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Published: 2022-01-28
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DOI: https://doi.org/10.52852/tcncyh.v149i1.431
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Vol. 149 No. 1 (2022)
Section
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Đoan, N. V., Giang, B. V., Hà, N. H., & Ngân, V. K. (2022). Diagnostic accuracy of 3 Tesla magnetic resonance imaging for children obstetric brachial plexus injury. Journal of Medical Research, 149(1), 1-9. https://doi.org/10.52852/tcncyh.v149i1.431

Diagnostic accuracy of 3 Tesla magnetic resonance imaging for children obstetric brachial plexus injury

Ngo Van Doan, Bui Van Giang, Nguyen Hong Ha, Vuong Kim Ngan

Main Article Content

Abstract

The objective of the study was to evaluate the diagnostic value of 3T MRI in diagnosing obstetric brachial plexus injury lesions in children. This was a prospective study, conducted on 47 patients who had clinical and electromyography manifestations of obstetric brachial plexus injury. All of the patients went through 3T MRI before surgery in Vinmec Hospital (Hanoi, Vietnam) from 09/2016 to 03/2020 and surgically treated (at Viet Duc and National Pediatric hospitals, Hanoi, Vietnam). The pre- and post-ganglionic injuries on MRI was correlated with intraoperative findings. Sensitivity, specificity, accuracy, positive predictive value and negative predictive value for diagnosis of pre-nodal lesions were 89.7%, 93.2%, 92.3%, 81.3% and 96.5% respectively; diagnosis of postganglionic nerve root rupture were 78.7%, 89.8%, 84.7%, 86.7% and 83.2% respectively; diagnosis of nerve root neuroma were 92.6%, 84.3%, 87.2%, 75.6% and 95.6% respectively. We concluded that 3T MRI is a non-invasive diagnostic method, with high accuracy in diagnosing obstetric brachial plexus injury lesions in children, both for pre- and post-ganglionic injuries.

Article Details

Keywords

Obstetric brachial plexus injury, 3T MRI, Erb's palsy.

References

1. Lindqvist PG, Erichs K, Molnar C, Gudmundsson S, Dahlin LB. Characteristics and outcome of brachial plexus birth palsy in neonates. Acta Paediatr Oslo Nor 1992. 2012;101(6):579 - 582. doi:10.1111/j.1651 - 2227.2012.02620.
2. Somashekar D, Yang LJS, Ibrahim M, Parmar HA. High - resolution MRI evaluation of neonatal brachial plexus palsy: A promising alternative to traditional CT myelography. AJNR Am J Neuroradiol. 2014;35(6)1209 - 13. doi: https://doi.org/10.3174/ajnr.a3820.
3. Torres C, Mailley K, O’Donovan R del C. MRI of the Brachial Plexus: Modified Imaging Technique Leading to a Better Characterization of Its Anatomy and Pathology. Neuroradiol J. 2013;26(6):699. doi:10.1177/197140091302600614.
4. Upadhyaya V, Upadhyaya DN, Kumar A, Pandey AK, Gujral R, Singh AK. Magnetic resonance neurography of the brachial plexus. Indian J Plast Surg Off Publ Assoc Plast Surg India. 2015;48(2):129 - 137. doi:10.4103/0970 - 0358.163045.
5. Tagliafico A, Succio G, Emanuele Neumaier C, et al. MR imaging of the brachial plexus: comparison between 1.5 - T and 3 - T MR imaging: preliminary experience. Skeletal Radiol. 2011;40(6):717 - 724. doi:10.1007/s00256 - 010 - 1050 - x.
6. Gunes A, Bulut E, Uzumcugil A, Oguz KK. Brachial Plexus Ultrasound and MRI in Children with Brachial Plexus Birth Injury. AJNR Am J Neuroradiol. 2018;39(9):1745 - 50. doi: https://doi.org/10.3174/ajnr.a5749.
7. Zhang L, Xiao T, Yu Q, Li Y, Shen F, Li W. Clinical Value and Diagnostic Accuracy of 3.0T Multi - Parameter Magnetic Resonance Imaging in Traumatic Brachial Plexus Injury. Med Sci Monit. 2018;24:7199 - 205. doi:10.12659/MSM.907019.
8. Medina LS, Yaylali I, Zurakowski D, Ruiz J, Altman NR, Grossman JAI. Diagnostic performance of MRI and MR myelography in infants with a brachial plexus birth injury. Pediatr Radiol. 2006;36(12):1295 - 9. doi:10.1007/s00247 - 006 - 0321 - 0.
9. Sureka J, Cherian RA, Alexander M, Thomas BP. MRI of brachial plexopathies. Clin Radiol. 2009;64(2):208 - 18. doi:10.1016/j.crad.2008.08.011.
10. Abbott R, Abbott M, Alzate J, Lefton D. Magnetic resonance imaging of obstetrical brachial plexus injuries. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg. 2004;20(10):720 - 725. doi:10.1007/s00381 - 004 - 1003 - 6.

11. Smith BW, Daunter AK, Yang LJS, Wilson TJ. An Update on the Management of Neonatal Brachial Plexus Palsy - Replacing Old Paradigms: A Review. JAMA Pediatr. 2018;172(6):585 - 91. doi: https://doi.org/10.1001/jamapediatrics.2018.0124.
12. Waters PM. Update on management of pediatric brachial plexus palsy. J Pediatr Orthop B. 2005;14(4):233 - 44. doi: https://doi.org/10.1097/01202412 - 200507000 - 00001.
13. Singer AD, Meals C, Kesner V, et al. The Multidisciplinary Approach to the Diagnosis and Management of Nonobstetric Traumatic Brachial Plexus Injuries. Am J Roentgenol. 2018;211(6):1319 - 1331. doi:10.2214/AJR.18.19887.
14. Smith BW, Chang KWC, Parmar HA, Ibrahim M, Yang LJS. MRI evaluation of nerve root avulsion in neonatal brachial plexus palsy: understanding the presence of isolated dorsal/ventral rootlet disruption. J Neurosurg Pediatr. 2021;27(5):589 - 593. doi:10.3171/2020.9.PEDS20326.
15. Phan Đức Minh Mẫn, Đặng Khải Minh, Võ Chiêu Tài, et al. Bước đầu đánh giá điều trị liệt đám rối thần kinh cánh tay trẻ em do sanh tại Việt Nam. Y học TP Hồ Chí Minh, tập 17 Phụ bản số 3.
16. Gilbert A, Tassin JL. Obstetrical palsy: a clinical, pathologic, and surgical review. In: Terzis JK (Ed.) Microreconstruction of nerve injuries. Philadelphia, WB Saunders, 1987: 529–53.