Department of Internal Medicine, Prince Sattam Bin Abdulaziz University, College of Medicine, Al-Kharj, Kingdom of Saudi Arabia.
Department of Radiology, National Cancer Institute, Cairo University, Cairo, Egypt.
Medicine (Baltimore). 2023 Jul 28;102(30):e34181. doi: 10.1097/MD.0000000000034181.
The aim of this study is to utilize ultrasound to evaluate the normal cross-sectional area (CSA) of the phrenic nerve (PN), at the level of the anterior scalene muscle. The study included 62 PNs in 31 healthy subjects (13 men, 18 women); mean age, 36.6 years; mean height, 161.1 cm; mean weight, 69.6 kg; and mean body mass index 25.8 kg/m2. High-resolution ultrasound images of the bilateral PNs were obtained by a radiologist with 15 years of experience in neuromusculoskeletal ultrasound. Three separate CSA measurements for the bilateral PNs bilaterally were obtained. Images were also reviewed by an experienced neurologist to evaluate for inter-rater variability. The mean CSA of the right PN was 0.54 mm2 ± 0.16. The mean CSA of the left PN was 0.53 mm2 ± 0.18. We believe that the reference values for the normal CSA of the PNs obtained in our study could help in the sonographic evaluation of PN enlargement, as it relates to the diagnosis of various diseases affecting the PN. Furthermore, knowledge of its location and size, at the level of the scalene muscle, could help prevent PN-related complications during interventional procedures in that area. Additionally, for each participant, demographic information of age and gender as well as body mass index, weight, and height were documented.
本研究旨在利用超声评估前斜角肌水平膈神经(PN)的正常横截面积(CSA)。该研究纳入了 31 名健康受试者(13 名男性,18 名女性)的 62 条 PN;平均年龄 36.6 岁;平均身高 161.1cm;平均体重 69.6kg;平均体重指数 25.8kg/m2。一位具有 15 年神经肌肉骨骼超声经验的放射科医生获得了双侧 PN 的高分辨率超声图像。对双侧 PN 进行了三次独立的 CSA 测量。图像还由一位经验丰富的神经科医生进行了审查,以评估组内变异。右侧 PN 的平均 CSA 为 0.54±0.16mm2。左侧 PN 的平均 CSA 为 0.53±0.18mm2。我们认为,我们研究中获得的 PN 正常 CSA 的参考值有助于超声评估 PN 增大,因为它与诊断影响 PN 的各种疾病有关。此外,了解其在前斜角肌水平的位置和大小有助于在该区域的介入性操作中预防与 PN 相关的并发症。此外,对于每位参与者,记录了年龄和性别以及体重指数、体重和身高的人口统计学信息。