Unresolved issues of using ultrasound elastography methods in patients with mononeuropathy of the lower limb girdle and free part of the lower limb
https://doi.org/10.51523/2708-6011.2024-21-2-03
Abstract
Objective. Systematization of data and analysis of the diagnostic effectiveness of ultrasound elastography for mononeuropathies of the lower limb girdle and free part of the lower limb.
Materials and methods. Publications in the PubMed, EMBASE and Web of Science systems were analysed thoroughly, describing cases of the use of imaging methods in patients with mononeuropathy of the lower limb girdle and free part of the lower limb.
Results. The most promising for implementation in wide clinical practice ultrasound elastography techniques have been identified. The use of them can, if refined, provide early diagnosis of mononeuropathies of the lower limb girdle and the free part of the lower limb.
Conclusion. The use of ultrasound elastography for the diagnosis of mononeuropathy of the lower limb girdle and free part of the lower limb is hampered by the lack of clear ideas regarding the reference values of stiffness indices (kPa, m/s) for specific peripheral nerves and the possible influence of artifacts from bones and other adjacent tissues on these stiffness indices. In addition, there is no clear algorithm for choosing an ultrasound elastography technique, depending on the location and cross-section of the nerve. Solving these issues will allow optimizing the use of ultrasound elastography for the diagnosis of mononeuropathies of the lower limb girdle and the free part of the lower limb.
About the Authors
А. М. Yurkovskiy
Gomel State Medical University
Belarus
Belarus
Alexei M. Yurkovskiy, Doctor of Medical Sciences, Head of the Department of Radiation Diagnostics, Radiation Therapy with the course of Advanced Training and Retraining
Gomel
E. I. Pismennikova
Gomel State Medical University
Belarus
Belarus
Evgenia I. Pismennikova, Assistant Lecturer at the department of Radiation Diagnostics, Radiation Therapy with the course of Advanced Training and Retraining
Gomel
References
1. Watson JC, Dyck PJ. Peripheral neuropathy: a practical approach to diagnosis and symptom management. Mayo Clin Proc. 2015; 90(7):940-951. DOI: http://dx.doi.org/10.1016/j.mayocp.2015.05.004
2. Gallardo E, Noto Y, Simon NG. Ultrasound in the diagnosis of peripheral neuropathy: structure meets function in the neuromuscular clinic. J. of Neurology, Neurosurgery & Psychiatry. 2015; 86(10):1066-1074. DOI: http://dx.doi.org/10.1136/jnnp-2014-309599
3. Yurkovskiy AM, Pismennikova EI, Achinovich SL. Dystrophic changes in the sciatic nerve: a comparison of ultrasonographic and morphological data (pilot study). Problems of Health and Ecology. 2023;20(1):101-109. (In Russ.). DOI: https://doi.org/10.51523/2708-6011.2023-20-1-12
4. Simon NG, Cage T, Narvid J, et al. High-resolution ultrasonography and diffusion tensor tractography map normal nerve fascicles in relation to Schwannoma tissue prior to resection. J Neurosurg. 2014;120(5):1113-1117. DOI: https://doi.org/10.3171/2014.2.JNS131975
5. Sheppard DG, Iyer RB, Fenstermacher MJ. Brachial plexus: demonstration at US. Radiology.1998;208(2):402-406. DOI: https://doi.org/10.1148/radiology.208.2.9680567
6. Zaidman CM, Al-Lozi M, Pestronk A. Peripheral nerve size in normals and patients with polyneuropathy: an ultrasound study. Muscle Nerve. 2009;40(6):960-966. DOI: https://doi.org/10.1002/mus.21431
7. Simon NG, Ralph JW, Poncelet AN, Engstrom JW, Chin C, Kliot M. A comparison of ultrasonographic and electrophysiologic ‘inching’ in ulnar neuropathy at the elbow. Clin Neurophysiol. 2015;126(2):391-398. DOI: https://doi.org/10.1016/j.clinph.2014.05.023
8. Tagliafico A, Tagliafico G, Martinoli C. Nerve density: a new parameter to evaluate peripheral nerve pathology on ultrasound. Preliminary study. Ultrasound Med Biol. 2010;36(10):1588-1593. DOI: https://doi.org/10.1016/j.ultrasmedbio.2010.07.009
