Peripheral Nerve Diffusion Tensor Imaging : Interreader and Test-retest Reliability as Quantified by the Standard Error of Measurement.

Diffusion tensor imaging Magnetic resonance imaging Peripheral nervous system Reference values Reproducibility of results

Journal

Clinical neuroradiology
ISSN: 1869-1447
Titre abrégé: Clin Neuroradiol
Pays: Germany
ID NLM: 101526693

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 26 09 2019
accepted: 16 11 2019
pubmed: 7 12 2019
medline: 27 10 2021
entrez: 7 12 2019
Statut: ppublish

Résumé

Diffusion tensor imaging (DTI) is increasingly being used in magnetic resonance neurography (MRN). The purpose of this study was to determine the interreader and test-retest reliability of peripheral nerve DTI in MRN with focus on the sciatic nerve. In this prospective study 27 healthy volunteers each underwent 3 scans of a short DTI protocol on separate days consisting of a T2-weighted turbo spin-echo and single-shot DTI sequence of the sciatic nerve of the dominant leg. The DTI parameters fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (AD), and radial diffusivity (RD) were obtained after manual nerve segmentation by two independent readers. Intraclass correlation coefficients (ICC), standard error of measurement (SEM), and Bland-Altman plots were calculated as measures for both interreader and test-retest agreement for all readout parameters. The mean ± standard deviation was 0.507 ± 0.05 for FA, 1308.5 ± 162.4 × 10 Peripheral nerve DTI of the sciatic nerve is reliable and reproducible. The measures presented here may serve as first orientation values of measurement accuracy when interpreting parameters of sciatic nerve DTI.

Identifiants

pubmed: 31807812
doi: 10.1007/s00062-019-00859-0
pii: 10.1007/s00062-019-00859-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

