Can Ultrasound of the Tibial Nerve Detect Diabetic Peripheral Neuropathy?: A cross-sectional study

Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PT...

Celý popis

Uloženo v:

Podrobná bibliografie
Vydáno v:	Diabetes care Ročník 35; číslo 12; s. 2575 - 2579
Hlavní autoři:	RIAZI, Sheila, BRIL, Vera, PERKINS, Bruce A, ABBAS, Sherif, CHAN, Vincent W. S, NGO, Mylan, LOVBLOM, Leif E, EL-BEHEIRY, Hossam, BRULL, Richard
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Alexandria, VA American Diabetes Association 01.12.2012
Témata:	Age Aged Biological and medical sciences Blood pressure Cross-Sectional Studies Diabetes Diabetes. Impaired glucose tolerance Diabetic Neuropathies - diagnosis Diabetic Neuropathies - diagnostic imaging Diabetic neuropathy Digital signal processors Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Hospitals Humans Male Medical sciences Metabolic diseases Middle Aged Miscellaneous Original Research Public health. Hygiene Public health. Hygiene-occupational medicine Regression analysis Studies Tibial Nerve - diagnostic imaging Tibial Nerve - pathology Ultrasonic imaging Ultrasonography Variables Ontario United States > US Endocrinopathy Sonography Human Nervous system diseases Tibial nerve Nutrition Diabetes mellitus Cross sectional study Metabolic diseases Peripheral nerve disease Ultrasound Endocrinology
ISSN:	0149-5992, 1935-5548, 1935-5548
On-line přístup:	Získat plný text
Tagy:	Přidat tag Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!

Abstract	Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP. We performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus. Fifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm(2); P = 0.004), 3 (22.59 vs. 17.69 mm(2); P < 0.0001), and 5 cm (22.05 vs. 17.25 mm(2); P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm(2)) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis. This large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP.
AbstractList	Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP. We performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus. Fifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm^sup 2^; P = 0.004), 3 (22.59 vs. 17.69 mm^sup 2^; P < 0.0001), and 5 cm (22.05 vs. 17.25 mm^sup 2^; P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm^sup 2^) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis. This large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP. [PUBLICATION ABSTRACT] Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP.OBJECTIVEPeripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP.We performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus.RESEARCH DESIGN AND METHODSWe performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus.Fifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm(2); P = 0.004), 3 (22.59 vs. 17.69 mm(2); P < 0.0001), and 5 cm (22.05 vs. 17.25 mm(2); P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm(2)) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis.RESULTSFifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm(2); P = 0.004), 3 (22.59 vs. 17.69 mm(2); P < 0.0001), and 5 cm (22.05 vs. 17.25 mm(2); P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm(2)) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis.This large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP.CONCLUSIONSThis large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP. Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and staging of diabetic sensorimotor polyneuropathy (DSP). We aimed to examine the association between the size of the posterior tibial nerve (PTN) and the presence and severity of DSP. We performed a cross-sectional study of 98 consecutive diabetic patients classified by NCS as subjects with DSP or control subjects. Severity was determined using the Toronto Clinical Neuropathy Score. A masked expert sonographer measured the cross-sectional area (CSA) of the PTN at 1, 3, and 5 cm proximal to the medial malleolus. Fifty-five patients had DSP. The mean CSA of the PTN in DSP compared with control subjects at distances of 1 (23.03 vs. 17.72 mm(2); P = 0.004), 3 (22.59 vs. 17.69 mm(2); P < 0.0001), and 5 cm (22.05 vs. 17.25 mm(2); P = 0.0005) proximal to the medial malleolus was significantly larger. Although the area under the curve (AUC) for CSA measurements at all three anatomical levels was similar, the CSA measured at 3 cm above the medial malleolus had an optimal threshold value for identification of DSP (19.01 mm(2)) with a sensitivity of 0.69 and a specificity of 0.77 by AUC analysis. This large study of diabetic patients confirms that the CSA of the PTN is larger in patients with DSP than in control subjects, and US is a promising point-of-care screening tool for DSP.
