Evidence map›Paper›PMID 33733810›Full record

Observational studyThe British journal of radiology2021

High resolution ultrasonography of peripheral nerves in diabetic patients to evaluate nerve cross sectional area with clinical profile.

Shamrendra Narayan, Amit Goel, Ajai Kumar Singh, Anup Kumar Thacker, Neha Singh, Manish Gutch

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Musculoskeletal Ultrasound and MRI in the Evaluation of Chemotherapy-Induced Peripheral Neuropathy: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Review
  13. Nerve entrapment syndromes: detection by ultrasound.Ultrasonography (Seoul, Korea) · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Vagus nerve ultrasound in transthyretin familial amyloid polyneuropathy: A pilot study.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
    Article
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

6 authors at 1 institution in 1 country.

Shamrendra NarayanDepartment of Radiodiagnosis, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.ORCID https://orcid.org/0000-0002-2016-3822
Amit GoelDepartment of Radiodiagnosis, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Ajai Kumar SinghDepartment of Neurology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Anup Kumar ThackerDepartment of Neurology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Neha SinghDepartment of Radiodiagnosis, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Manish GutchDepartment of Endocrinology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India.
Dr. Ram Manohar Lohia Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this observational study was ultrasound evaluation of peripheral nerves cross-sectional area (CSA) in subjects with probable diabetic peripheral sensorimotor neuropathy (DPN). CSA was analyzed with reference to clinical and nerve conduction study's (NCS) parameters for early diagnosis and pattern of involvement.

methodsA total of 50 patients with probable DPN due to Type 2 diabetes and 50 age-matched healthy controls underwent sonographic examinations of ulnar nerve at the lower arm, median nerve proximal to carpal tunnel, the common peroneal nerve proximal to fibular head, tibial nerve proximal to the tarsal tunnel, and sural nerve at lower third leg.

resultsCSA was increased in cases of DPN as compared to healthy controls. Area changes were more marked with demyelinating pattern. Probable DPN cases with normal NCS had significantly higher number of peripheral nerves showing increased CSA as compared to healthy control. A cut-off of

conclusionThere is an increase in CSA of peripheral nerve in diabetic patients. It can be used as a morphological marker for classifying DPN with changes being picked up earlier to NCS abnormality. Clinical neurological presentation in probable DPN can also be due to compressive neuropathy in early phases, and ultrasound can be a useful tool. ADVANCES IN KNOWLEDGE: Early pick up of DPN cases shall be useful for early therapy and motivating the patients to actively participate in the treatment. Morphological changes on ultrasonography precedes the electrodiagnostic change in DPN. Symptoms of DPN is not only due to metabolic changes but also compressive neuropathy.

Indexed as

UltrasonographyAdultAgedCase-Control StudiesCross-Sectional StudiesDemyelinating DiseasesDiabetes Mellitus, Type 2Diabetic NeuropathiesFemaleHumansMaleMiddle AgedNeural ConductionPeripheral NervesPeroneal NervePilot Projects

Identifiers

PMID33733810
PMCPMC8506179
OpenAlexW3137681845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.