OBJECTIVE: To assess the diagnostic accuracy and observer performance of 3-Tesla magnetic resonance neurography (MRN) in the evaluation of meralgia paresthetica (MP). MATERIALS AND METHODS: Two independent readers were blinded to the clinical diagnosis and evaluated the MRN studies of the pelvis of 11 patients with MP and 28 control participants. In each study, the lateral femoral cutaneous nerves were assessed for signal alteration and/or neuroma formation, indicating lateral femoral cutaneous neuropathy, at various levels along their course. Intra- and inter-observer reliability was evaluated. RESULTS: Both readers exhibited substantial intraobserver agreement in detecting signal alterations and neuroma formation of the lateral femoral cutaneous nerve (LFCN). The readers demonstrated moderate interobserver agreement in detecting signal alteration of the LFCN and poor interobserver agreement in diagnosing neuroma formation. Sensitivity, specificity, positive predictive value, and negative predictive value of LFCN neuropathy diagnosis were ≥ 71 % and ≥ 94 % for both readers respectively. The diagnostic test accuracy was ≥ 90 % for both readers. CONCLUSION: 3-Tesla MRN provides reliable and accurate diagnostic evaluation of meralgia paresthetica.
OBJECTIVE: To assess the diagnostic accuracy and observer performance of 3-Tesla magnetic resonance neurography (MRN) in the evaluation of meralgia paresthetica (MP). MATERIALS AND METHODS: Two independent readers were blinded to the clinical diagnosis and evaluated the MRN studies of the pelvis of 11 patients with MP and 28 control participants. In each study, the lateral femoral cutaneous nerves were assessed for signal alteration and/or neuroma formation, indicating lateral femoral cutaneous neuropathy, at various levels along their course. Intra- and inter-observer reliability was evaluated. RESULTS: Both readers exhibited substantial intraobserver agreement in detecting signal alterations and neuroma formation of the lateral femoral cutaneous nerve (LFCN). The readers demonstrated moderate interobserver agreement in detecting signal alteration of the LFCN and poor interobserver agreement in diagnosing neuroma formation. Sensitivity, specificity, positive predictive value, and negative predictive value of LFCN neuropathy diagnosis were ≥ 71 % and ≥ 94 % for both readers respectively. The diagnostic test accuracy was ≥ 90 % for both readers. CONCLUSION: 3-Tesla MRN provides reliable and accurate diagnostic evaluation of meralgia paresthetica.
Authors: Avneesh Chhabra; Majid Chalian; Theodoros Soldatos; Gustav Andreisek; Neda Faridian-Aragh; Eric Williams; Allan J Belzberg; John A Carrino Journal: AJR Am J Roentgenol Date: 2012-04 Impact factor: 3.959
Authors: Jacob Patijn; Nagy Mekhail; Salim Hayek; Arno Lataster; Maarten van Kleef; Jan Van Zundert Journal: Pain Pract Date: 2011 May-Jun Impact factor: 3.183
Authors: Francisco J Muniz Neto; Eduardo N Kihara Filho; Frederico C Miranda; Laercio A Rosemberg; Durval C B Santos; Atul K Taneja Journal: Biomed Res Int Date: 2018-01-31 Impact factor: 3.411