Audience	Professional
Author	BRULL, Richard CHAN, Vincent W. S ABBAS, Sherif RIAZI, Sheila NGO, Mylan EL-BEHEIRY, Hossam PERKINS, Bruce A BRIL, Vera LOVBLOM, Leif E
Author_xml	– sequence: 1 givenname: Sheila surname: RIAZI fullname: RIAZI, Sheila organization: Department of Anesthesia, University Health Network and University of Toronto, Toronto, Ontario, Canada – sequence: 2 givenname: Vera surname: BRIL fullname: BRIL, Vera organization: Department of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada – sequence: 3 givenname: Bruce A surname: PERKINS fullname: PERKINS, Bruce A organization: Department of Medicine, Division of Endocrinology and Metabolism, University of Toronto, Toronto, Ontario, Canada – sequence: 4 givenname: Sherif surname: ABBAS fullname: ABBAS, Sherif organization: Department of Anesthesia, University Health Network and University of Toronto, Toronto, Ontario, Canada – sequence: 5 givenname: Vincent W. S surname: CHAN fullname: CHAN, Vincent W. S organization: Department of Anesthesia, University Health Network and University of Toronto, Toronto, Ontario, Canada – sequence: 6 givenname: Mylan surname: NGO fullname: NGO, Mylan organization: Department of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada – sequence: 7 givenname: Leif E surname: LOVBLOM fullname: LOVBLOM, Leif E organization: Department of Medicine, Division of Endocrinology and Metabolism, University of Toronto, Toronto, Ontario, Canada – sequence: 8 givenname: Hossam surname: EL-BEHEIRY fullname: EL-BEHEIRY, Hossam organization: Department of Anesthesia, Trillium Health Center, Mississauga, Ontario, Canada – sequence: 9 givenname: Richard surname: BRULL fullname: BRULL, Richard organization: Department of Anesthesia, University Health Network and University of Toronto, Toronto, Ontario, Canada
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26650023$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/23033242$$D View this record in MEDLINE/PubMed
BookMark	eNpt0ltrFDEUB_AgFbutPvgFJCCCL1Nzv_igLFtvUNSH9nnIZs7spswmazJT2G9v2q7WypKHQM4v_5CTnKCjmCIg9JKSM8a5ftd5yhqiuX2CZtRy2UgpzBGaESpsI61lx-iklGtCiBDGPEPHjBPOmWAztFy4iK-GMbuSptjh1ONxDfgyLIMb8HfIN4DPYQQ_4vPgljAGj39CDts15Dsw5bR143r38T2eY59TKU2pOqRYy2Wcut1z9LR3Q4EX-_kUXX3-dLn42lz8-PJtMb9oVoLZsbHU9UZ3hiytZ6Lz4HtPOTFMKe-F5x1z0lPNDXAqlVIAylAtOBAiq-n5Kfpwn7udlhuoAbHeami3OWxc3rXJhfZxJYZ1u0o3LZdES6NrwNt9QE6_JihjuwnFwzC4CGkqLaVWCyOMlZW-_o9epynXK1fFuFaEUyYe1MoN0IbYp3quvw1t55xSTY20qqrmgFpBvO1wfeg-1OVH_uyAr6ODTfAHN7z6tzF_O_LnF1TwZg9c8W7os4s-lAenlCSk_rTfKBS_WQ
CODEN	DICAD2
ContentType	Journal Article
Copyright	2014 INIST-CNRS COPYRIGHT 2012 American Diabetes Association Copyright American Diabetes Association Dec 2012 2012 by the American Diabetes Association. 2012
Copyright_xml	– notice: 2014 INIST-CNRS – notice: COPYRIGHT 2012 American Diabetes Association – notice: Copyright American Diabetes Association Dec 2012 – notice: 2012 by the American Diabetes Association. 2012
