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Abstract #2962

MR Neurography-Guided Percutaneous Pelvic Injection Procedures

Jan Fritz1, Yubo L1, Kenneth C. Wang1, Paweena U-Thainual2, 3, Aaron J. Flammang4, Avneesh Chhabra1, John A. Carrino1

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, Baltimore, MD, United States; 2Department of Mechanical Engineering and Laboratory for Computational Sensing and Robotics, The Johns Hopkins University, Baltimore, MD, United States; 3Department of Mechanical and Materials Engineering, Queen's University, Kingston, ON, Canada; 4Center for Applied Medical Imaging, Siemens Corporate Research, Princeton, NJ, United States


In pelvic pain syndromes, selective nerve infiltration with a local anesthetic is used to test the hypothesis that a particular nerve is the source of pain. Diagnostic blocks require highest accuracy because they are typically used as a tool to help to make advanced management decisions such as surgery. MR neurography-guided injection procedures can increase accuracy especially in deeply situated and complex targets by the direct MR visualization of the nerve and the injectant.