ArticleActa radiologica (Stockholm, Sweden : 1987)2020
Visualizing the autonomic and somatic innervation of the female pelvis with 3D MR neurography: a feasibility study.
Article in Acta radiologica (Stockholm, Sweden : 1987), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Imaging anatomy of the lateral pelvic compartment applied to endometriosis.Abdominal radiology (New York) · 2025Review
- Improved visualization of median, ulnar nerves, and small branches in the wrist and palm using contrast-enhanced magnetic resonance neurography.Therapeutic advances in neurological disorders · 2024Article
- 3D MR neurography with gadolinium contrast to improve the visualization of pelvic nerves and the branches.Frontiers in physiology · 2024Article
- Contouring lumbosacral plexus nerves with MR neurography and MR/CT deformable registration technique.Frontiers in oncology · 2022Article
- Diagnostic contribution of contrast-enhanced 3D MR imaging of peripheral nerve pathology.Skeletal radiology · 2021Article
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Authors and funding
6 authors.
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Abstract
backgroundTreatment of female pelvic malignancies often causes pelvic nerve damage. Magnetic resonance (MR) neurography mapping the female pelvic innervation could aid in treatment planning. PURPOSE: To depict female autonomic and somatic pelvic innervation using a modified 3D NerveVIEW sequence. MATERIAL AND
methodsProspective study in 20 female volunteers (n = 6 normal, n = 14 cervical pathology) who underwent a modified 3D short TI inversion recovery (STIR) turbo spin-echo (TSE) scan with a motion-sensitive driven equilibrium (MSDE) preparation radiofrequency pulse and flow compensation. Modifications included offset independent trapezoid (OIT) pulses for inversion and MSDE refocusing. Maximum intensity projections (MIP) were evaluated by two observers (Observer 1, Observer 2); image quality was scored as 2 = high, 1 = medium, or 0 = low with the sciatic nerve serving as a reference. Conspicuity of autonomic superior (SHP) and bilateral inferior hypogastric plexuses (IHP), hypogastric nerves, and somatic pelvic nerves (sciatic, pudendal) was scored as 2 = well-defined, 1 = poorly defined, or 0 = not seen, and inter-observer agreement was determined.
resultsImages were of medium to high quality according to both observers agreeing in 15/20 (75%) of individuals. SHP and bilateral hypogastric nerves were seen in 30/60 (50%) of cases by both observers. Bilateral IHP was seen in 85% (34/40) by Observer 1 and in 75% (30/40) by Observer 2. Sciatic nerves were well identified in all cases, while pudendal nerves were seen bilaterally by Observer 1 in 65% (26/40) and by Observer 2 in 72.5% (29/40). Agreement between observers for scoring nerve conspicuity was in the range of 60%-100%.
conclusionModified 3D NerveVIEW renders high-quality images of the female autonomic and pudendal nerves.
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