Diagnostic Value of High-resolution Ultrasound in a Dedicated Care Pathway for Neurogenic Thoracic Outlet Syndrome (NTOS): A Prospective Cohort Study

Pesser, Niels; Teijink, Joep A.W.; Vervaart, Kimberly; Gons, Rob A.R.; Sambeek, Marc R.H.M. van; Nuenen, Bart F.L. van

doi:10.1016/j.ejvs.2019.09.125

Cited by 2 publications

(3 citation statements)

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“…Among the patients included, high-resolution ultrasound identified a hyper-echoic fibromuscular structure called the wedge-sickle sign in only four nTOS arms among 54 patients. Overall, while high-resolution ultrasound did not significantly contribute to nTOS diagnosis, it demonstrated potential value in identifying fibromuscular bands causing compression, particularly in specific cases involving cervical ribs or elongated transverse processes [6].…”

Section: Sonographic Direct and Indirect Signs Of Ntosmentioning

confidence: 79%

“…Precise diagnosis is pivotal in determining the most appropriate treatment approach for nTOS. Ultrasound can provide two types of signs: direct signs which mean the visualization of the brachial plexus compression by high-resolution ultrasound and indirect signs mean compression of subclavian and axillary vessels without clinical signs of vascular TOS [2,[4][5][6][7][8] There are controversies regarding the sensitivity and specificity of direct signs. Aryani and associates investigated nTOS using high-resolution ultrasound to identify fibromuscular structures in the thoracic outlet region as the primary cause.…”

Section: Sonographic Direct and Indirect Signs Of Ntosmentioning

confidence: 99%

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Role of Ultrasound in Diagnosis of Thoracic Outlet Syndrome: A Review Article

Nsren Sharef Sabr,

Fakher Abdullah,

Hiwa Shafiq Namiq

et al. 2023

Barw Medical Journal

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Neurogenic thoracic outlet syndrome (nTOS), characterized by brachial plexus compression within the thoracic outlet, poses diagnostic challenges due to its variable symptoms and lack of standardized criteria. Ultrasound has emerged as a valuable diagnostic tool, offering dynamic imaging, high-resolution visualization of soft tissues, and differentiation between neurogenic and vascular forms. We reviewed the literature regarding ultrasound's role in nTOS diagnosis. Ultrasound's dynamic assessment aids in understanding nerve and vessel compression during arm movements, providing insights beyond static imaging. High-resolution imaging detects structural anomalies contributing to nTOS and reveals direct and indirect signs, such as brachial plexus or vessel compression. Varied findings exist regarding ultrasound sensitivity and specificity. Despite potential benefits, controversy remains, highlighting the need for further research to establish standardized protocols, refine techniques, and explore integrated diagnostic approaches for nTOS.

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Section: Sonographic Direct and Indirect Signs Of Ntosmentioning

confidence: 79%

Section: Sonographic Direct and Indirect Signs Of Ntosmentioning

confidence: 99%

Role of Ultrasound in Diagnosis of Thoracic Outlet Syndrome: A Review Article

Nsren Sharef Sabr,

Fakher Abdullah,

Hiwa Shafiq Namiq

et al. 2023

Barw Medical Journal

View full text Add to dashboard Cite

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“…Contrarily, Pesser's study at the nTOS-center found highresolution US less contributive to nTOS diagnosis but noted its potential value in specific cases[12]. Goeteyn et al questioned US's role in diagnosing nTOS, emphasizing clinical judgment over US findings[13].…”

mentioning

confidence: 99%

ChatGPT Insight and Opinion Regarding the Controversies in Neurogenic Thoracic Outlet Syndrome: A Case-Based Study

Ameer M. Salih,

Nashaddin A. Mohammed,

Yousif M. Mahmood

et al. 2023

Barw Medical Journal

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Introduction There are several controversies regarding thoracic outlet syndrome. This manuscript evaluates the utility of ChatGPT in providing insights into the controversies surrounding neurogenic thoracic outlet syndrome (nTOS). Methods The following questions were chatted with ChatGPT based on OpenAI's GPT-4 architecture, which was last updated in September 2021. What is your opinion regarding the psychological abnormalities in patients with nTOS? What is your opinion about the role of duplex ultrasound in the diagnosis of nTOS? In your opinion, which one is preferred? First rib resection or only scalenectomy for the surgical management of nTOS? Results ChatGPT was accurate in addressing the psychiatric disorders associated with nTOS and the outcome of different types of surgical intervention while it failed to highlight the role of duplex scanning in this disease apart from ruling out another differential diagnosis. Conclusion While ChatGPT offers valuable insights, it should be noted that its last update was in September 2021. Hence, some newer developments in the field may not be addressed. Nonetheless, a comprehensive approach to understanding and managing nTOS, combining both clinical expertise and technological advancements, is vital for the well-being of patients.

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Diagnostic Value of High-resolution Ultrasound in a Dedicated Care Pathway for Neurogenic Thoracic Outlet Syndrome (NTOS): A Prospective Cohort Study

Cited by 2 publications

References 0 publications

Role of Ultrasound in Diagnosis of Thoracic Outlet Syndrome: A Review Article

Role of Ultrasound in Diagnosis of Thoracic Outlet Syndrome: A Review Article

ChatGPT Insight and Opinion Regarding the Controversies in Neurogenic Thoracic Outlet Syndrome: A Case-Based Study

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