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Erschienen in: European Spine Journal 11/2010

01.11.2010 | Original Article

Clinical applications of diffusion magnetic resonance imaging of the lumbar foraminal nerve root entrapment

verfasst von: Yawara Eguchi, Seiji Ohtori, Masaomi Yamashita, Kazuyo Yamauchi, Munetaka Suzuki, Sumihisa Orita, Hiroto Kamoda, Gen Arai, Tetsuhiro Ishikawa, Masayuki Miyagi, Nobuyasu Ochiai, Shunji Kishida, Yoshitada Masuda, Shigehiro Ochi, Takashi Kikawa, Masashi Takaso, Yasuchika Aoki, Tomoaki Toyone, Takane Suzuki, Kazuhisa Takahashi

Erschienen in: European Spine Journal | Ausgabe 11/2010

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Abstract

Diffusion-weighted imaging (DWI) can provide valuable structural information about tissues that may be useful for clinical applications in evaluating lumbar foraminal nerve root entrapment. Our purpose was to visualize the lumbar nerve root and to analyze its morphology, and to measure its apparent diffusion coefficient (ADC) in healthy volunteers and patients with lumbar foraminal stenosis using 1.5-T magnetic resonance imaging. Fourteen patients with lumbar foraminal stenosis and 14 healthy volunteers were studied. Regions of interest were placed at the fourth and fifth lumbar root at dorsal root ganglia and distal spinal nerves (at L4 and L5) and the first sacral root and distal spinal nerve (S1) on DWI to quantify mean ADC values. The anatomic parameters of the spinal nerve roots can also be determined by neurography. In patients, mean ADC values were significantly higher in entrapped roots and distal spinal nerve than in intact ones. Neurography also showed abnormalities such as nerve indentation, swelling and running transversely in their course through the foramen. In all patients, leg pain was ameliorated after selective decompression (n = 9) or nerve block (n = 5). We demonstrated the first use of DWI and neurography of human lumbar nerves to visualize and quantitatively evaluate lumbar nerve entrapment with foraminal stenosis. We believe that DWI is a potential tool for diagnosis of lumbar nerve entrapment.
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Metadaten
Titel
Clinical applications of diffusion magnetic resonance imaging of the lumbar foraminal nerve root entrapment
verfasst von
Yawara Eguchi
Seiji Ohtori
Masaomi Yamashita
Kazuyo Yamauchi
Munetaka Suzuki
Sumihisa Orita
Hiroto Kamoda
Gen Arai
Tetsuhiro Ishikawa
Masayuki Miyagi
Nobuyasu Ochiai
Shunji Kishida
Yoshitada Masuda
Shigehiro Ochi
Takashi Kikawa
Masashi Takaso
Yasuchika Aoki
Tomoaki Toyone
Takane Suzuki
Kazuhisa Takahashi
Publikationsdatum
01.11.2010
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe 11/2010
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-010-1520-9

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