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Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study
PURPOSE: Imaging is gaining a more prominent role in the diagnosis of carpal tunnel syndrome (CTS), especially ultrasonography. Shear wave elastography (SWE) is a novel qualitative method to study mechanical changes in tissue. In this study, we aim to assess the role of SWE in diagnosing and stainin...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652346/ https://www.ncbi.nlm.nih.gov/pubmed/34925653 http://dx.doi.org/10.5114/pjr.2021.111437 |
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author | Mohammadi, Afshin Afshar, Ahmadreza Mirza-Aghazadeh-Attari, Mohammad Mokhtari, Seyed Arman Seyed |
author_facet | Mohammadi, Afshin Afshar, Ahmadreza Mirza-Aghazadeh-Attari, Mohammad Mokhtari, Seyed Arman Seyed |
author_sort | Mohammadi, Afshin |
collection | PubMed |
description | PURPOSE: Imaging is gaining a more prominent role in the diagnosis of carpal tunnel syndrome (CTS), especially ultrasonography. Shear wave elastography (SWE) is a novel qualitative method to study mechanical changes in tissue. In this study, we aim to assess the role of SWE in diagnosing and staining of the disease. MATERIAL AND METHODS: A total of 124 wrists were included in the study. Seventy wrists had CTS, and 54 were included as the control group. All of the wrists with CTS had staging done with nerve conduction study. All patients underwent ultrasonography by an expert radiologist and had the SWE and cross-section of the median nerve determined. These values were compared among the 2 groups and different stages of CTS. The receiver operating characteristic curve was utilized to assess the diagnostic role of each of the variables. RESULTS: Cross-section area (CSA) and SWE were significantly different between the 2 groups (p = 0.0001). CSA was also significantly different among various stages of CTS. SWE was not significantly different among moderate and severe stages of CTS. Both of the variables had a good ability to distinguish mild CTS from healthy wrists (p = 0.0001). CONCLUSION: SWE can be used in diagnosing CTS and in the staging of the disease. |
format | Online Article Text |
id | pubmed-8652346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-86523462021-12-17 Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study Mohammadi, Afshin Afshar, Ahmadreza Mirza-Aghazadeh-Attari, Mohammad Mokhtari, Seyed Arman Seyed Pol J Radiol Original Paper PURPOSE: Imaging is gaining a more prominent role in the diagnosis of carpal tunnel syndrome (CTS), especially ultrasonography. Shear wave elastography (SWE) is a novel qualitative method to study mechanical changes in tissue. In this study, we aim to assess the role of SWE in diagnosing and staining of the disease. MATERIAL AND METHODS: A total of 124 wrists were included in the study. Seventy wrists had CTS, and 54 were included as the control group. All of the wrists with CTS had staging done with nerve conduction study. All patients underwent ultrasonography by an expert radiologist and had the SWE and cross-section of the median nerve determined. These values were compared among the 2 groups and different stages of CTS. The receiver operating characteristic curve was utilized to assess the diagnostic role of each of the variables. RESULTS: Cross-section area (CSA) and SWE were significantly different between the 2 groups (p = 0.0001). CSA was also significantly different among various stages of CTS. SWE was not significantly different among moderate and severe stages of CTS. Both of the variables had a good ability to distinguish mild CTS from healthy wrists (p = 0.0001). CONCLUSION: SWE can be used in diagnosing CTS and in the staging of the disease. Termedia Publishing House 2021-11-26 /pmc/articles/PMC8652346/ /pubmed/34925653 http://dx.doi.org/10.5114/pjr.2021.111437 Text en Copyright © Polish Medical Society of Radiology 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0). License (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Paper Mohammadi, Afshin Afshar, Ahmadreza Mirza-Aghazadeh-Attari, Mohammad Mokhtari, Seyed Arman Seyed Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title | Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title_full | Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title_fullStr | Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title_full_unstemmed | Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title_short | Application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
title_sort | application of shear wave elastography and median nerve cross-section area in the diagnosis and staging of carpal tunnel syndrome: a case-control study |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652346/ https://www.ncbi.nlm.nih.gov/pubmed/34925653 http://dx.doi.org/10.5114/pjr.2021.111437 |
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