679-689

Références

Hagmann P, Jonasson L, Maeder P, Thiran JP, Wedeen VJ, Meuli R. Understanding diffusion MR imaging techniques: from scalar diffusion-weighted imaging to diffusion tensor imaging and beyond. Radiographics. 2006;26(Suppl 1):S205–23.
doi: 10.1148/rg.26si065510
Mori S, Zhang J. Principles of diffusion tensor imaging and its applications to basic neuroscience research. Neuron. 2006;51:527–39.
doi: 10.1016/j.neuron.2006.08.012 pubmed: 16950152 pmcid: 16950152
Kronlage M, Pitarokoili K, Schwarz D, Godel T, Heiland S, Yoon MS, Bendszus M, Bäumer P. Diffusion tensor imaging in chronic inflammatory demyelinating polyneuropathy: diagnostic accuracy and correlation with electrophysiology. Invest Radiol. 2017;52:701–7.
doi: 10.1097/rli.0000000000000394
Haakma W, Jongbloed BA, Froeling M, Goedee HS, Bos C, Leemans A, van den Berg LH, Hendrikse J, van der Pol WL. MRI shows thickening and altered diffusion in the median and ulnar nerves in multifocal motor neuropathy. Eur Radiol. 2017;27:2216–24.
doi: 10.1007/s00330-016-4575-0 pubmed: 27655303 pmcid: 27655303
Vaeggemose M, Pham M, Ringgaard S, Tankisi H, Ejskjaer N, Heiland S, Poulsen PL, Andersen H. Magnetic resonance neurography visualizes abnormalities in sciatic and tibial nerves in patients with type 1 diabetes and neuropathy. Diabetes. 2017;66:1779–88. https://doi.org/10.2337/db16-1049
doi: 10.2337/db16-1049 pubmed: 28432188 pmcid: 28432188
Guggenberger R, Markovic D, Eppenberger P, Chhabra A, Schiller A, Nanz D, Prüssmann K, Andreisek G. Assessment of median nerve with MR neurography by using diffusion-tensor imaging: normative and pathologic diffusion values. Radiology. 2012;265:194–203.
doi: 10.1148/radiol.12111403
Jengojan S, Kovar F, Breitenseher J, Weber M, Prayer D, Kasprian G. Acute radial nerve entrapment at the spiral groove: detection by DTI-based neurography. Eur Radiol. 2015;25:1678–83.
doi: 10.1007/s00330-014-3562-6 pubmed: 25576227 pmcid: 25576227
Breckwoldt MO, Stock C, Xia A, Heckel A, Bendszus M, Pham M, Heiland S, Bäumer P. Diffusion tensor imaging adds diagnostic accuracy in magnetic resonance neurography. Invest Radiol. 2015;50:498–504.
doi: 10.1097/rli.0000000000000156
Kronlage M, Schwehr V, Schwarz D, Godel T, Uhlmann L, Heiland S, Bendszus M, Bäumer P. Peripheral nerve diffusion tensor imaging (DTI): normal values and demographic determinants in a cohort of 60 healthy individuals. Eur Radiol. 2018;28:1801–8.
doi: 10.1007/s00330-017-5134-z pubmed: 29230526 pmcid: 29230526
Breitenseher JB1, Kranz G, Hold A, Berzaczy D, Nemec SF, Sycha T, Weber M, Prayer D, Kasprian G. MR neurography of ulnar nerve entrapment at the cubital tunnel: a diffusion tensor imaging study. Eur Radiol. 2015;25:1911–8.
doi: 10.1007/s00330-015-3613-7
Hiltunen J, Kirveskari E, Numminen J, Lindfors N, Göransson H, Hari R. Pre- and post-operative diffusion tensor imaging of the median nerve in carpal tunnel syndrome. Eur Radiol. 2012;22:1310–9.
doi: 10.1007/s00330-012-2381-x
O’Donnell LJ, Westin CF. An introduction to diffusion tensor image analysis. Neurosurg Clin N Am. 2011;22:185–96.
doi: 10.1016/j.nec.2010.12.004 pubmed: 3163395 pmcid: 3163395
Heckel A, Weiler M, Xia A, Ruetters M, Pham M, Bendszus M, Heiland S, Baeumer P. Peripheral nerve diffusion tensor imaging: assessment of axon and myelin sheath integrity. PLoS One. 2015;10:e130833.
doi: 10.1371/journal.pone.0130833 pubmed: 4482724 pmcid: 4482724
Godel T, Pham M, Kele H, Kronlage M, Schwarz D, Brunée M, Heiland S, Bendszus M, Bäumer P. Diffusion tensor imaging in anterior interosseous nerve syndrome—functional MR neurography on a fascicular level. Neuroimage Clin. 2019;21:101659.
doi: 10.1016/j.nicl.2019.101659 pubmed: 6412076 pmcid: 6412076