9. Boom J, Visser LH. Quantitative assessment of nerve echogenicity: comparison of methods for evaluating nerve echogenicity in ulnar neuropathy at the elbow. Clin Neurophysiol. 2012;123(7):1446-1453. DOI: https://doi.org/10.1016/j.clinph.2011.10.050
10. Cartwright MS, Walker FO. Neuromuscular ultrasound in common entrapment neuropathies. Muscle Nerve. 2013;48(5):696-704. DOI: https://doi.org/10.1002/mus.23900
11. Haun DW, Cho JC, Kettner NW. Normative cross-sectional area of the C5-C8 nerve roots using ultrasonography. Ultrasound Med Biol. 2010;36(9):1422-1430. DOI: https://doi.org/10.1016/j.ultrasmedbio.2010.05.012
12. Won SJ, Kim BJ, Park KS, Park KS, Kim SH, Yoon JS. Measurement of cross-sectional area of cervical roots and brachial plexus trunks. Muscle Nerve 2012;46(5):711-716. DOI: https://doi.org/10.1002/mus.23503
13. Ulaşli AM, Tok F, Karaman A, Yaman F, Dikici O, Oruç S, Ozçakar L. Nerve enlargement after cold exposure: a pilot study with ultrasound imaging. Muscle Nerve 2014;49(4):502-505. DOI: https://doi.org/10.1002/mus.23947
14. Joy V, Therimadasamy AK, Chan YC, Wilder-Smithet EP. Combined Doppler and B-mode sonography in carpal tunnel syndrome. J Neurol Sci. 2011; 308(1-2):16-20. DOI: https://doi.org/10.1016/j.jns.2011.06.042
15. Zakrzewski J, Zakrzewska K, Pluta K, Nowak O, Miłoszewska-Paluch A. Ultrasound elastography in the evaluation of peripheral neuropathies: a systematic review of the literature. Pol J Radiol. 2019;84:e581-e591. DOI: https://doi.org/10.5114/pjr.2019.91439
16. Yurkovskiy AM, Nazarenko IV, Melnikova AS, Pismennikova E.I. Neuropathy of the superior gluteal nerves: unresolved issues of medical imaging (literature review) Problems of Health and Ecology. 2021;18(2):12-17. (In Russ.). DOI: https://doi.org/10.51523/2708-6011.2021-18-2-2
17. Wang T, Qi H, Chen C, Teng J. Study on the crush injury model of the sciatic nerve in rabbits by conventional ultrasound and elastography. Current Medical Imaging. 2023;19(7):764-769. DOI: https://doi.org/10.2174/1573405619666221228152506
18. Shiina T, Nightingale KR, Palmeri ML, Hall TJ, Bamber JC, Barr RiG, Castera L, et al. WFUMB guidelines and recommendations for clinical use of ultrasound elastography: Part 1: basic principles and terminology. Ultrasound Med Biol. 2015;41(5):1126-1147. DOI: https://doi.org/10.1016/j.ultrasmedbio.2015.03.009
19. Jerban S, Barrère V, Andre M, Chang EY, Shah S. Quantitative ultrasound techniques used for peripheral nerve assessment. Diagnostics (Basel). 2023;13(5): 956. DOI: https://doi.org/10.3390/diagnostics13050956
20. Sava S, Miroslav М. The Role of the sciatic nerve ultrasound elastography in the clinical pathway: a meta-analysis. Arch Orthop. 2020;1(2):55-60. DOI: https://doi.org/10.33696/Orthopaedics.1.009
21. Santos R, Armada P. Sciatic nerve hardness measurement by using ultrasound elastography. Ultrasound Med Biol. 2013;39(5):S57.
22. Neto T, Freitas SR, Andrade RJ, Gomes J, Vaz J, Mendes B, Firmino T, et. al. Sciatic nerve stiffness is not changed immediately after a slump neurodynamics technique. Muscles, Ligaments and Tendons J. 2017;7(3): 583-589. DOI: https://doi.org/10.11138/mltj/2017.7.3.583
23. Burulday V, Çelebi UO, Öğden M, Akgül MH, Doğan A, Özveren MF. Preoperative and postoperative ultrasound elastography findings of the sciatic nerve in patients with unilateral lumbar foraminal disc herniation: a pre-test and post-test design. Eur Rev Med Pharmacol Sci. 2022;26(6):1923-1929. DOI: https://doi.org/10.26355/eurrev_202203_28338
24. Ghajarzadeh M, Dadgostar M, Sarraf P, Emami-Razavi SZ, Miri S, Malek M. Application of ultrasound elastography for determining carpal tunnel syndrome severity. Jpn. J. Radiol. 2015;33(5):273-278. DOI: https://doi.org/10.1007/s11604-015-0416-3
25. Andrade RJ, Nordez A, Hug F, Ates F, Coppieters MW, Pezarat-Correia P, Freitas SR. Non-invasive assessment of sciatic nerve stiffness during human ankle motion using ultrasound shear wave elastography. J Biomech. 2016;49(3):326-331. DOI: https://doi.org/10.1016/j.jbiomech.2015.12.017
