Magnetic Resonance Neurography of the Lumbosacral Plexus

Jenifer Pitman; Yenpo Lin; Ek Tsoon Tan; Darryl Sneag

doi:10.1016/j.rcl.2023.09.008

Magnetic Resonance Neurography of the Lumbosacral Plexus

Radiol Clin North Am. 2024 Mar;62(2):229-245. doi: 10.1016/j.rcl.2023.09.008. Epub 2023 Nov 7.

Authors

Jenifer Pitman¹, Yenpo Lin², Ek Tsoon Tan³, Darryl Sneag³

Affiliations

¹ Musculoskeletal Imaging, Department of Radiology, Johns Hopkins Hospital, 601 N Caroline Street, 3rd Floor, Baltimore, MD, USA. Electronic address: jenifer.pitman@gmail.com.
² Radiology Department, Hospital For Special Surgery, 535 East 70th Street, 3rd Floor, New York, NY, USA; Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
³ Radiology Department, Hospital For Special Surgery, 535 East 70th Street, 3rd Floor, New York, NY, USA.

PMID: 38272617
DOI: 10.1016/j.rcl.2023.09.008

Abstract

Pain and weakness in the low back, pelvis, and lower extremities are diagnostically challenging, and imaging can be an important step in the workup and management of these patients. Technical advances in magnetic resonance neurography (MRN) have significantly improved its utility for imaging the lumbosacral plexus (LSP). In this article, the authors review LSP anatomy and selected pathology examples. In addition, the authors will discuss technical considerations for MRN with specific points for the branch nerves off the plexus.

Keywords: Lumbosacral plexus; MRI techniques; Magnetic resonance neurography; Peripheral nerves.

Publication types

Review

MeSH terms

Humans
Lumbosacral Plexus* / anatomy & histology
Lumbosacral Plexus* / pathology
Magnetic Resonance Imaging* / methods
Magnetic Resonance Spectroscopy