Shear wave elastography of tibial nerve in patients with diabetic peripheral neuropathy-A cross-sectional study.

Acoustic radiation force impulse imaging Diabetic foot Diabetic neuropathy Elastography Tibial neuropathy

Journal

Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953

Informations de publication

Date de publication:
12 Sep 2023
Historique:
received: 02 07 2023
accepted: 31 08 2023
revised: 31 08 2023
medline: 12 9 2023
pubmed: 12 9 2023
entrez: 12 9 2023
Statut: aheadofprint

Résumé

To explore the role of shear wave elastography of the tibial nerve as a potential ultrasonographic method for the diagnosis of tibial neuropathy in patients with type 2 diabetes. This cross-sectional study included 50 subjects each in case (patients with diabetic tibial neuropathy diagnosed on the basis of clinical features and nerve conduction study) and control groups (non-diabetic non-neuropathic healthy volunteers). The exclusion criteria included the presence of type 1 diabetes, a known history of neuropathy from other causes except for type 2 diabetes, or a history of leg or ankle fracture. Cross-sectional area and shear wave velocity values of the tibial nerve were measured in both groups. Demographic details and body mass index were obtained in both groups and additionally, the duration of type 2 diabetes and HbA1c values in the case group were also noted. Wilcoxon Mann-Whitney U test was used to compare these variables in study groups. ROC curve analysis provided additional findings. Tibial nerve stiffness was significantly higher in the case group (p-value < 0.001). The study groups did not significantly differ in the Cross-sectional area of the tibial nerve (p-value 0.57). The case group exhibited a higher frequency of loss of the fascicular pattern of the tibial nerve (40% vs 18%, p-value 0.027). Duration of diabetes mellitus and HbA1c values did not significantly affect Shear wave velocity values in the case group. At the cut-off value of Shear wave velocity of 3.13 m/s, sensitivity and specificity to diagnose diabetic peripheral neuropathy were 94% and 88% respectively. Increased nerve stiffness is seen in patients with diabetic peripheral neuropathy. Shear wave elastography might prove as a novel noninvasive technology for screening/early diagnosis of diabetic peripheral neuropathy.

Identifiants

pubmed: 37698625
doi: 10.1007/s00256-023-04448-8
pii: 10.1007/s00256-023-04448-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to International Skeletal Society (ISS).

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Auteurs

Dhiri Ranjan Pradhan (DR)

Department of Diagnostic and Interventional Radiology, AIIMS Rishikesh, Rishikesh, India.

Sudhir Saxena (S)

Department of Diagnostic and Interventional Radiology, AIIMS Rishikesh, Rishikesh, India.

Ravi Kant (R)

Department of Internal Medicine, AIIMS Rishikesh, Rishikesh, India.

Mirtunjai Kumar (M)

Department of Neurology, AIIMS Rishikesh, Rishikesh, India.

Sonal Saran (S)

Department of Diagnostic and Interventional Radiology, AIIMS Rishikesh, Rishikesh, India. sonal.rd@aiimsrishikesh.edu.in.

Classifications MeSH