Figure 3 3D magnetic resonance neurography

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Figure 3 3D magnetic resonance neurography and diffusion tensor imaging in immune-mediated neuropathies Figure 3 | 3D magnetic resonance neurography and diffusion tensor imaging in immune-mediated neuropathies. a | The brachial plexus (left) and lumbosacral plexus (right) in a 38-year-old woman with chronic inflammatory demyelinating polyradiculoneuropathy. The images show hyperintensity and symmetrical hypertrophy of the cervical nerve roots (small arrows), primary trunks (arrowheads) and cords (large arrows) in the brachial plexus, and of the L2–S1 spinal roots (white arrows) and sciatic nerves (red arrows) in the lumbosacral plexus. b | Diffusion tensor imaging tractography of the right (blue) and left (green) sciatic nerves at the mid-thigh in the same 38-year-old woman, which also appear symmetrically hyperintense and hypertrophic. The mean fractional anisotropy values of both sciatic nerves (0.38) are below the reference values for healthy subjects (0.50). c | The brachial plexus (left) and lumbosacral plexus (right) in a 68-year-old man with multifocal acquired demyelinating sensory and motor neuropathy. Arrows indicate typical asymmetrical hypertrophy. In the brachial plexus, arrows show enlargement of the left C5, C6 and C7 nerve roots, and arrowheads show enlargement of the right C5 nerve root and the infraclavear portion of the plexus. In the lumbosacral plexus, arrows indicate enlargement of the left L4, L5 and S1 nerve roots and the sciatic nerve. d | Cross sections of the left forearm (left) and the right mid-thigh (right). In the forearm, the arrow indicates enlargement of the median nerve and the arrowhead indicates enlargement of the ulnar nerve. In the thigh, the arrow indicates enlargement of the right sciatic nerve. Gasparotti, R. et al. (2017) New technologies for the assessment of neuropathies Nat. Rev. Neurol. doi:10.1038/nrneurol.2017.31