Quantitative ultrasound imaging of intrinsic hand muscles after traumatic cervical spinal cord injury

Klein, Cliff S.; Liu, Hui; Zhao, Chen; Yang, Xinghua

doi:10.1038/s41393-021-00653-1

Cited by 4 publications

(3 citation statements)

References 46 publications

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“…Moreover, competences that spread into several fields of medical sciences such as radiology, orthopedics, and rheumatology, are essential for an expert in hand imaging, as the diagnostic accuracy is significantly increased when the radiological evaluation follows a comprehensive clinical exam. The progressive refinement of ultrasound (US) technology and the current availability of high and ultra-high frequency linear transducers that allow the investigation of intrinsic hand muscles and tendons with incomparable resolution have made this modality an essential tool for the evaluation of pathological processes involving these tiny structures ( 2 ) . Indeed, intrinsic hand muscles lie in a superficial position and are amenable to investigation by means of transducers with frequency bands superior to 20 MHz, offering clear advantages in terms of resolution and costs compared to magnetic resonance imaging (MRI).…”

Section: Introductionmentioning

confidence: 99%

Ultrasound of the palmar aspect of the hand: normal anatomy and clinical applications of intrinsic muscles imaging

Picasso,

Zaottini,

Pistoia

et al. 2023

J Ultrason

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Intrinsic hand muscles play a fundamental role in tuning the fine motricity of the hand and may be affected by several pathologic conditions, including traumatic injuries, atrophic changes induced by denervation, and space-occupying masses. Modern hand surgery techniques allow to target several hand muscle pathologies and, as a direct consequence, requests for hand imaging now carry increasingly complex diagnostic questions. The progressive refinement of ultrasound technology and the current availability of high and ultra-high frequency linear transducers that allow the investigation of intrinsic hand muscles and tendons with incomparable resolution have made this modality an essential tool for the evaluation of pathological processes involving these tiny structures. Indeed, intrinsic hand muscles lie in a superficial position and are amenable to investigation by means of transducers with frequency bands superior to 20 MHz, offering clear advantages in terms of resolution and costs compared to magnetic resonance imaging. In addition, ultrasound allows to perform dynamic maneuvers that can critically enhance its diagnostic power, by examining the questioned structure during stress tests that simulate the conditions eliciting clinical symptoms. The present article aims to review the anatomy, the ultrasound scanning technique, and the clinical application of thenar, hypothenar, lumbricals and interossei muscles imaging, also showing some examples of pathology involving these structures.

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Section: Introductionmentioning

confidence: 99%

Ultrasound of the palmar aspect of the hand: normal anatomy and clinical applications of intrinsic muscles imaging

Picasso,

Zaottini,

Pistoia

et al. 2023

J Ultrason

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show abstract

“…5 Another research found that ultrasound can identify changes in the morphology of hand muscles in people with cervical SCI. 6 Thus, an ultrasound imaging methodology for quantifying the effects of cervical SCI on hand muscle morphology has been established. 6 Ultrafast contrast-enhanced ultrasound (CEUS) Doppler is a technology created by a group of scientists which mixes CEUS with ultrafast plane-wave scans and has been used to image the in vivo spinal cord.…”

mentioning

confidence: 99%

“…6 Thus, an ultrasound imaging methodology for quantifying the effects of cervical SCI on hand muscle morphology has been established. 6 Ultrafast contrast-enhanced ultrasound (CEUS) Doppler is a technology created by a group of scientists which mixes CEUS with ultrafast plane-wave scans and has been used to image the in vivo spinal cord. 7 This novel ultrafast CEUS Doppler was proven to evaluate the stability of spinal cord arteries and delineate hypoperfused spinal cord areas in a mouse traumatic SCI model.…”

mentioning

confidence: 99%

Letter: Ultrasound in Traumatic Spinal Cord Injury: A Wide-Open Field

Abdulla

Rahman

et al. 2021

Neurosurgery

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The strength of associations between ultrasound measures of upper limb muscle morphology and isometric muscle strength: An exploratory study

Whang,

Debenham,

Ogalo

et al. 2024

Muscle and Nerve

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Introduction/AimsAssessing upper limb muscle strength is important for understanding health outcomes, such as daily function and mortality. Ultrasound (US) is increasingly used to evaluate muscle health, but the relationship between its measures of morphology and isometric strength has not been thoroughly explored in upper limb muscles. The aim of this study was to evaluate the associations between US morphological measures and isometric strength in functionally relevant upper limb muscles in healthy adults.MethodsTwenty‐four healthy volunteers (30.0 ± 10.8 years) underwent B‐mode, axial US scans of the first dorsal interosseus (FDI), flexor pollicis longus (FPL), biceps brachii (BB), brachialis (BR), and triceps brachii lateral head (TB). Participants performed corresponding maximal voluntary contractions (MVC), including first digit distal phalanx flexion, second digit abduction, and elbow flexion and extension. US images were segmented to obtain maximal muscle thickness (MT) and cross‐sectional area (CSA).ResultsStrong positive correlations were found between muscle strength and BB MT (r = .83; p < .001), BR CSA (r = .84; p < .001), and TB MT (r = .70; p < .001). Moderate positive correlations were found for strength and FDI CSA (r = .67; p < .001), FDI MT (r = .47; p < .05), FPL CSA (r = .54; p < .01), and FPL MT (r = .42; p < .05). No significant correlation was found between strength and BR MT (r = .16; p > .05).DiscussionOur data showed moderate‐to‐strong associations between US muscle morphology and strength, suggesting that US is likely a good biomarker for strength. However, its use is not “one size fits all.” Future investigations should continue to assess this relationship in different muscles and expand the generalizability to clinical populations.

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Quantitative ultrasound imaging of intrinsic hand muscles after traumatic cervical spinal cord injury

Cited by 4 publications

References 46 publications

Ultrasound of the palmar aspect of the hand: normal anatomy and clinical applications of intrinsic muscles imaging

Ultrasound of the palmar aspect of the hand: normal anatomy and clinical applications of intrinsic muscles imaging

Letter: Ultrasound in Traumatic Spinal Cord Injury: A Wide-Open Field

The strength of associations between ultrasound measures of upper limb muscle morphology and isometric muscle strength: An exploratory study

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