Neuropathy Score Reporting and Data System (NS-RADS): A Practical Review of MRI-Based Peripheral Neuropathy Assessment

Semin Ultrasound CT MR. 2023 Aug;44(4):386-397. doi: 10.1053/j.sult.2023.04.003. Epub 2023 Apr 8.

Abstract

The Neuropathy Score Reporting and Data System (NS-RADS) is a newly developed MR imaging-based classification that standardizes reporting and multidisciplinary communication for MR imaging diagnosis and follow-up of peripheral neuropathies. NS-RADS classification has shown to be accurate and reliable across different centers, readers' experience levels, and degrees of peripheral neuropathies, which include nerve injury, entrapment, neoplasm, diffuse neuropathy, post-interventional status, and temporal changes in muscle denervation. This article brings a practical review of NS-RADS classification, representative MR cases, and a step-by-step tutorial on how to approach this staging system. Readers can gain knowledge and apply it in their practice, aiming to standardize the communications between specialties and improve patient management.

Keywords: MR Neurography; MR imaging; Muscle Denervation; NS-RADS; Neuropathy; Peripheral nerve; Structured report.

Publication types

  • Review

MeSH terms

  • Humans
  • Magnetic Resonance Imaging
  • Peripheral Nervous System Diseases* / diagnostic imaging