Neurogenic thoracic outlet syndrome: current diagnostic criteria and advances in MRI diagnostics

Neurogenic thoracic outlet syndrome (nTOS) is caused by compression of the brachial plexus as it traverses from the thoracic outlet to the axilla. Diagnosing nTOS can be difficult because of overlap with other complex pain and entrapment syndromes. An nTOS diagnosis is made based on patient history, physical exam, electrodiagnostic studies, and, more recently, interpretation of MR neurograms with tractography. Advances in high-resolution MRI and tractography can confirm an nTOS diagnosis and identify the location of nerve compression, allowing tailored surgical decompression. In this report, the authors review the current diagnostic criteria, present an update on advances in MRI, and provide case examples demonstrating how MR neurography (MRN) can aid in diagnosing nTOS. The authors conclude that improved high-resolution MRN and tractography are valuable tools for identifying the source of nerve compression in patients with nTOS and can augment current diagnostic modalities for this syndrome.

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Clinical Diagnostic Criteria and Pretreatment Patient-Reported Outcomes Measures in a Prospective Cohort of Patients With Neurogenic Thoracic Outlet Syndrome

Journal of Vascular Surgery ◽

10.1016/j.jvs.2016.07.015 ◽

2016 ◽

Vol 64 (3) ◽

pp. 869-870

Author(s):

Joshua A. Balderman ◽

Katherine Holzem ◽

Ahmmad A. Abuirqeba ◽

Beverly J. Field ◽

Michael M. Bottros ◽

...

Keyword(s):

Diagnostic Criteria ◽

Prospective Cohort ◽

Patient Reported Outcomes ◽

Thoracic Outlet Syndrome ◽

Outcomes Measures ◽

Neurogenic Thoracic Outlet Syndrome ◽

Clinical Diagnostic ◽

Patient Reported ◽

Clinical Diagnostic Criteria

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Associations between clinical diagnostic criteria and pretreatment patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome

Journal of Vascular Surgery ◽

10.1016/j.jvs.2017.03.419 ◽

2017 ◽

Vol 66 (2) ◽

pp. 533-544.e2 ◽

Cited By ~ 10

Author(s):

Joshua Balderman ◽

Katherine Holzem ◽

Beverly J. Field ◽

Michael M. Bottros ◽

Ahmmad A. Abuirqeba ◽

...

Keyword(s):

Diagnostic Criteria ◽

Patient Reported Outcomes ◽

Thoracic Outlet Syndrome ◽

Outcomes Measures ◽

Neurogenic Thoracic Outlet Syndrome ◽

Clinical Diagnostic ◽

Patient Reported ◽

Observational Cohort ◽

Clinical Diagnostic Criteria

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Diagnostic Value of High-resolution Ultrasound in a Dedicated Care Pathway for Neurogenic Thoracic Outlet Syndrome (NTOS): A Prospective Cohort Study

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2019.09.125 ◽

2019 ◽

Vol 58 (6) ◽

pp. e633-e634

Author(s):

Niels Pesser ◽

Joep A.W. Teijink ◽

Kimberly Vervaart ◽

Rob A.R. Gons ◽

Marc R.H.M. van Sambeek ◽

...

Keyword(s):

Cohort Study ◽

High Resolution ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Thoracic Outlet Syndrome ◽

Care Pathway ◽

Diagnostic Value ◽

Neurogenic Thoracic Outlet Syndrome

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Internal Derangement of the Wrist and Hand

Musculoskeletal Imaging Volume 2 ◽

10.1093/med/9780190938178.003.0107 ◽

2019 ◽

pp. 210-231

Author(s):

Apostolos H. Karantanas

Keyword(s):

High Resolution ◽

Soft Tissue ◽

Wide Spectrum ◽

Nerve Entrapment ◽

Internal Derangement ◽

Imaging Findings ◽

Ct Arthrography ◽

Imaging Methods ◽

High Resolution Mri ◽

Entrapment Syndromes

Chapter 106 discusses the normal MRI anatomy and imaging findings of the major and common disorders leading to internal derangements of the wrist and hand including osteonecrosis (ON) of the scaphoid and lunate bones, tendon and ligamentous injuries, and common nerve entrapment syndromes. The anatomy of the wrist and hand is complex. A wide spectrum of traumatic, inflammatory, and degenerative conditions affects the wrist and hand. High-resolution MRI of the wrist and hand and MRA of the wrist provide excellent evaluation of the osseous and soft tissue structures and in many instances represent the study of choice. Radiography, CT, arthrography, CTA, and diagnostic US represent the alternative and/or complementary imaging methods in the evaluation of these structures.

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Functional information from magnetic resonance imaging

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100136799 ◽

1995 ◽

Vol 53 ◽

pp. 84-85

Author(s):

Alan P. Koretsky ◽

Afonso Costa e Silva ◽

Yi-Jen Lin

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

High Resolution ◽

Cancer Biology ◽

Imaging Modality ◽

Magnetic Resonance Images ◽

Great Success ◽

Functional Information ◽

Resonance Imaging ◽

High Resolution Mri

Magnetic resonance imaging (MRI) has become established as an important imaging modality for the clinical management of disease. This is primarily due to the great tissue contrast inherent in magnetic resonance images of normal and diseased organs. Due to the wide availability of high field magnets and the ability to generate large and rapidly switched magnetic field gradients there is growing interest in applying high resolution MRI to obtain microscopic information. This symposium on MRI microscopy highlights new developments that are leading to increased resolution. The application of high resolution MRI to significant problems in developmental biology and cancer biology will illustrate the potential of these techniques.In combination with a growing interest in obtaining high resolution MRI there is also a growing interest in obtaining functional information from MRI. The great success of MRI in clinical applications is due to the inherent contrast obtained from different tissues leading to anatomical information.

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