Sonographically Guided Nerve Biopsy

Lolge, Shlok; Morani, Ajaykumar C.; Chaubal, Nitin; Khopkar, Uday

doi:10.7863/jum.2005.24.10.1427

Cited by 12 publications

(2 citation statements)

References 7 publications

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“…78,79 This is not surprising because it is well known that nerves are often palpably enlarged in leprosy, particularly in areas where they are superficial and in tissues that are typically cooler than core body temperature, for example, the ulnar nerve at the elbow, the tibial nerve at the ankle, the fibular nerve at the fibular head, and the greater auricular nerve. 76 …”

Section: Quantification Of Nerve Ultrasonographymentioning

confidence: 99%

Neuromuscular Ultrasonography: Quantifying Muscle and Nerve Measurements

Mayans

Cartwright

Walker

2012

Physical Medicine and Rehabilitation Clinics of North America

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There is an inherent conflict between interpreting ultrasound imaging, which generates rich, highly textured complex representations of 3-dimensional space, and the rendering of these images into discrete measures for statistical analysis Reducing images to a small set of numbers, by necessity, ignores vast amounts of useful data, but the process is a prerequisite for generating objective information that can be shared by the clinical community. This article illustrates how ultrasound imaging is used in quantitative ways. The goal is not to supplant or diminish the importance of descriptive findings but to make the field amenable to statistical methods and standards for making diagnoses and designing therapeutic trials of new interventions. The discussion focuses first on muscle ultrasonography, a technique that was developed more than a decade earlier than nerve ultrasound, to illustrate key elements in determining how to best extract quantitative information from complex images. The discussion then applies some of these same principles to the study of 2 common nerve disorders.

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Section: Quantification Of Nerve Ultrasonographymentioning

confidence: 99%

Neuromuscular Ultrasonography: Quantifying Muscle and Nerve Measurements

Mayans

Cartwright

Walker

2012

Physical Medicine and Rehabilitation Clinics of North America

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show abstract

“…Ultrasound decreases the risk of inadvertent intraneural or intravascular injection and enhances nerve localization, which lowers the drug doses needed and improves safety margins 23–31. The technique has also been used to guide therapeutic injections of botulinum toxin in muscle and salivary glands,32–34 steroids into the carpal tunnel,35 and for guiding biopsies of nerve and muscle 36–38. Ultrasound‐guided electromyographic needle placement can also be used to more safely study high‐risk muscles such as the diaphragm,39 or to assist with direct needle stimulation of deep nerves at sites inaccessible to percutaneous stimulation 40, 41…”

Section: Evolution Of Neuromuscular Ultrasoundmentioning

confidence: 99%