Visualization of the Inferior Alveolar Nerve and Lingual Nerve Using MRI in Oral and Maxillofacial Surgery: A Systematic Review.
Adib Al-Haj HusainMark SolomonsBernd StadlingerRada PejicicSebastian WinklhoferMarco PiccirelliSilvio ValdecPublished in: Diagnostics (Basel, Switzerland) (2021)
We evaluate the preoperative visualization of the inferior alveolar nerve (IAN) and lingual nerve (LN) as reported using radiation-free magnetic resonance imaging (MRI). An accurate visualization shall minimize the postoperative risk for nerve injuries in oral and maxillofacial surgery. PubMed MEDLINE, EMBASE, Biosis, and Cochrane databases were selected for the PICOS search strategy by two reviewers using medical subject headings (MeSH) terms. Thirty studies were included in the systematic review. Based on these studies' findings, the use of black bone MRI sequences, especially 3D short-tau inversion recovery (STIR), provides superior soft-tissue resolution and high sensitivity in detecting pathological changes. Due to the implementation variability regarding scan parameters and the use of different magnetic field strengths, studies with well-designed protocols and a low risk of bias should be conducted to obtain stronger evidence. With improved cost and time efficiency and considering the benefit-risk ratio, MRI is a promising imaging modality that could become part of routine clinical practice in the future.
Keyphrases
- magnetic resonance imaging
- contrast enhanced
- systematic review
- peripheral nerve
- clinical practice
- computed tomography
- diffusion weighted imaging
- soft tissue
- minimally invasive
- healthcare
- magnetic resonance
- patients undergoing
- high resolution
- coronary artery bypass
- primary care
- case control
- machine learning
- bone mineral density
- single molecule
- quality improvement
- acute coronary syndrome
- radiation therapy
- coronary artery disease
- atrial fibrillation
- cerebrospinal fluid
- bone regeneration
- bone loss