Andreisek G, White LM, Kassner A, Sussman MS. Evaluation of diffusion tensor imaging and fiber tractography of the median nerve: preliminary results on intrasubject variability and precision of measurements. AJR Am J Roentgenol. 2010;194:W65–72.
doi: 10.2214/AJR.09.2517
Ho MJ, Manoliu A, Kuhn FP, Stieltjes B, Klarhöfer M, Feiweier T, Marcon M, Andreisek G. Evaluation of reproducibility of diffusion tensor imaging in the brachial plexus at 3.0 T. Invest Radiol. 2017;52:482–7.
doi: 10.1097/RLI.0000000000000363
Tagliafico A, Calabrese M, Puntoni M, Pace D, Baio G, Neumaier CE, Martinoli C. Brachial plexus MR imaging: accuracy and reproducibility of DTI-derived measurements and fibre tractography at 3.0‑T. Eur Radiol. 2011;21:1764–71.
doi: 10.1007/s00330-011-2100-z
Guggenberger R, Nanz D, Bussmann L, Chhabra A, Fischer MA, Hodler J, Pfirrmann CW, Andreisek G. Diffusion tensor imaging of the median nerve at 3.0 T using different MR scanners: agreement of FA and ADC measurements. Eur J Radiol. 2013;82:e590–6.
doi: 10.1016/j.ejrad.2013.05.011
Guggenberger R, Nanz D, Puippe G, Rufibach K, White LM, Sussman MS, Andreisek G. Diffusion tensor imaging of the median nerve: intra-, inter-reader agreement, and agreement between two software packages. Skeletal Radiol. 2012;41:971–80.
doi: 10.1007/s00256-011-1310-4
Simon NG, Lagopoulos J, Gallagher T, Kliot M, Kiernan MC. Peripheral nerve diffusion tensor imaging is reliable and reproducible. J Magn Reson Imaging. 2016;43:962–9.
doi: 10.1002/jmri.25056
Keller S, Wang ZJ, Golsari A, Kim AC, Kooijman H, Adam G, Yamamura J. Feasibility of peripheral nerve MR neurography using diffusion tensor imaging adapted to skeletal muscle disease. Acta Radiol. 2018;59:560–8.
doi: 10.1177/0284185117726100
Haakma W, Hendrikse J, Uhrenholt L, Leemans A, Warner Thorup Boel L, Pedersen M, Froeling M. Multicenter reproducibility study of diffusion MRI and fiber tractography of the lumbosacral nerves. J Magn Reson Imaging. 2018;48:951–63.
doi: 10.1002/jmri.25964 pubmed: 6221026 pmcid: 6221026
Lee KM, Lee J, Chung CY, Ahn S, Sung KH, Kim TW, Lee HJ, Park MS. Pitfalls and important issues in testing reliability using intraclass correlation coefficients in orthopaedic research. Clin Orthop Surg. 2012;4:149–55.
doi: 10.4055/cios.2012.4.2.149 pubmed: 3360188 pmcid: 3360188
Stratford PW, Goldsmith CH. Use of the standard error as a reliability index of interest: an applied example using elbow flexor strength data. Phys Ther. 1997;77:745–50.
doi: 10.1093/ptj/77.7.745
Popović ZB, Thomas JD. Assessing observer variability: a user’s guide. Cardiovasc Diagn Ther. 2017;7:317–24.
doi: 10.21037/cdt.2017.03.12 pubmed: 5440257 pmcid: 5440257
Godel T, Bäumer P, Farschtschi S, Gugel I, Kronlage M, Hofstadler B, Heiland S, Gelderblom M, Bendszus M, Mautner VF. Peripheral nervous system alterations in infant and adult neurofibromatosis type 2. Neurology. 2019;93:e590-8.
doi: 10.1212/wnl.0000000000007898
Jende JME, Hauck GH, Diem R, Weiler M, Heiland S, Wildemann B, Korporal-Kuhnke M, Wick W, Hayes JM, Pfaff J, Pham M, Bendszus M, Kollmer J. Peripheral nerve involvement in multiple sclerosis: demonstration by magnetic resonance neurography. Ann Neurol. 2017;82:676–85.
doi: 10.1002/ana.25068
Jende JME, Groener JB, Oikonomou D, Heiland S, Kopf S, Pham M, Nawroth P, Bendszus M, Kurz FT. Diabetic neuropathy differs between type 1 and type 2 diabetes: Insights from magnetic resonance neurography. Ann Neurol. 2018;83:588–98.
doi: 10.1002/ana.25182
Jende JME, Groener JB, Rother C, Kender Z, Hahn A, Hilgenfeld T, Juerchott A, Preisner F, Heiland S, Kopf S, Pham M, Nawroth P, Bendszus M, Kurz FT. Association of serum cholesterol levels with peripheral nerve damage in patients with type 2 diabetes. JAMA Netw Open. 2019;2:e194798.
doi: 10.1001/jamanetworkopen.2019.4798 pubmed: 6547108 pmcid: 6547108
