Ultrasonography for Diagnosing Carpal Tunnel Syndrome: A Meta-Analysis of Diagnostic Test Accuracy

Ta Wei Tai, Cheng Yi Wu, Fong Chin Su, Tai Chang Chern, I. Ming Jou

研究成果: Article同行評審

110 引文 斯高帕斯(Scopus)

摘要

Ultrasonography is widely used to diagnose carpal tunnel syndrome (CTS), a common peripheral neuropathy, but the reported diagnostic accuracy varies. This meta-analysis focused on the diagnostic test accuracy of ultrasonography for diagnosing CTS. Structured searches of PubMed for 1990-2010 were done and the data were extracted and meta-analyzed by pooling estimates of sensitivity, specificity, likelihood ratios and diagnostic odds ratios. Diagnostic performance was also judged by using a summary receiver operating characteristic curve. Twenty-eight trials involving 3995 wrists were included. A greater cross-sectional area (CSA) of the median nerve at the carpal tunnel inlet (CSA-I) and a greater flattening ratio at the level of the hamate were seen in CTS wrists than in control wrists. A CSA-I ≥9 mm 2 is the best single diagnostic criterion, with a diagnostic odds ratio of 40.4 (sensitivity 87.3%, specificity 83.3%).

原文English
頁(從 - 到)1121-1128
頁數8
期刊Ultrasound in Medicine and Biology
38
發行號7
DOIs
出版狀態Published - 2012 七月

All Science Journal Classification (ASJC) codes

  • 放射與超音波技術
  • 生物物理學
  • 聲學與超音波

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