Abstract:Lumbosacral nerve roots compression caused by lumbar discherniation is the common reason for lower limbs dysfunction, paresthesia and lower limbs pain, at present more and more investigations have indicated that mechanical compression and inflammatory stimuli are the pathological basis of lower back pain and lower limbs pain. Doctors usually detect the locations of compressed nerve roots and judge the type of lumbar discherniation by signs and Medical imaging. MRI has been widely used in lumbosacral nerve roots because of its non-invasiveness, no radiation, high resolution for soft tissue, multi-plane imaging and multi-parameter imaging. This review summarizes the main imaging techniques of MR neuroimaging, especially the DTI.
曾 晟,韩福刚. 磁共振神经成像在腰椎间盘突出腰骶神经根受压中的研究进展[J]. 中国临床医学影像杂志, 2016, 27(5): 370-372.
ZENG Cheng, HAN Fu-gang. Research progress of MR neuroimaging in lumbosacral nerve root compression caused by lumbar disc herniation. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(5): 370-372.
[1]Yabe Y, Honda M, Hagiwara Y, et al. Thoracic radiculopathy caused by ossification of the ligamentum flavum[J]. Ups J Med Sci, 2013, 118(1): 54-58.
[2]Lou ZH, Qu JR, Li HL, et al. Optimal technique of three-dimensional MRI of the lumbar nerve root and its radicular vein in normal and lumbar disc herniation patients[J]. Chin Med J, 2011, 124(12): 1802-1806.
[3]Kobayashi S, Takeno K, Yayama T, et al. Patho mechanisms of sciatica in lumbar disc herniation: effect of periradicular adhesive tissue on electro physiological values by an intraoperative straight leg raising test [J]. Spine, 2010, 35(22): 2004-2014.
[4]Christian WA, Claudio D, Marius RS, et al. MR image-based grading of lumbar nerve root compromise due to disk herniation: reliability study with surgical correlation[J]. Radiology, 2004, 230(2): 583-588.
[5]郭世绂,陈仲欣,邱敬清,等. 腰神经通道与腰腿痛的关系[J]. 中华骨科杂志,1987,7(4):241-245.
[6]Jensen MC, Brantzawadzki MN, Obuchowski N, et al. Magnetic-resonance-imaging of the lumbar spine in people without back pain[J]. New Engl J Med, 1994, 31(2): 69-73.
[7]Boos N, Rieder R, Schade V, et al. 1995 Volvo Award in clinical sciences: the diagnostic accuracy of magnetic resonance imaging, work perception, and psychosocial factors in identifying symptomatic disc herniations[J]. Spine, 1995, 20(24): 2613-2625.
[8]Jiang SD, Jiang LS, Dai LY, et al. Extreme lateral lumbar disc herniation in a 12-year child: case report and review of the literature[J]. Eur Spine J, 2010, 19(Suppl 2N): S197-S199.
[9]Lewis AM, Layzer R, Engstrom JW, et al. Magnetic resonance neurography in extraspinal sciatica[J]. Arch Neurol, 2006, 63(10): 1469-1472.
[10]Chhabra A, Zhao L, Carrino JA, et al. MR neurography: advances[J]. Radiol Res Pract, 2013, 20(13): 809568.
[11]王青云,谭琦碹,陶仅德,等. 3D FS-nSSFP和PROSET序列腰骶脊神经根成像对比分析[J]. 实用放射学杂志,2013,29(4):638-640;657.
[12]Howe FA, Filler AG, Bell BA, et al. Magnetic resonance neurography[J]. Magn Reson Med, 1992, 28(2): 328-338.
[13]Viallon M, Vargas MI, Jlassi H, et al. High-resolution and functional magnetic resonance imaging of the brachial plexus using an isotropic 3D T2 STIR(Short Term Inversion Recovery) SPACE sequence and diffusion tensor imaging[J]. Eur Radiol, 2008, 18(5): 1018-1023.
