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. 2021 Jan 30;11(2):173. doi: 10.3390/brainsci11020173

Table 1.

Summary of included studies.

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”.