DBID	IQODW CGR CUY CVF ECM EIF NPM 3V. 7RV 7X2 7X7 7XB 88E 88I 8AF 8AO 8C1 8FE 8FH 8FI 8FJ 8FK 8G5 ABUWG AFKRA AN0 ATCPS AZQEC BEC BENPR BHPHI CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH HCIFZ K9- K9. KB0 M0K M0R M0S M0T M1P M2O M2P MBDVC NAPCQ PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS Q9U S0X 7X8 5PM
DOI	10.2337/dc12-0739
DatabaseName	Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Nursing & Allied Health Database Agricultural Science Collection Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Science Database (Alumni Edition) STEM Database ProQuest Pharma Collection Public Health Database ProQuest SciTech Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central UK/Ireland British Nursing Database ProQuest : Agricultural & Environmental Science Collection [unlimited simultaneous users] ProQuest Central Essentials eLibrary ProQuest Central Natural Science Collection ProQuest One ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep (ProQuest) SciTech Premium Collection Consumer Health Database (Alumni Edition) ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Agriculture Science Database ProQuest Consumer Health Database Health & Medical Collection (Alumni Edition) Healthcare Administration Database Medical Database Research Library Science Database Research Library (Corporate) Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic SIRS Editorial MEDLINE - Academic PubMed Central (Full Participant titles)
DatabaseTitle	MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Agricultural Science Database Research Library Prep ProQuest Central Student ProQuest Central Essentials elibrary ProQuest AP Science SciTech Premium Collection ProQuest Central China Health Research Premium Collection Natural Science Collection Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ProQuest Science Journals (Alumni Edition) ProQuest Family Health ProQuest One Academic Eastern Edition Agricultural Science Collection ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest One Academic Middle East (New) SIRS Editorial ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing Research Library (Alumni Edition) ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Family Health (Alumni Edition) ProQuest Central ProQuest Health & Medical Research Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Agricultural & Environmental Science Collection ProQuest Research Library ProQuest Public Health ProQuest Central Basic ProQuest Science Journals British Nursing Index with Full Text ProQuest Health Management ProQuest Nursing & Allied Health Source ProQuest SciTech Collection ProQuest Medical Library ProQuest Central (Alumni) MEDLINE - Academic
DatabaseTitleList	Agricultural Science Database MEDLINE - Academic MEDLINE
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database
DeliveryMethod	fulltext_linktorsrc
Discipline	Medicine
EISSN	1935-5548
EndPage	2579
ExternalDocumentID	PMC3507587 2839916841 A311718596 23033242 26650023
Genre	Research Support, Non-U.S. Gov't Journal Article
GeographicLocations	Ontario United States--US
GeographicLocations_xml	– name: Ontario – name: United States--US
