Evidence map›Paper›PMID 42814275›Full record

ArticleLa Radiologia medica2026

Contrast-enhanced magnetic resonance neurography aids in diagnosis and grading of carpal tunnel syndrome: a preliminary study.

Youzhi Wang, Tingting Liu, Wenjun Wu, Chungao Li, Jie Zhao, Jiamin Kang, Yuxiong Weng, Chuansheng Zheng, Yu Su, Lixia Wang

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Article in La Radiologia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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10 authors.

Youzhi WangDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Tingting LiuDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Wenjun WuDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Chungao LiDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Jie ZhaoDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Jiamin KangDepartment of Radiology, Wuhan NO.1 Hospital, Wuhan, 430033, China.
Yuxiong WengDepartment of Hand Surgery, Huazhong University of Science and Technology Tongji Medical College Union Hospital, Wuhan, China.
Chuansheng ZhengDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China.
Yu SuDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China. su963556658@163.com.
Lixia WangDepartment of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1277 Jiefang Avenue, Wuhan, 430022, China. lisa2003627_1@163.com.ORCID http://orcid.org/0000-0003-0494-2735

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo preliminarily investigate the diagnostic performance of contrast-enhanced magnetic resonance neurography (CE-MRN) for carpal tunnel syndrome (CTS) and evaluate the association between CE-MRN parameters and clinical assessments. MATERIALS AND

methodsThe study involved thirty-one idiopathic CTS patients and thirty healthy controls. Clinical assessments encompassed symptom evaluation and the Boston Carpal Tunnel Questionnaire (BCTQ). On CE-MRN, a "negative enhancement" sign, defined as focal signal reduction in the median nerve, was used to identify entrapment. Median nerve width and nerve-to-muscle T2 signal intensity ratio (nT2) were measured on CE-MRN and non-contrast MRN (ncMRN), and entrapment length was measured on CE-MRN. Routine MRI metrics encompassed cross-sectional area, flattening ratio, bowing ratio, and relative signal intensity. Diagnostic performance and correlations with clinical variables were analyzed.

resultsThe CE-MRN demonstrated a sensitivity of 0.87 and specificity of 0.90 for detecting CTS using "negative enhancement" sign. The combination of nerve width and nT2 on CE-MRN, demonstrated higher diagnostic efficacy for CTS compared to routine MRI and ncMRN (AUC 0.87-0.94 for CE-MRN vs. AUC 0.73-0.91 for ncMRN vs. AUC 0.55-0.86 for routine MRI). Among the CE-MRN metrics, nT2 showed a negative correlation with BCTQ symptom scores, while entrapment length demonstrated a positive correlation with disease duration (p < 0.05).

conclusionsThe "negative enhancement" sign on CE-MRN improves the diagnostic accuracy of idiopathic CTS. CE-MRN, which is characterized by three-dimensional visualization, may offer an innovative and non-invasive visual approach for the clinical diagnosis and evaluation of CTS.

Indexed as

Carpal tunnel syndromeContrast-enhanced magnetic resonance neurographyMagnetic resonance imagingMedian nerve

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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.