Comparison of Ultrasound and Magnetic Resonance Imaging in Diagnosing Peripheral Intraneural Ganglion Cysts.

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-07-02 DOI:10.1002/jcu.70007

Kezhen Qin, Tiezheng Wang, Hengtao Qi, Lishan Zhang, Yeting Wang, Wen Chen, Liyuan Cui, Huawei Zhang

{"title":"Comparison of Ultrasound and Magnetic Resonance Imaging in Diagnosing Peripheral Intraneural Ganglion Cysts.","authors":"Kezhen Qin, Tiezheng Wang, Hengtao Qi, Lishan Zhang, Yeting Wang, Wen Chen, Liyuan Cui, Huawei Zhang","doi":"10.1002/jcu.70007","DOIUrl":null,"url":null,"abstract":"Background: Traditionally, the imaging diagnosis of peripheral intraneural ganglion cysts (IGCs) has primarily relied on MRI. However, few reports in the literature have evaluated peripheral IGCs using high-frequency ultrasound.Methods: From January 2013 to December 2023, 75 consecutive patients seen in Shandong Provincial Hospital Affiliated to Shandong First Medical University with symptoms related to the peripheral nerves and clinically suspected of having peripheral IGCs were included. Ultrasound and MRI were used to assess the peripheral nerves. The ultrasonographic and MRI images of IGCs were analyzed, and their image features were summarized. The data were compared with MRI. The κ-test was used to assess the level of agreement. The sensitivity, specificity, positive predictive value, negative predictive value, and Youden index for high-frequency ultrasound as a diagnostic tool were determined.Results: The diagnosis of IGCs was confirmed in 23 patients by surgery. The MRI diagnosis results were fully consistent with the surgery. There were no false-positive results and two false-negative results by ultrasound. The κ-value was 0.936. The sensitivity, specificity, positive and negative predictive values, and Youden index of ultrasound were 91.3%, 100%, 100%, 96%, and 0.913, respectively.Conclusion: MRI outperformed US in visualizing peripheral IGCs. Both US and MRI were valid indicators for comprehensive diagnosis of peripheral IGCs.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.70007","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Traditionally, the imaging diagnosis of peripheral intraneural ganglion cysts (IGCs) has primarily relied on MRI. However, few reports in the literature have evaluated peripheral IGCs using high-frequency ultrasound.

Methods: From January 2013 to December 2023, 75 consecutive patients seen in Shandong Provincial Hospital Affiliated to Shandong First Medical University with symptoms related to the peripheral nerves and clinically suspected of having peripheral IGCs were included. Ultrasound and MRI were used to assess the peripheral nerves. The ultrasonographic and MRI images of IGCs were analyzed, and their image features were summarized. The data were compared with MRI. The κ-test was used to assess the level of agreement. The sensitivity, specificity, positive predictive value, negative predictive value, and Youden index for high-frequency ultrasound as a diagnostic tool were determined.

Results: The diagnosis of IGCs was confirmed in 23 patients by surgery. The MRI diagnosis results were fully consistent with the surgery. There were no false-positive results and two false-negative results by ultrasound. The κ-value was 0.936. The sensitivity, specificity, positive and negative predictive values, and Youden index of ultrasound were 91.3%, 100%, 100%, 96%, and 0.913, respectively.

Conclusion: MRI outperformed US in visualizing peripheral IGCs. Both US and MRI were valid indicators for comprehensive diagnosis of peripheral IGCs.

查看原文本刊更多论文

超声与磁共振诊断周围神经节囊肿的比较。

背景：传统上，外周神经节囊肿（IGCs）的影像学诊断主要依靠MRI。然而，文献中很少有报道使用高频超声评估外周IGCs。方法：选取2013年1月至2023年12月在山东第一医科大学附属山东省立医院连续就诊的75例外周神经相关症状、临床疑似外周IGCs的患者。采用超声和MRI对周围神经进行评估。分析了IGCs的超声和MRI图像，总结了其图像特征。并与MRI进行比较。采用κ-检验评估一致性水平。测定高频超声作为诊断工具的敏感性、特异性、阳性预测值、阴性预测值及约登指数。结果：23例患者经手术确诊为IGCs。MRI诊断结果与手术完全一致。超声检查无假阳性结果，2例假阴性结果。κ值为0.936。超声的敏感性为91.3%，特异性为100%，阳性预测值为100%，阴性预测值为96%，约登指数为0.913。结论：MRI显示外周IGCs优于US。超声和MRI均是外周IGCs综合诊断的有效指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.