Document Detail


Morphological analysis in patients with sciatica: a magnetic resonance imaging study using three-dimensional high-resolution diffusion-weighted magnetic resonance neurography techniques.
MedLine Citation:
PMID:  19333087     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A prospective observational study of patients with sciatica. OBJECTIVE: We investigated the effectiveness of 3-dimensional high-spatial resolution diffusion-weighted MR neurography based on steady state free precession (3-dimensional diffusion-weighted steady-state free precession [DW-SSFP]) in the diagnosis of sciatica. SUMMARY OF BACKGROUND DATA: Patients with sciatica challenge a physician who desires a precise diagnosis for the etiology of the pain. Direct imaging of the sciatic nerve with high resolution and high contrast may contribute to accurate localization and help to find the causes of sciatica and provide reliable information to clinicians in treatment choice. Thus, we supposed that 3-dimensional DW-SSFP method have the ability to confirm the etiologies of sciatica. METHODS: The 3-dimensional DW-SSFP sequence was performed on 137 patients with sciatica and 32 patients in control group. The postprocessing techniques were used to generate images of lumbosacral plexus and sciatic nerve, and the images acquired were assessed based on the presence or absence of nerve abnormality. The certainty of identifying the lumbosacral plexus and main branches from all cases was determined in each of the reconstruction planes for each case individually and assessed by using a 3-score scale. RESULTS: All subjects were successfully performed. The sciatic nerve and its main branches were differentiated and a clear picture was obtained in all subjects. Compared with the control group, the presence of nerve root compression or increased T2 signal intensity changes can be observed in all patients. The mean score of certainty of identifying the sciatic nerve and main branches was 1.76 +/- 0.4, which indicate that the sciatic nerve and main branches can be identified with certainty. CONCLUSION: The 3-dimensional DW-SSFP MRI with high spatial and sufficient contrast is an excellent technique to define the nature of sciatica and assists in prognostication and possibly in management.
Authors:
Zhongwei Zhang; Laijing Song; Quanfei Meng; Ziping Li; Bitao Pan; Zhihua Yang; Zhong Pei
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Spine     Volume:  34     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-31     Completed Date:  2009-06-30     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E245-50     Citation Subset:  IM    
Affiliation:
Department of Radiology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Diffusion Magnetic Resonance Imaging
Female
Humans
Image Processing, Computer-Assisted / methods
Intervertebral Disk Displacement / pathology,  physiopathology
Lumbar Vertebrae / pathology,  physiopathology
Lumbosacral Plexus / pathology,  physiopathology
Male
Middle Aged
Predictive Value of Tests
Prognosis
Prospective Studies
Sacrum / pathology,  physiopathology
Sciatic Nerve / pathology*,  physiopathology
Sciatica / etiology*,  pathology*,  physiopathology
Spinal Canal / pathology,  physiopathology
Spinal Nerve Roots / pathology,  physiopathology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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