Degree of Agreement between Electrodiagnostic Testing and Magnetic Resonance Imaging in the Evaluation of Brachial Plexopathy.

Abstract:

OBJECTIVE:Electrodiagnostic study (EDX) and magnetic resonance imaging (MRI) are commonly used in the diagnosis of brachial plexopathy, but the agreement between these 2 studies is unknown. The aim of this study was to evaluate the agreement of EDX and MRI in patients with brachial plexopathy. DESIGN:The records of 69 patients with symptoms of brachial plexopathy who underwent EDX and MRI were reviewed. Based on the degree of agreement of EDX and MRI results, patients were classified as a "complete match," "partial match," or "mismatch." RESULTS:Both studies yielded similar results for the majority of patients (63.2%). Among the enrolled patients, 26.4% were classified as a "complete match," 36.8% as "partial match," and 36.8% as "mismatch." However, only 1 test, either EDX or MRI, revealed abnormal findings in 21.1% of patients. CONCLUSIONS:The agreement between EDX and MRI was high in patients with brachial plexopathy. However, only one of these tests, not both, revealed abnormal findings in several cases. Although both EDX and MRI were in accord with the diagnosis of brachial plexopathy in majority of cases, these 2 studies remain complementary diagnostic modalities for evaluating brachial plexopathies.

journal_name

Am J Phys Med Rehabil

authors

Kang S,Yoon JS,Hong SJ,Yang SN

doi

10.1097/PHM.0000000000001139

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

545-548

issue

7

eissn

0894-9115

issn

1537-7385

journal_volume

98

pub_type

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