Assessing the Potential for Error in Investigating Intraneural Vascularity: A Need for a Standardized Imaging Protocol

Details

• Personal Author:
  Evans KD ; Roll SC ; Yao B
• Description:
  Objective: This study examined the implementation of a Doppler sonography imaging protocol to assess intraneural blood flow, within the median nerve, in healthy individuals. Materials and Methods: A total of 176 participants were examined, and this involved 717 retrospective observations of the images collected. The implemented imaging protocol was assessed, and the data that were collected were cleaned and checked for fidelity and validity. Results: A large percentage of missing evidence (11%-35%) across proximal, mid, and distal carpal tunnel locations. Only a quarter of cases with evidence of intraneural blood flow had the strongest evidence of a power Doppler video clip, of which only three-quarters were valid. The study identified potential areas for improving the imaging protocol to reduce missing data and improve data quality. Conclusion: This study demonstrates the significance of a standardized imaging protocol to guide the sonographic acquisition of Doppler images and provides important insights into potential issues with data quality. The recommendations have the potential to help future studies assess intraneural blood flow in healthy populations in a more rigorous and reliable way. Incorporating the study's recommendations into a standardized protocol, there is potential to enhance the diagnostic accuracy of carpal tunnel syndrome and improve diagnosis and treatment. [Description provided by NIOSH]
• Subjects:
  Anatomy Musculoskeletal Diseases Musculoskeletal System Nervous System Occupational Health Safety
• Keywords:
  Author Keywords: Carpal Tunnel Syndrome Carpal Tunnel Syndrome CTS Imaging Techniques Intraneural Blood Flow Median Nerve Nerves Sonography Ultrasound
• ISSN:
  1552-5430
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Ohio ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  39
• Issue:
  6
• NIOSHTIC Number:
  nn:20068447
• Citation:
  J Diagn Med Sonogr 2023 Nov; 39(6):549-559
• Contact Point Address:
  Shawn C. Roll, PhD, OTR/L, RMSKS, FAOTA, FAIUM, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, 1540 Alcazar St, Suite 133, Los Angeles CA 90033, USA
• Email:
  sroll@usc.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of Southern California - Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20150930
• Source Full Name:
  Journal of Diagnostic Medical Sonography
• End Date:
  20190929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:95126dcc8e0355acea2833fb28e32c682819f45926ad3952d1d80eb35dc6027e499d15d030ed8f9d60185b00d70ef5f05a0cdc4ee23c1dbd04d5dc41a61ea520
• Download URL:
  https://stacks.cdc.gov/view/cdc/230600/cdc_230600_DS1.pdf
• File Type:
  [PDF - 1.03 MB ]