ArticlePediatric surgery international2022
Diffusion tensor imaging in anorectal malformations: a pilot study for the evaluation of lumbosacral plexus.
Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed, 1 citations in OpenAlex.
- Can DTI Evaluate Lumbosacral Plexus Nerve Integrity, and What can this Tell us About Lower Urinary Tract Dysfunction? A Narrative Review.Current urology reports · 2026Review
- Revisiting Anatomy of Anorectal Malformations with a Symbolic AI Segmentation Method Applied on Diffusion MRI: The Lumbosacral Plexus Development and Microarchitecture Is Different in High and Low Types.Journal of imaging informatics in medicine · 2026Article
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Authors and funding
11 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
introductionNeurogenic bladder with anorectal malformations (ARM) is a well-known yet understudied topic. Diffusion tensor imaging (DTI) is a special usage of MRI that can evaluate peripheric nerves. The aim of this study is to evaluate the lumbosacral plexuses of patients with ARM using DTI. PATIENTS AND
methodsPatients with ARM willing to participate were included. Patient files were reviewed, a questionnaire was made, and DTI was performed. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were computed for the right and left lumbosacral plexuses.
resultsThere were 18 patients and 12 controls. Groups were similar in terms of sex (p = 0.232) and age (p = 0.853). There was a significant difference only for ADC of the left plexus. There was visible asymmetry in tractographies and DTI parameters of two patients with severely deformed pelvises (image 1) but also in another patient with a normal sacrum. In addition, despite asymmetry, FA and ADC were similar to controls also in these patients.
conclusionThis is the first study presenting quantitative data about the lumbosacral plexus in ARM. We think the most interesting finding of this study was observing the normal values even in the patients with severely malformed sacrum which is yet to be validated with further studies.
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