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General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome

Thoracic outlet syndrome is an uncommon and controversial syndrome. Three different diagnoses can be made based on the compressed structure, arterial TOS, venous TOS, and neurogenic TOS, though combinations do exist as well. Diagnosing NTOS is difficult since no specific objective diagnostic modalit...

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Autores principales: Teijink, Stijn B. J., Pesser, Niels, Goeteyn, Jens, Barnhoorn, Renée J., van Sambeek, Marc R. H. M., van Nuenen, Bart F. L., Gelabert, Hugh A., Teijink, Joep A. W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10178617/
https://www.ncbi.nlm.nih.gov/pubmed/37175016
http://dx.doi.org/10.3390/diagnostics13091625
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author Teijink, Stijn B. J.
Pesser, Niels
Goeteyn, Jens
Barnhoorn, Renée J.
van Sambeek, Marc R. H. M.
van Nuenen, Bart F. L.
Gelabert, Hugh A.
Teijink, Joep A. W.
author_facet Teijink, Stijn B. J.
Pesser, Niels
Goeteyn, Jens
Barnhoorn, Renée J.
van Sambeek, Marc R. H. M.
van Nuenen, Bart F. L.
Gelabert, Hugh A.
Teijink, Joep A. W.
author_sort Teijink, Stijn B. J.
collection PubMed
description Thoracic outlet syndrome is an uncommon and controversial syndrome. Three different diagnoses can be made based on the compressed structure, arterial TOS, venous TOS, and neurogenic TOS, though combinations do exist as well. Diagnosing NTOS is difficult since no specific objective diagnostic modalities exist. This has resulted in a lot of controversy in recent decades. NTOS remains a clinical diagnosis and is mostly diagnosed based on the exclusion of an extensive list of differential diagnoses. To guide the diagnosis and treatment of TOS, a group of experts published the reporting standards for TOS in 2016. However, a consensus was not reached regarding a blueprint for a daily care pathway in this document. Therefore, we constructed a care pathway based on the reporting standards for both the diagnosis and treatment of NTOS patients. This care pathway includes a multidisciplinary approach in which different diagnostic tests and additional imaging techniques are combined to diagnose NTOS or guide patients in their treatment for differential diagnoses. The aim of the present work is to discuss and explain the diagnostic part of this care pathway.
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spelling pubmed-101786172023-05-13 General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome Teijink, Stijn B. J. Pesser, Niels Goeteyn, Jens Barnhoorn, Renée J. van Sambeek, Marc R. H. M. van Nuenen, Bart F. L. Gelabert, Hugh A. Teijink, Joep A. W. Diagnostics (Basel) Review Thoracic outlet syndrome is an uncommon and controversial syndrome. Three different diagnoses can be made based on the compressed structure, arterial TOS, venous TOS, and neurogenic TOS, though combinations do exist as well. Diagnosing NTOS is difficult since no specific objective diagnostic modalities exist. This has resulted in a lot of controversy in recent decades. NTOS remains a clinical diagnosis and is mostly diagnosed based on the exclusion of an extensive list of differential diagnoses. To guide the diagnosis and treatment of TOS, a group of experts published the reporting standards for TOS in 2016. However, a consensus was not reached regarding a blueprint for a daily care pathway in this document. Therefore, we constructed a care pathway based on the reporting standards for both the diagnosis and treatment of NTOS patients. This care pathway includes a multidisciplinary approach in which different diagnostic tests and additional imaging techniques are combined to diagnose NTOS or guide patients in their treatment for differential diagnoses. The aim of the present work is to discuss and explain the diagnostic part of this care pathway. MDPI 2023-05-04 /pmc/articles/PMC10178617/ /pubmed/37175016 http://dx.doi.org/10.3390/diagnostics13091625 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Teijink, Stijn B. J.
Pesser, Niels
Goeteyn, Jens
Barnhoorn, Renée J.
van Sambeek, Marc R. H. M.
van Nuenen, Bart F. L.
Gelabert, Hugh A.
Teijink, Joep A. W.
General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title_full General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title_fullStr General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title_full_unstemmed General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title_short General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome
title_sort general overview and diagnostic (imaging) techniques for neurogenic thoracic outlet syndrome
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10178617/
https://www.ncbi.nlm.nih.gov/pubmed/37175016
http://dx.doi.org/10.3390/diagnostics13091625
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