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Diagnostic value of curved planar reformation of MRI for lumbosacral nerve roots in the localization of nerve roots for adult lumbar degenerative scoliosis

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Abstract

Purpose

To compare the diagnostic value of curved planar reformation of MRI (MRI-CPR) and 2D MRI in determining the responsible nerve in patients with adult lumbar degenerative scoliosis (ALDS).

Method

A total of 45 patients diagnosed with ALDS were included in the study. All patients underwent MRI-CPR and 2D MRI and subsequently received surgery. These two diagnostic methods were compared with the results of surgical exploration to assess nerve root compression.

Results

The sensitivity and accuracy of MRI-CPR are higher than 2D MRI (93.8% vs 80.0%; 92.8% vs 77.7%, respectively). And the specificity of MRI-CPR is higher than 2D MRI (87.5% vs 68.8%). Besides, the PPV and NPV of MRI-CPR are higher than 2D MRI (96.8% vs 91.2%; 7.8.% vs 45.8%). The area (AUC) under the receiver operating characteristic curve (ROC) for MRI-CPR and 2D MRI was 0.74 and 0.91, respectively. The judgement was made by two independent radiologists, while the consistency tests for 2D MRI and MRI-CPR with Kappa values were 90.6% and 82.2%, respectively.

Conclusions

The clinical diagnostic value of MRI-CPR was better than 2D MRI in the determination of the responsible nerve root. Moreover, MRI-CPR sequence images can clearly show the route of lumbosacral nerve roots and their relationship with adjacent tissues. Therefore, MRI-CPR can be an important complement to conventional 2D MRI in the diagnosis of responsible nerve roots in patients with ALDS.

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References

  1. Rustenburg CME, Kingma I, Holewijn RM, Faraj SSA, van der Veen A, Bisschop A, de Kleuver M, Emanuel KS (2020) Biomechanical properties in motion of lumbar spines with degenerative scoliosis. J Biomech 102:109495. https://doi.org/10.1016/j.jbiomech.2019.109495

    Article  PubMed  Google Scholar 

  2. Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, Farcy JP (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 30:1082–1085. https://doi.org/10.1097/01.brs.0000160842.43482.cd

    Article  PubMed  Google Scholar 

  3. Aebi M (2005) The adult scoliosis. Eur Spine J 14:925–948. https://doi.org/10.1007/s00586-005-1053-9

    Article  PubMed  Google Scholar 

  4. Fu KM, Rhagavan P, Shaffrey CI, Chernavvsky DR, Smith JS (2011) Prevalence, severity, and impact of foraminal and canal stenosis among adults with degenerative scoliosis. Neurosurgery 69:1181–1187. https://doi.org/10.1227/NEU.0b013e31822a9aeb

    Article  PubMed  Google Scholar 

  5. Gardner RO, Torrie PA, Bertram W, Baker RP, Harding IJ (2013) A Radiological evaluation of lateral vertebral subluxation associated With spinal stenosis in the lumbar spine in degenerative scoliosis. Spine deformity 1:365–370. https://doi.org/10.1016/j.jspd.2013.05.010

    Article  PubMed  Google Scholar 

  6. Anwar Z, Zan E, Gujar SK, Sciubba DM, Riley LH 3rd, Gokaslan ZL, Yousem DM (2010) Adult lumbar scoliosis: underreported on lumbar MR scans. AJNR Am J Neuroradiol 31:832–837. https://doi.org/10.3174/ajnr.A1962

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Liang Y, Zhao Y, Wang T, Zhu Z, Liu H, Mao K (2018) Precision Treatment of adult lumbar degenerative scoliosis complicated by lumbar stenosis with the use of selective nerve root block. World neurosurg 120:e970–e975. https://doi.org/10.1016/j.wneu.2018.08.205

    Article  PubMed  Google Scholar 

  8. Irwin A, Khan AL, Fender D, Sanderson PL, Gibson MJ (2014) The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity. Eur Spine J 23(Suppl 1):S33-39. https://doi.org/10.1007/s00586-014-3188-z

    Article  PubMed  Google Scholar 

  9. Huston CW, Slipman CW (2002) Diagnostic selective nerve root blocks: indications and usefulness. Phys Med Rehabil Clin N Am 13:545–565. https://doi.org/10.1016/s1047-9651(02)00011-6

    Article  PubMed  Google Scholar 

  10. Chen PG, Daubs MD, Berven S, Raaen LB, Anderson AT, Asch SM, Nuckols TK (2016) Surgery for degenerative lumbar scoliosis: the development of appropriateness criteria. Spine 41:910–918. https://doi.org/10.1097/brs.0000000000001392

    Article  PubMed  Google Scholar 

  11. Jenis LG, An HS, Gordin R (2001) Foraminal stenosis of the lumbar spine: a review of 65 surgical cases. Am J Orthop (Belle Mead NJ) 30:205–211

    CAS  PubMed  Google Scholar 

  12. Williams D, Grimm S, Coto E, Roudsari A, Hatzakis H (2008) Volumetric Curved Planar Reformation for virtual endoscopy. IEEE Trans Visual Comput Graphics 14:109–119. https://doi.org/10.1109/tvcg.2007.1068

    Article  Google Scholar 

  13. He L, Kang Z, Tang WJ, Rong LM (2015) A MRI study of lumbar plexus with respect to the lateral transpsoas approach to the lumbar spine. Eur Spine J 24:2538–2545. https://doi.org/10.1007/s00586-015-3847-8

