Share:
Share this content in WeChat
X
Clinical Article
Study of diffusion tensor imaging parameters in foraminal cervical nerve of healthy volunteers and fiber bundle reconstruction
LI Bingxuan  SHI Yin  DING Hongyuan  ZOU Yuefen 

Cite this article as: LI B X, SHI Y, DING H Y, et al. Study of diffusion tensor imaging parameters in foraminal cervical nerve of healthy volunteers and fiber bundle reconstruction[J]. Chin J Magn Reson Imaging, 2024, 15(1): 101-105, 124. DOI:10.12015/issn.1674-8034.2024.01.016.


[Abstract] Objective To observe the intervertebral foramen segments of cervical nerve roots by diffusion tensor tractography (DTT) and quantitatively analyze diffusion tensor imaging (DTI) parameters of healthy volunteers, to provide the reference for clinical diagnosis and treatment of cervical spondylotic radiculopathy.Materials and Methods DTI and DTT of the cervical nerve roots were performed in fifty healthy volunteers (25 males and 25 females). Mean fractional anisotropy (FA) and ADC values of the cervical nerve roots (both sides of cervical nerve roots C5 to C7, proximal,middle and distal to the cervical foraminal zone) were obtained.Differences among various segments of cervical nerve roots were compared with ANOVA test; Differences between two sides of the cervical nerve roots at the same cervical segment were compared with paired samples t-test; Differences between the proximal, middle and distal nerve to the cervical foraminal zone at the same cervical segment were compared with the LSD test. Nerve fiber bundle reconstruction was performed on the both sides of cervical nerve roots C5 to C7.Results There was no significant difference in FA and ADC values among the proximal, middle and distal nerve to the cervical foraminal zone in different segments of C5 to C7. There was no significant difference in FA and ADC values between the left and right sides of the nerve roots at the same cervical segment. The difference in FA and ADC values between the nerve roots at three different levels of the same segment of C5 to C7 was significant (P<0.05). The whole length of the cervical nerve roots C5 to C7 could be visualized clearly by using DTT.Conclusions DTI and DTT can quantitatively evaluate the cervical nerve roots in the cervical foraminal segment and visually reconstruct the cervical nerve bundles, and can provide quantitative parameters and visual reconstruction images of cervical nerve roots in the proximal, middle and distal segments of the intervertebral foramina for the diagnosis of cervical spondylotic radiculopathy.
[Keywords] diffusion tensor imaging;diffusion tensor tractography;intervertebral foramen;cervical nerve roots;magnetic resonance imaging

LI Bingxuan   SHI Yin   DING Hongyuan   ZOU Yuefen*  

Department of Radiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China

Corresponding author: ZOU Y F, E-mail: zouyuefendc@126.com

Conflicts of interest   None.

Received  2023-05-29
Accepted  2023-12-04
DOI: 10.12015/issn.1674-8034.2024.01.016
Cite this article as: LI B X, SHI Y, DING H Y, et al. Study of diffusion tensor imaging parameters in foraminal cervical nerve of healthy volunteers and fiber bundle reconstruction[J]. Chin J Magn Reson Imaging, 2024, 15(1): 101-105, 124. DOI:10.12015/issn.1674-8034.2024.01.016.