26. Andrade RJ, Freitas SR, Hug F, Coppieters MW, Sierra-Silvestre E, Nordez A. Spatial variation in mechanical properties along the sciatic and tibial nerves: An ultrasound shear wave elastography study. J of Biomechanics. 2022;136: 111075. DOI: https://doi.org/10.1016/j.jbiomech.2022.111075
27. Neto T, Freitas SR, Andrade RJ, Vaz JR, Mendes B, Firmino T, Bruno PM, Nordez А, Oliveira R. Noninvasive measurement of sciatic nerve stiffness in patients with chronic low back related leg pain using shear wave elastography. J Ultrasound Med. 2019;38(1):157-164. DOI: https://doi.org/10.1002/jum.14679
28. Neto T, Freitas SR, Andrade RJ, Vaz JR, Mendes B, Firmino T, Bruno PM, et al. Shear wave elastographic investigation of the immediate effects of slump neurodynamics in people with sciatica. J Ultrasound Med. 2019;39(4): 675-681. DOI: https://doi.org/10.1002/jum.15144
29. Çelebi UO, Burulday V, Özveren MF, Dogan A, Akgül MH. Sonoelastographic evaluation of the sciatic nerve in patients with unilateral lumbar disc herniation. Skeletal Radiol. 2019;48(1):129-136. DOI: https://doi.org/10.1007/s00256-018-3020-7
30. Wang Q, Zhang H, Zhang J, Zhang H, Zheng H. The relationship of the shear wave elastography findings of patients with unilateral lumbar disc herniation and clinical characteristics. BMC Musculoskeletal Disorders. 2019;20(1): 438. DOI: https://doi.org/10.1186/s12891-019-2814-7
31. He Y, Xiang X, Zhu B-H, Qiu L Shear wave elastography evaluation of the median and tibial nerve in diabetic peripheral neuropathy. Quant Imaging Med Surg. 2019;9(2):273-282. DOI: https://doi.org/10.21037/qims.2019.02.05
32. Dikici AS, Ustabasioglu FE, Delil S, Nalbantoglu M, Korkmaz B, Bakan S, et al. Evaluation of the tibial nerve with shear-wave elastography: a potential sonographic method for the diagnosis of diabetic peripheral neuropathy. Radiology. 2017;282(2):494-501. DOI: https://doi.org/10.1148/radiol.2016160135
33. Jiang W, Huang S, Teng H, Wang P, Wu M, Zhou X, et al. Diagnostic performance of two-dimensional shear wave elastography for evaluating tibial nerve stiffness in patients with diabetic peripheral neuropathy. Eur Radiol. 2019;29(5):2167-2174. DOI: https://doi.org/10.1007/s00330-018-5858-4
34. Wee TC, Simon NG. Ultrasound elastography for the evaluation of peripheral nerves: a systematic review. Muscle Nerve. 2019;60(5):501-512. DOI: https://doi.org/10.1002/mus.26624
35. Ibrahim HR. Diagnostic value of shear wave ultrasound elastography of tibial nerve in patients with diabetic peripheral neuropathy. Egyptian J of Radiology and Nuclear Medicine.2022;53:102. DOI: https://doi.org/10.1186/s43055-022-00779-z
36. Li D, Zhu J, Liu F, Li B, Liu F, Li W. A quantitative evaluation of sciatic nerve stiffness after compression by shear wave elastography in diabetic rats. Annals of Translational Medicine. 2020;8(11):682-682. DOI: https://doi.org/10.21037/atm-19-4534
37. Zhu Y, Jin Z, Luo Y, Wang Y, Peng, N, Peng J, Zhang S, et al. Evaluation of the crushed sciatic nerve and denervated muscle with multimodality ultrasound techniques: an animal study. Ultrasound Med Biol. 2020;46(2):377-392. DOI: https://doi.org/10.1016/j.ultrasmedbio.2019.10.004
38. Mandeville R, Deshmukh S, Tan ET, Kumar V, Sanchez B, Dowlatshahi AS, Luk J, et al. A scoping review of current and emerging techniques for evaluation of peripheral nerve health, degeneration and regeneration: part 2, non-invasive imaging. J Neural Eng. 2023;20(4). DOI: https://doi.org/10.1088/1741-2552/ace2
39. Yurkovskiy A.M., Nazarenko I.V., Melnikova A.S. Neuropathy of the superior and middle cluneal nerves: methodological aspects of diagnostic blocks. Problems of Health and Ecology=Problemy Zdorov’ya i Ekologii. 2020;(4):5-11. (In Russ.). DOI: https://doi.org/10.51523/2708-6011.2020-17-4-1
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Yurkovskiy А.М., Pismennikova E.I. Unresolved issues of using ultrasound elastography methods in patients with mononeuropathy of the lower limb girdle and free part of the lower limb. Health and Ecology Issues. 2024;21(2):23-29. (In Russ.) https://doi.org/10.51523/2708-6011.2024-21-2-03
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