Reference values for ultrasonograpy of peripheral nerves
ABSTRACT Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross‐sectional area (CSA) on HRU. Methods: One hundred healthy volunteers had HRU of median, radial, ulnar...
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| Published in | Muscle & nerve Vol. 53; no. 4; pp. 538 - 544 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Blackwell Publishing Ltd
01.04.2016
Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0148-639X 1097-4598 |
| DOI | 10.1002/mus.24888 |
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| Abstract | ABSTRACT
Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross‐sectional area (CSA) on HRU. Methods: One hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated. Results: CSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects. Conclusions: This study provides normative values for HRU, and it suggests that further research with age‐ and gender‐specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. Muscle Nerve 53: 538–544, 2016 |
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| AbstractList | High-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross-sectional area (CSA) on HRU.
One hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated.
CSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects.
This study provides normative values for HRU, and it suggests that further research with age- and gender-specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. Introduction: High-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross-sectional area (CSA) on HRU. Methods: One hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated. Results: CSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects. Conclusions: This study provides normative values for HRU, and it suggests that further research with age- and gender-specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. Muscle Nerve 53: 538-544, 2016 Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross‐sectional area (CSA) on HRU. Methods: One hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated. Results: CSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects. Conclusions: This study provides normative values for HRU, and it suggests that further research with age‐ and gender‐specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. Muscle Nerve 53 : 538–544, 2016 INTRODUCTIONHigh-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross-sectional area (CSA) on HRU.METHODSOne hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated.RESULTSCSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects.CONCLUSIONSThis study provides normative values for HRU, and it suggests that further research with age- and gender-specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. ABSTRACT Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values for nerve cross‐sectional area (CSA) on HRU. Methods: One hundred healthy volunteers had HRU of median, radial, ulnar, fibular, tibial, sural, and superficial fibular nerves at defined sites. The CSA was measured and the effects of age, gender, and body mass index (BMI) were evaluated. Results: CSA values in healthy subjects are described. CSA is larger in lower limb motor nerves than in sensory nerves at similar sites, and the CSA tends to be symmetrical. The strongest effect on CSA was for age, although gender and BMI had some effects. Conclusions: This study provides normative values for HRU, and it suggests that further research with age‐ and gender‐specific distributions must be a key priority in the development of HRU for use as a diagnostic test for peripheral nerve diseases. Muscle Nerve 53: 538–544, 2016 |
| Author | Bril, Vera Alabdali, Majed Lovblom, Leif E. Breiner, Ari Ebadi, Hamid Siddiqui, Hafsah Perkins, Bruce A. Abraham, Alon Qrimli, Mohammad |