[1]
COREY D L, COMEAU D. Cervical radiculopathy[J]. Med Clin N Am, 2014, 98(4): 791-799. DOI: 10.1016/j.mcna.2014.04.001.
[2]
CHEN Y, YU C X, LI B, et al. A research of the default mode network in patients with chronic neck and shoulder pain of cervical spondylotic radiculopathy[J]. Chin J Magn Reson Imag, 2020, 11(3): 211-215. DOI: 10.12015/issn.1674-8034.2020.03.010.
[3]
XIA B, WANG X M, CHEN G R, et al. Characteristics of intervertebral foramen Stenosis in cervical spondylotic radiculopathy and its diagnostic value by MSCT[J]. Chin J CT MRI, 2020, 18(1): 28-31. DOI: 10.3969/j.issn.1672-5131.2020.01.010.
[4]
WANG Q, LI H X, KONG J J, et al. Diagnostic agreement between 3.0-T MRI sequences of nerve root and surgery in patients with cervical radiculopathy: a retrospective study[J/OL]. Medicine, 2021, 100(4): e24207 [2023-05-28]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850720. DOI: 10.1097/MD.0000000000024207.
[5]
KRONLAGE M, SCHWEHR V, SCHWARZ D, et al. Peripheral nerve diffusion tensor imaging (DTI): normal values and demographic determinants in a cohort of 60 healthy individuals[J]. Eur Radiol, 2018, 28(5): 1801-1808. DOI: 10.1007/s00330-017-5134-z.
[6]
MANZANERA ESTEVE I V, FARINAS A F, POLLINS A C, et al. Noninvasive diffusion MRI to determine the severity of peripheral nerve injury[J/OL]. Magn Reson Imaging, 2021, 83: 96-106 [2023-05-28]. https://pubmed.ncbi.nlm.nih.gov/34403759/. DOI: 10.1016/j.mri.2021.08.006.
[7]
SHI Y, ZOU Y F, FENG Y, et al. A quantitative and clinical evaluation of nerve roots in lumbosacral radiculopathy using diffusion tensor imaging[J]. Jpn J Radiol, 2020, 38(3): 222-230. DOI: 10.1007/s11604-019-00913-4.
[8]
TAGLIAFICO A, CALABRESE M, PUNTONI M, et al. Brachial plexus MR imaging: accuracy and reproducibility of DTI-derived measurements and fibre tractography at 3.0-T[J]. Eur Radiol, 2011, 21(8): 1764-1771. DOI: 10.1007/s00330-011-2100-z.
[9]
GASPAROTTI R, LODOLI G, MEODED A, et al. Feasibility of diffusion tensor tractography of brachial plexus injuries at 1.5 T[J]. Invest Radiol, 2013, 48(2): 104-112. DOI: 10.1097/RLI.0b013e3182775267.
[10]
SONG C Y, WANG X M. Preliminary study of diffusion tensor imaging in cervical spondylotic myelopathy[J]. Chin J Magn Reson Imag, 2012, 3(1): 19-23. DOI: 10.3969/j.issn.1674-8034.2012.01.006.
[11]
SKOTARCZAK M, DZIERŻANOWSKI J, KASZUBOWSKI M, et al. Diagnostic value of diffusion tensor imaging in patients with clinical signs of cervical spondylotic myelopathy[J]. Neurol Neurochir Pol, 2022, 56(4): 341-348. DOI: 10.5603/PJNNS.a2022.0031.
[12]
KRZYZAK A T, JASIŃSKI A, WEGLARZ W P, et al. Visualisation of the extent of damage in a rat spinal cord injury model using MR microsopy of the water diffusion tensor[J]. Acta Neurobiol Exp, 2005, 65(3): 255-264.
[13]
LIANG S, YANG F, ZHANG Y, et al. Changes and clinical correlation of diffusion tensor imaging parameters of compressed spinal cord and nerve root in patients with cervical spondylosis[J/OL]. BMC Med Imaging, 2022, 22(1): 107 [2023-05-28]. https://pubmed.ncbi.nlm.nih.gov/35659198/. DOI: 10.1186/s12880-022-00835-0.
[14]
CHEN Y Y, LIN X F, ZHANG F, et al. Diffusion tensor imaging of symptomatic nerve roots in patients with cervical disc herniation[J]. Acad Radiol, 2014, 21(3): 338-344. DOI: 10.1016/j.acra.2013.11.005.
[15]
LIANG K N, FENG P Y, FENG X R, et al. Diffusion tensor imaging and fiber tractography reveal significant microstructural changes of cervical nerve roots in patients with cervical spondylotic radiculopathy[J/OL]. World Neurosurg, 2019, 126: e57-e64 [2023-05-28]. https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(19)30254-2. DOI: 10.1016/j.wneu.2019.01.154.
[16]
SHENG S R, WANG K, NISAR M, et al. A novel technique for cervical facet joint hyperplasia-spondylotic radiculopathy by laminar and lateral mass screw cofixations[J/OL]. World Neurosurg, 2018, 110: e490-e495 [2023-05-28]. https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(17)31937-X. DOI: 10.1016/j.wneu.2017.11.018.
