The Potential of Ultrasound Radiomics in Carpal Tunnel Syndrome Diagnosis: A Systematic Review and Meta-Analysis
Wei-Ting Wu,
Che-Yu Lin,
Yi-Chung Shu
et al.
Abstract:Background: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy for which ultrasound imaging has recently emerged as a valuable diagnostic tool. This meta-analysis aims to investigate the role of ultrasound radiomics in the diagnosis of CTS and compare it with other diagnostic approaches. Methods: We conducted a comprehensive search of electronic databases from inception to September 2023. The included studies were assessed for quality using the Quality Assessment Tool for Diagnostic Accuracy… Show more
Aims: The aim is to evaluate sonographic parameters in pregnant women diagnosed with carpal tunnel syndrome compared to electrodiagnostic tests, to determine whether these parameters have sufficient accuracy to allow their use in clinical practice.
Methods: This retrospective study examines pregnant women aged 18-40 in the 3rd trimester who received a final diagnosis of carpal tunnel syndrome between 2021-2023 at Prof. Dr. Cemil Taşçıoğlu City Hospital. Pregnant women with symptomatic complaints were divided into two groups: those with positive electrodiagnostic test results indicating carpal tunnel syndrome and those with negative electrodiagnostic test results, forming the control group. All pregnant women participating in the study had their median nerve cross-sectional area, flexor carpi radialis, cross-sectional area, wrist-to-forearm ratio, and MN-CSA/FCR ratio (expressed as a percentage called NTR) values examined.
Results: In pregnant women with carpal tunnel syndrome, the median nerve cross-sectional area values were observed to surpass those in the control cohort (10.06±3.24 vs. 7.84±2.52)(p0.84%. The best cut-off for wrist-to-forearm ratio values was calculated as >1.4 mm². A receiver operating characteristic curve was generated, and the wrist-to-forearm ratio cut-off point of 1.4 showed a sensitivity of 97.1% and a specificity of 69.2%.
Conclusion: Ultrasonography is useful in the diagnosis of pregnancy-related CTS. It has provided comparable results to electrodiagnostic tests and is additionally practical, cost-effective, and swift.
Aims: The aim is to evaluate sonographic parameters in pregnant women diagnosed with carpal tunnel syndrome compared to electrodiagnostic tests, to determine whether these parameters have sufficient accuracy to allow their use in clinical practice.
Methods: This retrospective study examines pregnant women aged 18-40 in the 3rd trimester who received a final diagnosis of carpal tunnel syndrome between 2021-2023 at Prof. Dr. Cemil Taşçıoğlu City Hospital. Pregnant women with symptomatic complaints were divided into two groups: those with positive electrodiagnostic test results indicating carpal tunnel syndrome and those with negative electrodiagnostic test results, forming the control group. All pregnant women participating in the study had their median nerve cross-sectional area, flexor carpi radialis, cross-sectional area, wrist-to-forearm ratio, and MN-CSA/FCR ratio (expressed as a percentage called NTR) values examined.
Results: In pregnant women with carpal tunnel syndrome, the median nerve cross-sectional area values were observed to surpass those in the control cohort (10.06±3.24 vs. 7.84±2.52)(p0.84%. The best cut-off for wrist-to-forearm ratio values was calculated as >1.4 mm². A receiver operating characteristic curve was generated, and the wrist-to-forearm ratio cut-off point of 1.4 showed a sensitivity of 97.1% and a specificity of 69.2%.
Conclusion: Ultrasonography is useful in the diagnosis of pregnancy-related CTS. It has provided comparable results to electrodiagnostic tests and is additionally practical, cost-effective, and swift.
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