Evidence map›Paper›PMID 41917871›Full record

Observational studyBMC medical imaging2026

Angio planewave ultrasensitive imaging (Angio PLUS) as an innovative technique in depicting vascularity of median nerve: a prospective observational study.

Yingying Li, Cheng Zhang, Yukun Luo, Mingbo Zhang

Abstract readObservational Study
In one paragraph

Observational study in BMC medical imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yingying Li *Medical School of Chinese PLA, No. 28 Fuxing Rd, Haidian District, Beijing, 100853, China.
Cheng Zhang *Department of Ultrasound, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56, South Lishi Road, Xicheng District, Beijing, 100045, China.
Yukun LuoDepartment of Ultrasound, the First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Rd, Haidian District, Beijing, 100853, China.
Mingbo ZhangDepartment of Ultrasound, the First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Rd, Haidian District, Beijing, 100853, China. zhangmingbo@301hospital.com.cn.

Funding

Beijing Natural Science Fund-Haidian Original Innovation Union Fund No. L232142National Natural Science Foundation of China No. 82071924
6 · The paper itself

Abstract

backgroundsAssessment of median nerve (MN) microvascularity is critical for early diagnosis of neuropathy, yet conventional techniques like color Doppler flow imaging (CDFI) lack sensitivity for small vessels, while contrast-enhanced ultrasound (CEUS) is invasive. Angio Planewave Ultrasensitive imaging (AP), a novel non-invasive modality, offers high-resolution microvascular visualization, but its application in MN vascularity remains unexplored.

objectivesTo determine the feasibility of Angio Planewave Ultrasensitive imaging (AP) in comparison with color Doppler flow imaging (CDFI) for detection of median nerve (MN) vascularity in healthy volunteers and to explore the correlation between the blood flow distribution of MN on AP and the clinical parameters.

methods30 healthy volunteers were prospectively enrolled in our study. CDFI and AP were performed to evaluate the vascularity of MN in the wrist level and the mid-forearm level. MN vascularity using Adler’s grading on CDFI and AP were compared, and a new classification of vascular distribution was proposed. Two radiologists performed image review for evaluation of intra- and interobserver agreements. The new vascular types in the wrist level and the mid-forearm level were compared. The correlation of clinical parameters and the new vascular types were analyzed.

resultsAP was more sensitive in displaying the vascularity of MN compared with CDFI (p < 0.0001), presenting excellent intra- and inter-observer agreements (k > 0.90) based on the new vascular types. Type I and type II were most frequently detected in the wrist level and the mid-forearm level respectively. There was a weak correlation between the cross-sectional area and vascular distribution at the wrist level and the mid-forearm level (r = 0.290, r = 0.304 respectively, both p < 0.05).

conclusionsAP demonstrated superior sensitivity in visualizing MN vascularity compared to CDFI, with excellent intra- and inter-observer reproducibility using the proposed vascular classification. These findings provide a critical technical foundation for future studies exploring vascular changes in neuropathies and their correlation with clinical outcomes.

Indexed as

Median NerveAdultFeasibility StudiesFemaleHealthy VolunteersHumansMaleMiddle AgedProspective StudiesReproducibility of ResultsSensitivity and SpecificityUltrasonographyUltrasonography, Doppler, ColorYoung AdultBlood flow velocityMedian nerveMicrovesselsPeripheral nervous system diseaseUltrasonography

Identifiers

PMID41917871
PMCPMC13162524

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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.