颈部神经的超声成像：与MRI、肌电图及临床发现的相关性
Ultrasound imaging of nerves in the neck: Correlation with MRI, EMG, and clinical findings.
作者信息
Casaletto Emily, Lin Bin, Wolfe Scott W, Lee Steve K, Sneag Darryl B, Feinberg Joseph H, Nwawka O Kenechi
机构信息
Department of Radiology and Imaging (EC, BL, DBS, OKN), Department of Orthopedic Surgery (SWW, SKL), and Department of Physiatry (JHF), Hospital for Special Surgery, New York.
出版信息
Neurol Clin Pract. 2020 Oct;10(5):415-421. doi: 10.1212/CPJ.0000000000000767.
OBJECTIVE
We evaluated the performance of ultrasound in the detection of neuropathy of the suprascapular nerve (SSN), long thoracic nerve (LTN), spinal accessory nerve (SAN), and phrenic nerve and compared this performance with MRI.
METHODS
A retrospective review of 56 patients who had undergone ultrasound imaging of the SSN, LTN, SAN, and phrenic nerve was performed. Diagnoses made by ultrasound, MRI, EMG reports, and clinical and operative notes were recorded.
RESULTS
Ultrasound was successful in visualizing nerves in the neck in the overwhelming majority of cases. Sonographic findings were typically in agreement with MRI and clinical findings.
CONCLUSION
Ultrasound is effective in the visualization and diagnostic evaluation of the SSN, LTN, SAN, and phrenic nerve.
CLASSIFICATION OF EVIDENCE
This study provides Class IV evidence that ultrasound can effectively visualize and diagnose neuropathy of the SSN, LTN, SAN, and phrenic nerve in the neck.
目的
我们评估了超声在检测肩胛上神经（SSN）、胸长神经（LTN）、副神经（SAN）和膈神经病变方面的性能，并将其与磁共振成像（MRI）进行比较。
方法
对56例接受了SSN、LTN、SAN和膈神经超声成像的患者进行回顾性研究。记录超声、MRI、肌电图报告以及临床和手术记录所做出的诊断。
结果
在绝大多数情况下，超声成功地显示了颈部的神经。超声检查结果通常与MRI和临床检查结果一致。
结论
超声在SSN、LTN、SAN和膈神经的可视化及诊断评估方面是有效的。
证据分类
本研究提供了IV级证据，表明超声能够有效地可视化并诊断颈部SSN、LTN、SAN和膈神经的病变。
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