Carpal tunnel syndrome assessed with diffusion tensor imaging: Comparison with electrophysiological studies of patients and healthy volunteers

2012 ◽  
Vol 81 (11) ◽  
pp. 3378-3383 ◽  
Author(s):  
Chien-Kuo Wang ◽  
I-Ming Jou ◽  
Han-Wei Huang ◽  
Pei-Yin Chen ◽  
Hong-Ming Tsai ◽  
...  
Author(s):  
Neslihan Tasdelen ◽  
Bengi Gurses ◽  
Ozgur Kilickesmez ◽  
Zeynep Firat ◽  
Geysu Karlikaya ◽  
...  

2014 ◽  
Vol 41 (2) ◽  
pp. 124-130 ◽  
Author(s):  
Marianna Brienza ◽  
Francesco Pujia ◽  
M. Chiara Colaiacomo ◽  
M. Grazia Anastasio ◽  
Francesco Pierelli ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Djamila Rojoa ◽  
Firas Raheman ◽  
Joseph Rassam ◽  
Ryckie G. Wade

AbstractCarpal tunnel syndrome (CTS) leads to distortion of axonal architecture, demyelination and fibrosis within the median nerve. Diffusion tensor imaging (DTI) characterises tissue microstructure and generates reproducible proxy measures of nerve ‘health’ which are sensitive to myelination, axon diameter, fiber density and organisation. This meta-analysis summarises the normal DTI values of the median nerve, and how they change in CTS. This systematic review included studies reporting DTI of the median nerve at the level of the wrist in adults. The primary outcome was to determine the normal fractional anisotropy (FA) and mean diffusivity (MD) of the median nerve. Secondarily, we show how the FA and MD differ between asymptomatic adults and patients with CTS, and how these differences are independent of the acquisition methods. We included 32 studies of 2643 wrists, belonging to 1575 asymptomatic adults and 1068 patients with CTS. The normal FA was 0.58 (95% CI 0.56, 0.59) and the normal MD was 1.138 × 10–3 mm2/s (95% CI 1.101, 1.174). Patients with CTS had a significantly lower FA than controls (mean difference 0.12 [95% CI 0.09, 0.16]). Similarly, the median nerve of patients with CTS had a significantly higher mean diffusivity (mean difference 0.16 × 10–3 mm2/s [95% CI 0.05, 0.27]). The differences were independent of experimental factors. We provide summary estimates of the normal FA and MD of the median nerve in asymptomatic adults. Furthermore, we show that diffusion throughout the length of the median nerve becomes more isotropic in patients with CTS.


2016 ◽  
Vol 36 (10) ◽  
pp. 2319-2324 ◽  
Author(s):  
Ahmed Abdel Khalek Abdel Razek ◽  
Adel Abd Elsalam Shabana ◽  
Tamer Omar El Saied ◽  
Nora Alrefey‬

2016 ◽  
Vol 22 ◽  
pp. 736-742 ◽  
Author(s):  
Hong Wang ◽  
Jingxu Ma ◽  
Liping Zhao ◽  
Yunling Wang ◽  
Xiaowen Jia

2012 ◽  
Vol 22 (6) ◽  
pp. 1310-1319 ◽  
Author(s):  
Jaana Hiltunen ◽  
Erika Kirveskari ◽  
Jussi Numminen ◽  
Nina Lindfors ◽  
Harry Göransson ◽  
...  

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