    Article  PubMed  Google Scholar 

  14. Jiao YH, Zhao KX, Wang ZC, Qian XH, Wu X, Man FY, Lu W, She HC (2009) Magnetic resonance imaging of the extraocular muscles and corresponding cranial nerves in patients with special forms of strabismus. Chin Med J 122:2998–3002

    PubMed  Google Scholar 

  15. Zhou Q, Liu ZL, Qu CC, Ni SL, Xue F, Zeng QS (2012) Preoperative demonstration of neurovascular relationship in trigeminal neuralgia by using 3D FIESTA sequence. Magn Reson Imaging 30:666–671. https://doi.org/10.1016/j.mri.2011.12.022

    Article  PubMed  Google Scholar 

  16. Fischer JE, Bachmann LM, Jaeschke R (2003) A readers’ guide to the interpretation of diagnostic test properties: clinical example of sepsis. Intensive Care Med 29:1043–1051. https://doi.org/10.1007/s00134-003-1761-8

    Article  PubMed  Google Scholar 

  17. Akobeng AK (2007) Understanding diagnostic tests 3: Receiver operating characteristic curves. Acta Paediatr 96(5):644–647. https://doi.org/10.1111/j.1651-2227.2006.00178.x

    Article  PubMed  Google Scholar 

  18. Karppinen J, Malmivaara A, Tervonen O, Pääkkö E, Kurunlahti M, Syrjälä P, Vasari P, Vanharanta H (2001) Severity of symptoms and signs in relation to magnetic resonance imaging findings among sciatic patients. Spine 26:E149-154. https://doi.org/10.1097/00007632-200104010-00015

    Article  CAS  PubMed  Google Scholar 

  19. Carrino JA, Lurie JD, Tosteson AN, Tosteson TD, Carragee EJ, Kaiser J, Grove MR, Blood E, Pearson LH, Weinstein JN, Herzog R (2009) Lumbar spine: reliability of MR imaging findings. Radiology 250:161–170. https://doi.org/10.1148/radiol.2493071999

    Article  PubMed  Google Scholar 

  20. Sasso RC, Macadaeg K, Nordmann D, Smith M (2005) Selective nerve root injections can predict surgical outcome for lumbar and cervical radiculopathy: comparison to magnetic resonance imaging. J Spinal Disord Tech 18:471–478. https://doi.org/10.1097/01.bsd.0000146761.36658.45

    Article  PubMed  Google Scholar 

  21. Aprill CN, Melfi RS (2004) Paraplegia after lumbosacral nerve root block: report of three cases. Spine J 4(3):368–369. https://doi.org/10.1016/j.spinee.2004.01.010

    Article  PubMed  Google Scholar 

  22. Galley J, Sutter R, Germann C, Wanivenhaus F, Nanz D (2021) High-resolution in vivo MR imaging of intraspinal cervical nerve rootlets at 3 and 7 Tesla. Eur Radiol 31:4625–4633. https://doi.org/10.1007/s00330-020-07557-3

    Article  PubMed  Google Scholar 

  23. Bulut SSD, Nurili F, Aras O, Bukte Y, Naderi S (2020) Measurement of spinal root angle at spinal canal and foraminal levels in cases of facet arthropathy: T2-weighted turbo spin echo magnetic resonance myelography with SPACE technique. Acta Radiol 61(6):821–829. https://doi.org/10.1177/0284185119881744

    Article  PubMed  Google Scholar 

  24. Guo ZY, Chen J, Yang G et al (2012) Characteristics of neurovascular compression in facial neuralgia patients by 3D high-resolution MRI and fusion technology. Asian Pac J Trop Med 5(12):1000–3. https://doi.org/10.1016/S1995-7645(12)60190-4

    Article  PubMed  Google Scholar 

  25. Mikami T, Minamida Y, Yamaki T, Koyanagi I, Nonaka T, Houkin K (2005) Cranial nerve assessment in posterior fossa tumors with fast imaging employing steady-state acquisition (FIESTA). Neurosurg Rev 28:261–266. https://doi.org/10.1007/s10143-005-0394-5

    Article  PubMed  Google Scholar 

  26. Li C, Li Y, Zhang D, Yang Z, Wu L (2012) 3D-FIESTA MRI at 3 T demonstrating branches of the intraparotid facial nerve, parotid ducts and relation with benign parotid tumours. Clin Radiol 67:1078–1082. https://doi.org/10.1016/j.crad.2012.03.014

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Spinal Surgery, The Second Hospital of Shandong University, Jinan, Shandong Province, China

    Xiao Yang, Dongjin Wu, Bin Zhang, Hang Du & Chunzheng Gao

  2. Affiliated Hospital of The Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China

    Haichang Xing & Aihua Hao

  3. Department of Spinal, First Peoples’ Hospital of Pingyuan County, Dezhou, Shandong Province, China

    Ning Wang

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  1. Xiao Yang
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Yang, X., Wang, N., Xing, H. et al. Diagnostic value of curved planar reformation of MRI for lumbosacral nerve roots in the localization of nerve roots for adult lumbar degenerative scoliosis. Eur Spine J 32, 926–933 (2023). https://doi.org/10.1007/s00586-023-07531-9

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  • DOI: https://doi.org/10.1007/s00586-023-07531-9

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