Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma

Forte, Antonio J.; Boczar, Daniel; Oliver, Jeremie D.; Sisti, Andrea; Clendenen, Steven R.

doi:10.7759/cureus.4871

Cited by 13 publications

(15 citation statements)

References 10 publications

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“…Cartwright et al 58 explored the anatomy of the fascicles within the median nerve at the wrist in 20 healthy subjects, and suggested a role for UHFUS in detecting the disorders affecting the peripheral nervous system. The importance of the evaluation of the median nerve anatomy in hand surgery was also highlighted by Forte et al, 59 who report a case of traumatic neuroma of the median nerve in a 71-year-old man, which was intraoperatively investigated by means of UHFUS to preserve the nerve and complete surgical excision. Regensbruger et al 60 reported on the alterations of the median nerve in pediatric patients with neuromuscular disorders.…”

Section: Resultsmentioning

confidence: 96%

“…Musculoskeletal evaluation with UHFUS includes assessing hand anatomy, such as superficial joints, tendons and pulleys, carpal and tarsal tunnel, as well as presurgical planning in hand surgery. 57 -64…”

Section: Resultsmentioning

confidence: 99%

“…At present, UHFUS is employed for dermatological, vascular, musculoskeletal, intraoral, and small parts applications. 10 -75 The aim of the present research is to provide a review of current clinical literature on the potential applications of UHFUS in order to discuss its role in diverse clinical settings.…”

Section: Introductionmentioning

confidence: 99%

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Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

et al. 2020

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Objectives: Ultra-high frequency ultrasonography (UHFUS) is a recently introduced diagnostic technique which finds several applications in diverse clinical fields. The range of frequencies between 30 and 100 MHz allows for high spatial resolution imaging of superficial structures, making this technique suitable for the imaging of skin, blood vessels, musculoskeletal anatomy, oral mucosa, and small parts. However, the current clinical applications of UHFUS have never been analyzed in a consistent multidisciplinary manner. The aim of this study is to revise and discuss the current applications of UHFUS in different aspects of research and clinical practice, as well as to provide some examples of the current work-in-progress carried out in our center. Materials and Methods: A literature search was performed in order to retrieve articles reporting the applications of UHFUS both in research and in clinical settings. Inclusion criteria were the use of frequencies above 30 MHz and study design conducted in vivo on human subjects. Results: In total 66 articles were retrieved. The majority of the articles focused on dermatological and vascular applications, although musculoskeletal and intraoral applications are emerging fields of use. We also describe our experience in the use of UHFUS as a valuable diagnostic support in the fields of dermatology, rheumatology, oral medicine, and musculoskeletal anatomy. Conclusion: Ultra-high frequency ultrasonography application involves an increasing number of medical fields. The high spatial resolution and the superb image quality achievable allow to foresee a wider use of this novel technique, which has the potential to bring innovation in diagnostic imaging.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

et al. 2020

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“…Fascicle density was also measured in this study with thoughts that it might be reduced in peripheral nerve disorders. In addition, this level of fascicular detail may be helpful in the management of traumatic peripheral nerve lesions …”

Section: Ultra‐high‐frequency Ultrasound Imagingmentioning

confidence: 99%

Emerging technologies in neuromuscular ultrasound

Hobson‐Webb

2020

Muscle and Nerve

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Neuromuscular ultrasound is an accepted and valuable element in the evaluation of peripheral nerve and muscle disease. However, ultrasound has several limitations to consider, including operator dependency and lack of a viable contrast agent. Fortunately, new technological advances show promise in resolving these issues. Ultrahigh resolution ultrasound enables imaging of the nerve at the fascicular level. Shear wave elastography imaging can provide measures of tissue stiffness that can act as a surrogate measure of nerve and muscle health. Photoacoustic imaging may overcome neuromuscular ultrasound's current lack of contrast agents to detect inflammation and other functional changes within nerve and muscle, while artificial intelligence stands to address operator dependency and improve diagnostic imaging. The basic principles of each of these technologies are discussed along with current research and potential future applications in neuromuscular imaging. K E Y W O R D S artificial intelligence, elastography, high resolution ultrasound, neuromuscular ultrasound, photoacoustic imaging

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“…The higher frequency allows a highresolution image of tiny structures up to 30 μm [6,8]. UHFUS is a new technology that only a few hospitals have had access to, and few clinical applications have been described in the literature [14][15]. This case report illustrates the UHFUS technology to evaluate a patient with an LFH.…”

Section: Introductionmentioning

confidence: 99%

Use of Ultra-high-frequency Ultrasound on Diagnosis and Management of Lipofibromatous Hamartoma: A Technical Report

Boczar

Forte

Serrano

et al. 2019

Cureus

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Ultra-high-frequency Ultrasound to Assess Nerve Fascicles in Median Nerve Traumatic Neuroma

Cited by 13 publications

References 10 publications

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

Emerging technologies in neuromuscular ultrasound

Use of Ultra-high-frequency Ultrasound on Diagnosis and Management of Lipofibromatous Hamartoma: A Technical Report

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