Clinical Contribution of Wrist and Hand Sonography: Pilot Study

Tagliafico, Alberto; Bignotti, Bianca; Rossi, Federica; Rubino, Maurizio; Civani, A.; Martinoli, Carlo

doi:10.1002/jum.14675

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…[38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] The possibility of studying the phenotype of peripheral nerves on images acquired with standard proto-cols and analyzing these images with widely available radiomics software packages could open new possibilities to study peripheral nerve pathology far beyond simple CSA evaluation. 7,9,10,18 MRI of peripheral nerves is also challenging mostly due to the thin nature of the nerves, the difficulties in selecting appropriate nerve boundaries, the difficulties in image interpretation, and the complex anatomy.…”

Section: Nerve Echotexture Evaluationmentioning

confidence: 99%

“…In these syndromes, US can demonstrate possible alterations in structures inside (the tendons) or adjacent to the carpal tunnel, such as anatomical variations or abnormal elements compressing the nerve. [4][5][6][7][8] The role of US in peripheral nerve evaluation prompted the European Society of Musculoskeletal Radiology (ESSR) to assign a high level of evidence and consensus among experts of nerve US in the evaluation of peripheral nerves. 9 According to the ESSR, the use of US for nerve evaluation is strongly encouraged because in several anatomical area, MRI is not able to offer additional information.…”

Section: Introductionmentioning

confidence: 99%

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Peripheral Nerves: Not Only Cross-sectional Area in the Era of Radiomics

Tagliafico

González

Rossi

et al. 2020

Semin Musculoskelet Radiol

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The peripheral nervous system is increasingly being investigated using medical imaging as a complement or in association with electrodiagnostics tests. The application of imaging techniques, such as ultrasound (US) and magnetic resonance imaging (MRI), allows detailed visualization of the peripheral nervous system. According to the European Society of Musculoskeletal Radiology, the use of US for nerve evaluation is strongly encouraged. In addition, the role of US is further enhanced by the wide application of US-guided techniques to diagnose or to treat peripheral nerve disorders.Standard evaluation of peripheral nerves on US usually relies on cross-sectional area evaluation with different cutoff values in the osteofibrous tunnels and outside them. In several anatomical areas, side-to-side comparison is highly recommended because it helps distinguish subtle variations by using the unaffected limb as an internal control.US is widely used to perform US-guided interventional procedures on peripheral nerves. The recent development of radiomics and machine and deep learning applied to peripheral nerves may reveal new insights beyond the capabilities of the human eye. Radiomics may have a role in expanding the diagnostic capabilities of US and MRI in the study of peripheral nerve pathology, especially when the cross-sectional area is not markedly increased.

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Section: Nerve Echotexture Evaluationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Peripheral Nerves: Not Only Cross-sectional Area in the Era of Radiomics

Tagliafico

González

Rossi

et al. 2020

Semin Musculoskelet Radiol

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“…Current ultrasound systems allow for visualization of the small superficial structures of the wrist and hand with high resolution technique. 6 US can find masses and fluid collections, help locate radiolucent foreign bodies, characterize traumatic or overuse tendon or ligament pathology, help evaluate compressive peripheral neuropathy and microvascular blood flow. Recently, US is preferred over plain film radiograph as diagnostic rheumatoid imaging, revealing subclinical inflammation, and predicting progression of joint damage.…”

Section: Introductionmentioning

confidence: 99%

Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain

Aglan

Fathi²,

Hakeem³

et al. 2022

Aswan University Medical Journal

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Background: Ultrasound (US) is a non-invasive method that enables differentiation between different causes of hand and wrist pain and evaluation of several joints during early disease and in mild symptoms. Aim: To assess the role of High-Resolution Musculoskeletal Ultrasound (MSUS) in diagnosis of early undiagnosed hand and wrist pain and their causes. Patients and Methods: A cross sectional study involved 100 patients with non-traumatic painful wrist. Appropriate clinical history and relevant laboratory findings (RA factor, ESR, CRP, anti CCP) were recorded. Musculoskeletal ultrasound (MSUS) of wrists and hands was performed. Results We found that synovitis was found in 69 (69%) patients, erosions in 28 (28%) patients, double contour sign in 6 (6%) patients, osteophytes in 33 (33%) patients, synovial hypertrophy in 5 (5%) patients, subcutaneous fat thickness was found in 2 (2%) patients at wrist dorsal view only, extensor tenosynovitis in 70 (70%) patients and flexor tenosynovitis 36 (36%) patients. Conclusion: Ultrasound is considered an effective tool for diagnosis of early undiagnosed hand and wrist pain and evaluation of several pathologic conditions of the hand and wrist.

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