Vaeggemose M, Vaeth S, Pham M, Ringgaard S, Jensen UB, Tankisi H, Ejskjaer N, Heiland S, Andersen H. Magnetic resonance neurography and diffusion tensor imaging of the peripheral nerves in patients with Charcot-Marie-Tooth Type 1A. Muscle Nerve. 2017;56:E78–84.
doi: 10.1002/mus.25691 pubmed: 28500667 pmcid: 28500667
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–8.
doi: 10.1037/0033-2909.86.2.420
Koo TK, Li MY. A guideline of selecting and reporting Intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15:155–63.
doi: 10.1016/j.jcm.2016.02.012 pubmed: 27330520 pmcid: 27330520
Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.
doi: 10.1177/096228029900800204 pubmed: 10501650 pmcid: 10501650
Kim HS, Yoon YC, Choi BO, Jin W, Cha JG, Kim JH. Diffusion tensor imaging of the sciatic nerve in Charcot-Marie-tooth disease type I patients: a prospective case-control study. Eur Radiol. 2019;29:3241–52.
doi: 10.1007/s00330-018-5958-1 pubmed: 30635758 pmcid: 30635758
Schneider C, Sprenger A, Weiss K, Slebocki K, Maintz D, Fink GR, Henning TD, Lehmann HC, Lichtenstein T. MRI detects peripheral nerve and adjacent muscle pathology in non-systemic vasculitic neuropathy (NSVN). J Neurol. 2019;266:975–81.
doi: 10.1007/s00415-019-09224-0 pubmed: 30762104 pmcid: 30762104
Klauser AS, Abd Ellah M, Kremser C, Taljanovic M, Schmidle G, Gabl M, Cartes-Zumelzu F, Steiger R, Gizewski ER. Carpal tunnel syndrome assessment with diffusion tensor imaging: value of fractional anisotropy and apparent diffusion coefficient. Eur Radiol. 2018;28:1111–7.
doi: 10.1007/s00330-017-5046-y pubmed: 28956129 pmcid: 28956129
Cao J, He B, Wang S, Zhou Z, Gao F, Xiao L, Luo X, Wu C, Gong T, Chen W, Wang G. Diffusion tensor imaging of tibial and common peroneal nerves in patients with Guillain-Barre syndrome: a feasibility study. J Magn Reson Imaging. 2019;49:1356–64.
doi: 10.1002/jmri.26324 pubmed: 30252994 pmcid: 30252994
Wu W, Niu Y, Kong X, Liu D, Long X, Shu S, Su X, Wang B, Liu X, Ma Y, Wang L. Application of diffusion tensor imaging in quantitatively monitoring chronic constriction injury of rabbit sciatic nerves: correlation with histological and functional changes. Br J Radiol. 2018;91:20170414.
doi: 10.1259/bjr.20170414 pubmed: 29166135 pmcid: 29166135
Razek AAKA, Shabana AAE, El Saied TO, Alrefey N. Diffusion tensor imaging of mild-moderate carpal tunnel syndrome: correlation with nerve conduction study and clinical tests. Clin Rheumatol. 2017;36:2319–24.
doi: 10.1007/s10067-016-3463-y
Wu C, Wang G, Zhao Y, Hao W, Zhao L, Zhang X, Cao J, Wang S, Chen W, Chan Q, Zhao B, Chhabra A. Assessment of tibial and common peroneal nerves in diabetic peripheral neuropathy by diffusion tensor imaging: a case control study. Eur Radiol. 2017;27:3523–31.
doi: 10.1007/s00330-016-4698-3
Bernabeu Á, López-Celada S, Alfaro A, Mas JJ, Sánchez-González J. Is diffusion tensor imaging useful in the assessment of the sciatic nerve and its pathologies? Our clinical experience. Br J Radiol. 2016;89:20150728.
doi: 10.1259/bjr.20150728 pubmed: 5124792 pmcid: 5124792
Markvardsen LH, Vaeggemose M, Ringgaard S, Andersen H. Diffusion tensor imaging can be used to detect lesions in peripheral nerves in patients with chronic inflammatory demyelinating polyneuropathy treated with subcutaneous immunoglobulin. Neuroradiology. 2016;58:745–52.
doi: 10.1007/s00234-016-1692-z pubmed: 27114080 pmcid: 27114080
Shi Y, Zong M, Xu X, Zou Y, Feng Y, Liu W, Wang C, Wang D. Diffusion tensor imaging with quantitative evaluation and fiber tractography of lumbar nerve roots in sciatica. Eur J Radiol. 2015;84:690–5.
doi: 10.1016/j.ejrad.2015.01.006 pubmed: 25631881 pmcid: 25631881