GroupedDBID	--- -ET ..I .55 .GJ .XZ 08P 0R~ 18M 29F 2WC 3O- 4.4 41~ 53G 5GY 5RE 5RS 5VS 6PF 7RV 7X2 7X7 88E 88I 8AF 8AO 8C1 8F7 8FE 8FH 8FI 8FJ 8G5 8R4 8R5 AAFWJ AAIKC AAKAS AAMNW AAQOH AAQQT AAWTL AAYEP AAYJJ ABOCM ABPPZ ABUWG ACGFO ACGOD ADBBV ADZCM AEGXH AENEX AERZD AFFNX AFKRA AFOSN AFRAH AHMBA AI. AIAGR ALIPV ALMA_UNASSIGNED_HOLDINGS AN0 AQUVI ATCPS AZQEC BAWUL BCR BCU BEC BENPR BHPHI BKEYQ BKNYI BLC BNQBC BPHCQ BTFSW BVXVI C1A CCPQU CS3 DIK DU5 DWQXO E3Z EBS EDB EJD EMOBN EX3 F5P FYUFA GNUQQ GUQSH GX1 H13 HCIFZ HMCUK HZ~ IAG IAO IEA IHR INH INR IOF IPO IQODW ITC J5H K9- KQ8 L7B M0K M0R M0T M1P M2O M2P M2Q M5~ N4W NAPCQ O5R O5S O9- OK1 OVD P2P PCD PEA PHGZM PHGZT PJZUB PPXIY PQQKQ PROAC PSQYO Q2X RHI S0X SJFOW SV3 TDI TEORI TR2 TWZ UKHRP VH1 VVN W8F WH7 WHG WOQ WOW X7M YHG YOC ZCG ZGI ZXP ~KM CGR CUY CVF ECM EIF NPM AFFHD 3V. 7XB 8FK K9. MBDVC PKEHL PQEST PQUKI PRINS Q9U 7X8 PUEGO 5PM
ID	FETCH-LOGICAL-g429t-91af87d80b9c24dcecfc1308266cc4c3d2a5c1738e315666ee681743e005266f3
IEDL.DBID	BENPR
ISICitedReferencesCount	94
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000311426000044&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	0149-5992 1935-5548
IngestDate	Tue Nov 04 02:01:32 EST 2025 Thu Oct 02 10:54:16 EDT 2025 Tue Oct 07 05:39:52 EDT 2025 Tue Nov 11 10:03:49 EST 2025 Sat Nov 29 11:21:08 EST 2025 Tue Nov 04 17:49:28 EST 2025 Fri May 16 01:57:25 EDT 2025 Mon Jul 21 09:15:25 EDT 2025
IsDoiOpenAccess	true
IsOpenAccess	true
IsPeerReviewed	true
IsScholarly	true
Issue	12
Keywords	Endocrinopathy Sonography Human Nervous system diseases Tibial nerve Nutrition Diabetes mellitus Cross sectional study Metabolic diseases Peripheral nerve disease Ultrasound Endocrinology
Language	English
License	CC BY 4.0 Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-g429t-91af87d80b9c24dcecfc1308266cc4c3d2a5c1738e315666ee681743e005266f3
Notes	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 14 ObjectType-Article-1 ObjectType-Feature-2 content type line 23
OpenAccessLink	https://pubmed.ncbi.nlm.nih.gov/PMC3507587
PMID	23033242
PQID	1237603124
PQPubID	47715
PageCount	5
ParticipantIDs	pubmedcentral_primary_oai_pubmedcentral_nih_gov_3507587 proquest_miscellaneous_1197484895 proquest_journals_1237603124 gale_infotracmisc_A311718596 gale_infotracgeneralonefile_A311718596 gale_infotracacademiconefile_A311718596 pubmed_primary_23033242 pascalfrancis_primary_26650023
PublicationCentury	2000
PublicationDate	2012-12-01
PublicationDateYYYYMMDD	2012-12-01
PublicationDate_xml	– month: 12 year: 2012 text: 2012-12-01 day: 01
PublicationDecade	2010
PublicationPlace	Alexandria, VA
PublicationPlace_xml	– name: Alexandria, VA – name: United States – name: Alexandria
PublicationTitle	Diabetes care
PublicationTitleAlternate	Diabetes Care
PublicationYear	2012
Publisher	American Diabetes Association
Publisher_xml	– name: American Diabetes Association
