Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (4): 385-390.doi: 10.13418/j.issn.1001-165x.2020.04.005

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Comparison of three 3D magnetic resonance neurography sequences in displaying lumbar sacral plexus and imaging anatomy

YU Qin-qin1,CHEN Yan-jun2,ZHANG Xiao-dong2,ZHOU Quan2,YANG Yang1,ZHONG Shi-zhen1,HUANG Wen-hua1,2   

  1. 1.National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University; Guangdong Provincial Key Laboratory of Medical Biomechanics,Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, Guangzhou 510515, China;2. Department of Medical Imaging, Guangdong Innovation Platform for Translation of Medical 3D Printing Application, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2020-02-18 Online:2020-07-25 Published:2020-07-29

Abstract: Objective To investigate the effect of 3D reconstruction, lumbosacral plexus's display and image anatomical measurement of 3D-T2W-FFE, 3D-STIR-TSE and DWIBS sequences. Methods  Data of 49 volunteers underwent conventional lumbar spine MRI and lumbosacral plexus neurography, including 48 cases of 3D-T2W-FFE, 47 cases of 3D-STIR-TSE and 43 cases of DWIBS sequence were collected. The contrast to noise ratio of nerve root and muscle (CNR N/M), the nerve root diameter and ganglion volume of the right sacral of the three sequences were calculated. The lumbosacral plexus's display effect and 3D reconstruction effect were evaluated and compared by different  grade 4 scores respectively. Results The CNR N/M of the three sequences were not identical, there were statistical differences among the 3D-T2W-FFE sequence, the 3D-STIR-TSE and DWIBS sequences (P<0.05), there was no significant difference in ganglion volume among the three sequences (P=0.050). The nerve roots diameter of the three sequences were not identical, there were statistical differences between the 3D-STIR-TSE sequence and the DWIBS sequence(P<0.05). There was no statistical difference in neural 3D reconstruction score of the three sequences (P=0.025). Conclusions There is no statistical difference in the neural display and imaging anatomical score of 3D-T2W-FFE sequence and 3D-STIR-TSE sequence, which is better than DWIBS sequence. There is no statistical difference in the neural 3D reconstruction score of the three sequences, which the DWIBS sequence is easiest to achieve during reconstruction.  

Key words: Lumbosacral plexus,  Magnetic Resonance Neurography,  3D reconstruction,  Image signal,  ,  , Image anatomy

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