Needle electromyography does not meaningfully impact findings in MR-neurography/-myography.
MR myography
MR neurography
electromyography
needle EMG
Journal
Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146
Informations de publication
Date de publication:
07 Feb 2024
07 Feb 2024
Historique:
revised:
18
01
2024
received:
18
03
2023
accepted:
21
01
2024
medline:
7
2
2024
pubmed:
7
2
2024
entrez:
7
2
2024
Statut:
aheadofprint
Résumé
Magnetic resonance neurography (MRN) and myography (MRM) are emerging imaging methods for detecting diseases of the peripheral nerve system (PNS). Most patients with PNS diseases also undergo needle electromyography (EMG). This study examined whether EMG led to lesions that were detectable using MRN/MRM and whether these lesions could impair image interpretation. Ten patients who underwent clinically indicated EMG were recruited. MRN/MRM was performed before and 2-6 h after EMG, and if achievable, 2-3 days later. T2 signal intensity (SI) of the tibialis anterior muscle (TA) was quantified, and sizes and SI of the new lesions were measured. Visual rating was performed independently by three neuroradiologists. T2 lesions at the site of needle insertion, defined as focal edema, were detectable in 9/10 patients. The mean edema size was 31.72 mm This study showed that focal edema and hematomas frequently occurred after needle EMG and could be observed using MRN/MRM. As general muscle SI was not affected and image interpretation was not impaired, we concluded that needle EMG did not interfere with MRN/MRM.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Authors. Muscle & Nerve published by Wiley Periodicals LLC.
Références
Kollmer J, Hund E, Hornung B, et al. In vivo detection of nerve injury in familial amyloid polyneuropathy by magnetic resonance neurography. Brain. 2015;138(3):549-562.
Pham M, Oikonomou D, Bäumer P, et al. Proximal neuropathic lesions in distal symmetric diabetic polyneuropathy: findings of high-resolution magnetic resonance neurography. Diabetes Care. 2011;34(3):721-723.
Bäumer P, Weiler M, Ruetters M, et al. MR neurography in ulnar neuropathy as surrogate parameter for the presence of disseminated neuropathy. PLoS One. 2012;7(11):e49742.
Kollmer J, Bäumer P, Milford D, et al. T2-signal of ulnar nerve branches at the wrist in Guyon's canal syndrome. PLoS One. 2012;7(10):e47295.
Bäumer P, Dombert T, Staub F, et al. Ulnar neuropathy at the elbow: MR neurography-nerve T2 signal increase and caliber. Radiology. 2011;260(1):199-206.
Pham M, Oikonomou D, Hornung B, et al. Magnetic resonance neurography detects diabetic neuropathy early and with proximal predominance. Ann Neurol. 2015;78(6):939-948.
Sondermann S, Bäumer T, Suss J, et al. Detection of traumatic and postoperative nerve lesions following upper extremity fractures in a pediatric cohort using MR neurography. Eur J Pediatr Surg. 2022;33:319-327.
McDonald CM, Carter GT, Fritz RC, Anderson MW, Abresch RT, Kilmer DD. Magnetic resonance imaging of denervated muscle: comparison to electromyography. Muscle Nerve. 2000;23(9):1431-1434.
May DA, Disler DG, Jones EA, Balkissoon AA, Manaster BJ. Abnormal signal intensity in skeletal muscle at MR imaging: patterns, pearls, and pitfalls. Radiographics. 2000;20:S295-S315.
Tepeli B, Karataş M, Coşkun M, Yemişçi OÜ. A comparison of magnetic resonance imaging and electroneuromyography for denervated muscle diagnosis. J Clin Neurophysiol. 2017;34(3):248-253.
Bendszus M, Wessig C, Solymosi L, Reiners K, Koltzenburg M. MRI of peripheral nerve degeneration and regeneration: correlation with electrophysiology and histology. Exp Neurol. 2004;188(1):171-177.
Gertken JT, Hunt CH, Chinea NIM, Morris JM, Sorenson EJ, Boon AJ. Risk of hematoma following needle electromyography of the paraspinal muscles. Muscle Nerve. 2011;44(3):439-440.
Caress JB, Rutkove SB, Carlin M, Khoshbin S, Preston DC. Paraspinal muscle hematoma after electromyography. Neurology. 1996;47:272.
Sawilowsky SS. New effect size rules of thumb. J Mod Appl Stat Methods. 2009;8(2):26-599.
Engelberger RP, Indermühle A, Baumann F, et al. Diurnal changes of lower leg volume in obese and non-obese subjects. Int J Obes (Lond). 2014;38(6):801-805.
Belczak CEQ, de Godoy JMP, Ramos RN, de Oliveira MA, Belczak SQ, Caffaro RA. Rate of occupational leg swelling is greater in the morning than in the afternoon. Phlebology. 2009;24(1):21-25.
Sawai A, Tochigi Y, Kavaliova N, et al. MRI reveals menstrually-related muscle edema that negatively affects athletic agility in young women. PLoS One. 2018;13(1):e0191022.
Clarkson PM, Hubal MJ. Exercise-induced muscle damage in humans. Am J Phys Med Rehabil. 2002;81(11 Suppl):S52-S69.
Fleckenstein J, Canby R, Parkey R, Peshock R. Acute effects of exercise on MR imaging of skeletal muscle in normal volunteers. Am J Roentgenol. 1988;151(2):231-237.
Joint Head and Neck Radiotherapy-MRI Development Cooperative. A prospective longitudinal assessment of MRI signal intensity kinetics of non-target muscles in patients with advanced stage oropharyngeal cancer in relationship to radiotherapy dose and post-treatment radiation-associated dysphagia: preliminary findings from a randomized trial. Radiother Oncol. 2019;1(130):46-55.
Fujino H, Kobayashi T, Goto I, Onitsuka H. Magnetic resonance imaging of the muscles in patients with polymyositis and dermatomyositis. Muscle Nerve. 1991;14(8):716-720.
Fleckenstein JL, Weatherall PT, Parkey RW, Payne JA, Peshock RM. Sports-related muscle injuries: evaluation with MR imaging. Radiology. 1989;172(3):793-798.
Caress JB. Bleeding and electromyography: the needle and the damage (not) done. Muscle Nerve. 2011;44(3):313-315.
Yoon BN, Ahn SW, Kim JE, et al. Potential risks of nerve conduction studies and needle electromyography. Ann Clin Neurophysiol. 2018;20(2):66.
Gechev A, Kane NM, Koltzenburg M, Rao DG, van der Star R. Potential risks of iatrogenic complications of nerve conduction studies (NCS) and electromyography (EMG). Clin Neurophysiol Pract. 2016;1:62-66.
Boon AJ, Gertken JT, Watson JC, et al. Hematoma risk after needle electromyography. Muscle Nerve. 2012;45(1):9-12.
Preisner F, Friedmann-Bette B, Wehrstein M, et al. In vivo visualization of tissue damage induced by percutaneous muscle biopsy via novel high-resolution MR imaging. Med Sci Sports Exerc. 2021;53(7):1367-1374.