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Research ArticlePERIPHERAL NERVOUS SYSTEM

3D MR Neurography of the Lumbosacral Plexus: Obtaining Optimal Images for Selective Longitudinal Nerve Depiction

G. Cho Sims, E. Boothe, R. Joodi and A. Chhabra
American Journal of Neuroradiology November 2016, 37 (11) 2158-2162; DOI: https://doi.org/10.3174/ajnr.A4879
G. Cho Sims
aFrom the Department of Musculoskeletal Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.
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E. Boothe
aFrom the Department of Musculoskeletal Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.
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R. Joodi
aFrom the Department of Musculoskeletal Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.
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A. Chhabra
aFrom the Department of Musculoskeletal Radiology, University of Texas Southwestern Medical Center, Dallas, Texas.
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    Fig 1.

    Sagittal thecal sac angle. Thick-slab 20-mm coronal MIP image from a 3D SHINKEI acquisition (A) obtained at a sagittal angle of 16° (B) optimally demonstrates all the lumbar nerve roots (arrows, A) from their origin to the maximum length. Deg indicates degree.

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    Fig 2.

    Sagittal femoral nerve angle. Thick-slab 20-mm coronal MIP image from a 3D SHINKEI acquisition (A) obtained at a sagittal angle of 29° (B) optimally demonstrates bilateral femoral nerves (arrows, A) from their origin to the maximum length across the inguinal ligaments. Deg indicates degree.

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    Fig 3.

    Sagittal sciatic nerve angle. Thick-slab 20-mm coronal MIP image from a 3D SHINKEI acquisition (A) obtained at a sagittal angle of −9.6° (B) optimally demonstrates the bilateral sciatic nerves (arrows, A) from their origin to the maximum length. Deg indicates degree.

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    Fig 5.

    Coronal femoral nerve angle. Thick-slab 20-mm sagittal MIP image from a 3D SHINKEI acquisition (A) obtained at a coronal angle of 31° (B) optimally demonstrates the right femoral nerve (arrows, A) from its origin to the maximum length. Deg indicates degree.

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    Fig 6.

    Femoral and sciatic nerve calibers. Thick-slab 20-mm sagittal MIP images from a 3D SHINKEI acquisition through the abdomen (A) and pelvis (B) show the femoral nerve diameter (4.8 mm), which is almost one-half of sciatic nerve diameter (9.7 mm).

Tables

  • Figures
  • ICC: intraobserver performance

    VariableIntraobserver ICC
    Fem cor Lt0.75146
    Fem cor Rt0.69077
    Fem sag0.78773
    Fem width Lt0.64571
    Fem width Rt0.75638
    L plexus sag0.67175
    Sciatic width Lt0.39228
    Sciatic width Rt0.73182
    Sciatic cor Lt0.58572
    Sciatic cor Rt0.61695
    Sciatic sag0.72101
    • Note:—Fem indicates femoral; cor, coronal; Lt, left; Rt, right; L, lumbrosacral; sag, sagittal.

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American Journal of Neuroradiology: 37 (11)
American Journal of Neuroradiology
Vol. 37, Issue 11
1 Nov 2016
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Cite this article
G. Cho Sims, E. Boothe, R. Joodi, A. Chhabra
3D MR Neurography of the Lumbosacral Plexus: Obtaining Optimal Images for Selective Longitudinal Nerve Depiction
American Journal of Neuroradiology Nov 2016, 37 (11) 2158-2162; DOI: 10.3174/ajnr.A4879

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3D MR Neurography of the Lumbosacral Plexus: Obtaining Optimal Images for Selective Longitudinal Nerve Depiction
G. Cho Sims, E. Boothe, R. Joodi, A. Chhabra
American Journal of Neuroradiology Nov 2016, 37 (11) 2158-2162; DOI: 10.3174/ajnr.A4879
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