References	17350529 - Reg Anesth Pain Med. 2007 Mar-Apr;32(2):162-6 22102452 - Muscle Nerve. 2011 Dec;44(6):851-3 19627890 - PM R. 2009 Feb;1(2):162-77 22102454 - Muscle Nerve. 2011 Dec;44(6):862-7 22153039 - J Radiol. 2011 Dec;92(12):1072-80 12401755 - Diabetes Care. 2002 Nov;25(11):2048-52 17936497 - Clin Neurol Neurosurg. 2008 Jan;110(1):25-9 18351581 - Muscle Nerve. 2008 May;37(5):566-71 23704690 - Diabetes Care. 2013 Jun;36(6):e82 15220781 - Anesthesiology. 2004 Jul;101(1):127-32 19427097 - Ultrasound Med Biol. 2009 Jul;35(7):1098-102 21667406 - Ultraschall Med. 2011 Jun;32(3):242-63; quiz 264-6 15668414 - Neurology. 2005 Jan 25;64(2):199-207 15673800 - N Engl J Med. 2005 Jan 27;352(4):341-50 17003307 - Diabetes Care. 2006 Oct;29(10):2282-8 19470812 - J Ultrasound Med. 2009 Jun;28(6):727-34 10823094 - Br J Anaesth. 2000 Apr;84(4):450-5 21472496 - J Neurol. 2011 Oct;258(10):1852-64 16166459 - J Am Podiatr Med Assoc. 2005 Sep-Oct;95(5):433-7 16921629 - Muscle Nerve Suppl. 1999;8:S91-105 20427781 - J Ultrasound Med. 2010 May;29(5):697-708 21839984 - Arch Phys Med Rehabil. 2011 Nov;92(11):1914-6 11682392 - Anesth Analg. 2001 Nov;93(5):1181-4 11097517 - Can J Neurol Sci. 2000 Nov;27(4):288-91 12842711 - Clin Neurophysiol. 2003 Jul;114(7):1167-75 22102455 - Muscle Nerve. 2011 Dec;44(6):868-72 15451351 - Clin Radiol. 2004 Oct;59(10):910-5
References_xml	– reference: 15220781 - Anesthesiology. 2004 Jul;101(1):127-32 – reference: 17003307 - Diabetes Care. 2006 Oct;29(10):2282-8 – reference: 15668414 - Neurology. 2005 Jan 25;64(2):199-207 – reference: 16166459 - J Am Podiatr Med Assoc. 2005 Sep-Oct;95(5):433-7 – reference: 20427781 - J Ultrasound Med. 2010 May;29(5):697-708 – reference: 12842711 - Clin Neurophysiol. 2003 Jul;114(7):1167-75 – reference: 11682392 - Anesth Analg. 2001 Nov;93(5):1181-4 – reference: 22102454 - Muscle Nerve. 2011 Dec;44(6):862-7 – reference: 19427097 - Ultrasound Med Biol. 2009 Jul;35(7):1098-102 – reference: 21839984 - Arch Phys Med Rehabil. 2011 Nov;92(11):1914-6 – reference: 10823094 - Br J Anaesth. 2000 Apr;84(4):450-5 – reference: 15451351 - Clin Radiol. 2004 Oct;59(10):910-5 – reference: 19627890 - PM R. 2009 Feb;1(2):162-77 – reference: 16921629 - Muscle Nerve Suppl. 1999;8:S91-105 – reference: 21472496 - J Neurol. 2011 Oct;258(10):1852-64 – reference: 21667406 - Ultraschall Med. 2011 Jun;32(3):242-63; quiz 264-6 – reference: 15673800 - N Engl J Med. 2005 Jan 27;352(4):341-50 – reference: 18351581 - Muscle Nerve. 2008 May;37(5):566-71 – reference: 11097517 - Can J Neurol Sci. 2000 Nov;27(4):288-91 – reference: 17936497 - Clin Neurol Neurosurg. 2008 Jan;110(1):25-9 – reference: 22102455 - Muscle Nerve. 2011 Dec;44(6):868-72 – reference: 22102452 - Muscle Nerve. 2011 Dec;44(6):851-3 – reference: 12401755 - Diabetes Care. 2002 Nov;25(11):2048-52 – reference: 17350529 - Reg Anesth Pain Med. 2007 Mar-Apr;32(2):162-6 – reference: 22153039 - J Radiol. 2011 Dec;92(12):1072-80 – reference: 19470812 - J Ultrasound Med. 2009 Jun;28(6):727-34 – reference: 23704690 - Diabetes Care. 2013 Jun;36(6):e82
SSID	ssj0004488
Score	2.4028838
Snippet	Peripheral nerve imaging by portable ultrasound (US) may serve as a noninvasive and lower-cost alternative to nerve conduction studies (NCS) for diagnosis and...
