…”

Section: инструментальная диагностикаunclassified

Thoracic outlet syndrome: clinical and diagnostic features

Муртазина¹,

Никитин²,

Наумова³

2017

Neuromuscular Diseases

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“…Initial studies suggest that these highquality images play an important role in confirming the diagnosis of nTOS. 2 MRN can be performed using a number of variations on several fundamental techniques. Commonly obtained sequences include standard spin-echo T1-and fast spinecho T2-weighted images with fat suppression.…”

Section: Advances In Mr Neurography and Tractographymentioning

confidence: 99%

Neurogenic thoracic outlet syndrome: current diagnostic criteria and advances in MRI diagnostics

Magill¹,

Brus-Ramer

Weinstein³

et al. 2015

FOC

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Neurogenic thoracic outlet syndrome (nTOS) is caused by compression of the brachial plexus as it traverses from the thoracic outlet to the axilla. Diagnosing nTOS can be difficult because of overlap with other complex pain and entrapment syndromes. An nTOS diagnosis is made based on patient history, physical exam, electrodiagnostic studies, and, more recently, interpretation of MR neurograms with tractography. Advances in high-resolution MRI and tractography can confirm an nTOS diagnosis and identify the location of nerve compression, allowing tailored surgical decompression. In this report, the authors review the current diagnostic criteria, present an update on advances in MRI, and provide case examples demonstrating how MR neurography (MRN) can aid in diagnosing nTOS. The authors conclude that improved high-resolution MRN and tractography are valuable tools for identifying the source of nerve compression in patients with nTOS and can augment current diagnostic modalities for this syndrome.

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Thoracic outlet syndrome in 3T MR neurography—fibrous bands causing discernible lesions of the lower brachial plexus

Cited by 96 publications

References 14 publications

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

Thoracic outlet syndrome: clinical and diagnostic features

Neurogenic thoracic outlet syndrome: current diagnostic criteria and advances in MRI diagnostics

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