PDF(Pubmed)
Abstract：
Background: Neurogenic Thoracic Outlet Syndrome (nTOS) is a rare pathology caused by dynamic conditions or compression of neurovascular structures in the thoracic outlet region. nTOS can be difficult to diagnose due to nonspecific symptoms and magnetic resonance imaging (MRI) techniques are increasingly used to aid the diagnosis and surgical planning. This scoping systematic review explores how MRI is used for diagnosing nTOS and summarizes details of published MRI protocols. Methods: A systematic screening of PubMed, Cochrane, Web of Science, and CINAHL databases using PRISMA-IPD guidelines was conducted in September 2022 to include full-text English papers on MRI and nTOS. Inclusion criteria involved studies describing MRI protocols for the diagnosis of TOS, with a focus on the imaging sequences and protocols. Results: 6289 papers were screened to include 28 papers containing details of MRI protocols. The details of MRI protocols in the analyzed articles were incomplete in all studies. Most authors used 1.5T systems and included T1 and T2-weighted sequences. Most studies applied fat suppression, mainly with STIR. Positioning of the arm differed between studies, including neutral, hyperabducted and abducted and externally rotated positions. Conclusion: Our review highlights a prevalent lack of detailed MRI protocol documentation for brachial plexus. Authors primarily rely on conventional 1.5T systems, employing standard T1 and T2-weighted sequences. The adoption of novel MRI sequences is notably lacking, and fat suppression techniques predominantly adhere to older methods as STIR. There is a clear imperative for authors to provide more comprehensive reporting of the MRI protocols utilized in their studies, ultimately enhancing comparability and clinical applicability. Establishing clear protocol reporting guidelines is crucial to allow for comparison between studies.
摘要：
背景：神经源性胸腔出口综合征（nTOS）是一种罕见的病理，由动态条件或胸部出口区域神经血管结构的压迫引起。由于非特异性症状，nTOS可能难以诊断，并且磁共振成像（MRI）技术越来越多地用于辅助诊断和手术计划。本范围系统性综述探讨了MRI如何用于诊断nTOS，并总结了已发布的MRI方案的详细信息。方法：系统筛选PubMed，科克伦,WebofScience,使用PRISMA-IPD指南的和CINAHL数据库于2022年9月进行,包括有关MRI和nTOS的全文英文论文.纳入标准涉及描述诊断TOS的MRI方案的研究，专注于成像序列和协议。结果：筛选了6289篇论文，其中28篇论文包含MRI协议的详细信息。在所有研究中，分析文章中的MRI方案细节都不完整。大多数作者使用1.5T系统，并包括T1和T2加权序列。大多数研究应用了脂肪抑制，主要是STIR。不同研究之间手臂的定位不同，包括中立的,过度绑架和绑架以及外部旋转的位置。结论：我们的评论强调了臂丛神经缺乏详细的MRI协议文件。作者主要依靠传统的1.5T系统，采用标准T1和T2加权序列。新型MRI序列的采用尤其缺乏，和脂肪抑制技术主要坚持旧的方法如STIR。显然，作者必须提供更全面的研究中使用的MRI协议报告，最终提高可比性和临床适用性。建立明确的协议报告指南对于允许研究之间的比较至关重要。