SourceID	pubmedcentral proquest gale pubmed pascalfrancis
SourceType	Open Access Repository Aggregation Database Index Database
StartPage	2575
SubjectTerms	Age Aged Biological and medical sciences Blood pressure Cross-Sectional Studies Diabetes Diabetes. Impaired glucose tolerance Diabetic Neuropathies - diagnosis Diabetic Neuropathies - diagnostic imaging Diabetic neuropathy Digital signal processors Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Hospitals Humans Male Medical sciences Metabolic diseases Middle Aged Miscellaneous Original Research Public health. Hygiene Public health. Hygiene-occupational medicine Regression analysis Studies Tibial Nerve - diagnostic imaging Tibial Nerve - pathology Ultrasonic imaging Ultrasonography Variables
Title	Can Ultrasound of the Tibial Nerve Detect Diabetic Peripheral Neuropathy?: A cross-sectional study
URI	https://www.ncbi.nlm.nih.gov/pubmed/23033242 https://www.proquest.com/docview/1237603124 https://www.proquest.com/docview/1197484895 https://pubmed.ncbi.nlm.nih.gov/PMC3507587
Volume	35
WOSCitedRecordID	wos000311426000044&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText	1
inHoldings	1
isFullTextHit
isPrint
journalDatabaseRights	– providerCode: PRVPQU databaseName: Agricultural Science Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: M0K dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/agriculturejournals providerName: ProQuest – providerCode: PRVPQU databaseName: Family Health Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: M0R dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/familyhealth providerName: ProQuest – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: 7X7 dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Healthcare Administration Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: M0T dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/healthmanagement providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: 7RV dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: BENPR dateStart: 19960701 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: 8C1 dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest – providerCode: PRVPQU databaseName: Research Library customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: M2O dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/pqrl providerName: ProQuest – providerCode: PRVPQU databaseName: Science Database customDbUrl: eissn: 1935-5548 dateEnd: 20130731 omitProxy: false ssIdentifier: ssj0004488 issn: 0149-5992 databaseCode: M2P dateStart: 19960701 isFulltext: true titleUrlDefault: https://search.proquest.com/sciencejournals providerName: ProQuest
