Evaluation of the Brachial Plexus With Shear Wave Elastography After Radiotherapy for Breast Cancer

Kültür, Turgut; Okumuş, Müyesser; İnal, Mikail; Yalcin, Selim

doi:10.1002/jum.14556

Cited by 15 publications

(18 citation statements)

References 18 publications

(22 reference statements)

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“…There have been limited studies on the use of ultrasound elastography to evaluate the brachial plexus . Ultrasound elastography is of potential interest in brachial plexus pathology as there are limitations of B‐mode ultrasound in this region.…”

Section: Resultsmentioning

confidence: 99%

Ultrasound elastography for the evaluation of peripheral nerves: A systematic review

Wee

Simon

2019

Muscle and Nerve

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Peripheral nerve disorders are commonly encountered in clinical practice. Electrodiagnostic studies remain the cornerstone of the evaluation of nerve disorders. More recently, ultrasound has played an increasing complementary role in the neuromuscular clinic. Ultrasound elastography is a technique that measures the elastic properties of tissues. Given the histological changes that occur in diseased peripheral nerves, nerve ultrasound elastography has been explored as a noninvasive way to evaluate changes in nerve tissue composition. Studies to date suggest that nerve stiffness tends to increase in the setting of peripheral neuropathy, regardless of etiology, consistent with loss of more compliant myelin, and replacement with connective tissue. The aim of this systematic review is to summarize the current literature on the use of ultrasound elastography in the evaluation of peripheral neuropathy. Limitations of ultrasound elastography and gaps in current literature are discussed, and prospects for future clinical and research applications are raised.

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Section: Resultsmentioning

confidence: 99%

Ultrasound elastography for the evaluation of peripheral nerves: A systematic review

Wee

Simon

2019

Muscle and Nerve

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“…Shear wave elastography for assessing peripheral neuropathies has emerged in clinical practice and has shown that affected nerves have greater stiffness than those in healthy individuals . Shear wave elastography can display tissue stiffness in vivo, and we obtained 3 SWE parameters for displaying tissue stiffness: the shear modulus, elastic modulus, and SWS . Shear wave elastography is based on push pulse, high‐intensity US beams, which create an acoustic radiation force on the targeted tissue through the US probe .…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound (US) has been widely used for imaging peripheral neuropathy but has had unsatisfactory results . Shear wave elastography (SWE) is an advanced technique for displaying tissue elasticity by means of high‐frequency US waves in vivo and noninvasively . In recent studies, SWE showed promising results for displaying peripheral neuropathies in carpal tunnel syndrome, DM, Behçet disease, multiple sclerosis, and the brachial plexus .…”

mentioning

confidence: 99%

“…Also, the elasticity of tissue on the longitudinal axis grows easily and faster compared to the elasticity on the transverse axis . However, imaging a peripheral nerve parallel to the US probe can be challenging for the optic nerve or brachial plexus or in an obese patient . Nevertheless, parallel images of peripheral nerves can mimic muscle fascia or nearby tendons.…”

mentioning

confidence: 99%

“…1,4,7 Shear wave elastography (SWE) is an advanced technique for displaying tissue elasticity by means of high-frequency US waves in vivo and noninvasively. 1,4,5,8,9 In recent studies, SWE showed promising results for displaying peripheral neuropathies in carpal tunnel syndrome, DM, Behçet disease, multiple sclerosis, and the brachial plexus. 1,4,5,8,9 There are very few studies that have assessed peripheral nerves in patients with type 2 DM.…”

mentioning

confidence: 99%

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Assessment of Peripheral Nerves With Shear Wave Elastography in Type 1 Diabetic Adolescents Without Diabetic Peripheral Neuropathy

Aslan

Emeksiz

et al. 2018

J of Ultrasound Medicine

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Objectives To investigate the utility of shear wave elastography (SWE) in detecting morphologic abnormalities of the median nerve and posterior tibial nerve in transverse and longitudinal axes in adolescents with type 1 diabetes mellitus (DM) without diabetic peripheral neuropathy (DPN). Methods The median nerves and posterior tibial nerves of 25 adolescents with diagnosis and follow‐up of type 1 DM without DPN and 32 healthy volunteers were evaluated with SWE by 2 observers on the transverse and longitudinal axes. The cross‐sectional area and thickness of the nerves and disease duration were noted, and probable associations of these parameters with SWE features were analyzed. Interobserver and intraobserver correlations were also examined. The statistical significance level was set at P < .05. Results Both the median nerve and posterior tibial nerve were smaller, thinner, and stiffer in the patient group for both observers on both axes. The disease duration weakly correlated with median nerve SWE features (r = 0.245–0391). The thickness and cross‐sectional area had no correlations with SWE features. Conclusions The median nerve and posterior tibial nerve in adolescents with type 1 DM without DPN have morphologic abnormalities that can be displayed by SWE regardless of the imaging axis. Shear wave elastography may have a potential role in subclinical DPN, but the reliability of the findings is not as high as desirable.

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Peripheral Nerves

Bedewi

2023

Elastography of the Musculoskeletal System

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Evaluation of the Brachial Plexus With Shear Wave Elastography After Radiotherapy for Breast Cancer

Abstract: Shear wave elastography showed that the brachial plexuses of patients receiving RT were stiffer than the unaffected brachial plexuses. Brachial plexus stiffening may be associated with fibrotic processes.

Cited by 15 publications

References 18 publications

Ultrasound elastography for the evaluation of peripheral nerves: A systematic review

Ultrasound elastography for the evaluation of peripheral nerves: A systematic review

Assessment of Peripheral Nerves With Shear Wave Elastography in Type 1 Diabetic Adolescents Without Diabetic Peripheral Neuropathy

Peripheral Nerves

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