| Author_xml | – sequence: 1 givenname: Mohammad surname: Qrimli fullname: Qrimli, Mohammad organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada – sequence: 2 givenname: Hamid surname: Ebadi fullname: Ebadi, Hamid organization: Department of Clinical Neurosciences, University of Calgary, Alberta, Calgary, Canada – sequence: 3 givenname: Ari surname: Breiner fullname: Breiner, Ari organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada – sequence: 4 givenname: Hafsah surname: Siddiqui fullname: Siddiqui, Hafsah organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada – sequence: 5 givenname: Majed surname: Alabdali fullname: Alabdali, Majed organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada – sequence: 6 givenname: Alon surname: Abraham fullname: Abraham, Alon organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada – sequence: 7 givenname: Leif E. surname: Lovblom fullname: Lovblom, Leif E. organization: Division of Endocrinology and Metabolism, Department of Medicine, Mount Sinai Hospital and Lunenfeld-Tanenbaum Research Institute, University of Toronto, Ontario, Toronto, Canada – sequence: 8 givenname: Bruce A. surname: Perkins fullname: Perkins, Bruce A. organization: Division of Endocrinology and Metabolism, Department of Medicine, Mount Sinai Hospital and Lunenfeld-Tanenbaum Research Institute, University of Toronto, Ontario, Toronto, Canada – sequence: 9 givenname: Vera surname: Bril fullname: Bril, Vera email: vera.bril@utoronto.ca organization: Ellen and Martin Prosserman Centre for Neuromuscular Diseases, Department of Medicine, Toronto General Hospital, University of Toronto University Health Network, 200 Elizabeth Street 5EC-309, M5G 2C4, Ontario, Canada |
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| References_xml | – reference: Cartwright MS, Mayans DR, Gillson NA, Griffin LP, Walker FO. Nerve cross-sectional area in extremes of age. Muscle Nerve 2013;47:890-893. – reference: Seok HY, Jang JH, Won SJ, Yoon J-S, Park KS, Kim B-J. Cross-sectional area reference values of nerves in the lower extremities using ultrasonography. Muscle Nerve 2014;50:564-570. – reference: Kerasnoudis A, Pitarokoili K, Behrendt V, Gold R, Yoon M. Cross sectional area reference values for sonography of peripheral nerves and brachial plexus. Clin Neurophysiol 2013;124:1881-1888. – reference: Yalcin E, Unlu E, Akyuz M, Karaahmet OZ. Ultrasound diagnosis of ulnar neuropathy: comparison of symptomatic and asymptomatic nerve thickness. J Hand Surg Eur Vol 2014;39:167-171. – reference: Noto Y-I, Shiga K, Tsuji Y, Mizuta I, Higuchi Y, Hashiguchi A, et al. Nerve ultrasound depicts peripheral nerve enlargement in patients with genetically distinct Charcot-Marie-Tooth disease. J Neurol Neursurg Psychiatry 2015;86:378-384. – reference: Martinoli C, Bianchi S, Derchi LE. Ultrasonography of peripheral nerves. Semin Ultrasound CT MR 2000;21:205-213. – reference: Boehm J, Scheidl E, Bereczki D, Schelle T, Arányi Z. High-resolution ultrasonography of peripheral nerves: measurements on 14 nerve segments in 56 healthy subjects and reliability assessments. Ultraschall Med 2014;35:459-467. – reference: Riazi S, Bril V, Perkins BA, Abbas S, Chan VWS, Ngo M, et al. Can tibial nerve ultrasound detect diabetic peripheral neuropathy? Diabetes Care 2012;35:2575-2579. – reference: Bacigalupo L, Bianchi S, Valle M, Martinoli C. Ultrasonography of peripheral nerves [in German]. Radiologe 2003;43:841-849. – reference: Sugimoto T, Ochi K, Hosomi N, Mukai T, Ueno H, Takahashi T, et al. Ultrasonographic reference sizes of the median and ulnar nerves and the cervical nerve roots in healthy Japanese adults. Ultrasound Med Biol 2013;39:1560-1570. – reference: Pillen S, Arts IMP, Zwarts MJ. Muscle ultrasound in neuromuscular disorders. Muscle Nerve 2008;37:679-693. – reference: Koenig RW, Schmidt TE, Heinen CPG, Wirtz CR, Kretschmer T, Antoniadis G, et al. Intraoperative high-resolution ultrasound: a new technique in the management of peripheral nerve disorders. J Neurosurg 2011;114:514-521. – reference: Perkins BA, Ngo M, Bril V. Symmetry of nerve conduction studies in different stages of diabetic polyneuropathy. Muscle Nerve 2002;25:212-217. – reference: Cartwright MS, Passmore LV, Yoon J-S, Brown ME, Caress JB, Walker FO. Cross-sectional area reference values for nerve ultrasonography. Muscle Nerve 2008;37:566-571. – reference: Yalcin E, Onder B, Akyuz M. Ulnar nerve measurements in healthy individuals to obtain reference values. Rheumatol Int 2013;33:1143-1147. – reference: Jelsing EJ, Presley JC, Maida E, Hangiandreou NJ, Smith J. The effect of magnification on sonographically measured nerve cross-sectional area. Muscle Nerve 2015;51:30-34. – reference: Lawande A, Warrier SS, Joshi MS. Role of ultrasound in evaluation of peripheral nerves. Indian J Radiol