[14]Vargas MI, Viallon M, Nguyen D, et al. New approaches in imaging of the brachial plexus[J]. Eur J Radiol, 2010, 74(2): 403-410.
[15]Skorpil M, Engstrom M, Nordell A. Diffusion-direction-dependent imaging: a novel MRI approach for peripheral nerve imaging[J]. Magn Reson Imaging, 2007, 25(3): 406-411.
[16]孙莉华,宋云龙,王东. 3.0T MRI IDEAL序列对腰骶神经成像的可行性研究[J]. 中国医学影像学杂志,2015,23(2):135-139.
[17]Melhem ER, Mori S, Mukundan G, et al. Diffusion tensor MR imaging of the brain and white matter tractography[J]. AJR, 2002, 178(1): 3-16.
[18]Tagliafico A, Calabrese M, Puntoni M, et al. Brachial plexus MR imaging: accuracy and reproducibility of DTI-derived measurements and fibre tractography at 3.0-T[J]. Eur Radiol, 2011, 21(8): 1764-1771.
[19]Mallouhi A, Marik W, Prayer D, et al. 3T MR tomography of the brachial plexus: structural and microstructural evaluation[J]. Eur J Radiol, 2012, 81(9): 2231-2245.
[20]Andreisek G, White LM, Kassner A, et al. Evaluation of diffusion tensor imaging and fiber tractography of the median nerve: preliminary results on intrasubject variability and precision of measurements[J]. AJR, 2010, 194(1): W65-W72.
[21]Akai H, Mori H, Aoki S, et al. Diffusion tensor tractography of gliomatosis cerebri: fiber tracking through the tumor[J]. J Comput Assist Tomogr, 2005, 29(1): 127-129.
[22]王庆征,李传亭,惠毅毅,等. 腰骶部脊神经根扩散张量成像在腰椎间盘突出症中的应用价值[J]. 医学影像学杂志,2012,20(10):1742-1745.
[23]Basser PJ, Pierpaoli C. Microstructural and physiological features of tissues elucidated by quantitative-diffusion-tensor MRI[J]. J Magn Reson B, 1996, 111(3): 209-219.
[24]Le Bihan D, Mangin JF, Poupon C, et al. Diffusion tensor imaging: concepts and applications[J]. J Magn Reson Imaging, 2001, 13(4): 534-546.
[25]Balbi V, Budzik JF, Duhamel A, et al. Tractography of lumbar nerve roots: initial results[J]. Eur Radiol, 2011, 21(6): 1153-1159.
[26]Eguchi Y, Ohtori S, Orita S, et al. Quantitative evaluation and visualization of lumbar foraminal nerveroot entrapment by using diffusion tensor imaging: preliminary results[J]. Am J Neuroradiol, 2011, 32(10): 1824-1829.
[27]Sotak CH. The role of diffusion tensor imaging in the evaluation of ischemic brain injury—a review[J]. NMR Biomed, 2002, 15(7-8): 561-569.
[28]Kitamura M, Eguchi Y, Inoue G, et al. A case of symptomatic extra-foraminal lumbosacral stenosis(far-out syndrome) diagnosed by diffusion tensor imaging[J]. Spine, 2012, 37(14): E854-857.
[29]Khalil C, Hancart C, LeThuc V, et al. Diffusion tensor imaging and tractography of the median nerve in carpal tunnel syndrome: preliminary results[J]. Eur Radiol, 2008, 18(10): 2283-2291.
[30]Lehmann HC, Zhang J, Mori S, et al. Diffusion tensor imaging to assess axonal regeneration in peripheral nerves[J]. Exp Neurol, 2010, 223(1): 238-244.
[31]Takagi T, Nakamura M, Yamada M, et al. Visualization of peripheral nerve degeneration and regeneration: monitoring with diffusion tensor tractography[J]. Neuroimage, 2009, 44(3): 884-892.