Table 1.
Study Design | Subject Features | Postganglionic Lesions |
Age | MRI Field Intensity | MRI Sequences Employed | MRI Timing | Standard of Reference | Level of Evidence | Main Conclusion | |
---|---|---|---|---|---|---|---|---|---|---|
Acharya, 2019 [16] | Prospective | 35 patients with traumatic brachial plexus injuries | Eight surgically demonstrated postganglionic lesions | Patients under the age of 60 | 1.5 T | T1-T2-T2 weighted 3D neurography-T2 spin echo- short-tau inversion recovery (STIR) | At least 3 weeks after injury | Surgery | 2b | Magnetic resonance imaging (MRI) is a useful tool in the diagnosis of brachial plexus injuries. |
Zhang, 2018 [17] | Prospective | 28 patients with traumatic brachial plexus injuries | 23 surgically demonstrated postganglionic lesions, in 12 patients | Mean age: 27.2 | 3 T | T1-T2-STIR- balance FFE- diffusion-weighted imaging with background signal suppression (DWIBS) | Not reported | Surgery | 2b | MRI is a valuable diagnostic tool for brachial plexus lesions, especially if balance-FFE, STIR, and DWIBS sequences are performed. |
Caporrino, 2014 [18] | Prospective |
34 patients with traumatic plexus injuries | Not reported | Mean age: 29.8 | 1.5 T | Not reported | 2–3 months after injury | Surgery | 2b | MRI showed poor diagnostic performance in identifying brachial plexus lesions compared to physical examination. Notwithstanding, it is reasonable to think that the combination of physical examination and MRI could provide the best diagnostic accuracy. |
Gad, 2020 [15] | Prospective | 22 patients with traumatic brachial plexus injuries |
18 surgically demonstrated postganglionic lesions | Mean age: 26.3 | 1.5 T | T1, STIR, T2, T2-STIR, and DWIBS | Not reported | Surgery | 2b | “MRI is the imaging modality of choice in the examination of traumatic and obstetric brachial plexus injuries; it is safe and non-invasive, having the multiplanar capability and better soft tissue characterization”. |