Imaging 2014;24:254-258. – reference: Chen J, Wu S, Ren J. Ultrasonographic reference values for assessing normal radial nerve ultrasonography in the normal population. Neural Regen Res 2014;9:1844-1849. – reference: Andreisek G, Burg D, Studer A, Weishaupt D. Upper extremity peripheral neuropathies: role and impact of MR imaging on patient management. Eur Radiol 2008;18:1953-1961. – reference: Walker FO, Cartwright MS. Neuromuscular ultrasound: emerging from the twilight. Muscle Nerve 2011;43:777-779. – reference: Tagliafico A, Martinoli C. Reliability of side-to-side sonographic cross-sectional area measurements of upper extremity nerves in healthy volunteers. J Ultrasound Med 2013;32:457-462. – reference: Burg EW-V, Bathala L, Visser LH. Difference in normal values of median nerve cross-sectional area between Dutch and Indian subjects. Muscle Nerve 2014;50:129-132. – reference: Visser LH, Hens V, Soethout M, De Deugd-Maria V, Pijnenburg J, Brekelmans GJF. Diagnostic value of high-resolution sonography in common fibular neuropathy at the fibular head. Muscle Nerve 2013;48:171-178. – reference: Filius A, Korstanje J-WH, Selles RW, Hovius SER, Slijper HP. Dynamic sonographic measurements at the carpal tunnel inlet: reliability and reference values in healthy wrists. Muscle Nerve 2013;48:525-531. – reference: Kimura Y. Electrodiagnosis in diseases of nerve and muscle: principles and practice, 4th ed. New York: Oxford University Press; 2013. – reference: Zaidman CM, Al-Lozi M, Pestronk A. Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study. Muscle Nerve 2009;40:960-966. – volume: 43 start-page: 777 year: 2011 end-page: 779 article-title: Neuromuscular ultrasound: emerging from the twilight publication-title: Muscle Nerve – volume: 37 start-page: 679 year: 2008 end-page: 693 article-title: Muscle ultrasound in neuromuscular disorders publication-title: Muscle Nerve – volume: 33 start-page: 1143 year: 2013 end-page: 1147 article-title: Ulnar nerve measurements in healthy individuals to obtain reference values publication-title: Rheumatol Int – volume: 37 start-page: 566 year: 2008 end-page: 571 article-title: Cross‐sectional area reference values for nerve ultrasonography publication-title: Muscle Nerve – volume: 39 start-page: 167 year: 2014 end-page: 171 article-title: Ultrasound diagnosis of ulnar neuropathy: comparison of symptomatic and asymptomatic nerve thickness publication-title: J Hand Surg Eur Vol – volume: 40 start-page: 960 year: 2009 end-page: 966 article-title: Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study publication-title: Muscle Nerve – volume: 43 start-page: 841 year: 2003 end-page: 849 article-title: Ultrasonography of peripheral nerves [in German] publication-title: Radiologe – volume: 32 start-page: 457 year: 2013 end-page: 462 article-title: Reliability of side‐to‐side sonographic cross‐sectional area measurements of upper extremity nerves in healthy volunteers publication-title: J Ultrasound Med – volume: 24 start-page: 254 year: 2014 end-page: 258 article-title: Role of ultrasound in evaluation of peripheral nerves publication-title: Indian J Radiol Imaging – volume: 124 start-page: 1881 year: 2013 end-page: 1888 article-title: Cross sectional area reference values for sonography of peripheral nerves and brachial plexus publication-title: Clin Neurophysiol – volume: 25 start-page: 212 year: 2002 end-page: 217 article-title: Symmetry of nerve conduction studies in different stages of diabetic polyneuropathy publication-title: Muscle Nerve – volume: 9 start-page: 1844 year: 2014 end-page: 1849 article-title: Ultrasonographic reference values for assessing normal radial nerve ultrasonography in the normal population publication-title: Neural Regen Res – volume: 48 start-page: 171 year: 2013 end-page: 178 article-title: Diagnostic value of high‐resolution sonography in common fibular neuropathy at the fibular head publication-title: Muscle Nerve – volume: 21 start-page: 205 year: 2000 end-page: 213 article-title: Ultrasonography of peripheral nerves publication-title: Semin Ultrasound CT MR – volume: 48 start-page: 525 year: 2013 end-page: 531 article-title: Dynamic sonographic measurements at the carpal tunnel inlet: reliability and reference values in healthy wrists publication-title: Muscle Nerve – volume: 18 start-page: 1953 year: 2008 