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Ultrasound elastography for the evaluation of peripheral nerves: A systematic review

2019/07/03 by Tze Chao Wee, Neil G. Simon
Medicine · Neuroscience · #Hereditary Neurological Disorders #Peripheral Nerve Disorders #Tendon Structure and Treatment

paper · doi:10.1002/mus.26624

openalex publication_date 2019/07/03 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/29

Abstract

Peripheral nerve disorders are commonly encountered in clinical practice. Electrodiagnostic studies remain the cornerstone of the evaluation of nerve disorders. More recently, ultrasound has played an increasing complementary role in the neuromuscular clinic. Ultrasound elastography is a technique that measures the elastic properties of tissues. Given the histological changes that occur in diseased peripheral nerves, nerve ultrasound elastography has been explored as a noninvasive way to evaluate changes in nerve tissue composition. Studies to date suggest that nerve stiffness tends to increase in the setting of peripheral neuropathy, regardless of etiology, consistent with loss of more compliant myelin, and replacement with connective tissue. The aim of this systematic review is to summarize the current literature on the use of ultrasound elastography in the evaluation of peripheral neuropathy. Limitations of ultrasound elastography and gaps in current literature are discussed, and prospects for future clinical and research applications are raised.

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