Department of Orthopaedic Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, St Louis, MO 63110, USA.
Division of Diagnostic Radiology, Section of Neuroradiology, Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, 510 South Kingshighway Boulevard, St Louis, MO 63110, USA.
Hand Clin. 2024 Aug;40(3):325-336. doi: 10.1016/j.hcl.2024.04.003.
Ultrasound and magnetic resonance neurography are useful modalities to aid in the assessment of compressive neuropathies, although they are still limited in their resolution of nerve microstructure and their capacity to monitor postoperative nerve recovery. Optical coherence tomography, a preclinical imaging modality, is promising in its ability to better identify structural and potential physiologic changes to peripheral nerves, but requires additional testing and research prior to widespread clinical implementation. Further advances in nerve imaging may elucidate the ability to visualize the zone of nerve injury intraoperatively, monitor the progression of nerve regeneration, and localize problems during nerve recovery.
超声和磁共振神经成像有助于评估压迫性神经病变,但在神经微观结构分辨率和监测术后神经恢复方面仍存在局限性。光学相干断层扫描是一种临床前成像方式,在更好地识别周围神经的结构和潜在生理变化方面具有广阔的前景,但在广泛应用于临床之前还需要进一步的测试和研究。神经成像技术的进一步发展可能有助于术中可视化神经损伤区域,监测神经再生的进展,并在神经恢复过程中定位问题。