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学科主题: 临床医学
题名:
Feasibility of 3D Ultrasound to Evaluate Upper Extremity Nerves
作者: Girtler, M. -T.1; Krasinski, A.1; Dejaco, C.2; Kitzler, H. H.1,3; Cui, L. G.1,4; Sherebrin, S.1; Gardi, L.1; Chhem, R. K.5; Fenster, A.1; Romagnoli, C.1,6; De Zordo, T.1,7
关键词: ultrasound ; nervous-peripheral ; ultrasound 3D/4D
刊名: ULTRASCHALL IN DER MEDIZIN
发表日期: 2013-08-01
DOI: 10.1055/s-0032-1325397
卷: 34, 期:4, 页:382-387
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Acoustics ; Radiology, Nuclear Medicine & Medical Imaging
研究领域[WOS]: Acoustics ; Radiology, Nuclear Medicine & Medical Imaging
关键词[WOS]: CARPAL-TUNNEL-SYNDROME ; CAROTID PLAQUE VOLUME ; CUBITAL TUNNEL ; ULNAR NEUROPATHY ; MEDIAN NERVE ; ELBOW ; DIAGNOSIS ; SONOGRAPHY ; FOREARM ; RATIO
英文摘要:

Purpose: This study investigates the performance of a 3D Ultrasound (US) system in imaging elbow and wrist nerves.

Materials and Methods: Twenty healthy volunteers with asymptomatic median, ulnar and radial nerves were prospectively investigated. Bilateral 3DUS scans of the elbows and wrists were acquired by using a commercially available US scanner (18 MHz, AplioXG, Toshiba) and stored as a 3D volume by a dedicated software (CURE, Robarts Research Institute). Retrospectively, qualitative (image quality, atypical nerve location, findings potentially associated with compression neuropathy) and quantitative (cross-sectional area measurements) evaluations were performed.

Results: In all 200 nerves 3DUS was feasible (100 %). Image quality was insufficient in 13.5 % (25 ulnar nerve elbow, 2 radial nerve) and sonomorphology was not assessable in those nerves. Measurement of cross sectional areas was feasible in all nerves (100 %). Median cross-sectional area (range) were: median nerve elbow 7mm(2) (6-9), radial nerve 3mm(2) (1-4), ulnar nerve elbow 8mm(2) (5-11), median nerve wrist 8mm(2) (5 10), and ulnar nerve wrist 4mm(2) (2-6). No significant changes in nerve cross-sectional area along each nerve was found. Ulnar nerve subluxation was found in 2 nerves (6.7 %). No anconeus epitrochlearis muscle or osteophytes were found.

Conclusion: 3DUS is a feasible method for assessing nerves of the upper extremity and has been shown to provide a good overview of the median, ulnar and radial nerve at the elbow and wrist, but is limited for evaluation of the ulnar nerve in the cubital tunnel. This technique enables reliable measurements at different locations along the nerve.

语种: 英语
WOS记录号: WOS:000330531500012
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64167
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Med Univ Graz, Dept Rheumatol, A-8036 Graz, Austria
2.Tech Univ Dresden, Dept Neuroradiol, Dresden, Germany
3.Med Univ Vienna, Dept Radiol, Vienna, Austria
4.Univ Western Ontario, Robarts Res Inst, London, ON N6A 3K7, Canada
5.Peking Univ, Hosp 3, Dept Diagnost Ultrasound, Beijing, Peoples R China
6.Univ Western Ontario, Dept Radiol, London, ON N6A 3K7, Canada
7.Med Univ Innsbruck, Dept Radiol, A-6020 Innsbruck, Austria

Recommended Citation:
Girtler, M. -T.,Krasinski, A.,Dejaco, C.,et al. Feasibility of 3D Ultrasound to Evaluate Upper Extremity Nerves[J]. ULTRASCHALL IN DER MEDIZIN,2013,34(4):382-387.
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