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Abstract #2794

Quantitative evaluation of compressed nerve roots treated by PETD in lumbosacral radiculopathy using diffusion tensor imaging

Shi Yin1, Dou Weiqiang2, Shi Haibin1, and Ren Yongxin1
1The First Affiliated Hospital of Nanjing Medical University, Nanjing, China, 2GE Healthcare, MR Research, Beijing, P.R. China, Beijing, China

In this study, we aim to investigate if diffusion tensor imaging can clinically evaluate lumbosacral radiculopathy before and after percutaneous transforaminal endoscopic discectomy. By measuring 66 patients pre- and post-operatively, we found the FA values at the proximal sub-regions (subarticular zone) are more effective and had a significant correlation with clinical symptoms. Besides, both located in the proximal sub-regions, the abnormal parts of DTT visualized nerves coincided with the changes of the FA values in compressed nerves before and after surgery. Therefore, in lumbosacral radiculopathy, DTI is a potential tool for clinical evaluation before and after PETD surgery.

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