end-page: 1961 article-title: Upper extremity peripheral neuropathies: role and impact of MR imaging on patient management publication-title: Eur Radiol – volume: 39 start-page: 1560 year: 2013 end-page: 1570 article-title: Ultrasonographic reference sizes of the median and ulnar nerves and the cervical nerve roots in healthy Japanese adults publication-title: Ultrasound Med Biol – volume: 114 start-page: 514 year: 2011 end-page: 521 article-title: Intraoperative high‐resolution ultrasound: a new technique in the management of peripheral nerve disorders publication-title: J Neurosurg – volume: 47 start-page: 890 year: 2013 end-page: 893 article-title: Nerve cross‐sectional area in extremes of age publication-title: Muscle Nerve – volume: 35 start-page: 459 year: 2014 end-page: 467 article-title: High‐resolution ultrasonography of peripheral nerves: measurements on 14 nerve segments in 56 healthy subjects and reliability assessments publication-title: Ultraschall Med – volume: 86 start-page: 378 year: 2015 end-page: 384 article-title: Nerve ultrasound depicts peripheral nerve enlargement in patients with genetically distinct Charcot‐Marie‐Tooth disease publication-title: J Neurol Neursurg Psychiatry – volume: 50 start-page: 564 year: 2014 end-page: 570 article-title: Cross‐sectional area reference values of nerves in the lower extremities using ultrasonography publication-title: Muscle Nerve – volume: 51 start-page: 30 year: 2015 end-page: 34 article-title: The effect of magnification on sonographically measured nerve cross‐sectional area publication-title: Muscle Nerve – volume: 35 start-page: 2575 year: 2012 end-page: 2579 article-title: Can tibial nerve ultrasound detect diabetic peripheral neuropathy? publication-title: Diabetes Care – year: 2013 – volume: 50 start-page: 129 year: 2014 end-page: 132 article-title: Difference in normal values of median nerve cross‐sectional area between Dutch and Indian subjects publication-title: Muscle Nerve – ident: e_1_2_6_22_1 doi: 10.1002/mus.24124 – ident: e_1_2_6_3_1 doi: 10.1007/s00117-003-0963-y – ident: e_1_2_6_6_1 doi: 10.4103/0971-3026.137037 – ident: e_1_2_6_15_1 doi: 10.1002/mus.21009 – ident: e_1_2_6_21_1 doi: 10.1177/1753193413484627 – ident: e_1_2_6_5_1 doi: 10.1002/mus.22062 – ident: e_1_2_6_10_1 doi: 10.1002/mus.21015 – ident: e_1_2_6_2_1 doi: 10.1093/med/9780199738687.001.0001 – ident: e_1_2_6_16_1 doi: 10.4103/1673-5374.143433 – ident: e_1_2_6_11_1 doi: 10.1007/s00330-008-0940-y – ident: e_1_2_6_12_1 doi: 10.1136/jnnp-2014-308211 – ident: e_1_2_6_20_1 doi: 10.1007/s00296-012-2527-9 – ident: e_1_2_6_14_1 doi: 10.1016/j.clinph.2013.03.007 – ident: e_1_2_6_25_1 doi: 10.1002/mus.24209 – ident: e_1_2_6_13_1 doi: 10.1002/mus.21431 – ident: e_1_2_6_4_1 doi: 10.1016/S0887-2171(00)90043-X – ident: e_1_2_6_19_1 doi: 10.1016/j.ultrasmedbio.2013.03.031 – ident: e_1_2_6_23_1 doi: 10.1002/mus.23718 – ident: e_1_2_6_7_1 doi: 10.3171/2010.9.JNS10464 – ident: e_1_2_6_18_1 doi: 10.1002/mus.23729 – ident: e_1_2_6_17_1 doi: 10.1002/mus.23789 – ident: e_1_2_6_24_1 doi: 10.2337/dc12-0739 – ident: e_1_2_6_9_1 doi: 10.7863/jum.2013.32.3.457 – ident: e_1_2_6_26_1 doi: 10.1002/mus.10044 – ident: e_1_2_6_8_1 doi: 10.1055/s-0033-1356385 – ident: e_1_2_6_27_1 doi: 10.1002/mus.24274 |
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Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to... Introduction: High‐resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine... High-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine reference values... Introduction: High-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine... INTRODUCTIONHigh-resolution ultrasonography (HRU) is a novel method that provides morphological information about peripheral nerves. We aimed to determine... |
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| SubjectTerms | Adolescent Adult Aged Aged, 80 and over cross-sectional area Female Gender Humans Male Middle Aged Nervous system Neural Conduction - physiology neuropathy peripheral nerve Peripheral Nerves - diagnostic imaging Peripheral Nerves - physiology Reference Values Ultrasonography, Interventional - methods Ultrasonography, Interventional - standards ultrasound Young Adult |
| Title | Reference values for ultrasonograpy of peripheral nerves |
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