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“虽小却强大”——放射科医生关于较小周围神经超声成像的入门指南。

"Small but mighty" - A radiologists' primer for ultrasound imaging of the smaller peripheral nerves.

作者信息

Agarwal Aakanksha, Chandra Abhishek, Shirodkar Kapil, Shah Ankit, Murray Timothy E, Iyengar Karthikeyan P, Prakash Mahesh, Botchu Rajesh

机构信息

Department of Radiodiagnosis, Mahatma Gandhi University of Science and Technology, Jaipur, India.

Department of Orthopaedics, Mahatma Gandhi University of Science and Technology, Jaipur, India.

出版信息

Skeletal Radiol. 2025 Jul;54(7):1373-1390. doi: 10.1007/s00256-024-04844-8. Epub 2024 Dec 3.

Abstract

Peripheral nerve imaging is a powerful tool in evaluating peripheral neuropathy. This review aims to provide an overview of the anatomy, clinical significance and pathologies of small peripheral nerves, typically less than 2 mm in diameter. High frequency ultrasound probes offer the best assessment of these nerves whilst permitting real-time clinical correlation, while the role of MRI is inherently limited by spatial resolution constraints and the lack of patient contact. This review discusses techniques for sonographic identification, strategies for optimal visualization and common ultrasound-guided procedures.

摘要

周围神经成像在评估周围神经病变方面是一种强大的工具。本综述旨在概述直径通常小于2毫米的小周围神经的解剖结构、临床意义和病理情况。高频超声探头能对这些神经进行最佳评估,同时可实现实时临床关联,而MRI的作用因空间分辨率限制和缺乏患者接触而固有地受到限制。本综述讨论了超声识别技术、最佳可视化策略以及常见的超声引导操作。

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