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PLoS One ; 13(5): e0196975, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29742154

RESUMEN

INTRODUCTION: Diffusion Tensor MRI (DT-MRI) is a promising tool for the evaluation of brachial plexus pathology. Therefore, we introduce and evaluate a fast DT-MRI protocol (8min33s scanning with 5-10 min postprocessing time) for the brachial plexus. MATERIALS AND METHODS: Thirty healthy volunteers within three age-groups (18-35, 36-55, and > 56) received DT-MRI of the brachial-plexus twice. Means of fractional-anisotropy (FA), mean-diffusivity (MD), axial-diffusivity (AD), and radial-diffusivity (RD) for the individual roots and trunks were evaluated. A stepwise forward approach was applied to test for correlations with age, sex, body-mass-index (BMI), bodysurface, height, and bodyweight. Within-subject, intra-rater, and inter-rater repeatability were assessed using Bland-Altman analysis, coefficient of variation (CV), intraclass-correlation (ICC), and minimal detectable difference (MDD). RESULTS: No differences between sides and root levels were found. MD, AD, and RD correlated (P < 0.05) with bodyweight. Within-subject quantification proved repeatable with CVs for FA, MD, AD, and RD of 16%, 12%, 11%, and 14%, respectively. DISCUSSION: The DT-MRI protocol was fast and repeatable. Found correlations should be considered in future studies of brachial plexus pathology.


Asunto(s)
Plexo Braquial/diagnóstico por imagen , Imagen de Difusión por Resonancia Magnética/métodos , Imagen de Difusión Tensora/métodos , Fibras Nerviosas/fisiología , Adolescente , Adulto , Anciano , Anisotropía , Plexo Braquial/fisiología , Imagen Eco-Planar/métodos , Grasas/metabolismo , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Adulto Joven
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