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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10178617 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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