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwED-xDiEkNL4GdBuVkRA8RYvjOHZ4mUrZhIRWqqlDfYtSxxmVUFqWDon_njvbWxc08cLLKZEvn_b5frbPvwN4WyrLjaSwCqXiKJVGRLqao7nXMYLTVHOjapdsQo3HejbLJ2HCrQ1hldd9ouuoq6WhOfJD7sI3BLqjo9XPiLJG0epqSKGxBdvEVJb2YPvj8XhyttkZmbrMkzQOiGSeJ55bKBFCHVaGghIUZQkPnfGjVdnij6l9Rou7IOffkZO3XNHJ4__9iCewE0AoG_pW8xTu2eYZPDgNy-zPYT4qG3b-A5_dUtYltqwZ4kQ2ddtL2JiCJNknS8sPzEfULAybYFN2FAWkQFP8CC1_H31gQ-YccdS6mC96rGO03YXzk-Pp6HMUkjFEF-iy1tgplrVWlY7nuUlS_AGmNpy4brLMmNSIKiml4UpoK2hImFmbaRrtWMcok9XiBfSaZWNfAUtNrioCBlqIlHKup9jVVSqPa4n6KuvDe6qQgkwMv9SUYacAXk1kVcVQcI4uVeao-a6jeeGpuu9SPOgoog2ZTvGgU_fFylN9FPiWkmANXn9doUUw8rbY1GYf3twU060pcK2xyyvU4Tmxtepc9uGlbzubmyN8IDzbB9VpVTcKRP3dLWkW3x0FuEAYL7Xa-_dr7cNDxHeJj745gN768sq-hvvm13rRXg5gS519IzlTTmqUesQHwYbw7DT-4qQ_npJMvjo5-QOg2CTl
linkProvider	ProQuest
linkToHtml	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwEB6VggAJ8X4slGIkHqeoSZzENhKqVi1Vq3ZXPWyl3tLsxCkroezSbEH9U_xGZuxsl6CKWw-cPXHieGbyOf78DcC7QtkIU6ZVKBUGSYoy0OWYwr0KCZwmOkJVuWITajjUx8fmcAV-Lc7CMK1ykRNdoi6nyP_INyJH35D0OdqcfQ-4ahTvri5KaHi32LcXP2nJ1nze26b5fR_HO19GW7tBW1UgOKXcO6foLiqtSh2ODcZJiRYrjFi0JcsQE5RlXKQYKamt5LVNZm2mGbZbJ42SVZL6vQE3WVePKYSDcLQ8h5m4Ope86ghSY2KvZBRLqTZKZAqE4prkbeq_NysamobK18-4CuD-zdP848O38-B_e2UP4X4LsUXfx8QjWLH1Y7g9aEkET2C8VdTi6BuNteGaUmJaCULBYuQOz4ghU0DFtuXNFeH5QhMUhxSoToCBDXgDg4DzxeYn0RcOZgSNY7TxbZ1e71M4upYRPoPVelrbFyASNKpk2KOlTLiifEKJvFQmrFKyV1kPPrID5JxAaKRYtOcg6GqW4sr7MooIMKSGLD90LE-9EPlVhmsdQ8oQ2Gle7_haPvNCJjk9Zcqgja5fOFDeprAmX3pPD95eNnPXTMur7fScbCLDWrTapD147n112TmBI0brPVAdL740YGHzbks9-eoEziUtUlKtXv77sd7And3R4CA_2Bvuv4K7hGRjzzNag9X52bl9Dbfwx3zSnK27KBVwct0-_hs-anbp
linkToPdf	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V3fb9MwED6NgSYkxG9GYQwj8eMpahPHsY2EpqqlYhpUfdikvYXUsUelKS1LB9q_xl_HnZ2uBE287YFnX5w4uTt_jj9_B_C6kDY2gmgVUvaiVBgeqXKK4e56CE5TFRvpfLEJOR6r42M92YBfq7MwRKtc5USfqMu5oX_k3djTNzhOR13X0CImw9He4ntEFaRop3VVTiO4yIG9-InLt_rD_hC_9ZskGX08HHyKmgoD0Qnm4SVGeuGULFVvqk2SlsYaZ2IScMkyY1LDy6QQJpZcWU7rnMzaTBGEt14mJXMc-70BNyVHL6ZT6oM1vQSXPSrQJ3UktE6CqlHCueyWhugQkuqTN9PAnUVR4ydxoZbGVWD3b87mH5Pg6N7__Pruw90GerN-iJUHsGGrh7D1pSEXPILpoKjY0SmOu6ZaU2zuGKJjdugP1bAxUUPZ0NKmCws8oplhEwxgL8xABrSxgYD6Yu896zMPP6LaM93otl7H9zEcXcsIn8BmNa_sU2Cp0bIkOKQ4T6nSfIoJvpS65wTay6wD78gZckosOFJTNOcj8GqS6Mr7PI4RSAiNlm9blidBoPwqw52WIWYO02rebfldvggCJzk-pSAwh9evnClvUludrz2pA68um6lroutVdn6ONrEmjVqlRQe2g9-uO0fQRCi-A7Ll0ZcGJHjebqlm37zwOcfFi1Dy2b8f6yVsoWvnn_fHB8_hNgLcJNCPdmBzeXZuX8At82M5q892fcAy-HrdLv4bl_1_Zw
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Can+ultrasound+of+the+tibial+nerve+detect+diabetic+peripheral+neuropathy%3F+A+cross-sectional+study&rft.jtitle=Diabetes+care&rft.au=Riazi%2C+Sheila&rft.au=Bril%2C+Vera&rft.au=Perkins%2C+Bruce+A&rft.au=Abbas%2C+Sherif&rft.date=2012-12-01&rft.pub=American+Diabetes+Association&rft.issn=0149-5992&rft.volume=35&rft.issue=12&rft.spage=2575&rft_id=info:doi/10.2337%2Fdc12-0739&rft.externalDocID=A311718596
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0149-5992&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0149-5992&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0149-5992&client=summon