3-Tesla High-Field Magnetic Resonance Neurography for Guiding Nerve Blocks and Its Role in Pain Management

被引：31

作者：

Fritz, Jan ^{[1
]}

Dellon, Arnold Lee ^{[2
]}

Williams, Eric H. ^{[3
]}

Belzberg, Allan J. ^{[4
]}

Carrino, John A. ^{[5
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD 21218 USA

[2] Johns Hopkins Univ, Sch Med, Dept Plast & Reconstruct Surg, Baltimore, MD 21287 USA

[3] Johns Hopkins Univ, Sch Med, Dept Plast Reconstruct & Maxillofacial Surg, Baltimore, MD 21287 USA

[4] Johns Hopkins Univ, Sch Med, Dept Neurosurg, Baltimore, MD 21287 USA

[5] Hosp Special Surg, Dept Radiol & Imaging, New York, NY 10021 USA

来源：

MAGNETIC RESONANCE IMAGING CLINICS OF NORTH AMERICA | 2015年 / 23卷 / 04期

关键词：

Interventional MR neurography; Pudendal nerve block; Posterior femoral cutaneous nerve block; Obturator nerve block; Lateral femoral cutaneous nerve block; FEMORAL CUTANEOUS NERVE; SPINAL INJECTION PROCEDURES; PUDENDAL NEURALGIA; PIRIFORMIS SYNDROME; IODINATED CONTRAST; ROOT INFILTRATION; OBTURATOR NERVE; PELVIC PAIN; MRI; FEASIBILITY;

D O I：

10.1016/j.mric.2015.05.010

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Interventional magnetic resonance (MR) neurography is a minimally invasive technique that affords targeting of small nerves in challenging areas of the human body for highly accurate nerve blocks and perineural injections. This cross-sectional technique uniquely combines high tissue contrast and high-spatial-resolution anatomic detail, which enables the precise identification and selective targeting of peripheral nerves, accurate needle guidance and navigation of the needle tip within the immediate vicinity of a nerve, as well as direct visualization of the injected drug for the assessment of appropriate drug distribution and documentation of the absence of spread to confounding nearby nerves.

引用

页码：533 / +

页数：14

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