Brienza M, Pujia F, Colaiacomo MC, Anastasio MG, Pierelli F, Di Biasi C, Andreoli C, Gualdi G, Valente GO. 3T diffusion tensor imaging and electroneurography of peripheral nerve: a morphofunctional analysis in carpal tunnel syndrome. J Neuroradiol. 2014;41:124–30.
doi: 10.1016/j.neurad.2013.06.001 pubmed: 23870213 pmcid: 23870213
Bäumer P, Pham M, Ruetters M, Heiland S, Heckel A, Radbruch A, et al. Peripheral neuropathy: detection with diffusion-tensor imaging. Radiology. 2014;273(1):185–93. https://doi.org/10.1148/radiol.14132837 .
doi: 10.1148/radiol.14132837 pubmed: 24844471 pmcid: 24844471
Mathys C, Aissa J, Meyer Zu Hörste G, Reichelt DC, Antoch G, Turowski B, Hartung HP, Sheikh KA, Lehmann HC. Peripheral neuropathy: assessment of proximal nerve integrity by diffusion tensor imaging. Muscle Nerve. 2013;48:889–96.
doi: 10.1002/mus.23855 pubmed: 23532987 pmcid: 23532987
Chhabra A, Thakkar RS, Andreisek G, Chalian M, Belzberg AJ, Blakeley J, Hoke A, Thawait GK, Eng J, Carrino JA. Anatomic MR imaging and functional diffusion tensor imaging of peripheral nerve tumors and tumorlike conditions. AJNR Am J Neuroradiol. 2013;34:802–7.
doi: 10.3174/ajnr.A3316 pubmed: 23124644 pmcid: 23124644
Tanitame K, Iwakado Y, Akiyama Y, Ueno H, Ochi K, Otani K, Takasu M, Date S, Awai K. Effect of age on the fractional anisotropy (FA) value of peripheral nerves and clinical significance of the age-corrected FA value for evaluating polyneuropathies. Neuroradiology. 2012;54:815–21.
doi: 10.1007/s00234-011-0981-9 pubmed: 22108868 pmcid: 22108868
Simon NG, Lagopoulos J, Paling S, Pfluger C, Park SB, Howells J, Gallagher T, Kliot M, Henderson RD, Vucic S, Kiernan MC. Peripheral nerve diffusion tensor imaging as a measure of disease progression in ALS. J Neurol. 2017;264:882–90.
doi: 10.1007/s00415-017-8443-x pubmed: 28265751 pmcid: 28265751
Lichtenstein T, Sprenger A, Weiss K, Slebocki K, Cervantes B, Karampinos D, Maintz D, Fink GR, Henning TD, Lehmann HC. MRI biomarkers of proximal nerve injury in CIDP. Ann Clin Transl Neurol. 2018;5:19–28.
doi: 10.1002/acn3.502
Wako Y, Nakamura J, Eguchi Y, Hagiwara S, Miura M, Kawarai Y, Sugano M, Nawata K, Yoshino K, Toguchi Y, Masuda Y, Matsumoto K, Suzuki T, Orita S, Ohtori S. Diffusion tensor imaging and tractography of the sciatic and femoral nerves in healthy volunteers at 3T. J Orthop Surg Res. 2017;12:184.
doi: 10.1186/s13018-017-0690-0 pubmed: 5707804 pmcid: 5707804
Balsiger F, Steindel C, Arn M, Wagner B, Grunder L, El-Koussy M, Valenzuela W, Reyes M, Scheidegger O. Segmentation of peripheral nerves from magnetic resonance neurography: a fully-automatic, deep learning-based approach. Front Neurol. 2018;9:777.
doi: 10.3389/fneur.2018.00777 pubmed: 6156270 pmcid: 6156270

Auteurs

Fabian Preisner (F)

Department of Neuroradiology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Philipp Bäumer (P)

Department of Neuroradiology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.
Center for Radiology Dia.log, Vinzenz-von-Paul Str. 8, 84503, Altötting, Germany.

Michaela Wehrstein (M)

Department of Sports Medicine (Internal Medicine VII), Medical Clinic, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.

Birgit Friedmann-Bette (B)

Department of Sports Medicine (Internal Medicine VII), Medical Clinic, Heidelberg University Hospital, Im Neuenheimer Feld 410, 69120, Heidelberg, Germany.

Matthes Hackbusch (M)

Institute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Sabine Heiland (S)

Department of Neuroradiology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Martin Bendszus (M)

Department of Neuroradiology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Moritz Kronlage (M)

Department of Neuroradiology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. Moritz.Kronlage@med.uni-heidelberg.de.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH