Haci Taner Bulut1, Adem Yildirim2, Burcu Ekmekci3, Hediye Pinar Gunbey4. 1. Department of Radiology, Medical Faculty of Adiyaman University, Adiyaman, 02100 Turkey. Electronic address: taner.bulut02@gmail.com. 2. Department of Physical Medicine and Rehabilitation, Medical Faculty of Adiyaman University, Adiyaman, 02100 Turkey. 3. Department of Neurology, Medical Faculty of Adiyaman University, Adiyaman, 02100 Turkey. 4. Department of Radiology, Samsun Education and Research Hospital, Samsun, Turkey.
Abstract
RATIONALE AND OBJECTIVES: In this study, we investigated the diagnostic and grading value of diffusion tensor imaging (DTI) in patients with carpal tunnel syndrome (CTS). MATERIALS AND METHODS: Of the 120 subjects included in the present study, 72 were in the CTS group and 48 were in the healthy control group. In addition, the patients with CTS were further divided into three subgroups based on severity (mild, moderate, and severe) according to electrophysiological studies (EPS). DTI-derived parameters (fractional anisotropy [FA] and apparent diffusion coefficient [ADC]) were evaluated at four median nerve levels. The mean FA and ADC values of the CTS groups and healthy controls were compared separately. Correlations and possible relationships between DTI parameters and EPS results were analyzed. Receiver operating characteristics analysis was used to calculate the FA and ADC cutoff values for CTS diagnosis and grading. RESULTS: Statistically significant differences were observed in mean FA and ADC between the normal and mild, mild and moderate, and moderate and severe subgroups. Significant correlations were found between DTI parameters and EPS measurements based on severity. FA and ADC threshold values, as well as the sensitivity and specificity levels, for diagnosing and grading CTS were determined. CONCLUSIONS: DTI parameters can provide helpful information for CTS. The correlations of FA and ADC measurements versus EPS measurements based on severity were significant. Moreover, FA and ADC threshold values were sufficient for the diagnosis and grading of CTS.
RATIONALE AND OBJECTIVES: In this study, we investigated the diagnostic and grading value of diffusion tensor imaging (DTI) in patients with carpal tunnel syndrome (CTS). MATERIALS AND METHODS: Of the 120 subjects included in the present study, 72 were in the CTS group and 48 were in the healthy control group. In addition, the patients with CTS were further divided into three subgroups based on severity (mild, moderate, and severe) according to electrophysiological studies (EPS). DTI-derived parameters (fractional anisotropy [FA] and apparent diffusion coefficient [ADC]) were evaluated at four median nerve levels. The mean FA and ADC values of the CTS groups and healthy controls were compared separately. Correlations and possible relationships between DTI parameters and EPS results were analyzed. Receiver operating characteristics analysis was used to calculate the FA and ADC cutoff values for CTS diagnosis and grading. RESULTS: Statistically significant differences were observed in mean FA and ADC between the normal and mild, mild and moderate, and moderate and severe subgroups. Significant correlations were found between DTI parameters and EPS measurements based on severity. FA and ADC threshold values, as well as the sensitivity and specificity levels, for diagnosing and grading CTS were determined. CONCLUSIONS: DTI parameters can provide helpful information for CTS. The correlations of FA and ADC measurements versus EPS measurements based on severity were significant. Moreover, FA and ADC threshold values were sufficient for the diagnosis and grading of CTS.
Authors: A S Klauser; M Abd Ellah; C Kremser; M Taljanovic; G Schmidle; M Gabl; F Cartes-Zumelzu; R Steiger; E R Gizewski Journal: Eur Radiol Date: 2017-09-27 Impact factor: 5.315