Evidence map›Paper›PMID 31175432›Full record

ArticleJournal of neurology2019

Comparison of high-frequency and ultrahigh-frequency probes in chronic inflammatory demyelinating polyneuropathy.

Angela Puma, N Azulay, N Grecu, C Suply, E Panicucci, C Cambieri, L Villa, C Raffaelli, S Sacconi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Clinical Application of Ultra-High-Frequency Ultrasound.Journal of personalized medicine · 2022
    Review
  9. Nerve Ultrasound as Helpful Tool in Polyneuropathies.Diagnostics (Basel, Switzerland) · 2021
    Review
  10. Review
  11. Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Angela PumaPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France. puma.ar@chu-nice.fr.ORCID http://orcid.org/0000-0002-4218-6128
N AzulayUltrasound Department, CHU Nice, Université Côte d'Azur, Nice, France.
N GrecuPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.
C SuplyPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.
E PanicucciPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.
C CambieriPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.
L VillaPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.
C RaffaelliUltrasound Department, CHU Nice, Université Côte d'Azur, Nice, France.
S SacconiPeripheral Nervous System, Muscle and ALS Department, CHU Nice, Université Côte D'Azur, Nice, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHigh-frequency ultrasound (HFUS 18-20 MHz) performed on patients with chronic inflammatory demyelinating polyneuropathy (CIDP) shows a focal enlargement, particularly in the proximal segments of upper-arm motor nerves. Ultrahigh frequency ultrasound (UHFUS 30-70 MHz), having a higher spatial resolution, enables a better characterization of nerve structures. The aim of this study was to compare the two ultrasound probes in the evaluation of motor nerve characteristics in CIDP patients.

methodsEleven patients with definite or probable CIDP underwent an ultrasound evaluation of median and ulnar nerves, bilaterally. Nerve and fascicle cross-sectional area (CSA), vascularization, and echogenicity were assessed.

resultsNerve and fascicle CSA were increased in the proximal segments, especially in the median nerve, in 9/11 patients and in 10/11 patients at the HFUS and UHFUS evaluations, respectively. A statistically significant difference between CSA values obtained with the two probes was found only for fascicle values. UHFUS allowed for a more precise estimation of fascicle size and number than the HFUS. We were able to identify nerve vascularization in 4/11 patients at UHFUS only.

conclusionUHFUS gives more detailed information on the changes in the internal nerve structure in CIDP patients. In particular, it permits to better characterize fascicle size and morphology, and to have a precise estimation of their number. Its frequency range also allows to evaluate nerve vascularization. SIGNIFICANCE: Ultrasound evaluation could become an adjunctive diagnostic tool for CIDP. Further studies are needed to validate the examined parameters as biomarkers for the evaluation and follow-up of CIDP patients.

Indexed as

AdultAgedCohort StudiesDiagnosis, DifferentialFemaleHigh-Intensity Focused Ultrasound AblationHumansMaleMedian NerveMiddle AgedPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingUlnar NerveUltrasonic TherapyUltrasonography, DopplerCIDPCSAFascicleNerveUltrasoundVascularization

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.