[17]
MÜRTZ P, KASCHNER M, LAKGHOMI A, et al. Diffusion-weighted MR neurography of the brachial and lumbosacral plexus: 3.0 T versus 1.5 T imaging[J]. Eur J Radiol, 2015, 84(4): 696-702. DOI: 10.1016/j.ejrad.2015.01.008.
[18]
WU P H, HUANG C Y, SHI B C, et al. Comparison of region-of-interest delineation methods for diffusion tensor imaging in patients with cervical spondylotic radiculopathy[J/OL]. BMC Musculoskelet Disord, 2022, 23(1): 677 [2023-05-28]. https://pubmed.ncbi.nlm.nih.gov/35840941/. DOI: 10.1186/s12891-022-05639-5.
[19]
WEI Y C, HSU C C H, HUANG W Y, et al. White matter integrity underlies the physical-cognitive correlations in subjective cognitive decline[J/OL]. Front Aging Neurosci, 2021, 13: 700764 [2023-01-08]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8365836. DOI: 10.3389/fnagi.2021.700764.
[20]
CHANG X X, LI X S, JIANG R J, et al. Study on quantitative monitoring of occult injury in normal white matter regions of WMHs with different Fazekas based on DTI combined with ASL technique[J]. Chin J Magn Reson Imag, 2023, 14(4): 22-28. DOI: 10.12015/issn.1674-8034.2023.04.005.
[21]
KIM H S, YOON Y C, CHOI B O, et al. Diffusion tensor imaging of the sciatic nerve in Charcot-Marie-Tooth disease type I patients: a prospective case-control study[J]. Eur Radiol, 2019, 29(6): 3241-3252. DOI: 10.1007/s00330-018-5958-1.
[22]
ROJOA D, RAHEMAN F, RASSAM J, et al. Meta-analysis of the normal diffusion tensor imaging values of the Median nerve and how they change in carpal tunnel syndrome[J/OL]. Sci Rep, 2021, 11(1): 20935 [2023-01-08]. https://pubmed.ncbi.nlm.nih.gov/34686721/. DOI: 10.1038/s41598-021-00353-z.
[23]
AGGARWAL A, DAS C J, KHANNA N, et al. Role of diffusion tensor imaging in the evaluation of ulnar nerve involvement in leprosy[J/OL]. Br J Radiol, 2022, 95(1129): 20210290 [2023-01-08]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722232. DOI: 10.1259/bjr.20210290.
[24]
WAKO Y, NAKAMURA J, EGUCHI Y, et al. Diffusion tensor imaging and tractography of the sciatic and femoral nerves in healthy volunteers at 3T[J/OL]. J Orthop Surg Res, 2017, 12(1): 184 [2023-01-08]. https://pubmed.ncbi.nlm.nih.gov/29187253/. DOI: 10.1186/s13018-017-0690-0.
[25]
BRUNO F, ARRIGONI F, MARIANI S, et al. Application of diffusion tensor imaging (DTI) and MR-tractography in the evaluation of peripheral nerve tumours: state of the art and review of the literature[J]. Acta Biomed, 2019, 90(5-S): 68-76. DOI: 10.23750/abm.v90i5-S.8326.
[26]
EPPENBERGER P, ANDREISEK G, CHHABRA A. Magnetic resonance neurography[J]. Neuroimaging Clin N Am, 2014, 24(1): 245-256. DOI: 10.1016/j.nic.2013.03.031.
[27]
SONG T, CHEN W J, YANG B, et al. Diffusion tensor imaging in the cervical spinal cord[J]. Eur Spine J, 2011, 20(3): 422-428. DOI: 10.1007/s00586-010-1587-3.
[28]
时寅, 王传兵, 刘伟, 等. 采用扩散张量成像定量研究及纤维束示踪成像观察正常腰骶丛神经[J]. 中华放射学杂志, 2014, 48(2): 135-138. DOI: 10.3760/cma.j.issn.1005-1201.2014.02.012.
[29]
RUI B F, AN S F, XIA F Q, et al. Applied microanatomy of cervical nerve and its related structure[J]. Acta Acad Med Mil Tertiae, 2008, 30(24): 2296-2298. DOI: 10.3321/j.issn:1000-5404.2008.24.012.
[30]
HO M J, MANOLIU A, KUHN F P, et al. Evaluation of reproducibility of diffusion tensor imaging in the brachial plexus at 3.0 T[J]. Invest Radiol, 2017, 52(8): 482-487. DOI: 10.1097/RLI.0000000000000363.

PREV Percent amplitude of fluctuation study in primary angle-closure glaucoma based on resting-state fMRI
NEXT Value of cardiac magnetic resonance in the diagnosis of left atrial/left atrial appendage thrombosis in patients with atrial fibrillation: A systematic review and Meta-analysis
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn