Trial reportEuropean radiology2014
Thoracic outlet syndrome in 3T MR neurography-fibrous bands causing discernible lesions of the lower brachial plexus.
Trial report in European radiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.
- Thoracic outlet syndrome: wide literature for few cases. Status of the art.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017Pooled it
- Thoracic Outlet Syndrome Case Report: Appropriate Diagnosis Can Expedite Patient Treatment and Prevent Negative Outcomes.Clinical practice and cases in emergency medicine · 2025Article
- Imaging features of the brachial plexus in neurogenic thoracic outlet syndrome: A case report.Radiology case reports · 2025Article
- Diagnostic and Therapeutic Approach to Thoracic Outlet Syndrome.Tomography (Ann Arbor, Mich.) · 2024Review
- Anterior Scalene Muscle Block Response Predicts Outcomes Following Thoracic Outlet Decompression.Hand (New York, N.Y.) · 2024Article
- A case series of first rib resection patients assessed with a novel MRI protocol for neurogenic thoracic outlet syndrome.Journal of surgical case reports · 2023Article
- Magnetic resonance imaging for diagnosis of suspected neurogenic thoracic outlet syndrome-a systematic scoping review.Frontiers in physiology · 2023Article
- Neurogenic Thoracic Outlet Syndrome—Presentation, Diagnosis, and Treatment.Deutsches Arzteblatt international · 2022Review
- Article
- Use of Electroneuromyography in the Diagnosis of Neurogenic Thoracic Outlet Syndrome: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2022Review
- Article
- Essentials of thoracic outlet syndrome: A narrative review.World journal of clinical cases · 2021Review
- Combine contrast-enhanced 3D T2-weighted short inversion time inversion recovery MR neurography with MR angiography at 1.5 T in the assessment of brachial plexopathy.Magma (New York, N.Y.) · 2021Article
- High-Resolution Ultrasound and Magnetic Resonance Imaging of Abnormal Ligaments in Thoracic Outlet Syndrome in a Series of 16 Cases.Frontiers in neuroscience · 2021Article
- Case Report: Neurogenic Thoracic Outlet Syndrome Without Electrophysiologic Abnormality.Frontiers in neurology · 2021Article
- Evaluation and Management of Neurogenic Thoracic Outlet Syndrome with an Overview of Surgical Approaches: A Comprehensive Review.Journal of pain research · 2021Review
- Thoracic Outlet Syndrome: A Comprehensive Review of Pathophysiology, Diagnosis, and Treatment.Pain and therapy · 2019Review
- [Entrapment and non-entrapment syndromes at the elbow].Der Radiologe · 2018Review
- Thoracic Outlet Syndrome: Biomechanical and Exercise Considerations.Healthcare (Basel, Switzerland) · 2018Review
- Diagnosing Thoracic Outlet Syndrome: Current Approaches and Future Directions.Diagnostics (Basel, Switzerland) · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate whether targeted magnetic resonance neurography (MRN) of the brachial plexus can visualise fibrous bands compressing the brachial plexus and directly detect injury in plexus nerve fascicles.
methodsHigh-resolution MRN was employed in 30 patients with clinical suspicion of either true neurogenic thoracic outlet syndrome (TOS) or non-specific TOS. The protocol for the brachial plexus included a SPACE (3D turbo spin echo with variable flip angle) STIR (short tau inversion recovery), a sagittal-oblique T2-weighted (T2W) SPAIR (spectral adiabatic inversion recovery) and a 3D PDW (proton density weighted) SPACE. Images were evaluated for anatomical anomalies compressing the brachial plexus and for abnormal T2W signal within plexus elements. Patients with abnormal MR imaging findings underwent surgical exploration.
resultsSeven out of 30 patients were identified with unambiguous morphological correlates of TOS. These were verified by surgical exploration. Correlates included fibrous bands (n = 5) and pseudarthrosis or synostosis of ribs (n = 2). Increased T2W signal was detected within compressed plexus portion (C8 spinal nerve, inferior trunk, or medial cord) and confirmed the diagnosis.
conclusionsThe clinical suspicion of TOS can be diagnostically confirmed by MRN. Entrapment of plexus structures by subtle anatomical anomalies such as fibrous bands can be visualised and relevant compression can be confirmed by increased T2W signal of compromised plexus elements. KEY POINTS: • MR neurography (MRN) can aid the diagnosis of thoracic outlet syndrome (TOS). • Identifiable causes of TOS in MRN include fibrous bands and bony anomalies. • Increased T2W signal within brachial plexus elements indicate relevant nerve compression. • High positive predictive value allows confident and targeted indication for surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.